Skip to main content
OpenTrials
Completed

NCT Number: NCT05900713

Effect of DNS Exercises Training on Hypertension

Purpose of the study This study will be conducted to investigate any significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Essential Hypertension Cardiovascular Diseases Hypertension Vascular Diseases

Age range

50 year–60 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Physical Therapy

Giza, 12613, Egypt

About this study

PURPOSE:

This study will be conducted to investigate any significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

BACKGROUND:

The most recent global estimates suggested that hypertension (HTN) affected 1.13 billion people worldwide.

Raised blood pressure (BP) has emerged as the most important risk factor for global morbidity and mortality.

Hypertensive individuals present slower processing speed, reduced static and dynamic balance, decreased functional mobility during both single and dual tasking and higher fear of falling in comparison to normotensive individuals. These findings expand the body of knowledge about the effects of HTN on physical functions like prolonged processing time, disturbed balance and reduced mobility functions, which may guide clinicians in including preventive and rehabilitative strategies to their therapy protocols in order to improve the quality of life of the individuals with HTN.

HYPOTHESES:

Null Hypothesis: there will be no significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

RESEARCH QUESTION: Will be any significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension?

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Sixty men patients with stage two essential HTN (more than 140/90 mm hg).
  • Their age will be ranged from 50-60 years old.
  • Body mass index (BMI) from 25 to 34.9 kg/m2.
  • Low levels of physical activity (using the International Physical Activity Questionnaire-Short Version) (The Arabic version of the questionnaire will be used)

Exclusion criteria

  • Uncontrolled HTN.
  • Diabetes mellitus.
  • Heavy Smoker.
  • Neurological or musculoskeletal conditions that interfere with gait
  • Vertebrobasilar insufficiency (VBI).
  • Use of psychotropic drugs.
  • Impaired vision and/or hearing.
  • Unstable medical conditions.
  • Patients who are unable to follow verbal instructions.
  • Participation in regular exercise training of any type in the previous 3 months.

Treatment and study plan

dynamic neuromuscular stabilization training

Other

DNS methods demonstrated efficacy in improving global trunk stabilizing patterns with noted gains in extremity movement and strength

balance exercises plus diaphragmatic breathing

Other

The balance exercises is balance exercises while standing and walking The patient assume a semi-Fowler's position and perform diaphragmatic breathing.

Primary outcomes

  1. Postural control by Biodex Balance System

    Time frame: 8 weeks

    The overall stability index (OSI), anteroposterior stability index (APSI), and mediolateral stability index (MLSI) are recorded with a Biodex Balance System, Postural stability test will be performed in the double leg standing position and in the single leg standing position on the right and left legs

  2. balance by The Modified star excursion balance test (mSEBT)

    Time frame: 8 weeks

    • Patients will perform testing while barefoot, maintaining their hands on their hips and a series of single-limb squats using the non-stance limb to touch a point a maximum distance along designated lines on the ground

  3. dynamic balance and functional mobility by Timed-Up-and-Go test (TUG)

    Time frame: 8 weeks

    It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down while turning

Secondary outcomes

  1. Sleep quality: using The Pittsburgh Sleep Quality Index (PSQI)

    Time frame: 8 weeks

    • It is used to determine self-reported sleep quality and sleep disturbances for the preceding month.
    • It is a 19-item test and consists of seven components: (1) subjective sleep quality, (2) sleep latency, (3) sleep duration, (4) sleep efficiency, (5) sleep disturbance, (6) sleeping medication use and (7) daytime dysfunction.

  2. Quality of life: using The 12 Item Short Form Health Survey (SF-12) Questionnaire

    Time frame: 8 weeks

    • The SF-12 consists of 12 questions that examine eight different health domains in order to determine physical and mental health. General Health (GH), Physical Functioning (PF), Role Physical (RP), and Body Pain (BP) are the physical health domains. Vitality (VT), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH) are mental health-related scales

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effect of Dynamic Neuromuscular Stabilization Training on Postural Control in Patients With Essential Hypertension

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Jun 12, 2023
Registry last updated
Aug 20, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.