Functional Inspiratory Muscle Training in Patients Diagnosed With Hypertension

Mustafa Kemal University45 enrolled

Overview

This study was planned to investigate the effectiveness of combined exercise training, that is, functional inspiratory muscle training, with breathing exercises to be applied with a portable, easy-to-use respiratory muscle strengthening device, on exercise capacity and peripheral muscle strength.

Forty-five Individuals will be randomly divided into three groups: Functional IMT Group (n:15): will receive functional inspiratory muscle training (exercise + 50% of MIP) IMT Group I (n:15): will recieve inspiratory muscle training (50% of MIP ) Control group (n:15): will recieve breathing exercises training

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Hypertension,Essential

Interventions

Inspiratory muscle training with deviceDEVICE

: A randomized, controlled three-arm study. Forty-five patients with HT randomized three group: Group 1 will receive IMT (7 days/8 weeks) with function and POWERbreathe® Classic LR device, group 2 will reviece only IMT with 50 % maximal inspiratory pressure (MIP), n: 15) and control group will recieve breathing exercises(7 days/8 weeks).

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg, 2. It will include both male and female subjects aged ≥18 and \<80 years with a previous diagnosis of essential hypertension. 3. Subjects receiving no pharmacological treatment or receiving only thiazide diuretics 4. Those with a body mass index \<30 kg/m2 Those who engage in \<150 minutes of moderate or intense physical activity per week, according to the 5th International Physical Activity Survey Exclusion Criteria: 1. Blood pressure ≥160 / 100 mmHg 2. Severe dyspnea; diabetes; orthopedic, musculoskeletal, or fitness limitations; 3. Major physiological crises; 4. A current or past history of deep venous thrombosis; History of myocardial infarction or stroke within the 5th year or 6 months ago; 6\. Congestive heart therapy; 7. Unstable angina; 8. or lung disease of any etiology (including asthma and chronic obstructive pulmonary disease); 9. Active smokers 10. Patients under 18 years of age 11. Pregnant women 12. Those with Active Infection 13. Those with Known Malignancy

Locations (1)

Hatay Mustafa Kemal University

Hatay, Antakya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Change of the exercise capacity from baseline to 8 week

Exercise capacity was evaluated with the 6-Minute Walk Test (6MWT). ATS (American Thoracic Society) criteria were taken into consideration and the subjects rested for at least half an hour before starting the test. Participants walked briskly at their own walking pace for 6 minutes on a 30-meter straight corridor. The distance reached at the end of the test was recorded in meters.

Time frame: from baseline to 8 week

Change of the peripheral muscle strenght from baseline to 8 week

Peripheral muscle strength and hand grip strength were evaluated with a portable dynamometer and the values obtained were recorded in Newton (N)/kgF/Pascal. Peripheral muscle strength was measured seated, employing a hand-held dynamometer (JTECH Power Track Commander, Baltimore, MD, USA). This device, known for its portability and cost-effectiveness, serves as an alternative to isokinetic machines and offers greater sensitivity in detecting changes in muscle strength compared to manual muscle tests. Respiratory muscle strength 'maximum inspiratory pressure (MIP) and expiratory pressure (MEP)' will calculate with a portable, electronic mouth pressure measuring device.

Time frame: from baseline to 8 week

change of the upper extremity exercise capacity from baseline to 8 week

6PBRT is a test used to evaluate unsupported upper extremity exercise capacity. Participants will be asked to sit in an adjustable-height chair. The pegboard will be placed within arm's reach of the person. Participants will be asked to attach a total of 20 rings, 32 rings, 10 on each iron rod, located at both shoulder levels, to the iron rods 20 centimeters above, as quickly as possible, using both arms simultaneously, for six minutes, and then to attach and remove them again to the iron rods below.

Time frame: from baseline to 8 week

Secondary Outcomes

change of the postural balance from baseline to 8 week

Timed Up and Go test (TUG): It measures the time it takes for the patient to get up from the chair, walk 3 m, turn around and sit down in the same chair again. The TUG test is a simple test used to evaluate postural mobility

Data from ClinicalTrials.gov

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