The aim of this study is to investigate the effect of Tension and Trauma Releasing Exercises (TRE) on the quality of life and sleep in hypertensive patients. Participants will perform a series of supervised TRE sessions, and their sleep quality, and quality of life will be assessed before and after the intervention to determine any potential improvements related to the exercise.
Forty females have had essential hypertension for at least five years. They will be recruited from the outpatient clinic at physical therapy, Cairo university. The patients of this study will be randomly assigned into 2 equal groups (n=40): Study Group A: (20 patients) Will receive Tension and Trauma Releasing Exercises in addition to medical treatment programme. Control Group B: (20 patients) will receive only the Medical treatment programme. The program of treatment for the study group will be applied 30 minutes per session , with a maximum of 15 minutes of neurogenic tremors, 3 times per week for 8 consecutive weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Tension and trauma releasing exercises will be conducted for study group only as follows: The exercises start by slightly fatiguing specific muscle groups to encourage this involuntary shaking, which is considered healthy and calming. The first exercise: Feet roll gently outward while shifting weight side to side, helping release ankle tension. The second exercise: One foot steps back while the front heel lifts until the calf feels lightly tired, triggering a small shake. The third exercise: A small lunge-like position engages the thighs and hips, leading to natural muscle release. The fourth exercise: A soft bend at the hips with relaxed arms and deep breathing stretches the back and encourages loosening. The fifth exercise: With feet wide and hands on the lower back, the hips push forward slightly while breathing deeply and turning gently side to side. The sixth exercise: The body slides into a seated position against a wall to lightly fatigue the
Faculty of physical therapy ,Cairo University
Giza, Egypt
Quality of life ,assessed by SF12
Change in SF-12 physical and mental component summary scores from baseline to 8 weeks.
Time frame: Baseline and after 8 weeks of intervention
Sleep quality, assessed by the Pittsburgh Sleep Quality Index (PSQI).
Change in global PSQI score from baseline to 8 weeks. PSQI will be administered to assess sleep quality .
Time frame: Baseline and 8 weeks after the start of the intervention
Blood pressure - Systolic and Diastolic (mmHg) ,assessed by mercury sphygmomanometer
Mean change in systolic and diastolic blood pressure. Measurements will be taken using a mercury sphygmomanometer after a 5-minute rest period, and the average of two consecutive readings will be recorded.
Time frame: Baseline and 8 weeks after the start of the intervention
Heart rate ,assessed by pulse oximeter
change in resting heart rate measured by pulse oximeter
Time frame: Baseline and 8 weeks after the start of the intervention
Depression and anxiety ,assessed by Hospital Anxiety and Depression Scale (HADS)
Change in subscale (anxiety and depression) scores from baseline to 8 weeks.
Time frame: Baseline and 8 weeks after the start of the intervention
Rate Pressure Product measurement
Heart rate \* systolic blood pressure
Time frame: Baseline and 8 weeks after the start of the intervention
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