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| Name | Class |
|---|---|
| Paracelsus-Spital Richterswil | UNKNOWN |
| University of Bern | OTHER |
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Anthroposophic speech therapy (ATS) has been shown to positively influence heart rate variability (HRV) and heart rate - respiration coordination in healthy volunteers. This study was performed to learn more about such improvements and possible alteration in baroreflex sensitivity (BRS) in hypertensive patients, which characteristically differ in those regulatory parameters from normotensive patients
In this prospective, primarily pre-post study, patients received three ATS treatments in alternation with three control sessions (casual talking with the therapist). In order to perform HRV-analysis and BRS determination blood pressure and ECG were continuously recorded during the sessions. Changes in subjective well-being and perceived health were assessed by questionnaire before and after the various sessions (mood questionaire).
Thirty-one patients participated in this study, the majority diagnosed with arterial hypertension (22 out of 31).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hypertensive | Experimental | Patients diagnosed with hypertension (I10, either on drug therapy or verified by 24h blood pressure measurements) administered to anthroposophic speech therapy (intervention). |
|
| Normotensive | Active Comparator | Patients diagnosed with tension headache (G 44.2) or anxiety disorders (F41) administered to anthroposophic speech therapy (intervention). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anthroposophic speech therapy | Behavioral | Anthroposophic speech therapy uses sound-combinations like "KLSFM" or "OM" and hexameter verse in German, spoken by the therapist and imitated by the patients, to expand and decelerate respiration. The intervention is conducted by the same qualified therapist for one patient in different days but during the same daytime for 30 minutes in upright position and walking. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from pre-rest baroreflex sensitivity after intervention and resting. | Baro reflex sensitivity via continuous blood pressure measurement by volume clamp method (non invasive) | 30min in total per session. Six sessions per patient in total. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from pre-rest heart rate variability after intervention and resting | Heart rate variability measurements via portable ECG-recorder | Measurement over whole session (60min in total). Six sessions per patient in total. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christoph Kaufmann, PhD | Chief Physician | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
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| 23608661 | Background | Brook RD, Appel LJ, Rubenfire M, Ogedegbe G, Bisognano JD, Elliott WJ, Fuchs FD, Hughes JW, Lackland DT, Staffileno BA, Townsend RR, Rajagopalan S; American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, and Council on Nutrition, Physical Activity. Beyond medications and diet: alternative approaches to lowering blood pressure: a scientific statement from the american heart association. Hypertension. 2013 Jun;61(6):1360-83. doi: 10.1161/HYP.0b013e318293645f. Epub 2013 Apr 22. |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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