Effect of DNS Exercises Training on Hypertension

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

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?

Inclusion Criteria:

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

Exclusion Criteria:

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