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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| "TRE Exercise Group" | Experimental | Participants in this group will perform supervised Tension and Trauma Releasing Exercise (TRE) sessions in addition to their usual medical treatment for hypertension. The TRE sessions will be conducted three times per week for eight weeks, and each session will last approximately 30 minutes. The exercises aim to promote relaxation, reduce tension, and improve sleep quality, and quality of life. |
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| "Control Group" | No Intervention | Participants in this group will continue their usual medical treatment for hypertension without any additional exercise intervention. They will receive the same assessments for sleep quality, and quality of life as the experimental group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tension and trauma releasing exercises | Behavioral | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life ,assessed by SF12 | Change in SF-12 physical and mental component summary scores from baseline to 8 weeks. | 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 . | Baseline and 8 weeks after the start of the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Baseline and 8 weeks after the start of the intervention |
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Inclusion Criteria:
Exclusion Criteria:
e) Patients who are taking beta-blockers and alpha-blockers because these medications may affect heart rate.
f) Individuals with endocrine disorders or any condition known to influence hormonal levels.
g) Patients are smokers. h) Malignant hypertension.
biological females only
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Youmna Gamal Elsayed, B.Sc. in Physical Therapy | Contact | +201273150655 | +201223348743 | yomnagamal27@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| El-Sayed Essam Felaya, Assistant professor | Cairo University | Study Chair |
| Salma Elsayed Elsheikh, Lecturer of physical therapy | Cairo University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy ,Cairo University | Giza | Egypt |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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The study includes two parallel groups: the experimental group performs Tension and Trauma Releasing Exercises (TRE) in addition to medication, while the control group continues medication only.
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| Heart rate ,assessed by pulse oximeter | change in resting heart rate measured by pulse oximeter | 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. | Baseline and 8 weeks after the start of the intervention |
| Rate Pressure Product measurement | Heart rate * systolic blood pressure | Baseline and 8 weeks after the start of the intervention |
| Mahmoud Mohamed Ghanema, Lecturer of Internal Medicine |
| Cairo University |
| Study Chair |