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العنوان
Inspiratory muscle training versus slow deep breathing on sympathetic tone in essential hypertensive patients /
الناشر
Ahmed Mounir Salama Mohammed ,
المؤلف
Ahmed Mounir Salama Mohammed
هيئة الاعداد
باحث / Ahmed Mounir Salama Mohammed
مشرف / Azza Abdelaziz Abdelhady
مشرف / Gamal Mohammed Shaban
مشرف / Heba Ahmed Ali Abdeen
مناقش / Walid Ahmed Emam Sayed
تاريخ النشر
2017
عدد الصفحات
88 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
العلاج الطبيعي والرياضة والعلاج وإعادة التأهيل
تاريخ الإجازة
8/2/2017
مكان الإجازة
جامعة القاهرة - علاج طبيعي - Physical Therapy
الفهرس
Only 14 pages are availabe for public view

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from 134

Abstract

This study aimed to determine the effect of inspiratory muscle training versus slow deep breathing exercise on sympathetic tone in essential hypertensive patients. Forty men with essential hypertension, the mean age was 35 years old with mean BMI was 26.19 kg/m2 which the systolic blood pressure range was (140 - 159 mm Hg) and diastolic blood pressure range was (90 - 99 mm Hg) participated in this study were selected from the National Heart Institute and other private clinics. They were assigned randomly into two groups equal in number. Participants of the group (A) received inspiratory muscle training program, while the group (B) received slow deep breathing program lasting four weeks. Patients were assessed objectively by mercury sphygmomanometer to measure Blood pressure (BP), vacuum manometer to evaluate maximum inspiratory pressure (MIP) and 24-Hour Ambulatory Electrocardiographic Recording (Holter) to measure frequency domain component of heart rate variability (HRV). Also patients were assessed subjectively by the hypertension health related quality of life questionnaire (MINICHAL) to evaluate quality of life. The participants were assessed before and after the training program. Results: the statistical analysis revealed that there was a significant improvement in inspiratory muscle training group (A) and slow deep breathing exercise group (B) but the improvement was more significant in favour of group (A) than group (B) as follow: a significant decrease of (SBP) by (7%) and (4.5%), a significant decrease of (DBP) by (5.5 %) and (3 %), a significant increase of (HF of HRV) by (15 %) and (10.5%) , a significant decrease of (LF of HRV) by (15%) and (10%) , a significant decrease of (LF/HF of HRV) by (26%) and (19%), a significant increase of (MIP) by (32%) and (12%) and a significant improvement of quality of life by (84%) and (45.5%) in group (A) and group (B) respectively (p{u02C2}0.05). Conclusions: inspiratory muscle training is more effective than slow deep breathing on modulating sympathetic tone in essential hypertensive patients