Breathing and relaxation training for patients with hypertension and stress

Chicayban, Livia de Matos; Malagris, Lúcia Emmanoel Novaes

doi:10.1590/0103-166x2014000100012

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…This finding agreed with study by Chicayban and Malagris, as they found that stress management training for hypertensive patients has been identified as a beneficial strategy in controlling stress mainly and it may be helpful as a non-pharmacological strategy in the treatment of hypertension, however, it was not regarded as capable of significantly reducing SBP levels 14 .…”

Section: Discussion:-supporting

confidence: 91%

“…By the end of our study, patients within intervention group reported statistically significant improvement in perceived stress scores and blood pressure control compared to patients within control group. This can be attributed to application of our intervention that also increases number of patients whom blood pressure became controlled Different studies agreed with our finding as they found that the relaxation response may contribute to a reduction in anxiety and other negative, psychological reactions attributable to stress [13][14] .…”

Section: Discussion:-supporting

confidence: 88%

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Applying Stress Coping Techniques on Uncontrolled Essential Hypertensive Patients: A Randomized Clinical Controlled Trial.

AbdAllah¹,

Ahmed²,

Saad.³

et al. 2016

IJAR

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Background: Psychosocial, occupational and economic stress can contribute to development of hypertension and subsequent cardiovascular morbidity and mortality. Reduction of stress in addition to usual medical care can improve clinical outcome in essential hypertensive patients. Objectives: To assess the effect of stress coping techniques training sessions for uncontrolled essential hypertensive patients on reducing their self-reported perceived stress. Methodology: A single blinded randomized clinical controlled trial was conducted in Zagazig University internal medicine outpatient clinic on 112 uncontrolled non complicated apparently healthy essential hypertensive patients without comorbidities from 45 to 65 years old randomly allocated into two groups (intervention and control 1:1). Data for this study was collected by social, biological and PSS-10 questionnaires for both groups. The intervention group received health education and training on stress management technique monthly for nine months while patients within control group received classic consultation. The outcome of disease was assessed by measuring change in blood pressure control and perceived stress scores within the two groups. Results: Essential hypertensive patients within both groups reported statistically non-significant high stress scores at the start of the study. By the end of the study, there was a statistically significant difference between both study groups regarding blood pressure control and perceived stress scores where patients within intervention group reported statistically significant improvement in both variables. Conclusion: Addition of training on stress coping techniques to classic consultation visits is more beneficial in reducing perceived stress and improving blood pressure control of essential hypertensive patients.

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Section: Discussion:-supporting

confidence: 91%

Section: Discussion:-supporting

confidence: 88%

Applying Stress Coping Techniques on Uncontrolled Essential Hypertensive Patients: A Randomized Clinical Controlled Trial.

AbdAllah¹,

Ahmed²,

Saad.³

et al. 2016

IJAR

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“…The increase in peripheral vascular resistance and cardiac output, in an attempt to restore muscle blood flow, favors elevated blood pressure levels (Chicayban and Malagris, 2014). Studies show that it is possible to understand that altered posture, sustained for a long time, can stimulate the metaboreceptors of large muscle groups, such as tibialis anterior, triceps sural, and hamstrings, causing an increase in BP and a decrease in perfusion pressure.…”

Section: Resultsmentioning

confidence: 99%

“…Changes in these regions were also prominent in the modulation of diastolic pressure in the data of this study. Some resulting consequences are early muscle fatigue and decreased muscle performance, which are also associated with the changes existing during aging (Chicayban and Malagris, 2014;Goes et al, 2018). Our results agree with previous studies that showed that joint mobility of movement and postural change by stretching for 14 weeks effectively reduces blood pressure.…”

Section: Resultsmentioning

confidence: 99%

Fourteen weeks of multicomponent training associated with flexibility training modifies postural alignment, joint range of motion and modulates blood pressure in physically inactive older women: a randomized clinical trial

Sobrinho,

Benjamim,

Luciano de Almeida

et al. 2023

Front. Physiol.

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Background: Body relaxation and pain reduction are some of the reported benefits of flexibility training (through active stretching exercises), however their effects on posture and blood circulation are uncertain. We aimed to investigate the effects of flexibility training (through active stretching exercises) in combination with multicomponent training (MT) on blood pressure (BP), and the correlation with changes in body alignment and flexibility in physically inactive women.Methods: Women aged 60–70 years were into three groups: multicomponent training group (MT), multicomponent training plus flexibility training group (FT), and control group (CG). After randomization, the resting blood pressure was measured and the participants were reallocated into subgroups according to pressure values >130/80 mmHg (This classification is according to the American Heart Association (AHA), resulting in the subgroups: flexibility training (FT); flexibility training for hypertensive patients (FTSAH); multicomponent training (MT); multicomponent training for hypertensive patients (MTSAH); control group (CG); control group of hypertensive patients (CGSAH). The interventions lasted 14 weeks. Systolic (sBP) and diastolic (dBP) BP, range of motion (flexion and extension), and postural analysis by asymmetry in the frontal plane and asymmetry in the sagittal plane, displacement and the flexibility test were collected before (Pre) and after training (Post). In total, 141 women participated in the study (without SAH: FT = 23, MT = 20, and CG = 21; with SAH: FTSAH = 28, MTSAH = 23, and CGSAH = 26).Results: Systolic blood pressure, in the pre and post moments were: FT (116 ± 6.7 vs. 114 ± 4.7); FTSAH (144 ± 16.5 vs. 121 ± 10.1); MT: (120 ± 6.8 vs. 121 ± 7.3); MTSAH: (137 ± 10.6 vs. 126 ± 13.0); CG: (122 ± 5.3 vs. 133 ± 19.2); and CGSAH: (140 ± 9.7 vs. 143 ± 26.2), presenting an F value (p-value - group x time) of 12.00 (<0.001), with improvement in the groups who trained. The diastolic blood pressure in the pre and post moments were: FT (71 ± 4.7 vs. 74 ± 6.8); FTSAH (88 ± 9.6 vs. 70 ± 12.0); MT: (74 ± 4.5 vs. 77 ± 11.7); MTSAH: (76 ± 10.4 vs. 76 ± 10.2); CG: (69 ± 7.11 vs. 82 ± 11.4); and CGSAH: (76 ± 13.4 vs. 86.6 ± 7.7), presenting an F value (p-value - group x time) of 8.00 (p < 0.001), with improvement in the groups who trained. In the Elastic Net Regression, sBP was influenced by height (β: −0.044); hip flexion (β: 0.071); Shoulder extension (β: 0.104); low back flexion (β: 0.119) and dBP (β: 0.115). In the Elastic Net Regression, dBP was influenced by asymmetry in the sagittal plane variables (0.040); asymmetry in the frontal plane (β: 0.007); knee flexion (β: −0.398); BM (β: 0.007); Shoulder flexion (β: −0.142); Hip flexion (β: −0.004); sBP (β: 0.155) and Ankle Flexion (β: −0.001).Conclusion: The displacement of the asymmetry in the frontal plane and asymmetry in the sagittal plane, and the increase in the flexion position in the hip, lumbar, head, and knee regions, influenced the highest-pressure levels. Multicomponent training associated with flexibility training promoted improvement in body alignment, COM, and joint angles, and decreased blood pressure.

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“…Relaxation techniques have shown benefits for reducing blood pressure and stress levels in pregnant women with hypertension (Soliman, Elalem, & Elhomosy, 2017). There are also relaxation techniques that are combined with breathing techniques so that it gives an effect that is effective in controlling stress in hypertensive patients (Chicayban & Malagrisi, 2014).…”

Section: Physical Therapymentioning

confidence: 99%

The Comparison Between Physical Therapy and Psychosocial Therapy to Control Stress Among Hypertensive Patients

Wahyuriko¹

2020

Proceedings of the 5th ASEAN Conference on Psychology, Counselling, and Humanities (ACPCH 2019)

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This study aims to determine the comparison between physical therapy and psychosocial therapy to control stress among hypertensive patients. Hypertension develops rapidly in developing countries with one of the most considered factors is chronic stress. Most hypertensive patients use drugs to lower their blood pressure even though anti-hypertensive drugs could cause undesirable side effects. Many studies were conducted to relieve stress in hypertensive patients as companion therapy. Stress causes blood pressure to rise; thus, stress control is essential to control blood pressure. The therapies reviewed here are physical therapy and psychosocial therapy, which serve to control stress among hypertensive patients. The study discusses the advantages of each therapy and the different therapeutic methods that can be applied by physical therapy and psychosocial therapy as additional therapies for hypertensive patients or for people who want to control stress in their lives. In general, physical therapy and psychosocial therapy have the same benefits for reducing stress in hypertensive patients.

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Breathing and relaxation training for patients with hypertension and stress

Cited by 5 publications

References 18 publications

Applying Stress Coping Techniques on Uncontrolled Essential Hypertensive Patients: A Randomized Clinical Controlled Trial.

Applying Stress Coping Techniques on Uncontrolled Essential Hypertensive Patients: A Randomized Clinical Controlled Trial.

Fourteen weeks of multicomponent training associated with flexibility training modifies postural alignment, joint range of motion and modulates blood pressure in physically inactive older women: a randomized clinical trial

The Comparison Between Physical Therapy and Psychosocial Therapy to Control Stress Among Hypertensive Patients

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