Hypertension
Conditions
Brief summary
Study the effects of inspiratory muscle training at Low load of 25 %Maximal inspiratory pressure with slow breathing rate at 6 breaths/min on inspiratory muscle strength, lung function, chest wall expansion, abdominal expansion, exercise capacity and blood pressure in elderly with Isolated systolic hypertension.
Detailed description
Study the effects of inspiratory muscle training at Low load of 25 % Maximal inspiratory pressure with slow breathing rate at 6 breaths/min with BreatheMAXยฎdevice for 8 weeks at home on inspiratory muscle strength, lung function (slow vital capacity, inspiratory capacity), chest wall expansion, abdominal expansion, exercise capacity by arm ergometry and blood pressure in elderly with Isolated systolic hypertension. who have age 60-80 years.
Interventions
Inspiratory muscle training at 25%MIP with Slow breathing at 6 breath per min with BreatheMAX device for 8 weeks at home
Inspiratory muscle training at 2 cmH2O with Slow breathing at 6 breath per min with BreatheMAX device for 8 weeks at home
Sponsors
Study design
Eligibility
Inclusion criteria
1. Subjects aged 60 to 80 years of age with an essential isolated systolic hypertension stage I II based on recommendation of JNC VII from primary care units in community and the Outpatient Department of Srinakarind hospital in Khon Kaen province Thailand 2. Good communication and co operation 3. Independent physical activity 4. Stable controlled hypertension
Exclusion criteria
1. Essential isolated systolic hypertension stage III or secondary hypertension 2. History of heart disease such as coronary artery disease myocardial infarction 3. History of respiratory disease such as asthma chronic bronchitis 4. History of neuromuscular disease such as muscle weakness cerebrovascular disease 5. History of renal disease 6. Exercise limited by pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Maximal inspiratory pressure (MIP) | Baseline and at 8 weeks | MIP will be measure by Mouth pressure meter (Micro RPM, Micro Medical, Inc., Chatham Maritime, Kent) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lung capacity | Baseline and at 8 weeks | Lung capacity consists of slow vital capacity (SVC), inspiratory capacity (IC). SVC and IC will be measure by a portable computerized spirometer (KoKo spirometer) |
| Exercise capacity | Baseline and at 8 weeks | Exercise capacity by Arm ergometer consists of exercise times, rating of perceived breathlessness (RPB) will examined by Borg scale |
| Chest wall expansion and abdominal expansion | Baseline and at 8 weeks | chest wall expansion and abdominal expansion measured at xiphoid process level and middle between the ambrical and xiphiod process level by use a flexible measuring tape (cm) |
| Blood pressure (BP) | Baseline and at 8 weeks | Blood pressure (BP) at home measured by digital bedside monitor. Accordingly follow ACMS recommended. And BP at laboratory test measured by Bedside monitor. |
Countries
Thailand