Blood Pressure, Cardiac Rehabilitation
Conditions
Keywords
Cardiac Rehabilitation, Hand Grip Training, Blood Pressure
Brief summary
Research has shown that isometric (constant squeeze) exercise training using an isometric handgrip (IHG) device lowers resting blood pressure (BP) in those with and without high BP. The purpose of this study is to explore if IHG training will lower resting BP in people doing cardiac rehabilitation more than doing only cardiac rehabilitation. Once eligibility is confirmed participants will be randomly assigned to one of two groups for the study. One group will do IHG training in addition to cardiac rehabilitation (Group 1), and the other group will do only cardiac rehabilitation (Group 2). Participants assigned to Group 1 will be asked to do IHG training on their own with an inflatable ball three days per week for 12 weeks with intensity set based on rating of perceived exertion (RPE) or rating of effort. Participants will self-measure and report their resting BP to investigators. The acceptability of doing IHG training will also be explored by conducting interviews with participants as will the impact that IHG training may have on psychological wellbeing by administering surveys to participants.
Interventions
OTHERIsometric Hand Grip Training
IHG training will be performed with an inflatable ball three days per week for 12 weeks (with at least a day of rest between each session) with intensity set based on RPE (Borg CR-10 scale).
OTHERCR
Standard of Care
Sponsors
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
University of Windsor
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Component adult (greater ≥ 18 years) who can provide informed consent. * Proficient in English (speaking, writing, and reading). * Medically cleared by the cardiac rehabilitation program to participate in exercise-based cardiac rehabilitation. * History of only coronary artery disease, the most common cardiovascular disease (CVD), which may include individuals with a previous myocardial infarction and/or procedure such as a percutaneous coronary intervention and/or coronary artery bypass grafting. * Minimum of "blue" level of technology capability (assigned by the cardiac rehabilitation program) indicating ability to use a phone and email for correspondence. Note: The majority of individuals who enroll in the cardiac rehabilitation program are assigned to this level. * No physical limitation(s) that would hinder the performance of isometric handgrip training. * Access to a blood pressure monitoring device to record at home measures.
Exclusion criteria
* If the participant does not meet the inclusion criteria (identified above). * Moreover if an individual has a history of a CVD or disease-related complications (e.g., heart failure, atrial fibrillation, ventricular arrhythmias, aortic aneurysm, valve repair and/or replacement) and/or related procedures (e.g., placement of a pacemaker and/or implantable cardiac defibrillator) that is not coronary artery disease (as described in the inclusion criteria) they will be excluded. Note: Individuals may have other comorbidities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in Resting Blood Pressure | 12 weeks | Self report of Resting Blood Pressure at baseline vs week 5, 9 and post-intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| User Experience of IHG | 12 weeks | Qualitative content analysis (participant interviews) |
| Psychological state | 12 weeks | Self-report of depression, anxiety, stress, and mindfulness using participant surveys |
Countries
Canada
Contacts
PRINCIPAL_INVESTIGATORCheri McGowan, PhD
Windsor University and LawsonHRI
Outcome results
None listed