Isolated Systolic Hypertension Isolated Systolic Hypertension elderly
Conditions
Interventions
BreatheMAX® device v.2 (C&D Biomedical,
is a multifunction water pressure threshold breathing device and one of function as a pressure threshold IMT will be used in this study. The BreatheMAX® device consists of a plastic bottle with two t
two or more bottle connected in series will be required.
Subjects in the inspiratory muscle training (IMT) group will perform loaded deep breathing exercise at 6 breaths/min using BreatheMax® device
6 sets/day with at least 1 minutes rest between sessions,
7 days/week for 8 weeks ,Subjects in the control (CON) group will perform breathing exercise with inspiratory load at 2 cmH2O at 6 breathing rate using one BreatheMAX® device. The pressure will be co
7 days/week for
Experimental Other,Placebo Comparator Other
Inspiratory Muscle Training (IMT),Control
Sponsors
Khon Kaen University
Faculty of Associated Medical Sciences
Eligibility
Sex/Gender
All
Age
60 Years to 80 Years
Inclusion criteria
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
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 |
|---|---|
| Maximal inspiratory pressure (MIP) Before and after intervention for 8 weeks MIP will be measure by Mouth pressure meter (Micro RPM, Micro Medical, Inc., Chatham Maritime, Kent, | — |
Secondary
| Measure | Time frame |
|---|---|
| Lung capacity consists of slow vital capacity (SVC), inspiratory capacity (IC) Before and after intervention for 8 weeks SVC and IC will be measure by a portable computerized spirometer (KoKo spirometer, PDS Healthcare Pr,Exercise capacity by Arm ergometer Before and after intervention for 8 weeks exercise times, rating of perceived breathlessness (RPB) will examined by Borg’s scale ,chest wall expansion and abdominal expansion Before and after intervention for 8 weeks measured at xiphoid process level by use a flexible measuring tape (cm) ,Blood pressure (BP) Before and after intervention for 8 weeks, before and after cycle ergometry exercise, and at home measured by digital bedside monitor. Accordingly follow ACMS’ recommended | — |
Contacts
Public ContactPhailin Tongdee
Khon Kean University
Outcome results
None listed