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IRCT20201024049129N1 IRCT 2021-08-18 Riphah International university Effect of diaphragmatic breathing exercise on heart rate and blood pressure Comparison of diaphragmatic breathing exercise and active cycle of breathing technique on heart rate and blood pressure in patients with hypertension 2021-03-14 anticipated 44 Complete https://irct.ir/trial/54784 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be recruited in the study through convenient sampling technique and then will be randomly assigned to each group by simple lottery method. Odd and even numbers will be given to group A and B respectively. if a patient gets odd no he/she will be allocated in Group A. If a patient gets Even number he/she will be allocated in Group B. Total sample size will be 40. So, 20 patients will get even number and 20 will get odd number, Blinding description: Participants will be blinded in terms of group allocation. Written Consent will be taken from patients but they will not be informed about the group in which they will be treated and the effects of treatment in each groups. 3 Hypertension. Intervention 1: Intervention group 1: Diaphragmatic Breathing Exercise : Patiemt will be in semi fowler position. Therapist will place one hand on rectus abdominis below anterior costal.margin. After patient understand and is able to breath using diaphragmatic pattern,suggest the patient to breath nose and through mouth. Control expiration for 4 or 5 times per session. Each session will be given for 7 days per week (4 weeks). Intervention 2: Intervention group 2: Active cycle of breathing technique: This technique involves 3 parts. Breathing control in which patient will breath out gently and will be 3 to 5 deeper breaths with 2 second hold at the end of breath in before breath out. Second part is thoracic expansion exn exercise in which patient will keep hia shoulder and chest relaxed and will take a long slow deep breath in through nose. Patient will hold air in lungs for 2-3 seconds before breathing out. And the 3rd part huffing exhaling through open mouth . The session will last for 15 minutes for 7 days per week(4weeks). No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.
public Khazima Asif
Ganj shaker colony Alama anwar ul hasan road near swat agro chemical sahiwal
Sahiwal Pakistan 57000 +92 334 4886859 khazimaasif73@gmail.com Riphah International University scientific Wajeeha
47 Tufail road cantt Lahore
Lahore Pakistan 54000 +92 323 4500788 wajeeha_z@yahoo.com Riphah International university Pakistan Patients with age range 45-65 years Patients clinically diagnosed with hypertension Patients who will give consent to abide by treatment for 4 weeks. 45 years 65 years Both History of precious surgery History of rib fracture Any neurological problem Patients with respiratory disease Patients with coronary artery disease Pregnant females RO3.0 Essential (primary) hypertension Treatment - Other Treatment - Other Intervention group 1: Diaphragmatic Breathing Exercise : Patiemt will be in semi fowler position. Therapist will place one hand on rectus abdominis below anterior costal.margin. After patient understand and is able to breath using diaphragmatic pattern,suggest the patient to breath nose and through mouth. Control expiration for 4 or 5 times per session. Each session will be given for 7 days per week (4 weeks). Intervention group 2: Active cycle of breathing technique: This technique involves 3 parts. Breathing control in which patient will breath out gently and will be 3 to 5 deeper breaths with 2 second hold at the end of breath in before breath out. Second part is thoracic expansion exn exercise in which patient will keep hia shoulder and chest relaxed and will take a long slow deep breath in through nose. Patient will hold air in lungs for 2-3 seconds before breathing out. And the 3rd part huffing exhaling through open mouth . The session will last for 15 minutes for 7 days per week(4weeks). Systolic and Diastolic Blood Pressure. Timepoint: Pre Intervention and Post Intervention for all 4 weeks. Method of measurement: Mercury Spygmomanometer. Heart rate. Timepoint: Pre intervention and post intervention at the end of each day for 4 weeks. Method of measurement: By pulse oximeter in minutes. Riphah International university Approved 2021-01-04 Name of ethics commitee: Riphah college of rehabilitation and Allied Health Sciences. 13-14-C civic center, township near Hamdard Chowk, Lahore Lahore Punjab Pakistan