Exergaming Training Among Hypertensive Patients

Официальное название

Effects of Exergaming Training on Balance Among Hypertensive Patients

Обзор

Since Hypertension affects all body systems and importantly postural balance control. So, the evidence indicates a strong link and connection between balance and hypertension through somatosensory, visual, vestibular, musculoskeletal, and CNS integration of inputs from both peripheral and motor systems. Therefore, to fill this gap of how much balance and each of its aspects/components are affected, this study will be done for a detailed examination of this genuine integration and clinical interaction among hypertensive with game-based techniques on all three balance components (concerning Intensity, frequency, duration and dosage of VRET). Secondly, on the other hand (CR) programs, have shown very low compliance with recommended Physical Activity, which is why; by utilising this alternative, Virtual reality exergaming can be used as a quick, appropriate and equivalent alternative to traditional exercise programs. Also, in future, it could be suggested with promising effects in the provision of engaging, goal-oriented training for patients with hypertensive besides a sound, economical and clinically beneficial alternative to traditional Cardiac Rehabilitation. Finally, by exploring detailed clinical integration of Postural Balance with Hypertension using Virtual Reality the study will be able to highlight hypertension as a potent risk factor for future impaired balance and risks of falls. Thereby, hypertension's early identification (considering all biological, psychological, and social factors) and prevention may avert hypertensive to future debilitating complications and outcomes as a result of it.

Вмешательства

• Другое Exercise
  The participants would be playing exergames using XBOX-360 Kinect. Multiple games would be selected for the participants to play. The player would be upgraded to next levels of games after completing the initial levels.
• Другое Exercise
  The subjects would be doing treadmill training within moderate intensity target heart rate.
• Другое No intervention
  The subjects would not be given any intervention and would be used as controls.

Первичные конечные точки

• Gait and Balance App [Срок оценки: Baseline before provision of interventions]
• Gait and Balance App [Срок оценки: After 4 weeks of interventions]
• Gait and Balance App [Срок оценки: After 8 weeks of interventions]
• Brain-derived neurotrophic factor (BDNF) biomarker: [Срок оценки: Baseline before provision of interventions]
• Brain Derived Neurotrophic Factor Biomarker [Срок оценки: After 8 weeks of interventions]
• Exercise Enjoyment Questionnaire (EEQ) [Срок оценки: After 8 weeks of interventions]
• The Montreal Cognitive Assessment (MoCA) [Срок оценки: Baseline before provision of interventions]
• Montreal Cognitive Assessment (MoCA) [Срок оценки: After 4 weeks of interventions]
• Montreal Cognitive Assessment (MoCA) [Срок оценки: After 8 weeks of interventions]
• 3 Min Walk Test [Срок оценки: Baseline before provision of interventions]

Критерии участия

Критерии включения

• Diagnosis of Community dwelling controlled Hypertensive (particularly Stage 1, 130 to 139 (systolic) or 80 to 89 (diastolic) or Stage 2 hypertension from 140 or higher (systolic) or 90 (diastolic) if present with any (controlled diabetes or overweight patients) with a medical referral form for medical specialist with physiotherapeutic treatment provided by the local public or private healthcare system
• Any race or gender with age 20 or older
• No history of any orthopedic, neurological, Pulmonary or psychological disorders, Cognitive impairments etc.
• Had not performed physical activity in the previous three months.

Критерии исключения

• Grade III or grade IV heart failure according to the New York Heart Association (NYHA) Functional Classification.
• Recent acute myocardial infarction; unstable angina; acute pericarditis. pulmonary hypertension; uncontrolled diabetes mellitus; Hypertensive crises or uncontrolled Hypertension or Pregnancy
• Patients who had three consecutive absences during the intervention
• Unable to answer or understand the gaming or exercise protocols and quality of life questionnaires and fulfil the exercise protocols, due to any severe cognitive deficit
• Pain with ambulation or dizziness when standing or walking.
• Contraindications to treadmill walking or VR gaming

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Foundation University — Islamabad

Идентификаторы

NCT: NCT06777927 · RIPHAH/RCRS/REC/Letter-01198

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗