Effects of Jacobson's Progressive Muscular Relaxation Technique in Hypertensive Patients
Condition: Hypertension
MeSH terms: Hypertension
Study type: Interventional

Summary: 
      Effects of Jacobson's progressive muscular relaxation technique on blood pressure regulation
      and activity of daily living in hypertensive patient
    

Detailed description: 
      Hypertension is a disease that becomes a major problem of health. In 2008, 40% of adults aged
      25 years above were diagnosed with hypertension. The mortality rate of the complications of
      hypertension reaches 9.4 million deaths worldwide each year. Hypertension is often called a
      ''silent killer'' because it often appears without symptoms until it becomes severe and
      impacts on other organs. Hypertension affects both on physical and psychological. Several
      studies have found that hypertension can cause anxiety. Hypertension requires comprehensive
      pharmacological and non-pharmacological treatment. Since 1983, the World Health Organization
      has suggested the use of the non-pharmacological approach in hypertension treatment.
      Progressive Muscle Relaxation (PMR) is one of the therapies that is mostly used in
      complementary therapy and alternative medication. PMR is a technique developed by Edmund
      Jacobson in 1920. This technique is designed to create a state of physiological and
      psychological relaxation in patients. It requires the patient to tense and relax various
      muscle groups while focusing awareness on proprioceptive and interceptive sensations. Several
      studies have found that PMR exercise helps to reduce blood pressure. Besides, PMR exercise
      can also reduce anxiety in various diseases.

      Study design will be randomized controlled trial. Study will be conducted at Life care
      Hospital Gujranwala. Written informed consent will be obtained. Patients will be allocated
      randomly. Subjects meeting the predetermined inclusion and exclusion criteria . Questionnaire
      will be used as subjective measurements of activity of daily living and Bp will be monitored
      for initial readings.subjects will be divided into two groups both groups will perform 30
      minutes walk as baseline treatment. only one group will receive Jacobsons muscle relaxation
      technique. Patients will be demonstrated with the technique to contract and relax various
      groups of muscles, to coordinate contractions and relaxations with deep breaths and to
      perform the entire procedure with eyes closed in supine lying down position. Every subject
      will perform this supervised relaxation for 6 repetitions during a single session on once a
      day basis for four weeks. At the end of 4 weeks of treatment session blood pressure will be
      recorded questionnaire will be filled. The data thus obtained will be considered for
      statistical analysis
    

Intervention name(s): Jacobson's progressive muscular relaxation technique; 30 min walk
Intervention type(s): Other; Other
Intervention description(s): subjects will receive Jacobsons muscle relaxation technique. Patients will be demonstrated with the technique to contract and relax various groups of muscles, to coordinate contractions and relaxations with deep breaths and to perform the entire procedure with eyes closed in supine lying down position. Every subject will perform this supervised relaxation for 6 repetitions during a single session on once a day basis for four weeks.; 30 minutes walk twice a week for 4 weeks
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Hypertension; blood pressure; Relaxation; PMR