The Effect of Functional Exercise Training on Patients With Hypertension
Condition: Hypertension and Balance
MeSH terms: Hypertension
Study type: Interventional

Summary: 
      It is the ability to keep and maintain the body training balance control center. Dynamic
      balance is the ability to maintain an individual's static position while the movement and
      posture are active while static. With aging, it is thought that the system will be applied in
      practice. Control of cerebral blood flow and synapse, which decreases with advanced age and
      hypertension, continues. In addition to slowing down in mental functions such as memory and
      learning, it progresses and accelerates in the sense of vibration, nerve velocity,
      proprioceptor feedback under skin receptor control, and can occur in static, dynamic and
      isokinetic muscle strength. This causes you to continue the preparations for the necessary
      evaluations in your postural stability and you watch. Particularly geriatrics reported that
      Otogo supports us to improve balance in us.

      The purpose of this goal is to test in otago educational work on static and dynamic
      movements, lower hypertensive muscle work, capacity and capacity and competence.
    

Detailed description: 
      It is the ability to keep and maintain the body training balance control. Dynamic balance is
      the ability to maintain an individual's static position while the movement and posture are
      active while static. With aging, it is thought that the system will be applied in practice.
      Control of cerebral blood flow and synapse, which decreases with advanced age and
      hypertension, continues. In addition to slowing down in mental functions such as memory and
      learning, it progresses and accelerates in the sense of vibration, nerve velocity,
      proprioceptor feedback under skin receptor control, and can occur in static, dynamic and
      isokinetic muscle strength. This causes you to continue the preparations for the necessary
      evaluations in your postural stability and you watch.

      Hypertension is defined as a systolic blood pressure of 140 mmHg and a diastolic blood
      pressure of 90 mmHg or more. The sudden decrease in blood flow as a result of sudden changes
      in blood pressure in Hypertension effects the mechanism in the control of postural balance.

      Although there are studies to understand the relationship of hypertension with postural
      control and consequently the risk of falling, further studies are needed.

      Current literature has reported that the balance program, which was developed to improve
      balance, especially in geriatric individuals, is effective. In this sense, the Otago
      Protocol: The Otago Exercise Program is an evidence-based, home-based, individually tailored
      strength and balance retraining program. The Otago Workout Program includes five
      strengthening exercises and 12 balance exercises. Participants are asked to do the exercises
      three times a week (starting with 10 repetitions). In addition, participants are asked to
      walk for 30 minutes 2 times a week (walking can be divided into days). Depending on the
      individual's strength and mobility, exercises can be advanced. It should be applied 3 times a
      week for an average of 1 hour.

      The purpose of this goal is to test in Otago educational work on static and dynamic
      movements, lower hypertensive muscle work, capacity and capacity and competence.

      Method Evaluation parameters Demographic Information Variables such as age, gender, height,
      weight, body mass index (BMI), dominant side, duration of education, medications used, pain,
      how long the symptoms are present if there is pain, exercise habits, and how long they sit
      during the day. will be saved.

      Standardized Mini Mental Test It is a scale that can be applied easily and gives information
      about the degree of cognitive impairment. This test consists of subsections that assess
      orientation, registration, attention, calculation, recall, language tests, and configuration.
      The highest score that can be obtained from the test is 30 .

      Muscle strength measurement of lower extremity The muscles of hip, knee and ankle
      circumference will be measured with a hand held digital dynamometer.

      FAB-T balance survey This scale evaluates both the dynamic and static balance of the
      individual who will participate in the study with 10 questions in it, it is a balance test
      with a total of 40 points. If the participant achieves a score below 25 points, it indicates
      that the risk of falling is high. The Turkish reliability and validity study was conducted in
      May 2020 Posture Evaluation will be evaluated by the photography method.

      Functional capacity:

      To determine it, the participating individuals were asked to travel as far as they could walk
      for 6 minutes. Before the test, blood pressure, oxygen saturation, heart rate, walking
      distance, shortness of breath and fatigue level according to borg were evaluated. Immediately
      after the test, recovery (5 minutes later), the same values will be recorded again.

      One-leg stand test (static balance) While the patient's eyes are open, hands on hips, feet
      are bare, and the hip is in a neutral position, care is taken to flex one knee and not to
      touch the flexed foot during the test. The time starts as soon as the foot is lifted from the
      ground and is recorded in seconds. 3 attempts are made for each foot and the best value is
      recorded.

      Timed Sit and Stand Test:

      The individual is asked to sit in a chair with back support with arms in front of the body
      and stand up. During the test, how long the individual sits and stands for 30 seconds is
      recorded. A score less than 10 indicates lower extremity weakness.

      Timed Get Up and Walk Test: While the individual is sitting in a supported chair, he is asked
      to stand up and walk 3 meters and sit down again, and the time is recorded. A healthy
      individual is expected to complete it in 12 seconds.

      International Survey of Physical Activity (IPAQ) It was developed to determine the physical
      activity levels of participants between the ages of 15-65. The validity and reliability study
      of IPAQ in Turkey (2005). Walking is the structure that separates the scores of
      moderate-intensity activities and vigorous activities. Walking requires knowing the duration
      (minutes) and frequency (days) of moderate activities and vigorous activities to calculate
      the total score. A score is obtained as "MET minute/week" by multiplying the minute, day and
      MET value. Physical activity levels; classified as low (<600 MET - min/week), moderate (600 -
      3000 MET - min/week) and high (beneficial for health) (>3000 MET - min/week)(19)

      Foot Function Index:

      Foot function index; It consists of 23 items with 3 main subgroups as pain, disability and
      activity limitation. While the nine-item pain subscale measures the level of foot pain in
      various situations, the 9-item disability subscale determines the degree of difficulty in
      performing various functional activities due to foot problems. The activity limitation
      sub-scale, which includes five items, evaluates the activity limitations due to foot
      problems. Patients score all items with the Visual Analogue Scale (VAS) considering their
      foot conditions in the last 7 days.

      Fall Activity Scale: It is a scale that asks the participants about 10 daily functions
      ranging from 1 to 10, 1 'I trust a lot' and 10 'I don't trust at all'. It was developed by
      Merry E. et al. in 1990. Turkish reliability and validity study was performed in 2009.

      Training group: The Otago Protocol: The Otago Exercise Program is an evidence-based,
      home-based, individually tailored strength and balance retraining program. The Otago Workout
      Program includes five strengthening exercises and 12 balance exercises. Participants are
      asked to do the exercises three times a week (starting with 10 repetitions). In addition,
      participants are asked to walk for 30 minutes 2 times a week (walking can be divided into
      days). Depending on the individual's strength and mobility, exercises can be advanced. For
      example, adding hand weights to weight-lifting exercises or increasing repetitions. It should
      be applied 3 times a week for an average of 1 hour.

      The training will last for 8 weeks and the evaluations will be evaluated before and after the
      training to determine the effectiveness of the training.
    

Intervention name(s): Functional exersize; Aerobic exersize
Intervention type(s): Other; Other
Intervention description(s): Participants will be given balance and strengthening exercises covering the balance exercise protocol.; 60% of the maximum heart rate is given 3 walking eccentricity per week
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: hypertension; balance; aerobic; otago