Alternate Nostril Breathing Training in Geriatrics With Glaucoma and High Blood Pressure

Study Overview
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Brief Summary
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Hypertension, particularly if poorly controlled, appears related to an increased risk of open angle glaucoma, (the high tension type of glaucoma is characterized as optic nerve degeneration with ocular hypertension). so this study will search response of glaucoma to breathing exercise

Detailed Description
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Hypertension, particularly if poorly controlled, appears related to an increased risk of open angle glaucoma, (the high tension type of glaucoma is characterized as optic nerve degeneration with ocular hypertension). With a random assignment, sixty hypertensive geriatric with high tension type primary open angle glaucoma will be assigned to breathing exercise (alternate nostril breathing) group (n=30 geriatrics) or waiting list geriatrics. the daily breathing exercise will be performed by the geriatrics in evening (for half an hour) and morning (for half an hour).

Official Title
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Ocular Hypertension Response to Alternate Nostril Breathing Training in Geriatrics With Glaucoma and High Blood Pressure

Conditions
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Primary Open Angle Glaucoma, Hypertension

Intervention / Treatment
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* Behavioral: breathing exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hypertensive elderly primary open angle glaucoma in both eyes ocular hypertension in both eyes Exclusion Criteria: acute or chronic eye inflammation cataract eye surgeries mental ill patients patients who will refuse to participate in the study other systemic /cardiovascular problem

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercised group<br>Thirty hypertensive geriatric with high tension type primary open angle glaucoma will perform breathing exercise (alternate nostril breathing). The daily breathing exercise will be performed by the geriatrics in evening (for half an hour) and morning (for half an hour) for one month. | Behavioral: breathing exercise<br>* Thirty hypertensive geriatric with high tension type primary open angle glaucoma will perform breathing exercise (alternate nostril breathing). The daily breathing exercise will be performed by the geriatrics in evening (for half an hour) and morning (for half an hour) for one month.<br>|
| No Intervention: control group<br>this will be a thirty-patient wait-list group that will no receive any shape of training | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| intraoccular pressure | it will be measured in right and left eyes | It will be measured after 4 weeks of training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| systolic blood pressure | it will be measured sphygmomanometer | It will be measured after 4 weeks of training | 
| diastolic blood pressure | it will be measured sphygmomanometer | It will be measured after 4 weeks of training | 
| heart rate | it will be measured manually | It will be measured after 4 weeks of training | 
| respiratory rate | it will be measured manually | It will be measured after 4 weeks of training | 
| hospital anxiety and depression scale | it contains fourteen questions. it contains two sub-scales, one for anxiety and the other for depression | It will be measured after 4 weeks of training | 
| short form 36 survey | in general, it will assess life quality | It will be measured after 4 weeks of training | 
| glaucoma quality of life-15 questionnaire | it will assess glaucoma-related life quality | It will be measured after 4 weeks of training |