Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial
Introduction Pre-hypertensive women are significantly more likely to develop hypertension or serious cardiovascular disease (CV). Autonomic nervous system abnormalities, such as sympathetic overactivity and parasympathetic withdrawal, are most likely the earliest functional changes in hypertension....
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Termedia Publishing House
2024-12-01
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| Series: | Physiotherapy Quarterly |
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| Online Access: | https://physioquart.awf.wroc.pl/Effect-of-breathing-exercises-with-biofeedback-on-blood-pressure-in-pre-hypertensive,174641,0,2.html |
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| author | Afaf M. Botla Reham S. Ebrahim Soheir M. Elkosery Ahmed M. Darwesh Dina M.A. Mohamed |
| author_facet | Afaf M. Botla Reham S. Ebrahim Soheir M. Elkosery Ahmed M. Darwesh Dina M.A. Mohamed |
| author_sort | Afaf M. Botla |
| collection | DOAJ |
| description | Introduction
Pre-hypertensive women are significantly more likely to develop hypertension or serious cardiovascular disease (CV). Autonomic nervous system abnormalities, such as sympathetic overactivity and parasympathetic withdrawal, are most likely the earliest functional changes in hypertension. The objective of this study was to determine the effect of breathing exercises with biofeedback on blood pressure (BP), heart rate variability (HRV), respiratory rate (RR), and skin galvanic response (SGR).
Methods
Thirty middle-aged women with pre-hypertension (120/80–139/89 mm Hg) were recruited from Ain Shams University. They were divided randomly into two equal groups, with ages ranging from 30 to 40: study group (group A) who performed slow abdominal breathing (six cycles/minute) combined with frontal electromyography (EMG) biofeedback training (3 days per week for 10 sessions) and a control group (group B) who performed slow abdominal breathing (six cycles/minute, 3 days per week for 10 sessions). All subjects were assessed by measuring systolic blood pressure (SBP), diastolic blood pressure (DBP), HRV, RR, and SGR levels before and after the intervention.
Results
SBP, DBP, RR, and SGR mean values showed a statistically significant decline; however, Group A’s HRV post-treatment increased significantly compared to pre-treatment ( p = 0.001). In Group B, there was no significant difference in DBP or SGR; however, there was a substantial drop in SBP and HRV ( p = 0.001) and a significant rise in RR ( p = 0.001). Following therapy, there was a significant difference between the two groups in terms of DBP, HRV, RR, and SGR ( p = 0.001), favouring group A.
Conclusions
As a result, it is possible to infer that breathing exercises combined with biofeedback were beneficial in lowering BP in middle-aged pre-hypertensive women. |
| format | Article |
| id | doaj-art-e3fbedf54e1d4f3980955824d3dd4371 |
| institution | Kabale University |
| issn | 2544-4395 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Physiotherapy Quarterly |
| spelling | doaj-art-e3fbedf54e1d4f3980955824d3dd43712025-01-27T10:42:58ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-12-01324748010.5114/pq/174641174641Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trialAfaf M. Botla0https://orcid.org/0009-0002-4958-2454Reham S. Ebrahim1https://orcid.org/0009-0009-7410-3209Soheir M. Elkosery2Ahmed M. Darwesh3Dina M.A. Mohamed4Department of Physical Therapy for Woman’s Health, Faculty of Physical Therapy, Cairo University, Giza, EgyptDepartment of Physical Therapy, Cardiovascular Hospital, Ain-Shams University, Cairo, EgyptDepartment of Physical Therapy for Woman’s Health, Faculty of Physical Therapy, Cairo University, Giza, EgyptDepartment of Obstetrics and Gynecology, Police Hospital, Cairo, EgyptDepartment of Physical Therapy for Woman’s Health, Faculty of Physical Therapy, Cairo University, Giza, EgyptIntroduction Pre-hypertensive women are significantly more likely to develop hypertension or serious cardiovascular disease (CV). Autonomic nervous system abnormalities, such as sympathetic overactivity and parasympathetic withdrawal, are most likely the earliest functional changes in hypertension. The objective of this study was to determine the effect of breathing exercises with biofeedback on blood pressure (BP), heart rate variability (HRV), respiratory rate (RR), and skin galvanic response (SGR). Methods Thirty middle-aged women with pre-hypertension (120/80–139/89 mm Hg) were recruited from Ain Shams University. They were divided randomly into two equal groups, with ages ranging from 30 to 40: study group (group A) who performed slow abdominal breathing (six cycles/minute) combined with frontal electromyography (EMG) biofeedback training (3 days per week for 10 sessions) and a control group (group B) who performed slow abdominal breathing (six cycles/minute, 3 days per week for 10 sessions). All subjects were assessed by measuring systolic blood pressure (SBP), diastolic blood pressure (DBP), HRV, RR, and SGR levels before and after the intervention. Results SBP, DBP, RR, and SGR mean values showed a statistically significant decline; however, Group A’s HRV post-treatment increased significantly compared to pre-treatment ( p = 0.001). In Group B, there was no significant difference in DBP or SGR; however, there was a substantial drop in SBP and HRV ( p = 0.001) and a significant rise in RR ( p = 0.001). Following therapy, there was a significant difference between the two groups in terms of DBP, HRV, RR, and SGR ( p = 0.001), favouring group A. Conclusions As a result, it is possible to infer that breathing exercises combined with biofeedback were beneficial in lowering BP in middle-aged pre-hypertensive women.https://physioquart.awf.wroc.pl/Effect-of-breathing-exercises-with-biofeedback-on-blood-pressure-in-pre-hypertensive,174641,0,2.htmlpre-hypertensive womenblood pressurebreathing exercisebiofeedback |
| spellingShingle | Afaf M. Botla Reham S. Ebrahim Soheir M. Elkosery Ahmed M. Darwesh Dina M.A. Mohamed Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial Physiotherapy Quarterly pre-hypertensive women blood pressure breathing exercise biofeedback |
| title | Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial |
| title_full | Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial |
| title_fullStr | Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial |
| title_full_unstemmed | Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial |
| title_short | Effect of breathing exercises with biofeedback on blood pressure in pre-hypertensive women: a randomised controlled trial |
| title_sort | effect of breathing exercises with biofeedback on blood pressure in pre hypertensive women a randomised controlled trial |
| topic | pre-hypertensive women blood pressure breathing exercise biofeedback |
| url | https://physioquart.awf.wroc.pl/Effect-of-breathing-exercises-with-biofeedback-on-blood-pressure-in-pre-hypertensive,174641,0,2.html |
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