foot massage, blood pressure, hypertension
228956605
The Effects of Foot Touch Therapy on Blood Pressure in Hypertension Patients in The Puskesmas Of Dlanggu Mojokerto
Hypertension is a disease of the cardiovascular system which is one of the causes of high mortality and morbidity. The anti hypertensive drugs taken contain chemicals with various side effects and are used for life. One of the treatments for non pharmacological hypertension is touch therapy. This study aims to determine the effects of foot touch therapy to reduce blood pressure of hypertensive sufferers. This research employed a Quasi Experiment design with a Non Equivalent Control Group design. The population ofthe treatment group and control group were patients with grade 1 hypertension consisting of 30 treatment groups and 30 control groups. The treatment group receivedfoot touch therapy for 5 consecutive days for 15 20 minutes. Meanwhile, the measurement of blood pressure employeda digital blood meter. The data processing and data analysis employedpaired t test, and the effectiveness test employed ancova test. The results of the studyreveals that the systolic blood pressure increases by 13.6 mmHg and the diastolic decreases in diastolic blood pressure by 8.5 mmHg. The result showsp value 0.000 <a, and it is concluded that H0 is rejected and means that Foot Touch Therapy against blood pressure for patients with hypertension effectively reduces systolic blood pressure. The therapy model is considered good by 72.8% The results of the analysis of the equivalence test in the diastolic variable group using the Levene's test obtained p value> a.It can be concluded that the data is homogeneous. The Ancova analysis results obtain F count 82.53 and p value 0.000 <a, it can be concluded that H0 is rejected. It means that foottouch therapy against blood pressure in patients with hypertension effectively reduces diastolic blood pressure. The model of therapy is quite good by62% Foot touch therapy technique done with 15 20 minutemassage is proven to effectively reduce systolic and diastolic blood pressure in people with hypertension. Based on the results of the study, it is recommended to conduct further research by applying touch therapy to patients with severe hypertension.
Indra Yulianti Rina Mardiyana
81098915
Effects of Manual Lymphatic Drainage Massage Associated with Physical Exercise Program in Morphological Functional Blood Pressure Parameters
The objective of this study was to investigate the effects of Manual Massage Lymphatic Drainage (MMLD) performed in association with an Aerobic Physical Exercise Program (APEP) in the arterial blood pressure (PSA) values of hypertensive subjects submitted to pharmacological treatment. The population of this study was composed of hypertensive subjects of both sexes and patients from SESI Clinic of the Municipality of Cacoal in Rondonia RO, with the sample consisting of 28 subjects in the age group from 45 to 60 years and under pharmacological treatment to control hypertension arterial hypertension (SAH) Experimental Group 1 (GE1) composed of 14 individuals of both sexes (Age: 53.57 7.20, Body Weight: 74, 15 15.85, height: 166.1 61) which during 8 weeks were submitted weekly on alternate days, to three MMLD sessions in parallel to a APEP with intensity controlled by the subjective sensation of effort; and b) An Experimental Group 2 (GE2) also composed of 14 subjects of both sexes (Age: 53.57 7.20; Body Weight: 74.15 15.85; Height: 166.1 61) which during 8 weeks were also submitted to three weekly sessions of the same MMLD maneuvers applied in GE1, but were not submitted to PEFA. At the end of the procedures the statistical analysis allowed to observe that the PASS scores presented by GE1 and GE2, both indicated the same statistical significance (p 0,000) with mean values being reduced by 8.1 mmHg for GE1 and 6,5 mmHg for GE2, representing a functional improvement of 6.3% and 4.9% respectively. A similar behavior was found when analyzing the values of PASD, which at the end of the experimental procedure presented similar results for both study groups, statistical significance at the level of p< 0,05. Mean values were reduced by 5.5 mmHg for GE1, and 3.8 mmHg for GE2, representing a functional improvement of 6.3% and 4.3% respectively. It is also observed that the results of the GE1 are higher than those of the GE2, and this can be attributed to the realization of the MMLD in parallel to the APEP, which seems to have potentiated the effects presented by the GE1. The results found in this research suggest that Manual Lymphatic Drainage Massage may be a valuable nonpharmacological auxiliary therapy in the control of arterial hypertension, also indicating that when performed in association with a regular program of aerobic physical exercises, it significantly increases the reduction of values blood pressure of hypertensive subjects.
Helio Franklin Rodrigues de Almeida Leonardo Severo da Luz Neto Fabricio Moraes de Almeida Luiz Carlos Cavalcanti de Albuquerque Paulo Fermiano da Silva Teresinha Cicera Teodoro Viana
81186400
A COMPARISON ON THE EFFECTIVENESS OF YOGA AND AROMATHERAPY MASSAGE USING LAVENDER TO DECREASE BLOOD PRESSURE IN ELDERLY
Abstract: The more a person's age will affect the physical change. It may cause a change of cardiovascular system. One of ailments caused by cardiovascular change is hypertension. It is a leading cause of death in the world. One of the hypertension management is Yoga that can cause vasodilation of blood vessels and blood flow thus it can lower blood pressure. The purpose in the study was to identify the effectiveness of Yoga gymnastics compared by Aromatherapy massage using Lavender to decrease blood pressure in Nursing Home of Tresna Werda Puspakarma Mataram. The research used pre experimental design namely two group pretest posttest designs with sampling technique was purposive sampling. The sample was 20 respondents in each group that in accordance with criteria which have been set. The instrument was observation guideline and data analysis employed t test. The result of statistical test on 9 respondents in each treatment group indicated there was a significant change of respondents' blood pressure who were given either Yoga exercises or Aromatherapy massage using Lavender with t count was higher than t table (2.26) whereas Aromatherapy massage (t count 7.30) was more effective than Yoga activity (t count 4.296) to decrease blood pressure in Elderly. It can be concluded that Aromatherapy massage using Lavender is more effective than Yoga activity in decreasing Elderly's blood pressure in Nursing House of Tresna Werda Puspakarma Mataram. This research is expected to be applied as one of therapy to figure out the increasing of blood pressure especially in Elderly.
Hadi Kusuma Atmaja Dina Fithriana
225229004
The Effects of Slow Stroke Back Massage and Lavender Aromatherapy on Blood Pressure in Hypertensive Patients
Background: Elderly is an age group which is extremely susceptible to suffer from health problems such as hypertension. Hypertension among the elderly is instigated by structural and functional changes in blood vessels. The changes include atherosclerosis, loss of connective tissue elasticity, and decreased vascular muscle relaxation that it reduces the distension and tensile strength of blood vessels. One of the therapies that may be implemented to elderly with hypertension is slow stroke back massage (SSBM) and lavender aromatherapy. The study aims to discover the effects of slow back massage (SSBM) and lavender aromatherapy toward the reduced blood pressure among hypertensive elderly. Subjects and Method: It was a quasi experiment study with no control group which had been conducted in Posyandu (Integrated Health Post) Kamboja, Plesungan, Gondangerjo, Karanganyar, Central Java, in July 2019. A sample of 40 elderlies was selected by using total sampling. The dependent variables were systolic and diastolic blood pressure. The independent variables were slow stroke back mass age (SSBM) and lavender aromatherapy. Blood pressure was measured by sphygmomanometer. The data were analyzed by using Wilcoxon. Results: The average systolic blood pressure post slow stroke back massage therapy and la vender aroma therapy was (Mean=133.63; SD= 7.34) compared with prior therapy was (Mean= 167.80; SD= 6.12) with the value of p<0.001. The average diastolic blood pressure post slow stroke back massage therapy and lavender aroma therapy was (Mean= 68.28; SD= 4.25) compared with the prior therapy was (Mean= 68.88; SD= 5.72) with the value of p<0.001. Conclusion: Slow stroke back massage (SS BM) lavender aromatherapy may lower down blood pressure of hypertensive elderly. Keywords: Hypertension, slow stroke back massage, Lavender aromatherapy, elderly Correspondence: Fakhrudin Nasrul Sani. School of Health Sciences Kusuma Husada, Surakarta. Email: fakhrudin_ns@ymail.com. Indonesian Journal of Medicine (2020) 05(03) 178 184 https:/doi.org/10.26911/theijmed.2020.05.03.01
Fakhrudin Nasrul Sani Mellia Silvy Irdianty
226972302
The effects of foot reflexology on blood pressure and heart rate: A randomized clinical trial in stage 2 hypertensive patients
Hypertension (HT) is a prominent cardiovascular risk factor. Although there are various pharmacological treatment choices for this condition, many patients fail to adhere to them, making non pharmacological options attractive alternatives. Foot reflexology has been proven to decrease blood pressure (BP) but data are limited in patients with stage 2 HT. We conducted a randomized clinical trial to examine the effectiveness of foot reflexology in reducing BP and heart rate (HR) Stage 2 HT patients were enrolled and randomized into the intervention and the control groups (n 47, each) the former of which underwent foot reflexology during a follow up visit. Office BP and HR were measured before and at 15 and 30 min after the procedure in the intervention group and after resting in the control group. In the intervention group, systolic BP (SBP) diastolic BP (DBP) and HR at 15 min were significantly lower than at baseline: 3.29 mm Hg (95%CI; 5.64 to 0.93) 1.71 mm Hg (95%CI; 3.11 to 0.32) and 1.71 beats per min (bpm; 95%CI; 2.88 to 0.54) respectively. Similar trends were also observed at 30 min. However, when compared with the control group, only the reduction in HR was significant 4.96 bpm; 95%CI, 9.63 to 0.28) We conclude that foot reflexology was effective in reducing HR in stage 2 HT patients and partially effective in reducing BP.
Journal of clinical hypertension
Praew Kotruchin Supap Imoun Thapanawong Mitsungnern Patcharin Aountrai Maneenuch Domthaisong Kazuomi Kario
73706974
The Pulse Wave Velocity is Linearly Correlated with Resting Systolic and Diastolic Blood Pressure in Hypertensive Patients
Introduction: Aortic stiffness is an independent predictor for cardiovascular event. If arteries lose their natural elasticity, systolic blood pressure become higher and diastolic blood pressure become lower. Method of evaluating arterial stiffness is aortic pulse wave velocity (PWV) Therefore, PWV has a potential application for screening vascular damage in large population.2 Recent reports have shown that PWV obtained by noninvasive automatic devices (i.e. tonometry, cuff pressure) is not only a marker of vascular damages, but also a prognostic predictor in patients with hypertension.3 The aim of this study is to investigate the correlation between PWV and systolic and diastolic blood pressure. Methods Male hypertensive patients, aged 40 60 years old who underwent Doppler Vascular were included in this study. The measurement of carotid femoral PWV is made by dividing the distance (from the carotid point to the femoral point) by the so called transit time (the time of travel of the foot of the wave over the distance) Hence, PWV D (meters)/Dt (seconds) The correlation between PWV and systolic and diastolic blood pressure were analysed using linear regression test. Results A total 40 patients were included in this study. Those were significant correlation between PWV and systolic (R=0.473, p=0.002) and diastolic (R=0.454, p=0.003) blood pressure. Conclusion increasing PWV is linearly associated with systolic and diastolic blood pressure.
Kana Kurniati Elka Monique Priscilla Fransiska Rotty Johan Winata Janry Anton Pangemanan Agnes Lucia Panda
79540369
The Effectiveness Of Warm Water Therapy And Deep Breathing Relaxation In Blood Pressure
Introduction: Prevalence of hypertension in Indonesia is 26.5% WHILEhile in Yogyakarta cases of hypertension as a cardiovascular disease that causes the highest deaths reached more than 80% and the incidence rate is always increasing every year. From the results of interviews of 56 respondents and blood pressure measurement obtained 21 respondents who experienced hypertension. To overcome hypertension in elderly researchers combined two warm water foot soak therapy and deep breathing relaxation. The purpose of this research is to know the effectiveness of warm water foot soak therapy and deep breathing relaxation to blood pressure in elderly at Rumah Seni Seni Budi Dharma Yogyakarta. Methodology: This research is a quantitative research type, the method used quasi Experimental Desaign with pre and post test design control. Sampling using total sampling. Technique of collecting data by observation using digital sphygmomanometer. Data analysis using Paired simple t test with significant value p <0,05. Result: The result of data analysis obtained by the respondent's blood pressure after the treatment therapies decreased significantly with pistol systolic and diastolic p value of 0.000. With an average systolic blood pressure difference before and after intervention of 22.71 mmHg and diastolic 11.94 mmHg. Discussion: There is a significant effect on decreasing systolic and diastolic blood pressure before and after treatment of warm foot bath and deep breath relaxation in hypertensive elderly at UPT Budi Dharma Yogyakarta Senior High School
Ni Made Ferayanti Rizky Erwanto Adi Sucipto
79725020
The effects of lower limb intermittent negative pressure on foot circulation and wound healing Experimental and prospective studies exploring the acute circulatory and clinical effects of intermittent mild ambient subatmospheric pressure to the lower leg and foot
Background Intermittent negative pressure (INP) applied to the lower leg and foot increases foot perfusion in healthy volunteers. The aim of the present study was to describe the effects of INP to the lower leg and foot on foot macroand microcirculation in patients with lower extremity peripheral arterial disease (PAD) Methods In this experimental study, we analyzed foot circulation during INP in 20 patients [median (range) 75 (63 84yrs) with PAD. One leg was placed inside an air tight vacuum chamber connected to an INP generator. During application of INP (alternating 10s of 40mmHg/7s of atmospheric pressure) we continuously recorded blood flow velocity in a distal foot artery (ultrasound Doppler) skin blood flow on the pulp of the first toes (laser Doppler) heart rate (ECG) and systemic blood pressure (Finometer) After a 5 min baseline sequence (no pressure) a 10 min INP sequence was applied, followed by 5 min post INP (no pressure) To compare and quantify blood flow fluctuations between sequences, we calculated cumulative up and down fluctuations in arterial blood flow velocity per minute. Results Onset of INP induced an increase in arterial flow velocity and skin blood flow. Peak blood flow velocity was reached 3s after the onset of negative pressure, and increased 46% (95% CI 36 57) P 0.001] above baseline. Peak skin blood flow was reached 2s after the onset of negative pressure, and increased 89% (95% CI 48 130) P 0.001) above baseline. Cumulative fluctuations per minute were significantly higher during INP sequences compared to baseline [21 (95% CI 12 30)cm/s/min to 41 (95% CI 32 51)cm/s/min, P 0.001] Mean INP PLOSONE https:/doi.org/10.1371/journal.pone.0179001 June 7, 2017 1 16 a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 Citation: Sundby H, H iseth L Mathiesen I, Weedon Fekjaer H, Sundhagen JO, Hisdal J (2017) The acute effects of lower limb intermittent negative pressure on foot macroand microcirculation in patients with peripheral arterial disease. PLoS ONE 12(6) e0179001. https:/doi. org/10.1371/journal.pone.0179001 Editor: Rudolf Kirchmair, Medical University Innsbruck, AUSTRIA Received: February 21, 2017 Accepted:May 22, 2017 Published: June 7, 2017 Copyright: 2017 Sundby et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper and its Supporting Information files. Funding: The Research Council of Norway has provided funding to Otivio (NFR grant no: 241589 for this study as part of an industrial PhD project to HS) The Research Council of Norway's website: http:/www.forskningsradet.no/en/Funding/ NAERINGSPHD/1235469221560. Other than providing support in the form of salaries for the blood flow velocity increased significantly ~12% above mean baseline blood flow velocity (6.7 (95% CI 5.2 8.3)cm/s to 7.5 (95% CI 5.9 9.1)cm/s, P 0.03) Conclusion INP increases foot macroand microcirculatory flow pulsatility in patients with PAD. Additionally, application of INP resulted in increased mean arterial blood flow velocity. Introduction Lower extremity atherosclerotic peripheral arterial disease (PAD) results in reduced tissue perfusion and inadequate oxygen delivery due to narrowing of the arterial tree [1] Insufficient blood flow may result in inadequate nutritive supply with tissue breakdown and ulceration, a process that if untreated may lead to frank gangrene and loss of the extremity [1] The majority of treatment strategies for PAD are geared towards impeding progression of the disease and increasing blood flow [1] The first line treatment for PAD focuses on behavioral changes, such as reducing risk factors and improving exercise performance through ambulatory exercise [1 3] If behavioral changes fail, the next line of therapy is revascularization through endovascular or open surgery [4] Unfortunately, the current treatment strategies are insufficient for many PAD patients [5 7] We have recently demonstrated that intermittent negative pressure (INP) applied to the lower leg and foot increased arterial and skin blood flow in the foot in healthy volunteers, with only minor changes in central hemodynamics [8] Using INP with short negative pressure 40mmHg) pulses lasting 10 to 30s, the increase in flow was due to INP induced increases in flow pulsatility [8] Furthermore, an eight week pilot study on four PAD patients with hardto heal lower limb ulcers indicated that repetitive use of INP may improve long term clinical outcomes, such as wound healing and foot perfusion [9] Despite promising results for the use of INP to increase peripheral circulation in healthy volunteers, the acute effects of INP on PAD patients' peripheral circulation are unknown. The aim of the present study was therefore to describe the effects of applying INP to the lower leg and foot on foot macroand microcirculation and central hemodynamics in patients with PAD. Based on our previous findings in healthy volunteers [8] we hypothesized that INP would increase flow pulsatility in the foot and increase arterial and skin blood flow. Materials andmethods Eligible PAD patients were recruited from the outpatients' clinic at Section of Vascular Investigations, Oslo University Hospital, Aker between October 2015 and April 2016. The experimental protocol was approved by the Regional Committees for Medical and Health Research Ethics in Norway (protocol number: 2014/1967) and performed in accordance with the Declaration of Helsinki. Written and oral informed consent was obtained from all patients before the experiment began. Participants The twenty one patients recruited into the study had symptomatic lower extremity PAD (Fontaine stage grade II [1] with obstructions of the aortoiliac (n 2) and femoropopliteal (n 19) arteries, and an ankle brachial pressure index (ABPI) at rest of 0.9. Exclusion criteria were: i) The effects of intermittent negative pressure on peripheral circulation in PAD PLOSONE https:/doi.org/10.1371/journal.pone.0179001 June 7, 2017 2 16 authors IM HS, the funder (Otivio AS) did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. HS is a PhD student at the University of Oslo, Faculty of Clinical Medicine, employed by Otivio. The specific roles of IM HS are articulated in the 'author contributions' section. Competing interests: The study was supported in part by Otivio AS. HS is a PhD student at the University of Oslo, Faculty of Clinical Medicine, employed by Otivio. IM is the CSO, co founder and a shareholder of Otivio AS. IM and HS own shares and have options in Otivio AS. Otivio AS has developed and is responsible for commercialization of the FlowOx (INP) system used in the current study. IM, HS and JH have submitted a patent application (pending application) Post surgical occlusion treatment recovery and rehabilitation therapy (the patent application has not yet been granted and therefore, does not have an assigned number) owned by Otivio for a use of INP technology in a related field of application to the research addressed in this paper. Otivio AS owns several issued patents, and IM is an inventor on multiple patents applications related to FlowOx [Name: Device for applying a pulsating pressure to a local region of the body and applications thereof, US 8821422 B2; Name: Portable patients temperature adjustment apparatus and method, US 20140128781 A1; Name: Vacuum stiffening device for use in applying pulsating pressure therapy to a patient, Number: WO 2015082955 A1, Name: Pressure chamber support structure for medical pressure therapy (pending application, no number available) Name: Seal for medical pressure therapy (pending application, no number available) Otivio AS has received a research grant from The Research Council of Norway to fund an industrial PhD project which in part funds the PhD project including salary of HS (NFR grant number: 241589) Other than providing support in the form of salaries for authors IM HS, the funder (Otivio AS) did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. None of the other authors have any personal conflicts of interest financial or otherwise. This does not alter our adherence to all the PLOS ONE policies on sharing data and materials. chronic respiratory insufficiency or ii) eczema and psoriasis or iii) uncontrolled hypertension or iv) recent (12 months) vascular, abdominal, cardiothoracic, or lower limb orthopedic surgery. All patients refrained from eating two hours before the experiment and from using alcohol, tobacco or caffeine on the experimental day. Anthropometric and diagnostic measurements Wemeasured the patients' height and weight before a 5 min rest. Thereafter, we obtained their supine resting ABPI [10] The limb with the lowest systolic ankle pressure was chosen as the test leg during the experiment (limb exposed to INP) The pulse volume recording curve was measured in both lower limbs with an air plethysmography cuff placed on each subject's distal ankle (Stranden MacroLab, STR Teknikk, Aalesund, Norway) The amplitude correlates with arterial inflow to the extremity, and a sequential reduction in pulse wave amplitude from the thigh to the calf signifies the presence of a flow limiting lesion in the more proximal arterial segment [11] The patients' exercise tolerance was tested through an exercise treadmill test using a Skinner Gardner protocol [12] on a treadmill (Lexco, LGT 7716S, Taeyoung Co, Korea) Briefly, the protocol uses a progressive graded workload with a constant speed of 3.2 km/h, and an increased grade of 2% every 2 min [12] The maximal walking distan
Oyvind Heiberg Sundby
129942679
Hypertension Contributes to Neuropathy in Patients With Type 1 Diabetes
Abstract BACKGROUND Diabetic peripheral neuropathy (DPN) can lead to foot ulceration and amputation. There are currently no disease modifying therapies for DPN. The aim of this study was to determine if hypertension contributes to DPN in patients with type 1 diabetes mellitus (T1DM) METHODS Subjects with T1DM (n 70) and controls (n 78) underwent a comprehensive assessment of DPN. RESULTS Hypertension was present in 40 of 70 T1DM subjects and 20 of 78 controls. Hypertension was associated with abnormal nerve conduction parameters (P 0.03 to <0.001) increased vibration perception threshold (P 0.01) and reduced corneal nerve fiber density and length (P 0.02) in subjects with T1DM. However, after adjusting for confounding factors only tibial compound motor action potential and nerve conduction velocity were associated with hypertension (P 0.03) and systolic blood pressure (P 0.01 to <0.0001) Hypertension had no effect on neuropathy in subjects without diabetes. CONCLUSIONS This study shows that hypertension is associated with impaired nerve conduction in T1DM. It supports previous small trials showing that angiotensin converting enzyme inhibitors improve nerve conduction and advocates the need for larger clinical trials with blood pressure lowering agents in DPN.
American journal of hypertension
Georgios Ponirakis Ioannis N Petropoulos Uazman Alam Maryam Ferdousi Omar Asghar Andrew Marshall Shazli Azmi Maria Jeziorska Ziyad R Mahfoud Andrew J M Boulton Nathan Efron Hitoshi Nukada Rayaz Ahmed Malik
86713533
METODE MASSAGE TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI :A LITERATUR REVIEW
Terapi non farmakologi saat ini digunakan untuk hipertensi adalah mssage. pijat massage memberikan rangsangan akan menimbulkan efek relaksasi (pelemasan) otot otot kaku sertaakibat vasodilatasi umum akan menurunkan tekanan darah secara stabil. Tujuan penelitian ini untuk mengetahui efektifitas beberapa metode massage terhadap tekanan darah pada penderita hipertensi. Metode Literature review ini menggunakan database Science Direct Proquest, Goggle Scholar.Pada tahap awal pencarian dengan keywords: " Therapy Massage, Blood Pressure, Hypertension " didapatkan hasil 17 jurnal internasional dari rentang tahun 2013 sampai 2017 yang sesuai dengan kriteria inklusi dan eksklusi. Hasil yang diperoleh dari 17 jurnal yang diperoleh, 9 penelitian dilakukan pada responden perempuan, 8 penelitian pada responden laki laki dan perempuan. Mengungkapkan hasil bahwa ada perbedaan penurunan efek secara signifikan antara tekanan darah sistolik dan tekanan darah diastolik setelah dilakukan bebrapa jenis metode swedish massage aroma massage massage therapy acupoint massage scalp massage, without massage, back massage, classic massage, singel session massage, mechanical massage, foot massage, dan whole body massage Kesimpulan tinjauan literatur review ini mendapatkan hasil bahwa ada pengaruh efek signifikan pemberian dari beberapa jenis metode massage Metode massage adalah salah satu terapi pijat yang paling efektif untuk menurunkan atau menstabilkan tekanan darah khususnya pada penderita hipertensi.
Titih Huriah