Effect Of Relaxation Technique On Blood Pressure In Essential Hypertension.

Effect of Relaxation Technique on BP in Essential Hypertension

Authors

  • Dr. H M Patel
  • Dr. R G Kathrotia
  • Dr. N R Pathak
  • Dr. H A Thakkar

Keywords:

essential hypertension, progressive muscular relaxation, systolic blood pressure

Abstract

Background & objectives: For almost a century, there has been constant speculation on the relationship between life stress, the individual’s response and the blood pressure changes. Various studies have shown that actual decline in blood pressure with non invasive behaviour therapy vary widely. We studied the effectiveness of progressive muscular relaxation technique in re-establishing normalcy in systolic and diastolic blood pressure in young hypertensive subjects in Baroda. Methods: 84 hypertensive individuals were randomly divided in group Ia and group Ib of which 24 subjects in group Ia and 26 subjects in group Ib completed the study. Group Ib subjects were instructed to practice relaxation technique as per pre-recorded cassette twice daily for three months. Age and sex matched 23 normotensive subjects served as controls (group II). Systolic and diastolic blood pressure was measured in sitting and lying down position before and after 3 months of practice. Results show a significantly higher systolic (143.1 vs 121 mmHg) and diastolic (92.13 vs 76.35 mmHg) blood pressure in hypertensive group compared to control in basal condition. After 3 months of relaxation practice systolic (137.87 vs 142.93 mmHg) blood pressure was significantly lower in experimental group Ib while diastolic blood pressure shows no significant change with relaxation practice. Compared to control the blood pressure was still higher in experimental group Ib after relaxation practice. Conclusion: The progressive muscle relaxation technique by decreasing sympathetic tone probably reduces systolic blood pressure. Thus it is found to be a valuable adjunct to the treatment of essential hypertension in young hypertensive.

References

1. Dickey RA, Janick JJ. Lifestyle modifications in the prevention and treatment of hypertension. Endocr Pract. 2001 Sep-Oct;7(5):392-9.
2. NA Khan, B Hemmelgarn, RJ Herman, et al; for the Canadian Hypertension Education Program. The 2009 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 2 – therapy. Can J Cardiol 2009;25(5):287-298.
3. Aivazian T A. Psycho relaxation it eh treatment of hypertension. Cardiologia 1991 ;31(2):95-98.
4. Anand MP. Non-pharmacological management of essential hypertension. J Indian Med Assoc. 1999 Jun;97(6):220-5.
5. Sheu, Sheila RN, Irvin, Barbara L. RN, Lin, Huey-Shyan Mar, Chun-Lin. Effects of Progressive Muscle Relaxation on Blood Pressure and Psychosocial Status for Clients with Essential Hypertension in Taiwan. Holistic Nursing Practice: January/February 2003;17(1):41-47.
6. Iris B. Goldstein, David Shapiro, Chalemphol Thananopavaran. Home Relaxation Techniques for Essential Hypertension. Psychosomatic Medicine (Sept./Oct. 1984);46(5):398-414.
7. Pender NJ. Physiologic responses of clients with essential hypertension to progressive muscle relaxation training. Res Nurs Health. 1984 Sep;7(3):197-203.8. Dickinson H, Campbell F, Beyer F, Nicolson Dj, Cook J, Ford G, Mason J. Relaxation therapies for the management of primary hypertension in adults: a Cochrane review. J Hum Hypertens. 2008 Dec;22(12):809-20.
9. W. Stewart Agras, Michael Horne, C. Barr Taylor. Expectation and the Blood-Pressure-Lowering Effects of Relaxation. Psychosomatic Medicine, (September 1982);44(4):389-395.
10. Herrmann JM. Essential hypertension and stress. When do yoga, psychotherapy and autogenic training help?. MMW Fortschr Med. 2002 May 9;144(19):38-41.
11. Wadden TA, de la Torre CS. Relaxation therapy as an adjunct treatment for essential hypertension. J Fam Pract. 1980 Nov;11(6):901-908.
12. M.J. Irvine , D.W. Johnston, D.A. Jenner, G.V. Marie. Relaxation and stress management in the treatment of essential hypertension. Journal of Psychosomatic Research 1986;30(4):437–450.

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Published

2012-10-31

How to Cite

Patel, D. H. M., Kathrotia, D. R. G., Pathak, D. N. R., & Thakkar, D. H. A. (2012). Effect Of Relaxation Technique On Blood Pressure In Essential Hypertension.: Effect of Relaxation Technique on BP in Essential Hypertension. National Journal of Integrated Research in Medicine, 3(4), 10–14. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2060

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Original Articles