The influence of the choice of physical rehabilitation methods on the correction of arterial hypertension

Authors

DOI:

https://doi.org/10.24959/sphhcj.22.258

Keywords:

physical rehabilitation; arterial hypertension; arterial pressure; aerobic exercise; resistance exercises

Abstract

Aim. To study the effect of physical rehabilitation on the correction of arterial hypertension (AH) in patients before starting pharmacotherapy with increased blood pressure (BP), determine the most effective type of physical activity to reduce BP, and identify the effectiveness of physical training depending on the initial level of BP.
Materials and methods. Patients were evaluated for the effect of physical therapy on the correction of AH. The data analysis was performed using statistical methods.
Results. It was found that all patients with AH had a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP) after completing the physical rehabilitation program. It was possible to achieve the target level of BP and high normal BP in 37.92 % of patients. The most pronounced decrease in both SBP and DBP was in patients performing aerobic exercise. There was an increase in BP within the physiological norm in some patients in 30 minutes after performing aerobic exercises in combination with resistance exercises. Patients with a lower initial BP level had a less significant decrease after performing
physical rehabilitation programs.
Conclusions. The data obtained suggest the need to recommend physical rehabilitation for patients with AH of varying degrees of stage 1 with a low cardiovascular risk. Preference should be given to aerobic exercises and careful control of changes in BP in 30 minutes after training to minimize the negative impact of high BP on the patients.
Key words: physical rehabilitation; arterial hypertension; arterial pressure; aerobic exercise; resistance
exercises.

Author Biographies

I. V. Kireyev, National University of Pharmacy

Doctor of Medicine (Dr. habil.), professor of the higher education institution of the Department
of Pharmacology and Pharmacotherapy

N. V. Zhabotynska, National university of pharmacy

Candidate of Medicine (Ph. D), associate professor of the higher education institution of the Department
of Pharmacology and Pharmacotherapy

О. О. Ryabovа, National university of pharmacy

Candidate of Medicine (Ph. D), associate professor of the higher education institution of the Department
of Pharmacology and Pharmacotherapy

K. V. Tsemenko, National university of pharmacy

Candidate of Pharmacy (Ph. D), teaching assistant of the higher education institution of the Department
of Pharmacology and Pharmacotherapy

L. V. Karabut, National university of pharmacy

Candidate of Medicine (Ph. D), associate professor of the higher education institution of the Department
of Clinical and Laboratory Diagnostics

References

Servier. (2021). «Servier» sovmestno s Mezhdunarodnyim obschestvom arterialnoy gipertenzii zapustili novuyu volnu informatsionno-prosvetitelskoy kampanii #potomuchtotaknado. Available at: https://servier.ru/servier-i-ish-zapustili-novuyu-volnu-informatsionno-kampanii-potomuchtotaknado/#_ftnref2.

Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M. et al. (2018). ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Journal of Hypertension, 36 (10), 1953-2041. doi: https://doi.org/10.1097/HJH.0000000000001940.

Riebe, D. (2018). ACSM’s guidelines for exercise testing and prescription. Philadelphia, Pa: Wolters Kluwer.

Piercy, K., Troiano, R., Ballard, R., Carlson, S., Fulton, J., Galuska, D. et al. (2018). The Physical Activity Guidelines for Americans. JAMA, 320 (19), 2020. doi: https://doi.org/10.1001/jama.2018.14854.

Ribeiro, F., Costa, R., Mesquita-Bastos, J. (2015). Exercise training in the management of patients with resistant hypertension. World Journal Of Cardiology, 7 (2), 47. doi: https://doi.org/10.4330/wjc.v7.i2.47.

Arterialna hipertenziia. Klinichna nastanova. (2019). Available at: https://dec.gov.ua/wp-content/uploads/2019/11/kn_artergipert.

Klinicheskie protokoly diahnostiki i lecheniia serdechno-sosudistykh zabolevanii. (2020). Available at: https://www.minzdrav.uz/documentation/detail.php?ID=41771.

Arnett, D., Blumenthal, R. Albert, M., Buroker, A., Goldberger, Z. et al. ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of Circulation, 140, e596–e646. doi: https://doi.org/10.1161/CIR.0000000000000678.

Pescatello, L., Buchner, D., Jakicic, J., Powell, K., Kraus, W., Bloodgood, B. et al. (2019). Physical Activity to Prevent and Treat Hypertension: A Systematic Review. Medicine &Amp; Science In Sports &Amp; Exercise, 51 (6), 1314-1323. doi: https://doi.org/10.1249/mss.0000000000001943.

Hryhus, I., Nevirkovets, V., Skalski, D. (2018). Reabilitatsiini ta fizkulturno-rekreatsiini aspekty rozvytku liudyny (Rehabilitation & Recreation), 3. Available at: https://health.nuwm.edu.ua/index.php/rehabilitation/article/view/55.

Guimaraes, G., de Barros Cruz, L., Fernandes-Silva, M., Dorea, E., Bocchi, E. (2014). Heated water-based exercise training reduces 24-hour ambulatory blood pressure levels in resistant hypertensive patients: A randomized controlled trial (HEx trial). International Journal Of Cardiology, 172 (2), 434-441. doi: https://doi.org/10.1016/j.ijcard.2014.01.100.

Salles, G., Cardoso, C., Muxfeldt, E. (2008). Prognostic Influence of Office and Ambulatory Blood Pressures in Resistant Hypertension. Archives Of Internal Medicine, 168 (21), 2340. doi: https://doi.org/10.1001/archinte.168.21.2340.

Shapovalova, I. V., Zakharina, Ye. A. (2019). Sportyvna medytsyna i fizychna reabilitatsiia, 2, 98-101. doi: https://doi.org/10.32652/spmed.2019.2.98-101.

Miyamoto, T., Kamada, H., Moritani, T. (2017). Acute cardiovascular responses to multiple sets of high-velocity resistance exercise in healthy adults. Research In Sports Medicine, 25 (4), 495-504. doi: https://doi.org/10.1080/15438627.2017.1365298.

ACSM Blog. ACSM_CMS. (2022). Available at: https://www.acsm.org/blog-detail/acsm-certified-blog/2018/02/01/exercise-preparticipation-screening-removing-barriers-initiating-exercise.

Albarrati, A. M. (2018). Outpatient physical therapy cardiovascular assessment: Physical therapist perspective and experience. Physiotherapy Theory And Practice, 35 (9), 843-850. doi: https://doi.org/10.1080/09593985.2018.1458355.

Stergiou, G., Palatini, P., Parati, G., O’Brien, E., Januszewicz, A., Lurbe, E. et al. (2021). 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. Journal Of Hypertension, 39 (7), 1293-1302. doi: https://doi.org/10.1097/hjh.0000000000002843

Published

2022-07-28

Issue

Section

Health organization