Exergaming Training Among Hypertensive Patients

Conditions studied

Hypertension

About this study

Since Hypertension affects all body systems and importantly postural balance control. So, the evidence indicates a strong link and connection between balance and hypertension through somatosensory, visual, vestibular, musculoskeletal, and CNS integration of inputs from both peripheral and motor systems. Therefore, to fill this gap of how much balance and each of its aspects/components are affected, this study will be done for a detailed examination of this genuine integration and clinical interaction among hypertensive with game-based techniques on all three balance components (concerning Intensity, frequency, duration and dosage of VRET). Secondly, on the other hand (CR) programs, have shown very low compliance with recommended Physical Activity, which is why; by utilising this alternative, Virtual reality exergaming can be used as a quick, appropriate and equivalent alternative to traditional exercise programs. Also, in future, it could be suggested with promising effects in the provision of engaging, goal-oriented training for patients with hypertensive besides a sound, economical and clinically beneficial alternative to traditional Cardiac Rehabilitation. Finally, by exploring detailed clinical integration of Postural Balance with Hypertension using Virtual Reality the study will be able to highlight hypertension as a potent risk factor for future impaired balance and risks of falls. Thereby, hypertension's early identification (considering all biological, psychological, and social factors) and prevention may avert hypertensive to future debilitating complications and outcomes as a result of it.

Interventions

• Other: Exercise — The participants would be playing exergames using XBOX-360 Kinect. Multiple games would be selected for the participants to play. The player would be upgraded to next levels of games after completing the initial levels.
• Other: Exercise — The subjects would be doing treadmill training within moderate intensity target heart rate.
• Other: No intervention — The subjects would not be given any intervention and would be used as controls.

Primary outcomes

• Gait and Balance App (Baseline before provision of interventions)
• Gait and Balance App (After 4 weeks of interventions)
• Gait and Balance App (After 8 weeks of interventions)
• Brain-derived neurotrophic factor (BDNF) biomarker: (Baseline before provision of interventions)
• Brain Derived Neurotrophic Factor Biomarker (After 8 weeks of interventions)
• Exercise Enjoyment Questionnaire (EEQ) (After 8 weeks of interventions)
• The Montreal Cognitive Assessment (MoCA) (Baseline before provision of interventions)
• Montreal Cognitive Assessment (MoCA) (After 4 weeks of interventions)

Eligibility information

Study locations

• Foundation University, Islamabad, Federal 44000 Pakistan