1Internship, Bachelor of Physiotherapy, Deprtment of Physiotherapy, Dr. DY Patil University, Nerul, Navi Mumbai
2Assistant Professor, Deprtment of Physiotherapy, Dr. DY Patil University, Nerul, Navi Mumbai
3Professor and Director, Deprtment of Physiotherapy, Dr. DY Patil University, Nerul, Navi Mumbai
Online published on 19 June, 2015.
Blood pressure is the pressure exerted by the blood against the walls of the blood vessels, especially the arteries, and is one of the vital signs. Acute stroke patients with hypertension require rehabilitation, but exercise seems to be linked to transient increase in blood pressure. Thus, it is necessary to examine the effects of different types of active movements on blood pressure in hypertensive stroke patients.
1. To assess the variation of Blood pressure following different active movements in normal healthy individuals and subacute stroke patients. 2. To compare the variation of Blood pressure following different active movements in normal healthy individuals and hypertensive subacute stroke patients.
15 normal and 15 hypertensive subacute stroke patients between the ages of 40–60 years were selected. Resting parameters such as heart rate and Blood pressure were recorded in both the groups. The following movements were shown to the patient and then repeated 15 times each unilaterally. Shoulder flexion, hip flexion, Bridging, Standing, Walking Blood pressure was taken post every movement being repeated 15 times.
In normal the maximum rise in systolic blood pressure was seen while walking, followed by standing and bridging and the least in shoulder and hip flexion. Maximum influence on diastolic blood pressure in normal was caused by walking followed by standing. No significant change was brought about by shoulder and hip flexion and bridging.
In hypertensive subacute stroke patients the maximum rise in systolic blood pressure was seen while walking. Standing was more significant than bridging which was more significant than shoulder and hip flexion. Maximum influence on diastolic blood pressure in stroke patients was caused while walking followed by standing. No significant change is brought about by shoulder and hip flexion and bridging.
Systolic blood pressure was found to be increased in hypertensive subacute stroke patients specially while walking, compared to shoulder and hip flexion. There was minimal change seen in the diastolic blood pressure while performing these activities.
Stroke, Blood Pressure, Hypertension
