Chulalongkorn Medical Journal


Background: Hypertension is a cause of premature death. One of the treatments for high blood pressure isregular exercise. In addition, it is a safe exercise, less injuries and can be easily implemented. Exercise withthe ball is a very interesting type of exercise to apply for health promotion that believed to improve blood pressureand functional performance in hypertensive patients.Objective: To determine the effects of exercise with the ball on blood pressure and functional performance infemale hypertensive patients.Methods: In a randomized controlled trial, female hypertensive patients (n = 20; average age 50.8  3.3 years)were randomly allocated into two groups. The experimental group performed exercise with the ball consistedof 55 minutes/time, 3 times a week for 6 weeks whereas the control group received education. Blood pressuremeasured by digital sphygmomanometers. Functional performance tests were assessed cardiovascularendurance measured by 6 minutes walk test, balance control, gait and lower extremity strength measured bytimed up and go test, gait speed measured by 10-meter walk test and postural control measured by one legstand test. Results were presented as means and standard deviations.Results: At the end of the study, there were significantly differences between experimental and control groupfor systolic and diastolic blood pressure (P < 0.05), respectively. Functional performance in experimental groupwere improved for 6 minutes walk test (P < 0.05), time up and go test (P < 0.05), 10-meter walk test (P < 0.05) andone leg stand test (P < 0.05).Conclusion: Exercise with the ball can reduce blood pressure levels and improve functional performance. Thesefindings support the recommendations of exercise with the ball in hypertensive patients.



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