Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Abstract

Objectives: Post stroke Depression (PSD) is most common emotional disorder affecting stroke sufferers. This study is to find out the levels of depression in Stroke patients using Zung Self Rating Depression Scale and to find out if depression levels relates with gender, cause of stroke, number of arteries involved in ischemic stroke, presence of risk factors like hypertension&diabetes mellitus&side affected among patients who suffered stroke.

Method: 100 stroke patients who had suffered the attack minimum of 2 weeks back were included in this study. Their depression levels were analyzed on the basis of their response in Zung Self Rating Depression Scale. Chi square test was used to analyze the data with Pearson's correlation to relate depression levels with gender, cause of stroke, number of arteries involved in ischemic stroke, presence of risk factors like hypertension and diabetes mellitus&side affected in Stroke.

Results: Stroke survivors were found to have moderate (60-69) to severe scores(70&above) on Zung Self Rated Depression scale. Depression levels were found to be significantly higher in right sided stroke patients i.e. left hemispheric involvement (p<0.05). Gender, cause of stroke, number of arteries involved in ischemic stroke, presence of multiple risk factors did not have any significant effect on levels of depression in Stroke patients. 

Conclusion: Identification of PSD at an early stage is important for early intervention for the same to enhance outcomes of rehabilitative process of stroke patients, it should be understood that involvement of right side in stroke can cause higher levels of depression due to frontal lobe affection & impairment of activities of daily living with right side being the dominant side.

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Abstract

Background: In India percentage of population having mild hypertension is 40.9 %.Urban population is more effected than rural areas. The contributing factors may be stress, change in diet, life style, genetic etc. Systolic hypertension has been considered to be one of the most important cause of morbidity and mortality leading to stroke, cardiovascular and renal diseases. Preventive strategies like modification in diet, exercising is important in this change in trend of health statistics. This study is to investigate the effectiveness of short duration aerobic exercise training on resting blood pressure and heart rate of participants with Prehypertensives and Stage 1 Hypertensives.

Objectives: To asses the effect of short duration aerobic exercise on resting Blood Pressure and Heart Rate in Prehypertensive and Stage 1 Hypertensive subjects

Method: This was an experimental study involving 50 participants (mean age of 50.47 5.69), who were Prehypertensives (systolic 120-139 mm of Hg or diastolic 80-89 mm of Hg) and Stage 1 Hypertensives (systolic 140-159 mm of Hg or diastolic 90-99 mm of Hg) according to JNC VII criteria. They were selected on the basis of screening of inclusion and exclusion criteria. Baseline score of Systolic Blood Pressure (SBP), Diastolic blood pressure (DBP) and Heart Rate (HR) was documented. An aerobic exercise regime of total 50 minutes duration was administered for 6 weeks at 3 days per week frequency. At the end of six weeks again SBP, DBP and HR was measured using sphygmomanometer, stethoscope and a watch .Data was analyzed using paired t-test in SPSS software.

Results: There was significant decrease in values of SBP, DBP and HR after the 6weeks aerobic training in hypertensive individuals (p<0.001). The percentage change in the values were found to be more in men than women and the change was more marked in individuals below 50 years of age than individuals above 50 years of age.

Conclusion: There is a significant change in the blood pressure and heart rate if hypertensive subjects are subjected to aerobic exercises. Incorporating simple aerobic exercise in daily regime can bring a sense of well being among high BP patients and individuals prone to hypertension and also control any further increase in the same. This can lead to prevention of common diseases nowadays like Stroke, Ischemic Heart Diseases and renal diseases in people with hypertension.

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