Hypertension: Breaking Down the HUR Medical Concepts #2

HYPERTENSION

Hypertension is defined as a systolic blood pressure (SBP) of ≥140 mm Hg or a diastolic blood pressure (DBP) of ≥90 mm Hg and/or the current use of antihypertensive medication. This is also commonly known as high blood pressure.

It is a major independent risk factor for cardiovascular diseases including all age, race and gender groups. Approximately 65 million adult American adults have hypertension, and its prevalence has been found to be about 30-45% of the general population in Western Europe. Lifestyle factors are recognized as major modifiable determinants of hypertension. Recent guidelines emphasize the assessment of lifestyle, particularly as it relates to diet and exercise, and the management of obesity and dyslipidemia as key factors in the treatment of hypertension.

Large body of evidence shows that exercise training elicits blood-pressure reduction in both normotensive and hypertensive individuals. The mean training-induced reductions in SBP and DBP have varied from –3 to –11 mmHg and from –2 to –6 mmHg, respectively. The BP lowering effect of exercise training is assumed to be multifactorial, but appears to be independent of weight loss. Mechanisms include neuro-hormonal, vascular, and structural adaptations. Decreases in catecholamine levels and total peripheral resistance, improved insulin sensitivity, and alterations in vasodilators and vasoconstrictors are some of the postulated explanations for the antihypertensive effects of exercise. The HUR hypertension concept helps the health care professional to provide the best practice of exercise-as -medicine, based on the latest international treatment guidelines, to help individuals with elevated blood pressure levels to engage in regular weekly physical activity and to follow an exercise training regimen.

 
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Concept

The HUR hypertension concept is designed to be used in strength training as a therapeutic modality in treatment of elevated blood pressure (BP) by using the HUR’s Natural Transmission method. The Natural Transmission Method is a resistance strength training method based on pneumatic technology. The method allows for resistance to be adapted in response to the muscle’s own force production, regardless of the speed of movement. An intelligent technology system for automated reporting, close to zero starting load, 100 g/1 kg increments in resistance, range limiters and additional support with connected outcome measures to document the effectiveness, enables the user to start strength training safely when considering the individual treatment prescriptions, e.g., appropriate medication. The HUR hypertension concept helps the rehabilitation professionals to provide the best practice of exercise-as-medicine, based on the latest international treatment guidelines, to help individuals with elevated blood pressure levels engage in regular weekly physical activity and to follow an exercise training regimen.

Filip Alexander