Effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

Abstract
Purpose. To explore the efficacy of dynamic neuromuscular stabilization (DNS) on postural stability in hypertensive patients.
Methods. 60 hypertensive patients, aged 54‑64, years were split randomly into two groups. Group A (study group): 30
patients (13 females and 17 males) received DNS training, routine medical treatment, and a dietary approach to stop
hypertension (DASH) diet. Group B, the control group, comprised 30 patients (16 females and 14 males) who received
diaphragmatic breathing and balance training, routine medical treatment, and the DASH diet. Outcome measures: The
Biodex Balance System (BBS), the Timed‑Up‑and‑Go test (TUG), and the Modified Star excursion balance test (mSEBT) were
all employed to assess postural control; the Pittsburgh Sleep Quality Index (PSQI) was utilized to measure sleep quality, and
the 12‑item Short Form Health Survey was utilized to quantify quality of life.
Results. The stability index, TUG, and PSQI significantly reduced in both groups, while the mSEBT composite score and SF‑12
significantly increased. However, Group A achieved further improvements in all measurements compared to Group B
(p < 0.01), except in the Physical Component Summary (PCS) (p > 0.05).
Conclusion. DNS training improves hypertensive patients' postural control, sleep quality, and overall quality of life