Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
31 participants
INTERVENTIONAL
2002-09-30
2008-04-30
Brief Summary
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Detailed Description
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Thirty-one patients participated in this study, the majority diagnosed with arterial hypertension (22 out of 31).
Conditions
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Study Design
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NON_RANDOMIZED
FACTORIAL
TREATMENT
NONE
Study Groups
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Hypertensive
Patients diagnosed with hypertension (I10, either on drug therapy or verified by 24h blood pressure measurements) administered to anthroposophic speech therapy (intervention).
Anthroposophic speech therapy
Anthroposophic speech therapy uses sound-combinations like "KLSFM" or "OM" and hexameter verse in German, spoken by the therapist and imitated by the patients, to expand and decelerate respiration. The intervention is conducted by the same qualified therapist for one patient in different days but during the same daytime for 30 minutes in upright position and walking.
Normotensive
Patients diagnosed with tension headache (G 44.2) or anxiety disorders (F41) administered to anthroposophic speech therapy (intervention).
Anthroposophic speech therapy
Anthroposophic speech therapy uses sound-combinations like "KLSFM" or "OM" and hexameter verse in German, spoken by the therapist and imitated by the patients, to expand and decelerate respiration. The intervention is conducted by the same qualified therapist for one patient in different days but during the same daytime for 30 minutes in upright position and walking.
Interventions
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Anthroposophic speech therapy
Anthroposophic speech therapy uses sound-combinations like "KLSFM" or "OM" and hexameter verse in German, spoken by the therapist and imitated by the patients, to expand and decelerate respiration. The intervention is conducted by the same qualified therapist for one patient in different days but during the same daytime for 30 minutes in upright position and walking.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Willing and able to perform speech therapy
* Out-patient treatment or planned hospitalisation for at least 14 days.
* Diagnosed with hypertension (I 10, either on drug therapy or verified by 24h blood pressure measurements), with tension headache (G 44.2) or with anxiety (F 41) confirmed by the recruiting physician
* No alteration in medication affecting HRV for the last 2 months before and during the study
Exclusion Criteria
* Too weak to participate in an active therapy
* Pacemaker
* Skin disease or allergies preventing the use of ECG electrodes
20 Years
60 Years
ALL
No
Sponsors
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Paracelsus-Spital Richterswil
UNKNOWN
University of Bern
OTHER
Klinik Arlesheim
OTHER
Responsible Party
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Principal Investigators
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Christoph Kaufmann, PhD
Role: STUDY_DIRECTOR
Chief Physician
References
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Brook RD, Appel LJ, Rubenfire M, Ogedegbe G, Bisognano JD, Elliott WJ, Fuchs FD, Hughes JW, Lackland DT, Staffileno BA, Townsend RR, Rajagopalan S; American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, and Council on Nutrition, Physical Activity. Beyond medications and diet: alternative approaches to lowering blood pressure: a scientific statement from the american heart association. Hypertension. 2013 Jun;61(6):1360-83. doi: 10.1161/HYP.0b013e318293645f. Epub 2013 Apr 22.
Mancia G, Grassi G, Giannattasio C, Seravalle G. Sympathetic activation in the pathogenesis of hypertension and progression of organ damage. Hypertension. 1999 Oct;34(4 Pt 2):724-8. doi: 10.1161/01.hyp.34.4.724.
Mancia G, Grassi G. Mechanisms and clinical implications of blood pressure variability. J Cardiovasc Pharmacol. 2000;35(7 Suppl 4):S15-9. doi: 10.1097/00005344-200000004-00003.
Jonas WB. Reframing placebo in research and practice. Philos Trans R Soc Lond B Biol Sci. 2011 Jun 27;366(1572):1896-904. doi: 10.1098/rstb.2010.0405.
Bernardi L, Sleight P, Bandinelli G, Cencetti S, Fattorini L, Wdowczyc-Szulc J, Lagi A. Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: comparative study. BMJ. 2001 Dec 22-29;323(7327):1446-9. doi: 10.1136/bmj.323.7327.1446.
Cysarz D, von Bonin D, Brachmann P, Buetler S, Edelhauser F, Laederach-Hofmann K, Heusser P. Day-to-night time differences in the relationship between cardiorespiratory coordination and heart rate variability. Physiol Meas. 2008 Nov;29(11):1281-91. doi: 10.1088/0967-3334/29/11/004. Epub 2008 Oct 9.
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Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996 Mar;17(3):354-81. No abstract available.
Oka H, Mochio S, Yoshioka M, Morita M, Inoue K. Evaluation of baroreflex sensitivity by the sequence method using blood pressure oscillations and R-R interval changes during deep respiration. Eur Neurol. 2003;50(4):230-43. doi: 10.1159/000073865.
Walchli C, Saltzwedel G, Kruerke D, Kaufmann C, Schnorr B, Rist L, Eberhard J, Decker M, Simoes-Wust AP. Physiologic effects of rhythmical massage: a prospective exploratory cohort study. J Altern Complement Med. 2014 Jun;20(6):507-15. doi: 10.1089/acm.2012.0833. Epub 2013 May 23.
Seifert G, Driever PH, Pretzer K, Edelhauser F, Bach S, Laue HB, Langler A, Musial-Bright L, Henze G, Cysarz D. Effects of complementary eurythmy therapy on heart rate variability. Complement Ther Med. 2009 Jun;17(3):161-7. doi: 10.1016/j.ctim.2008.09.005. Epub 2008 Nov 20.
Cysarz D, von Bonin D, Lackner H, Heusser P, Moser M, Bettermann H. Oscillations of heart rate and respiration synchronize during poetry recitation. Am J Physiol Heart Circ Physiol. 2004 Aug;287(2):H579-87. doi: 10.1152/ajpheart.01131.2003. Epub 2004 Apr 8.
Bettermann H, von Bonin D, Fruhwirth M, Cysarz D, Moser M. Effects of speech therapy with poetry on heart rate rhythmicity and cardiorespiratory coordination. Int J Cardiol. 2002 Jul;84(1):77-88. doi: 10.1016/s0167-5273(02)00137-7.
von Bonin D, Fruhwirth M, Heuser P, Moser M. [Effects of speech therapy with poetry on heart rate variability and well-being]. Forsch Komplementarmed Klass Naturheilkd. 2001 Jun;8(3):144-60. doi: 10.1159/000057212. German.
Grossman E, Grossman A, Schein MH, Zimlichman R, Gavish B. Breathing-control lowers blood pressure. J Hum Hypertens. 2001 Apr;15(4):263-9. doi: 10.1038/sj.jhh.1001147.
Moser M, Fruhwirth M, Penter R, Winker R. Why life oscillates--from a topographical towards a functional chronobiology. Cancer Causes Control. 2006 May;17(4):591-9. doi: 10.1007/s10552-006-0015-9.
Parati G, Ochoa JE, Bilo G. Blood pressure variability, cardiovascular risk, and risk for renal disease progression. Curr Hypertens Rep. 2012 Oct;14(5):421-31. doi: 10.1007/s11906-012-0290-7.
Gillette MU, Sejnowski TJ. Physiology. Biological clocks coordinately keep life on time. Science. 2005 Aug 19;309(5738):1196-8. doi: 10.1126/science.1111420. No abstract available.
Kienle GS, Albonico HU, Baars E, Hamre HJ, Zimmermann P, Kiene H. Anthroposophic medicine: an integrative medical system originating in europe. Glob Adv Health Med. 2013 Nov;2(6):20-31. doi: 10.7453/gahmj.2012.087.
Other Identifiers
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ATS1
Identifier Type: -
Identifier Source: org_study_id
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