Question

Perform a hypertension evaluation. This evaluation is to be done only if medically approved. The purpose of this learning experience is to understand the bodies’ basic response to exercise. Take a resting blood pressure. After taking the blood pressure take your blood pressure while doing moderate to vigorous aerobic exercise. On another occasion take your blood pressure after doing mild- moderate arm curls, also mild- moderate bench press, then take your blood pressure after doing mild to moderate leg extension and leg press. Explain what happened and why the reading might have been different. See what happens when you hold your breath. Consider what influence supine has over seated bench press, or seated leg press vs. inverted leg press. After doing this self evaluation design a comprehensive exercise program for a hypertensive 50 year old male with a resting BP of 145/92. Explain why every exercise is included.

Answer 1

BLOOD PRESSURE: It is defined as the lateral pressure exerted y the coumn of blood on wall of arteries.The pressure is exerted when blood flows through the arteries.

• Normal Blood pressure=Systolic blood pressure/diastolic Blood pressure120/80 mmog Hg(range=110-140/60-80 mm of Hg)
• Blood Pressure varies bacause of Physiological and Pathological conditions in them AGE is one of the physiological variatiom
• In puberty and adults, Normal/ Resting Blood pressure =120/80 mm of Hg
• Age 50 and after 50 Resting Blood Pressure = 140/85 mm of Hg

1. I consider Resting Blood Pressure equal to normal i.e, 120/80 mm of Hg
2. Blood Pressure after Moderate Aerobic Exercise=140/80 mm of Hg (in moderate exercise the systolic BP increases due to increase in rate and force of contraction and the increased value range upto 20-30 mm Hg Hgand Stroke volume and Diastolic BP remains Constant it depends on peripheral resistance which is not affected by moderate exercise)
3. Blood Pressure after vigorous Aerobic Exercise=160/70 mm of Hg( in Vigorous exercise the systolic BP increases due to increase in rate and force of contraction and increases ranges between 40 to 50 mm of Hg and the Diastolic BP decreased because the peripheral resistance is decreased in severe exercise.
4. Blood pressure in arms and legs exercise depends on the Heart rate and oxygen uptake, in this I considered constant Oxygen uptake and heart rate varies based on the type of exercise and number of and type of muscles work and the Blood Pressure is higher in arm exercise compared to leg exercise at lower heart due to high sympathetic outflow and small and less number of muscles work which causes vasoconstriction and in leg exercises the more number of large muscles work causing vasodilatation in return causes decrease in peripheral resistance.

• Blood pressure after Mild- Moderate Arm Curls=160/80 mm of Hg (Increasd Systolic BP due to increase in heart rate and The diastolic BP remains constant as there is no change in peripheral resistance and ranges between 130-150/80 mm of Hg)
• Blood Pressure after Mild-Moderate bench press=170/90 of Hg (Increased Systolic BP due to increase in heart rateand more muscles work increasing work load and the Diastolic BP remains constant or may have mild change and ranges between 150-175/80-90 mm og Hg)
• Blood pressure after mild to moderate leg press=157/80 mm of Hg(Comparitively less than arm because of more muscles work and vasodilatation and no effective heart rate fluctuations ranges from 150-160/80 mm og Hg)
• Blood Pressure after mild to moderate Leg extension=165/85 mm of Hg(Due to more muscle work, vasodilatation and no effective heart rate fluctuations ranges from 160-170/80-90 mm og Hg)
• Breat holding Increases the blood flow to the lungs and causes vasodilatation leading to decrease in blood pressure but it disturbs the blood chemical balance.
• Blood Pressure after overseated bench press=180/95 mm of Hg (because in this trunk muscles also involves and the heart rate increased and vasoconstriction leads to increased diastolic BP)
• Blood pressure after Seated Leg press=150-160/80 mm of Hg (Because there is no effective change in heart rate so no visible fluctuations in BP)
• Blood pressure after inverted leg press=140-150/70 mm of Hg (Because of its posture in this the peripheral resistance decreases as the blood flows easily towards heart )

Usually General Principal ways for prescribing ways for exercise includes:

• Respiratory Exercises
• Upper Extremity Exercise
• Trunk Exercise
• Lower Extremity Exercises
• Usually 30 mins exercise program regimen is suggested for Hypertensive patients which helps in lowering Blood Pressure.

WARM UP:Respiratory exercise Like Deep breathing is prescribed because it increases the blood to the lungs leading to vasodilation and lowers BP and For Upper Extremity like arm swinging,shoulder rotation,arm flexion,extension and for Trunk exercises like trunk rotation and for lower extremity hip extension flexion,knee flexion extension  acts as a warmup by stimulating Muscles and preventing Injury by increaing blood flow and it done for 10 min

Aerobic Exercises like Brisk walking,jogging,swimming,bicycling helps in loweing BP as the physical activity helps by increaing work load on heart by increasing blood flow to heart which stimulates internal mechanism to regulate the High BP which makes indirectly to lower BP and this makes your heart stronger and healthier.