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Isometric handgrip as an adjunct for blood pressure control: a primer for clinicians

Isometric handgrip as an adjunct for blood pressure control: a primer for clinicians

McGowan, Cheri L., Proctor, David N., Swaine, Ian, Brook, Robert D., Jackson, Elizabeth A. and Levy, Phillip D. (2017) Isometric handgrip as an adjunct for blood pressure control: a primer for clinicians. Current Hypertension Reports, 19 (6):51. ISSN 1522-6417 (Print), 1534-3111 (Online) (doi:

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Considered a global health crisis by the World Health Organization, hypertension (HTN) is the leading risk factor for death and disability. The majority of treated patients do not attain evidence-based clinical targets, which increases the risk of potentially fatal complications. HTN is the most common chronic condition seen in primary care; thus, implementing therapies that lower and maintain BP to within-target ranges is of tremendous public health importance. Isometric handgrip (IHG) training is a simple intervention endorsed by the American Heart Association as a potential adjuvant BP-lowering treatment. With larger reductions noted in HTN patients, IHG training may be especially beneficial for those who (a) have difficulties continuing or increasing drug-based treatment; (b) are unable to attain BP control despite optimal treatment; (c) have pre-HTN or low-risk stage I mild HTN; and (d) wish to avoid medications or have less pill burden. IHG training is not routinely prescribed in clinical practice. To shift this paradigm, we focus on (1) the challenges of current HTN management strategies; (2) the effect of IHG training; (3) IHG prescription; (4) characterizing the population for whom it works best; (5) clinical relevance; and (6) important next steps to foster broader implementation by clinical practitioners.

Item Type: Article
Uncontrolled Keywords: Hypertension; High blood pressure; Alternative treatments; Clinical practice; Isometric handgrip training
Faculty / Department / Research Group: Faculty of Engineering & Science
Faculty of Engineering & Science > Centre for Science and Medicine in Sport and Exercise
Faculty of Engineering & Science > Department of Engineering Science
Last Modified: 17 May 2019 12:07
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: GREAT 2

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