Nurul Diah Rahmatani, Joko Sutrisno

The Effectiveness Of Tera Exercise And Yoga Exercise On Blood Pressure Changes In Hypertensive Elderly At Panti Werdha Santo Yoseph

Introduction

The effectiveness of tera exercise and yoga exercise on blood pressure changes in hypertensive elderly at panti werdha santo yoseph. Assess Tera & Yoga exercise effectiveness on blood pressure in hypertensive elderly. Both interventions significantly lower BP, with no significant difference found between them.

Abstract

Hypertension in the elderly increases the risk of serious complications. Tera exercise and yoga exercise are non-pharmacological interventions that can help lower blood pressure. This study aims to analyze the effectiveness of Tera exercise and yoga exercise in reducing blood pressure among hypertensive elderly at Panti Nursing Home Santo Yoseph, Kediri City. This quantitative study employed a two-group pretest-posttest design. A total of 30 elderly individuals with hypertension at Panti Wredha Santo Yoseph, Kediri City, were divided into two groups: 15 participants in the Tera group and 15 participants in the Yoga group. The intervention was conducted over four sessions within one month, with a frequency of once per week. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The study results showed that before the intervention, 8 participants (53.3%) in tera exercise and 7 participants (46.7%) in yoga exercise had blood pressure in the mild hypertension category. After the intervention, 6 participants (40%) in both types of exercise experienced a decrease in blood pressure to the normal category. The results of the Wilcoxon test showed a significant difference in blood pressure before and after the intervention in the Tera Gymnastics group, with a p-value of 0.001 for systolic and 0.001 for diastolic blood pressure. Similarly, in the Yoga Exercise group, significant differences were observed, with a p-value of 0.011 for systolic pressure and 0.012 for diastolic pressure, indicating that Yoga Exercise effectively reduced blood pressure in hypertensive elderly individuals. The Mann-Whitney test results indicated that the post-test systolic blood pressure significance value between the Tera Exercise and Yoga Exercise groups was 0.771, while the post-test diastolic blood pressure significance value was 0.983 (p > 0.05). These findings suggest no significant difference between the two groups in lowering blood pressure. There is no significant difference in the effectiveness of Tera Exercise and Yoga Exercise in reducing blood pressure among hypertensive elderly individuals at Panti Werdha Santo Yoseph, Kediri City.

Review

This study addresses a highly relevant clinical issue: the management of hypertension in the elderly through non-pharmacological means, specifically Tera and Yoga exercises. The researchers employed a clear two-group pretest-posttest design to assess the immediate impact of these interventions on blood pressure. A key strength is the direct comparison of two active interventions, both of which demonstrated statistically significant reductions in systolic and diastolic blood pressure within their respective groups after only four weekly sessions. This finding underscores the potential utility of both exercise modalities as complementary strategies for blood pressure control in a vulnerable population, suggesting that offering either option could be beneficial. However, the study presents several methodological limitations that temper the generalizability and robustness of its conclusions. The sample size of 30 participants (15 per group) is notably small, which may limit the statistical power and external validity of the findings. Furthermore, the absence of a true control group (e.g., a group receiving standard care without specific exercise intervention) makes it challenging to definitively attribute the observed blood pressure changes solely to the interventions versus other confounding factors or the natural fluctuations of blood pressure. The intervention duration of only four sessions over one month is relatively brief, raising questions about the long-term sustainability of the observed effects. Finally, the abstract lacks crucial details regarding the specific content, intensity, and supervision of the "Tera exercise" and "Yoga exercise," which are essential for replication and understanding the precise nature of the interventions. Despite these limitations, the study offers valuable preliminary insights into the comparative effectiveness of Tera and Yoga exercises for blood pressure reduction in institutionalized elderly individuals. The finding that there was no significant difference in effectiveness between the two exercise types provides practical information for healthcare providers in residential care settings, suggesting flexibility in offering either option based on participant preference or resource availability. Future research should aim to validate these findings with larger sample sizes, incorporate a non-intervention control group, extend the duration of intervention and follow-up periods, and provide detailed protocols for the exercises to enhance reproducibility and clinical applicability. Such studies would further solidify the evidence base for integrating these accessible, low-cost interventions into comprehensive hypertension management programs for the elderly.

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