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Active, not recruitingNCT07109960Updated Aug 7, 2025

Effect of Isometric Exercise Versus Hand Reflexology on Hemodynamic Parameters Among Patients With AMI

An interventional study of Isometric exercise and hand reflexology in Hemodynamic Parameters, Fatigue and Anxiety, sponsored by University of Baghdad. Active, not recruiting at 1 site in Iraq. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-08-07.

Sponsored by University of Baghdad · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2025, 10 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
136
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the comparative effect of isometric exercise versus hand reflexology on primary hemodynamic parameters, fatigue, and anxiety in patients with acute myocardial infarction.

Researcher will know which one of the interventional procedures (isometric exercise, hand reflexology, or hand reflexology and hand reflexology) was more effective to primary hemodynamic parameters, fatigue, and anxiety.

Each participant in the isometric exercise group receives included ankle exercises, knee workouts, head exercises, static abdominis exercises, and sustained hand grip exercises. Every contraction lasted for 10 seconds, 10 repetitions, two IE sessions over a period of three days. Each IE session lasted between 25 and 35 minutes.

Each participant in the hand reflexology group underwent two the sessions of hand reflexology. Each session had a duration of 15 minutes, which was then followed by a five-minute period of rest

Read the detailed description

Cardiovascular diseases (CVD) encompass a group of medical conditions including angina pectoris, myocardial infarction, congestive heart failure, irregular rhythms, cardiac valve disease, and aortic atherosclerosis. Clinical CVD is the accumulation of plaque in the arteries that provide blood to the cardiac muscle. Plaque-clogged arteries undergo hardening, resulting in reduced blood flow through them. The specific site of the plaque dictates the type of cardiac defect.

Whenever there is a need to improve patient symptoms or prognosis by obtaining information about the severity through disease of coronary artery, it is recommended to use the invasive coronary angiography (ICA). The femoral artery area commonly experiences various local vascular complications, including minor or major bleeding, hematoma, pseudoaneurysm, and arteriovenous (AV) fistula. These complications arise due to the frequent use of the femoral artery for vascular access procedures.

Cardiac patients typically exhibit a higher prevalence of anxiety compared to people with other medical conditions. Approximately 80% of individuals with cardiac conditions are reported to exhibit and manifest anxiety before to cardiac arrest. The primary factors contributing to patient anxiety include previous encounters, discomfort, emotional strain, unfamiliar environments.

An acute myocardial infarction (AMI) occurs due to decreased blood flow inside the coronary arteries. Ischemia and myocardial damage may an elevating or descending ST segment on the Electrocardiogram (ECG). Among the consequences of AMI include arrhythmia and alterations in physiological parameters including hypertension, hypotension, tachypnea, and fever.

Isometric exercise occurs a feature pressor rase in blood flow which may significant in keep provide of muscle through continuous contraction. the response is middle by joint central and peripheral occur input to the medullary of cardiovascular the centers. In the normal persons the rise in blood flow is middle through a increase in output of heart with no change in resistance of systemic vascular.

02

Conditions studied

  • Hemodynamic Parameters
  • Fatigue
  • Anxiety

Keywords

  • Isometric Exercise
  • Hand Reflexology
  • Acute Myocardial Infarction
03

In context

Fatigue

1,860 studies on the registry are indexed under Fatigue; 376 are open to participants now.

This study's enrollment of 136 is above the median of 54 across 1,440 interventional studies indexed under Fatigue.

Browse Fatigue studies →

Lead sponsor

University of Baghdad is the lead sponsor of 164 studies on the registry; 66 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age range: Adults aged 18 to 75 years.
  2. Confirmed diagnosis of acute myocardial infarction (AMI).
  3. Time since AMI.
  4. Stable clinical condition.
  5. Informed consent.
  6. No contraindications to interventions (severe musculoskeletal or neurological impairments).
  7. No current use of reflexology.
  8. No recent cardiovascular surgery.
  9. No uncontrolled co-morbidities such as DM, COPD, or chronic kidney disease.
  10. Stable medication regimen within the past 24 hours.
  11. No severe psychological disorders (e.g., major depressive disorder, schizophrenia).
  12. Ability to complete study protocol.

Exclusion criteria

Exclusion Criteria:

  1. Severe or ongoing cardiovascular events.
  2. Heart failure.
  3. Severe renal or hepatic impairment.
  4. Active or uncontrolled infections.
  5. Major surgical intervention.
  6. Severe musculoskeletal, neurological disorders.
  7. Severe psychiatric disorders.
  8. Current participation in other interventional trials.
  9. Pregnancy or lactation.
  10. Inability to follow protocol.
  11. Significant uncontrolled comorbidities (HTN, DM).
  12. Known allergy to reflexology.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
136 participants (actual)

Study arms

  • Experimental
    Isometric exercise, hand reflexology, isometric exercise-hand reflexology, and control groups

    Each participant in the isometric exercise group receives included ankle exercises, knee workouts, head exercises, static abdominis exercises, and sustained hand grip exercises. Every contraction lasted for 10 seconds, 10 repetitions, two IE sessions over a period of three days. Each IE session lasted between 25 and 35 minutes. Each participant in the hand reflexology group underwent two the sessions of hand reflexology. Each session had a duration of 15 minutes, which was then followed by a five-minute period of rest. While isometric exercise- hand reflexology experimental group was given for the participant, the same intervention of isometric exercise and hand reflexology groups.

    Other: Isometric exercise and hand reflexology

  • No intervention
    Routine care

    no interventions were done for the control group (received routine care only).

Interventions

  • OtherIsometric exercise and hand reflexology

    Each participant in the isometric exercise group receives included ankle exercises, knee workouts, head exercises, static abdominis exercises, and sustained hand grip exercises. Every contraction lasted for 10 seconds, 10 repetitions, two IE sessions over a period of three days. Each IE session lasted between 25 and 35 minutes. Each participant in the hand reflexology group underwent two the sessions of hand reflexology. Each session had a duration of 15 minutes, which was then followed by a five-minute period of rest. While isometric exercise- hand reflexology experimental group was given for the participant, the same intervention of isometric exercise and hand reflexology groups Furthermore, no interventions were done for the control group (received routine care only).

06

What researchers measure

Primary outcomes

  1. Blood pressure

    Blood pressure (right hand lying on the back) was measured through digital blood pressure monitor (RossMax MG150f, made in Tiwan).

    Time frame: Patients' blood pressure were measured and recorded 15 minutes before intervention by researcher, and 15 minutes after the completion of intervention

  2. Fatigue

    Fatigue visual analogue scale (VAS) was used to measure fatigue. VAS is a self-administered visual scale that includes a 10 cm horizontal line graded from 0 to 10. Zero indicates no fatigue, 1-3 indicates mild fatigue, 4-7 indicates moderate fatigue, and 8-10 indicates severe fatigue.

    Time frame: Patients' fatigue were measured and recorded 15 minutes before intervention by patient, and 15 minutes after the completion of intervention

  3. Anxiety

    State- Trait Anxiety Inventory (STAI) is a reliable and valid instrument that was developed by Spielberger in 1983 with a range of internal consistency coefficients from 0.86- 0.95.

    Time frame: Patients' fatigue were measured and recorded 15 minutes before intervention by patient, and 15 minutes after the completion of intervention

07

Study locations

1 site
  • Al-Diwaniyah government hospital
    Al Qādisīyah, AL-Diwaniya XXQ7+48J, Iraq
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07109960
Lead sponsor
University of Baghdad
Responsible party
Bahaa Mirza Skal (Lecturer, University of Baghdad) — Principal investigator
First posted
Aug 7, 2025
Start date
Jul 15, 2025
Primary completion
Nov 15, 2025 (estimated)
Completion
Jan 15, 2026 (estimated)
Last update
Aug 7, 2025

Study contacts

Bahaa M Skal, PhD
principal investigator · Qadisiyah University-Faculty of Nursing

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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