Effect of Different Pranayama Breathing Techniques on Quality of Life in Hypertensive Patients

The purpose of the current study is to compare between the effect of Bhramari pranayama versus Sheetali pranayama on quality of life in hypertensive patients.

Inclusion Criteria:- Sixty elderly are selected from both sexes. 2-Their age ranges from 60-75 years old. 3-Hypertensive patients (SBP is 140 -159 mmHg and/or DBP is 90-99 mmHg).4-Their body mass index (BMI) ranged from < 30kg/m2. 5-All patients are medically stable.Exclusion Criteria:- patients with cardiac problems e.g. atrial fibrillation, left bundle-branch block, heart failure, Recent myocardial infarction, coronary artery disease, or participation in cardiac rehabilitation following bypass surgery.2- Patients with history, symptoms of, and/or laboratory reports suggestive of renal, neurologic, or hepatic complications.3-Patients who have difficulty in rolling the tongue for Sheetali practice as stroke or Bell's palsy.4- Tongue swelling in case of acromegaly, amyloidosis, Myxedema and tongue cancer.5- Tongue pain in case of diabetic neuropathy, mouth ulcers, oral cancer and burn in the mouth.6- Chronic smokers and alcoholics. 7- Severe ear infections that interfere with bhramari breathing.