{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T02:55:05Z","timestamp":1791773705826,"version":"4.3.4"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Hypertension (HT) is a common chronic condition linked to increased cardiovascular risk, reduced functional capacity, altered muscle properties, and impaired psychosocial well\u2010being. Therefore, this study aimed to compare the 12\u2010week effects of chair\u2010based yoga and manual therapy on cardiovascular, functional, musculoskeletal, and psychosocial outcomes in individuals with HT. This single\u2010blinded, randomized controlled trial included 75 participants (48 females) who were randomly allocated to three groups: Group I (Patient Education\u2013PE), Group II (PE+Chair Yoga), and Group III (PE+Manual Therapy). Interventions were conducted twice weekly for 45 min over 12 weeks. Outcome measures included systolic and diastolic blood pressure (SBP\/DBP), heart rate (HR), the 6\u2010Minute Walk Test, muscle tone and stiffness (Myoton PRO), anxiety and depression, and mental well\u2010being. Both Group II and Group III led to significant within\u2010group reductions in SBP (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02 and\n                    <jats:italic>p<\/jats:italic>\n                    = 0.03, respectively) and HR (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.04 and\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02, respectively), with significant group\u2010by\u2010time interactions favoring Groups II and III over Group I. Functional capacity improved significantly in Groups II and III compared to Group I (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.04). Group III specifically demonstrated significant reductions in muscle tone (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.03) and stiffness (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.04). Group II showed superior improvements in anxiety scores (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.04) and mental well\u2010being compared to other groups. Chair\u2010based yoga and manual therapy are effective non\u2010pharmacological strategies for enhancing autonomic regulation and reducing blood pressure in hypertensive patients. While both interventions improve cardiovascular and functional parameters, manual therapy is more effective for modulating muscle viscoelastic properties. In contrast, chair yoga provides greater benefits for psychosocial well\u2010being and anxiety reduction.\n                  <\/jats:p>","DOI":"10.1111\/jch.70329","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T04:02:18Z","timestamp":1783915338000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Integrating Chair Yoga and Manual Therapy Into Hypertension Management: Effects on Autonomic Regulation, Muscle Viscoelasticity, and Mental Well\u2010Being"],"prefix":"10.1111","volume":"28","author":[{"given":"Ebru","family":"Kaya Mutlu","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Science Bandirma Onyedi Eylul University  Balikesir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aybike","family":"\u015eenel","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Amasya University  Amasya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meltem Besim","family":"Atakan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Institute of Graduate Studies Istanbul University\u2010Cerrahpasa  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tansu","family":"Birinci Olgun","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Istanbul Medeniyet University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canan","family":"Demir","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Science Bandirma Onyedi Eylul University  Balikesir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rustem","family":"Mustafao\u011flu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Istanbul University\u2010Cerrahpasa  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Akg\u00fcl","sequence":"additional","affiliation":[{"name":"Department of Gerontology Faculty of Health Sciences Istanbul University\u2010Cerrahpasa  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003480"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-23742-9"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003563"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260642"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaim.2024.101087"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0323268"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijoy.ijoy_55_24"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/JME.JME_5_21"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0319586"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1142\/S1013702520500122"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-023-05382-2"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.110.162123"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy339"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2017.07.015"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.3310\/KPGN4216"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000521288"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2014.07.024"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00745-2015"},{"key":"e_1_2_14_21_1","first-page":"1","article-title":"Testing Muscle Tone and Mechanical Properties of Rectus Femoris and Biceps Femoris Using a Novel Hand Held MyotonPRO Device: Relative Ratios and Reliability","volume":"1","author":"Mullix J.","year":"2012","journal-title":"Working Papers in the Health Sciences"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140822"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1992.16.2.74"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-63"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1179\/jmt.2009.17.3.163"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu078"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12244"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00258"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.2174\/0115734021350052250406161932"},{"key":"e_1_2_14_31_1","first-page":"1","article-title":"Effects of Heart Rate Variability Biofeedback on Cardiac Autonomic Function in Patients With Cardiovascular Disease: A Systematic Review and Meta\u2010Analysis","author":"Kaneko K.","year":"2026","journal-title":"Applied Psychophysiology and Biofeedback"},{"key":"e_1_2_14_32_1","first-page":"64","article-title":"Yoga as a Non\u2010Pharmacological Approach in Modulating Autonomic Function and Heart Disease Management","volume":"12","author":"Sharma D.","year":"2025","journal-title":"Journal of Geriatric Care and Research"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10484-025-09692-3"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijosm.2026.100813"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13121371"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/10538127251341828"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-13758-x"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2015.11.011"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1108\/JMHTEP-01-2016-0002"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2017.08.008"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.3390\/neurolint16060115"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2018.00397"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(00)00338-4"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22762"}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.70329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jch.70329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.70329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T03:32:14Z","timestamp":1785295934000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.70329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":43,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/jch.70329"],"URL":"https:\/\/doi.org\/10.1111\/jch.70329","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"value":"1524-6175","type":"print"},{"value":"1751-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-03-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70329"}}