EFFECT OF COLD UNDERWATER MASSAGE ON BLOOD PRESSURE AND STRESS IN PEOPLE WITH HIGH BLOOD PRESSURE-A RANDOMIZED CONTROLLED TRIAL

INTERVENTION: Intervention1: Cold Underwater Massage: Participants randomized to the intervention group will undergo baseline assessment of autonomic variables and stress level. They will then receive a 20‐minute cold underwater massage therapy using water maintained at 20 2 C. Water temperature will be monitored continuously with a digital thermometer. Outcome measures will be reassessed immediately after completion of the intervention. Control Intervention1: Supine Rest: Participants randomized to the control group will undergo baseline assessment followed by 20 minutes of supine rest in a quiet room under similar environmental conditions. Outcome measures will be reassessed immediately after the rest period. CONDITION: Health Condition 1: I10‐ Essential (primary) hypertension PRIMARY OUTCOME: Heart rate variabilityTimepoint: 5 minutes pre and post SECONDARY OUTCOME: Blood pressureTimepoint: 5 minutes pre and post Stress levelTimepoint: 5 minutes pre and post INCLUSION CRITERIA: 1 Subject diagnosed with Hypertension with medication 2 Hypertensive individuals without any complications 3 Essential Hypertension