Effect of Isometric Handgrip Exercise on Blood Pressure in Hypertensive Patients: A Case Study

Authors

  • Salsya Bela Nadiya Putri Universitas Muhammadiyah Surakarta
  • Okti Sri Purwanti Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.37287/ijghr.v8i5.2092

Keywords:

blood pressure, hypertension, isometric handgrip exercise, nursing intervention

Abstract

Hypertension remains a major global health concern and a leading risk factor for cardiovascular disease. Non-pharmacological interventions play an important role in nursing practice to support blood pressure control. Isometric handgrip exercise has been reported to reduce blood pressure; however, evidence from inpatient clinical settings remains limited. To examine the effect of isometric handgrip exercise on blood pressure in hypertensive patients using a case study approach. A descriptive case study was conducted involving four hypertensive patients admitted to Kultura Ward, 6th Floor, RS UNS. The intervention consisted of isometric handgrip contractions performed for approximately 12 minutes in a single session. Blood pressure was measured before and five minutes after the intervention. Data were analyzed descriptively by comparing pre- and post-intervention values. All patients demonstrated a reduction in systolic blood pressure, with a mean decrease of 13.25 mmHg (range 12–16 mmHg). Diastolic changes varied; three patients experienced reductions of 2–5 mmHg, while one patient showed a 6 mmHg increase.  Isometric handgrip exercise shows potential as a simple and applicable non-pharmacological intervention to reduce systolic blood pressure in hypertensive patients.

References

Aisah, N. M., & Rejeki, H. (2021). Penerapan isometric handgrip dan pernapasan dalam untuk menurunkan tekanan darah pada hipertensi. Prosiding Seminar Nasional Universitas Muhammadiyah Pekajangan Pekalongan. https://jurnal.umpp.ac.id/index.php/prosiding/article/view/742

Ardiansyah, S., Widiharti, W., Sari, D. J. E., & Ernawati, E. (2025). The effect of isometric handgrip exercise on the reduction of high blood pressure. Indonesian Journal of Community Health Nursing, 10(2), 75-80. https://e-journal.unair.ac.id/IJCHN/article/view/69217

Ayunarwanti, R., & Maliya, A. (2020). Hubungan self-efficacy dengan kejadian hipertensi intradialitik pada pasien gagal ginjal kronik yang menjalani hemodialisis. Jurnal Berita Ilmu Keperawatan, 13(1), 54–61. https://www.doi.org/10.23917/bik.v13i1.11603

Edwards, M. K., Loprinzi, P. D., & Loenneke, J. P. (2023). Isometric handgrip training and blood pressure reduction in adults with hypertension: A systematic review and meta-analysis. Hypertension Research, 46(2), 234–242. https://doi.org/10.1038/s41440-022-01034-5

Febiola, N., & Purwanti, O. S. (2025). Penerapan teknik pernapasan alternate nostril breathing terhadap tekanan darah pada pasien hipertensi. Jurnal Ners Universitas Pahlawan, 9(4), 7191–7196.

International Society of Hypertension. (2020). 2020 International Society of Hypertension global hypertension practice guidelines. Journal of Hypertension, 38(6), 982–1004. https://doi.org/10.1097/HJH.0000000000002453

Kementerian Kesehatan Republik Indonesia. (2022). Survei kesehatan Indonesia tahun 2022. Kementerian Kesehatan RI.

Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2023. Kementerian Kesehatan RI.

McGowan, C. L., Visocchi, A., & Faulkner, M. (2021). Isometric handgrip training improves blood pressure and vascular function in hypertension. Current Hypertension Reports, 23(3), 1–9. https://doi.org/10.1007/s11906-021-01120-2

Nanda, G. A. D., Hartutik, S., & Haryani, N. (2024). Penerapan isometric handgrip exercise terhadap tekanan darah pada pasien hipertensi di Kelurahan Joyotakan. Jurnal Kolaboratif Sains, 7(8), 3353–3360. https://doi.org/10.56338/jks.v7i8.5705

Permata Sari, O. A. P., & Wijayanti. (2024). Studi kasus: Teknik relaksasi isometric handgrip untuk menurunkan nyeri kepala pada lansia dengan hipertensi. Jurnal Kesehatan Tambusai. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/27971

Purwanti, O. S., Mujannidah, A., Purbaningtyas, S. A., Diniyah, U. M., & Kurniasari, D. (2024). Pengaruh intradialytic exercise terhadap tekanan darah pada pasien chronic kidney disease (CKD) stage V yang menjalani hemodialisa. Jurnal Ners Universitas Pahlawan, 8(1), 630–633.

Rahayu, M., & Hermawati, H. (2024). Penerapan isometric handgrip exercise untuk menurunkan tekanan darah pada penderita hipertensi di wilayah Puskesmas Pucangsawit. Vitamin: Jurnal Ilmu Kesehatan Umum, 2(4), 226–236. https://doi.org/10.61132/vitamin.v2i4.749

Rizki, S., Ningsih, F., Putri, R. S., Qurrota’aini, N. H., Febriana, R., Rufiana, K. R., Fitri, I. R., Oktavira, S. H., Putri, P. A. A., Arnanda, E. P., Arifah, I., & Sulastri. (2024). Upaya pencegahan dan penanganan hipertensi melalui pendekatan interprofessional collaboration pada lansia di Desa Pucangan Kecamatan Kartasura. Jurnal Berkawan: Berita Kesehatan Penambah Wawasan, 1(1), 25–31. https://journals2.ums.ac.id/index.php/berkawan

Setyowati Putri, M., & Supratman. (2021). Gambaran kualitas hidup pada lansia pada aspek hubungan sosial penderita hipertensi di wilayah Puskesmas Pajang Surakarta. Jurnal Berita Ilmu Keperawatan, 14(2), 65–72. https://www.doi.org/10.23917/bik.v14i2.10441

Smart, N. A., Way, D., Carlson, D., et al. (2022). The effect of isometric resistance training on blood pressure: A meta-analysis. Journal of Hypertension, 40(1), 16–24. https://doi.org/10.1097/HJH.0000000000003021

Tias, I. F., & Purwanti, O. S. (2024). Implementasi terapi pijat refleksi kaki terhadap penurunan tekanan darah pada pasien hipertensi di ruang rawat inap. Jurnal Kesehatan Afinitas, 6(7), 65–72.

World Health Organization. (2023). Hypertension fact sheet. https://www.who.int/news-room/fact-sheets/detail/hypertension

Yendrial, V. A., & Deski, F. I. (2025). Effectiveness of isometric handgrip exercise in reducing blood pressure in hypertensive patients. JIK (Jurnal Ilmu Kesehatan), 9(1), 172–177. https://doi.org/10.33757/jik.v9i1.1285

Downloads

Published

2026-09-27

How to Cite

Putri, S. B. N., & Purwanti, O. S. (2026). Effect of Isometric Handgrip Exercise on Blood Pressure in Hypertensive Patients: A Case Study. Indonesian Journal of Global Health Research, 8(5), 933–938. https://doi.org/10.37287/ijghr.v8i5.2092

Similar Articles

<< < 22 23 24 25 26 27 28 29 30 31 > >> 

You may also start an advanced similarity search for this article.