scholarly journals Evaluation the effect of progressive muscle relaxation technique on fatigue and daily living activities in patients with Multiple Sclerosis

2021 ◽  
Vol 15 (6) ◽  
pp. 1773-1777
Author(s):  
Tayebeh Javdan ◽  
Elham Imani ◽  
Ahmad Agha Negahi

Aim: This is a Quasi-experimental study wich was carried out in order to determine the effects of applying progressive muscle relaxation on fatigue and daily living activity of MS patients. Background: Fatigue is one of the most common symptoms in people with multiple sclerosis (MS) and adversely affects their daily living activities. Methods: 80 MS Patients were selected then conducted in two group (40 experiments and 40 contorol). Data collector tools included: demographic questionnaire, fatigue severity scale and activity of daily living questionnaire which completed four times by two group (before̦ Third week, sixth and ninth after study), self-report checklists which completed only by experimental group. PMRT performed once a day for 8 week by experimental group. During study no intervention was done for control group. Results: repeated measures ANOVA showed that there is significant difference in mean score of fatigue between two group in 4 times (P<0/05). Also, the results showed that with progressive muscle relaxation at 4 times, daily activities in ADL and IADL sections were significantly increased (P<0/05) but there was no significant difference between the two groups (P>0/05). however, clinically significant differences were observed. Conclusions: Acording to these findingș applying PMRT decreased patient´s fatigue and improve independence in daily living activities. This study supports the effect of PMRT on fatigue and activities of daily living in patients with MS, and it is recommended that further studies be conducted on this subject in the future. Keywords: daily living activity, fatigue, progressive muscle relaxation technique, multiple sclerosis.

2021 ◽  
Vol 6 (4) ◽  
pp. 242-251
Author(s):  
L. Ngahneilam ◽  
Sukhjit Kaur ◽  
Karobi Das

Background: Non Stress Test is a simple, inexpensive and non-invasive method to assess the wellbeing of the fetus by observing the FHR with its acceleration in response to the movement of the fetus. Objective: To assess the effectiveness of progressive muscle relaxation technique among the antenatal mothers above 32 weeks of gestation on reactivity and time consumption of Non Stress Test Design: Randomized controlled trial Setting: Obstetrics and Gynaecology OPD, PGIMER, Chandigarh Participant: 120 Antenatal mothers ³32 weeks of gestation Methods: 120 pregnant mothers i.e sixty each in Experimental and Control group willing to participate and available at the time of data collection were enrolled through a random sampling technique. Progressive muscle relaxation technique was demonstrated and was performed simultaneously by the antenatal mothers 15 to 20 minutes prior to NST who were enrolled under the Experimental group. Routine care was given to Control group. Data were collected by using an interview schedule in the month of October to December 2020. Non stress test was done as per schedule of antenatal visit and interpretation of NST graph in relation to the reactivity, time consumption and baseline fetal heart rate were compared in both the group. Results: It revealed that all the antenatal mothers in the Exp. group and 90% of mothers in the Control group showed reactivity of Non stress test. In relation to time consumption of Non stress test, all mothers in the Experimental group took normal time i.e 20 minutes. Out of the 90% of antenatal mothers who were reactive in the Control group, 5% took more than 20 minutes. A statistical significant difference was found in relation to reactivity by applying Chi Square (p<0.05). The finding also showed a significant difference in between the Experimental and Control group in relation to the reactivity of Non stress test as shown by Mann Whitney U test, baseline fetal heart rate during NST, all the antenatal mothers had normal BHR between 110 to 160 bpm in both groups. Conclusion: It can be concluded that Progressive muscle relaxation technique performed prior to Non stress test can be used for improving the Non stress test results, time-saving, evokes positive feeling and satisfaction among the antenatal mothers. Keywords: Non Stress Test, Progressive Muscle Relaxation Technique, Reactivity.


2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Paolla Gabrielle Nascimento Novais ◽  
Karla de Melo Batista ◽  
Eliane da Silva Grazziano ◽  
Maria Helena Costa Amorim

ABSTRACT Objective: to evaluate the effect of progressive muscle relaxation as a nursing procedure on the levels of stress for sufferers of multiple sclerosis. Method: random clinical trials conducted at the Neurology outpatients unit at a University Hospital. The sample consisted of 40 patients who were being monitored as outpatients (20 in a control group and 20 in an experimental group). The Progressive Muscle Relaxation technique was used. The control variables were collected through interviews that were recorded on forms and on the Perceived Stress Scale that we used. Five meetings were held every fortnight covering a period of eight weeks. The experimental group was advised to carry out daily progressive muscle relaxation activities. After eight weeks of these activities, they were evaluated again to measure their levels of stress. In order to analyze the data used, the software package Statistics for Social Sciences version 19.0 was used. Results: the application of the t test showed a significant reduction in the Perceived Stress Scale scores in the experimental group (p<0.001), which in turn proved that there was a reduction in the levels of stress after the application of the relaxation practic-es. Conclusion: the progressive muscle relaxation activities contributed to the reduction in stress levels for multiple sclerosis suffers and thus can be used in nursing for patients. Clinical Trials Identifier: NCT 02673827.


Author(s):  
Ni Komang Ayu Juni Antari ◽  
Alex Pangkahila ◽  
Muh. Ali Imron ◽  
I Putu Adiartha Griadhi ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  

ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure


2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Mr. Israel Jeba Prabu prabhu ◽  
Dr. C.P Sharma sharma

The objectives of the study were to 1. determine the pre-test and post-test level of blood pressure among patients with Hypertension in experimental and control group.2. assess the efficacy of Jacobson’s progressive muscle relaxation exercise on blood pressure among patients with Hypertension in experimental group.3. Associate the selected socio demographic variables with the level of blood pressure in experimental group. Hypothesis H0: There will not be a significant difference between pre and post test level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental and control group. H1: There will be a significant decrease in the level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental group. H2:There will be significant association between post test levels of blood pressure with selected demographic variables in experimental group. H01: There will not be significant association between post test levels of blood pressure with selected demographic variables in experimental group. Review of literature was organised based on review related to Jacobson’s progressive muscle relaxation and Jacobson’s progressive muscle relaxation on blood pressure. The tool was validated by experts and found to be valid for the study. Sampling Technique: Sample was selected by using non probability convenience sampling method. Results: the data was tabulated, analyzed and interpreted by using descriptive and inferential statistics. After the detailed analysis this study leads to following conclusions, longer day of intervention shows significant decrease in the level of blood pressure. Major findings show that there is significant decrease in the level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental group. It was statistically significant at (P<0.001). Hence the sta


Author(s):  
Ifa Roifah ◽  
Amar Akbar

Hemodialysis is a renal replacement therapy for patients with cronic renal disease who are decline of renal fuction. The complex therapy and physical condition of chronic kidney disease and hemodialysis patient involve a severe stressor that lead to depression. Progressive muscle relaxation technique is one of nonpharmacoloical therapies that treat depression. This research aimed to prove the influence of progressive muscle relaxation technique to changes in depression level in cronic kidney disease with hemodialysis in Dr. WahidinSudiroHusodoMojokertohospital. In this research design used is Quasy experiment with pre-test post-test control group design. Sample of 30 people were taken by simple random sampling. 15 people from experimental group were given routine progressive muscle relaxation technique in 2 times a day of the week and 15 people from control group were given not routine progressive muscle relaxation techniques in 2 day one time in a week . The research instrument was Beck Depression Inventory. Wilcoxon  Signed Rank Test shows that p value (0.001) < α (0.05), so it is accepted  that there is an effect of progressive muscle relaxation on the depression level of cronic kidney disease patient undergoing hemodialysis. To test the U-Mann Whitney shows that p value (0.005) < α (0.05), so that H0 is rejected it means there is different of the channge depression level between experiment group and the control group.this therapy can increase the production of melatonin and serotonin, reduce stress hormone cortisol. PMR also, lowering the muscle tension ,do make positive thinking so,  throught that is influence to decrease in depression level. Routine muscle relaxationdistractify the stressor everyday in training.


2009 ◽  
Vol 18 (15) ◽  
pp. 2171-2179 ◽  
Author(s):  
Somayeh Ghafari ◽  
Fazlolah Ahmadi ◽  
Masoud Nabavi ◽  
Kazemnejad Anoshirvan ◽  
Robabe Memarian ◽  
...  

Revista CEFAC ◽  
2021 ◽  
Vol 23 (2) ◽  
Author(s):  
Mara Letícia Gobbis ◽  
Bruno Luis Amoroso Borges ◽  
Karina Aparecida Tramonti ◽  
Cynthia Lopes da Silva ◽  
Mirian Hideko Nagae

ABSTRACT Purpose: to investigate the existence of changes in the electromyographic patterns of the mentalis and inferior orbicularis oris muscles in oronasal breathers, submitted to massage therapy on the mentalis muscle. Methods: a controlled blind placebo experiment, with a sample of 19 oronasal breathers (1 man and 18 women), mean age (standard deviation) 22.3 (2.63) years, randomly divided into control and experimental groups, respectively with 7 and 12 volunteers. The experimental group alone underwent myotherapy with massages for 3 months, while electromyographic data were collected from both groups at the beginning and end of the treatment, both at rest and when swallowing water. The analysis of variance was conducted to test the existence of differences between the means; the 5% significance level was used. Results: the analysis of variance revealed signs of interaction between the group and phase effects when analyzing the root mean square values of both the inferior orbicularis oris and the mentalis muscles. As expected, no signs of significant differences were found between the means of the phases in the control group. On the other hand, signs of significant difference were found in the experimental group, with reduced root mean square values in both muscles. The inferior orbicularis oris muscle, which in the pre-phase had a mean (standard deviation) of 202.10 (161.47) µV, had, in the post-phase, values of 131.49 (159.18) µV. The mentalis muscle, in its turn, had in the pre- and post-phase, respectively, a mean (standard deviation) of 199.31 (279.77) µV and 114.58 (253.56) µV. Conclusion: given that no effect was detected in the control group, the decrease in the root mean square values of the mentalis and inferior orbicularis oris muscles in oronasal breathers was attributed to the massage therapy on the mentalis muscle.


2021 ◽  
Vol 24 (1) ◽  
pp. 39-46
Author(s):  
Ida Rosdiana ◽  
Yanti Cahyati

disorder in hemodialysis patients, which will cause a decrease in quality of life. Aromatherapy combined with progressive muscle relaxation are expected to increase the effects of relaxation on the patient so that the patient's sleep quality can improve optimally.Objective: The study aimed to investigate the effect of the progressive muscle relaxation combined with lavender aromatherapy on insomnia among patients undergoing hemodialysis. Material and Methods: The design of this study included a quasi-experiment with a pretest-posttest control group approach. The sample selection was performed using a consecutive sampling technique and involved 50 respondents, divided into two equal control and study group. Patients in study group recommended to do progressive muscle relaxation at least four times per week for three weeks and were told to drop two – three drops lavender aromatherapy on a pillow 30 minutes before bedtime at least 4 nights per week for three weeks. The control group recommended to do muscle relaxation and daily routine care at least four times per week for three weeks. Results: The results showed that both study and control groups were equal in terms of demographics, and scores of insomnia at the baseline. There no significant difference between the mean insomnia scores of two group before intervention, while the difference was statistically significant after the intervention. The mean insomnia scores were lower in study group than in the control group.Conclusion: Progressive muscle relaxation and lavender aromatherapy were effective in decreasing insomnia scores among patients undergoing hemodialysis.


2021 ◽  
Vol 11 (9) ◽  
pp. 44
Author(s):  
Agustina Boru Gultom ◽  
Arbani Batubara

Background/Objective: Hypertension is still a public health problem both in the world and in Indonesia. Even though women with hypertension are already taking antihypertensive drugs, often blood pressure remains high. Women are more likely to be stressed, and stress increases hypertension. The study aimed to analyze the use of progressive muscle relaxation with classical music on stress and blood pressure in hypertensive women.Methods: This study used a quasi-experimental design with a control group. There were three groups of hypertensive women who took anti-hypertensive drugs, consisting of those who received progressive muscle relaxation with classical music, accepted progressive muscle relaxation without classical music, and did not get treatment, each of which totaled 36 participants. The activity was carried out from July to October 2020. The stress instrument used was the Cohen’s Perceived Stress Scale, while blood pressure was measured with the OMRON digital tensimeter.Results: The group that received progressive muscle relaxation with classical music from Bach described high significance for stress (p = .0001), systolic (p = .0001), diastolic (p = .0001). The group that received progressive muscle relaxation alone also showed high significance for stress (p = .010), systolic (p = .003), diastolic (p = .006). While the untreated group showed significance for systolic (p = .013), but did not show significance for stress (p = .758), diastolic (p = .123). The use of ANOVA showed a significant difference in the effect of the three intervention on stress (p = .005), systolic blood pressure (p = .009), but did not have a significant effect on diastolic blood pressure (p = .500).Conclusions: Progressive muscle relaxation with classical music and antihypertensive drugs provides a greater chance of controlling stress, lowering systolic and diastolic blood pressure than just progressive muscle relaxation and antihypertensive drugs or antihypertensive drugs alone in women with hypertension.


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