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Results for “Relaxation Therapy”

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Predictability of psychic outcome for exercise training and exercise training including relaxation therapy after myocardial infarction.

Predictability of the psychic outcome for two cardiac rehabilitation programmes was investigated in 119 myocardial infarction patients. They were randomly assigned to either a five-week daily exercise training or to an identical training in combination with six sessions of relaxation therapy, individually. The psychic outcome was constructed as a composite measure of change on six psychological questionnaires. The aim was to determine the predictive qualities of base-line: (1) clinical data; (2) exercise testing; (3) psychosocial information derived from interview; and (4) validated psychological questionnaires and whether the kind of rehabilitation programme has any influence on the predictive qualities of the variables. The psychic outcome turned out to be highly predictable (multiple correlation of 0.72). Predictors of relatively high importance were age, work-status and job-level, followed by mild heart failure, diastolic blood pressure and heart rate, all of them dependent upon the kind of treatment. It implies that the type of rehabilitation programme modified the effect of the determinants of psychic outcome. This research strategy is promising and deserves to be stimulated in order to build rehabilitation programmes tailored to the needs and abilities of the individual patient.

Adaptation, Psychological↗

Effects of relaxation therapy on patients with type I diabetes mellitus.

We investigated the effect of treatment with biofeedback-associated progressive muscle relaxation on 10 patients with poorly controlled type I diabetes mellitus compared with 10 equivalent untreated patients. In contrast to previous studies of patients with type II diabetes, no improvement occurred in glucose tolerance after 1 wk of intensive in-hospital relaxation training or in glycohemoglobin and total daily insulin dose after 6 wk of practicing relaxation techniques at home. This and other studies suggest that this type and amount relaxation therapy may not be as useful for enhancing blood glucose control in patients with type I diabetes as in those with type II diabetes. However, subpopulations of type I diabetic patients who have demonstrated stress-induced hyperglycemia should be further investigated.

Adult↗

Myofascial pain of the temporomandibular joint: a review of the behavioral-relaxation therapies.

This paper reviews the behavioral-relaxation treatments of myofascial pain-dysfunction syndrome. The evidence indicates that this pain (located around the oral cavity) is due to muscle hyperactivity, most commonly of the lateral pterygoids. Research concerning relaxation techniques (i.e. progressive muscle relaxation and electromyographic feedback) has indicated the following: (a) in analogue research, normal healthy controls can learn to relax their muscles of mastication profoundly even during stress, and (b) in case reports, relaxation treatments are helpful clinical interventions, especially for pain patients who are not depressed, and who have not had the pain for more than a few years. Well controlled research is the next, essential step.

Behavior Therapy↗

Occupational stress, relaxation therapies, exercise and biofeedback.

Occupational stress is a widespread occurrence in the United States. It is a contributing factor to absenteeism, disease, injury and lowered productivity. In general stress management programs in the work place that include relaxation therapies, exercise, and biofeedback have been shown to reduce the physiological symptoms such as hypertension, and increase job satisfaction and job performance. Strategies to implement a successful stress management program include incorporating the coping activities into one's daily schedule, monitoring one's symptoms and stressors, and being realistic in setting up a schedule that is relevant and attainable. A short form of meditation, daily exercise program and the use of heart rate or thermal biofeedback can be helpful to a worker experiencing occupational stress.

Journal Article↗

Physical training and relaxation therapy in cardiac rehabilitation assessed through a composite criterion for training outcome.

One hundred fifty-six myocardial infarction patients were randomly assigned to either exercise plus relaxation and breathing therapy (treatment A, n = 76) or to exercise training only (treatment B, n = 80). Effects on exercise testing showed a more pronounced training bradycardia and a remarkable improvement in ST abnormalities in treatment A (p less than 0.005). A model was developed to integrate the various exercise parameters into a single measure for training benefit. Approximately half the patients showed a training success, with a more positive and less negative outcome in treatment A (p = 0.09). The odds for failure were 0.25 for treatment A and 0.51 for treatment B (odds ratio: 2.04; 95% confidence interval, 0.94 to 4.6). Thus the risk of failure was reduced by half when relaxation was added to exercise training. These results indicate that exercise training is not successful in all MI patients and that relaxation therapy enhances training benefit.

Breathing Exercises↗

Sustained effects of biofeedback-assisted relaxation therapy in essential hypertension.

The usefulness of biofeedback-assisted relaxation as an adjunct or substitute for pharmacotherapy in essential hypertension can be enhanced if the effects are shown to persist after formal treatment has ended. Patients with essential hypertension successfully treated with biofeedback-assisted relaxation were recalled for follow-up yearly after the termination of treatment. Twenty-six of 40 patients met the BP criterion for success. At one-, two-, and three-year follow-up, 31%, 38%, and 27% of the successful completers continued to meet the criterion for success. The pretreatment-posttreatment decreases in BP were accompanied by decreases in forehead muscle tension and urinary cortisol. Forehead muscle tension, urinary cortisol, and anxiety levels were significantly lower than pretreatment one year after the end of treatment. Self-report data were used to assess continued relaxation practice. No relationship was found between practice and any other dependent measure. It appears that some patients trained in biofeedback-assisted relaxation can maintain lowered blood pressure, muscle tension, anxiety, and cortisol levels over the long term; however, the role of relaxation practice in maintaining these lowered levels remains unclear.

Adult↗

Predicting treatment response to relaxation therapy for essential hypertension.

This study investigated the relationship of relaxation practice to blood pressure reduction in 31 hypertensive subjects who participated in an 8-week treatment program. Subjects achieved significant post-treatment reductions in systolic and diastolic blood pressure, which were maintained at 5 months follow-up and were found to generalize to the subjects' home environment. Subjects who practiced relaxation with their spouses showed significantly better treatment adherence than those who practiced relaxation alone. No differences were found in blood pressure reduction between the two groups, however, due to the fact that pressure reduction was only modestly correlated with degree of relaxation practice. A significant, inverse relationship was found between blood pressure reduction and two measures associated with the Type A behavior pattern. Results of this study provide further evidence that relaxation training is effective in the treatment of some persons with mild, essential hypertension; however, further efforts are needed to identify predictors of treatment response.

Adult↗

Relaxation therapy and guided imagery in ESRD.

This article explores the efficacy of using relaxation techniques and guided imagery to enhance patient adjustment to end stage renal disease and dialysis. The theoretical bases of this intervention are examined briefly, related nursing research reviewed, a patient case study presented, and recommendations for nursing practice and research proposed.

Aged↗