Effectiveness of Progressive Muscle Relaxation on Sleep Quality: A Systematic Review
##plugins.themes.academic_pro.article.main##
Abstract
Progressive muscle relaxation (PMR) is a therapeutic technique that involves sequentially tensing and relaxing muscle groups to promote physical and mental relaxation. It is widely used to improve sleep quality, particularly in adults experiencing sleep disturbances. This systematic review aimed to examine the effectiveness of PMR in enhancing sleep quality. A systematic literature search was conducted using four electronic databases—ScienceDirect, Scopus, PubMed, and CINAHL—covering publications from 2017 to 2022. The keywords used were “progressive muscle relaxation” and “sleep quality.” A total of 1,085 articles were initially identified. After applying inclusion and exclusion criteria based on the PICOT framework (Population, Intervention, Comparison, Outcome, and Time), and following a multi-stage screening process, seven studies were included in the final analysis. The included studies consisted of randomized controlled trials (RCTs) and clinical observational studies involving adult participants. The methodological quality of each study was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. All seven studies reported statistically significant improvements in sleep quality following the implementation of PMR. However, variations were found in participant characteristics, duration and frequency of the PMR intervention, and the use of adjunct therapies. Progressive muscle relaxation, when performed under professional supervision, is an effective non-pharmacological intervention to improve sleep quality in adults.
##plugins.themes.academic_pro.article.details##
References
- Aksu NT, Erdogan A, Ozgur N. Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection. Sleep Breath. 2018;22(3):695–702. Available from: https://doi.org/10.1007/s11325-017-1614-2
- Aziz Ismail NIA, Elgzar WTI. The effect of progressive muscle relaxation on post cesarean section pain, quality of sleep and physical activities limitation. Int J Stud Nurs. 2018;3(3):14. Available from: https://doi.org/10.20849/ijsn.v3i3.461
- Bahçeli A, Karabulut N. The effects of progressive relaxation exercises following lumbar surgery: a randomized controlled trial. Complement Med Res [Preprint]. 2020. Available from: https://doi.org/10.1159/000509055
- Harorani M, et al. The effect of progressive muscle relaxation on anxiety and sleep quality in burn patients: a randomized clinical trial. Burns. 2020;46(5):1107–13. Available from: https://doi.org/10.1016/j.burns.2019.11.021
- İçel S, Başoğul C. Effects of progressive muscle relaxation training with music therapy on sleep and anger of patients at community mental health center. Complement Ther Clin Pract. 2021;43:101338. Available from: https://doi.org/10.1016/j.ctcp.2021.101338
- Liu K, et al. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complement Ther Clin Pract. 2020;39:101132. Available from: https://doi.org/10.1016/j.ctcp.2020.101132
- Özlü İ, et al. The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID-19: a randomized controlled study. Perspect Psychiatr Care. 2021;57(4):1791–7. Available from: https://doi.org/10.1111/ppc.12750
- Parel JT. Effectiveness of progressive muscle relaxation therapy (PMRT) on sleep quality among chronic liver disease (CLD) patients. Int J Nurs Educ. 2021;13(2):110–3. Available from: https://doi.org/10.37506/ijone.v13i2.14642
- Seyedi Chegeni P, et al. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: a randomized controlled clinical trial. Complement Ther Clin Pract. 2018;31:64–70. Available from: https://doi.org/10.1016/j.ctcp.2018.01.010
- Talih F, et al. Insomnia in hospitalized psychiatric patients: prevalence and associated factors. Neuropsychiatr Dis Treat. 2018;14:969–75. Available from: https://doi.org/10.2147/NDT.S160742
- Toussaint L, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med. 2021;2021:5924040. Available from: https://doi.org/10.1155/2021/5924040
- Wesselius HM, et al. Quality and quantity of sleep and factors associated with sleep disturbance in hospitalized patients. JAMA Intern Med. 2018;178(9):1165–71. Available from: https://doi.org/10.1001/jamainternmed.2018.2669
- Xiao CX, et al. Effects of progressive muscle relaxation training on negative emotions and sleep quality in COVID-19 patients: a clinical observational study. Medicine (Baltimore). 2020;99(47):e23185. Available from: https://doi.org/10.1097/MD.0000000000023185