Effect of stretching exercises versus thermotherapy on restless legs syndrome symptoms, pain, and quality of sleep among pregnant women

Shamekh, Abeer Hassan; Hassan, Naglaa; Rashwan, Zohour Ibrahim; Fathalla, Naglaa

doi:10.53730/ijhs.v6ns6.13109

“…Past studies have highlighted the efficacy of Mulligan's TSLR in reducing RLS symptoms (11,12), pain levels (13,14), and improving ROM (15). Similarly, stretching exercises have been proven effective in reducing RLS symptoms (16), pain levels (17), and improving sleep quality (18) and ROM (19,20). In this study, both interventions yielded a significant reduction in RLS symptom severity and pain levels, along with improvements in sleep quality and ROM.…”

Section: Discussionsupporting

confidence: 53%

Treatment of Willis-Ekbom Disease (Restless Leg Syndrome); The Efficacy of Mulligan's Traction Straight Leg Raise among Paramedical Professionals.

Janjua,

Andleeb,

Farooq

et al. 2023

JHRR

0

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Background: Restless Leg Syndrome (RLS) is a generalized neurological sensory-motor disorder characterized by intense restlessness and discomfort in the lower extremities, leading to an urge to move the legs at sleep time. Treatment protocols for RLS may include thermotherapy, stretching exercises, and Mulligan’s traction straight leg raise (SLR). Mulligan’s traction SLR is an effective method that influences peripheral and central neural pathways through mobilization, thereby alleviating RLS symptoms. Objective: The study aimed to compare the efficacy of stretching exercises and Mulligan traction straight leg raise in reducing RLS severity among paramedical staff. Methods: This randomized clinical trial included a sample size of 38 paramedical staff members diagnosed with RLS using standard criteria. Participants were allocated using the Convenient Sampling Technique and randomly assigned into Group 1 (Stretching Exercises) and Group 2 (Mulligan Traction SLR) through coin tossing. Each group consisted of 19 participants. The interventions were conducted three times per week for one month. Assessments were made using the RLS Severity Scale, Numeric Pain Rating Scale, Groningen Sleep Quality Scale, and Goniometer at baseline, and after the 2nd and 4th weeks of treatment. Results: The study indicated that both treatments were effective in treating RLS, showing a significant difference with p<0.05. However, Mulligan's TSLR exhibited remarkable results in improving sleep quality, increasing SLR range of both legs, reducing pain intensity, and improving RLS symptoms, with p-values of 0.001, 0.000, 0.012, and 0.001, respectively. Data analysis was conducted using the Statistical Package for Social Sciences (SPSS) version 26. Conclusion: The study concluded that both Stretching Exercises and Mulligan's TSLR are effective treatments for RLS. However, Mulligan's TSLR showed superior effectiveness in reducing pain levels, RLS symptoms, and in improving sleep quality and SLR range among paramedical staff members.

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“…Consequently, nurses, as integral members of the healthcare team, hold a vital role in addressing sleep-related issues [ 16 ]. Diverse nursing interventions have been explored to enhance sleep quality, encompassing massage therapy [ 17 ], aromatherapy [ 18 ], herbal medicines [ 19 ], heat therapy [ 20 ] and foot bath [ 21 ]. A foot bath, considered a form of heat therapy, is implemented independently in various departments [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of foot bath on sleep quality in the elderly: a systematic review

Nasiri,

Shriniy,

Pashaki

et al. 2024

BMC Geriatr

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Introduction Population aging is a problem that has affected most countries in the world. Poor-quality sleep is a common complaint among the elderly. Foot baths are a method of heat therapy and are performed as an independent nursing care in different departments. The present study was conducted with the aim of investigating the effects of foot baths with spa on improving the sleep quality of the elderly. Methods This research is a systematic review. We systematically searched six databases, including Google Scholar, PubMed, Web of Science, Scopus, Embase, and the World Health Organization databases, to retrieve the related articles based on the keywords used in our search strategy from 2010 to March 2023. Result Finally, 10 articles were included in this study. All studies were randomized controlled trial (RCTs) and semi-experimental. In all 9 studies, the positive effects of the foot bath were reported. In 9 studies, the effect of foot baths with water above 40 degrees Celsius was reported. The PSQR questionnaire was used in most of the studies. Conclusion The total findings of this study showed that due to the high prevalence of sleep problems in the elderly, foot baths with warm water can be used as an easy, simple, and safe nursing intervention to improve sleep quality. Therefore, it can be used in nursing homes and hospitals. It is also a non-pharmacological and inexpensive nursing intervention that can be implemented by the elderly themselves after training by community health nurses.

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“…Several interventions are available for relieving perineal discomfort, promoting healing, and reducing perineal edema, redness, and pain. These interventions include perineal hygiene, keeping the wound dry, and using various pharmacological and nonpharmacological treatments [ 13 ]. The maternity nurse should be aware of efficient episiotomy wound management which can decrease the suffering of postpartum mothers and improve healing.…”

Section: Introductionmentioning

confidence: 99%

Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women

Roma

¹

,

Essa

²

,

Rashwan

³

et al. 2023

Obstetrics and Gynecology International

Self Cite

1

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Background. Women who undergo perineal episiotomy can be affected by several complications such as bleeding, infection, perineal pain, dyspareunia, reduction of sexual desire, as well as urinary and anal incontinence. Perineal pain related to episiotomy has been reported to interfere with women’s daily activities postpartum and can prevent proper breastfeeding, proper rooming-in, and maternal-infant bonding. The purpose of this study was to determine the effect of dry heat application on perineal pain and episiotomy wound Healing among primipara women. Method. A quasi-experimental, two-group, pre-post-test research study was conducted at the postnatal inpatient ward and the outpatient clinic of the El-Shatby Maternity University Hospital in Alexandria. A sample of 100 parturient women was divided into the following two groups at random: dry heat and moist (control) heat. Women in the moist heat group were advised to sit in a basin (tub) of warm water for 10 minutes, while those in the dry heat group were instructed to set an infrared light (230 volts) at a distance of 45 cm from the perineum after 12 hours post episiotomy. Both interventions were applied twice a day for ten consecutive days. They evaluated the severity of their perineal pain at baseline and repeated it on the 5th and 10th days after obtaining the interventions while the episiotomy wound healing was assessed on the 5th and 10th days. Results. It was discovered that the dry heat group had a significantly improved episiotomy wound healing as regards perineal redness, edema of the perineal area, ecchymosis, wound discharge, and approximation of wound edges on the 5th ( P < 0.001 , P < 0.001 , P < 0.007 , P < 0.003 , and P < 0.001 , respectively) and 10th day after intervention ( P < 0.001 , P < 0.001 , P < 0.001 , P < 0.005 , and P < 0.001 , respectively) than the moist heat group. The primipara women had significantly lower perineal pain intensity in the dry heat group on the 5th and 10th days after intervention than in the moist heat group (MH P < 0.001 for the dry heat group and MH P = 0.004 for the moist heat group). Conclusion. The application of dry heat promoted episiotomy wound healing among primipara women and reduced their perineal pain during early postpartum days than moist heat.

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Effect of stretching exercises versus thermotherapy on restless legs syndrome symptoms, pain, and quality of sleep among pregnant women

Cited by 5 publications

References 26 publications

Treatment of Willis-Ekbom Disease (Restless Leg Syndrome); The Efficacy of Mulligan's Traction Straight Leg Raise among Paramedical Professionals.

Treatment of Willis-Ekbom Disease (Restless Leg Syndrome); The Efficacy of Mulligan's Traction Straight Leg Raise among Paramedical Professionals.

The effect of foot bath on sleep quality in the elderly: a systematic review

Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women

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