Effectiveness of Progressive Muscle Relaxation and Deep Breathing Exercise on Pain, Disability, and Sleep Among Patients With Chronic Tension-Type Headache

Gopichandran, L; Srivastsava, Achal Kumar; Vanamail, Prasanna Vani; Kanniammal, C.; Valli, G; Mahendra, Jaideep; Dhandapani, Manju

doi:10.1097/hnp.0000000000000460

Cited by 7 publications

(12 citation statements)

References 57 publications

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“…An important implication of our findings is the need for adding or combining psychological interventions with the management of CTTH rather than pharmacotherapy alone since a possible bidirectional relationship between CTTH and psychological comorbidities could lead to more drug dependency in these patients. Nonpharmacological therapies such as progressive muscle relaxation and deep breathing exercise have shown effectiveness in regard to pain severity, frequency, and functional status among patients with CTTH [ 60 ]. Prospective studies are needed to confirm this bidirectional relationship.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Comorbidity and Emotional Dysregulation in Chronic Tension-Type Headache: A Case-Control Study

Romero-Godoy

Romero-Godoy²,

Romero-Acebal³

et al. 2022

JCM

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Background: Chronic tension-type headache (CTTH) is frequently associated with a psychiatric comorbidity of depression and anxiety. Most studies focus their attention on this association, and only few link CTTH with psycho-affective emotional regulation disorders. Objective: To evaluate the association of CTTH with anxiety, depression, positive and negative affectivity, and emotional management in CTTH patients with neither a previous diagnosis of psychiatric disorder nor use of psychoactive drugs or abuse of analgesics. Design: Case-control study. Methods: Validated scores for state and trait anxiety, depression, positive and negative state and trait affect, cognitive reappraisal, and expressive suppression were assessed in 40 subjects with CTTH and 40 healthy subjects. Associations between CTTH and psychological status were assessed through linear multivariate regression models. Results: CTTH was associated with higher scores for depression (Beta = 5.46, 95% CI: 1.04–9.88), state and trait anxiety (Beta = 12.77, 95% CI: 4.99–20.56 and Beta = 8.79, 95% CI: 2.29–15.30, respectively), and negative state affect (Beta = 5.26, 95% CI: 0.88–9.64). Conclusions: CTTH is directly associated with depression, anxiety, and negative affectivity signs despite the absence of a previously diagnosed psychiatric disorder or psychopharmacological intake. The recognition of these comorbid and psycho-affective disorders is essential to adapt the emotional management of these patients for better control.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Comorbidity and Emotional Dysregulation in Chronic Tension-Type Headache: A Case-Control Study

Romero-Godoy

Romero-Godoy²,

Romero-Acebal³

et al. 2022

JCM

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“…Videos were animation presentation of diaphragmatic breathing with quadriceps exercises in sitting, standing positions, and walking. Each video provided objective and description of diaphragmatic breathing with quadriceps exercises: slowly deep intake 5 seconds with straight leg raising, hold breath and knee stretching with ankle exion for 5 seconds then, slowly continuous blow the index nger as long as he/she could for 10,11,12,13,14,15,16,17,18,19, and 20 seconds, respectively (21 video presentations in each position).…”

Section: Withdrawal Of Participant Criteriamentioning

confidence: 99%

“…Effect of diaphragmatic breathing has important roles for health promotion in healthy individuals [6]. Deep and slow breathing reduced state anxiety in older adults, attenuate pain [8], increase lung capacity [9,10], improves digestion or gastroesophageal re ux [11], sleep [12], mood [13], and enhance better oxygenation [14]. Lung volume is resource of air ow for speaking and breathing is critical to speech.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Diaphragmatic Breathing with Quadriceps Exercises on Maximum Phonation Time, Respiratory function and Muscle Strengthening in Community- Dwelling Elderly

Prathanee,

Buakanok,

Pumnum

et al. 2024

Preprint

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Most of population in the world recently move to super-aged society. Program of health promotion for community-dwelling elderly requires critical concern. Objectives: The objectives of this study were to compare maximum phonation time (MPT), Maximum counting duration (MCD), Peak expiratory flow rate (PEFR), Maximum inspiratory pressure (MIP), Maximum expiratory pressure (MEP), and quadriceps muscle strengthening before and after breathing with quadriceps exercises. Methods: Twenty- three community-dwelling healthy elderly aged 60–70 years old (mean = 65.52 and standard deviation = 2.41) were enrolled to complete study. Participants did program of breathing with quadriceps exercises twice a day in sitting, standing position and walking for 7 weeks. Results: Median of MPT of /a; u; i:/ before exercises = 8.61–10.14 seconds. Wilcoxon Sign Rank Test was found significant better medians of MPT, MCD, PEFR, MIP, MEP, and quadriceps muscle strength after program. function. Conclusion: Program of breathing with quadriceps exercises could significantly increase MPT, MCD, PEFR, MIP, MEP, and quadriceps muscle strength in community-dwelling healthy elderly within 7 weeks.

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“…On the third day after doing the breathing relaxation technique independently, the patient said he felt more relaxed and was able to control the pain he was experiencing. In several studies, breathing relaxation techniques have been shown to be effective in minimizing and controlling pain (Aritonang 2020;Gopichandran et al 2021). Deep breathing techniques can help patients with acute pain (Joseph et al 2022).…”

Section: Non-pharmacological Therapymentioning

confidence: 99%

Efforts to Reduce Headache in Grade II Tuberculosis Meningitis Patients: A Case Study

Suhendar,

Hartati,

Komariah

2024

JNC

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Tuberculous meningitis is a life-threatening disease and can cause severe manifestations and neurological disorders. Headache is one of the symptoms that occurs in patients with tuberculosis meningitis. An 18-year-old woman was admitted with complaints of unilateral headache in the holocranial region with a description of throbbing pain on a scale of 6 (0-10), which decreases when she closes her eyes and sleeps. The pain is felt continuously and slightly interferes with activities. This case study aim to describe intervention that can reduce headache in Grade II Tuburculosis Meningitis. Nursing actions are given to minimize the pain experienced by patients with tuberculosis meningitis, namely carrying out pharmacological and non-pharmacological pain management by collaborating in giving paracetamol 500 mg and teaching non-pharmacological pain management by facilitating patient rest, teaching deep breathing relaxation. In addition, immediate treatment is needed by administering anti-tuberculosis drugs (OAT) and corticosteroids. Corticosteroids are given to minimize complications and death rates by suppressing the inflammatory response in the subarachnoid space. After being given care, the problem of acute pain is partially resolved so that further treatment is needed with participation of the patient and family for the success of nursing care. It is necessary to improve pain management in treating patients with TB meningitis headaches.

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Effectiveness of Progressive Muscle Relaxation and Deep Breathing Exercise on Pain, Disability, and Sleep Among Patients With Chronic Tension-Type Headache

Cited by 7 publications

References 57 publications

Psychiatric Comorbidity and Emotional Dysregulation in Chronic Tension-Type Headache: A Case-Control Study

Psychiatric Comorbidity and Emotional Dysregulation in Chronic Tension-Type Headache: A Case-Control Study

Effectiveness of Diaphragmatic Breathing with Quadriceps Exercises on Maximum Phonation Time, Respiratory function and Muscle Strengthening in Community- Dwelling Elderly

Efforts to Reduce Headache in Grade II Tuberculosis Meningitis Patients: A Case Study

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