Efficacy of Progressive Muscle Relaxation, Mental Imagery, and Phantom Exercise Training on Phantom Limb: A Randomized Controlled Trial

Brunelli, Stefano; Morone, Giovanni; Iosa, Marco; Ciotti, Cristina; Giorgi, Roberto De; Foti, Calogero; Traballesi, Marco

doi:10.1016/j.apmr.2014.09.035

Cited by 64 publications

(87 citation statements)

References 47 publications

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“…Four trials involving 323 participants evaluated exercise interventions, often as a component of a broader package of care. Two studies were at risk of bias owing to lack of blinding.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of management of chronic pain after surgery

Wylde

Dennis

Beswick

et al. 2017

British Journal of Surgery

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BackgroundPain present for at least 3 months after a surgical procedure is considered chronic postsurgical pain (CPSP) and affects 10–50 per cent of patients. Interventions for CPSP may focus on the underlying condition that indicated surgery, the aetiology of new‐onset pain or be multifactorial in recognition of the diverse causes of this pain. The aim of this systematic review was to identify RCTs of interventions for the management of CPSP, and synthesize data across treatment type to estimate their effectiveness and safety.Methods MEDLINE, Embase, PsycINFO, CINAHL and the Cochrane Library were searched from inception to March 2016. Trials of pain interventions received by patients at 3 months or more after surgery were included. Risk of bias was assessed using the Cochrane risk‐of‐bias tool.ResultsSome 66 trials with data from 3149 participants were included. Most trials included patients with chronic pain after spinal surgery (25 trials) or phantom limb pain (21 trials). Interventions were predominantly pharmacological, including antiepileptics, capsaicin, epidural steroid injections, local anaesthetic, neurotoxins, N‐methyl‐d‐aspartate receptor antagonists and opioids. Other interventions included acupuncture, exercise, postamputation limb liner, spinal cord stimulation, further surgery, laser therapy, magnetic stimulation, mindfulness‐based stress reduction, mirror therapy and sensory discrimination training. Opportunities for meta‐analysis were limited by heterogeneity. For all interventions, there was insufficient evidence to draw conclusions on effectiveness.ConclusionThere is a need for more evidence about interventions for CPSP. High‐quality trials of multimodal interventions matched to pain characteristics are needed to provide robust evidence to guide management of CPSP.

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“…Four trials involving 323 participants evaluated exercise interventions, often as a component of a broader package of care. Two studies were at risk of bias owing to lack of blinding.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of management of chronic pain after surgery

Wylde

Dennis

Beswick

et al. 2017

British Journal of Surgery

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“…Our systematic search of the literature identified investigations of psychosocial outcomes that included cohorts with different levels and causes of lower limb amputation focusing on body image [86–88], sexuality [89, 90], depression [91–93], psychological adjustment to amputation [94–98], and life goal adjustment [99]. A number of studies also described links between psychological features such as stress or depression and phantom limb pain [100–105]. Similarly, studies reporting participation outcomes in people with limb loss have investigated return to work [106], negotiation of environmental barriers [107], social activity participation [108, 109], and participation and autonomy [110].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of dysvascular partial foot amputation and how these compare to transtibial amputation: a systematic review for the development of shared decision-making resources

2017

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BackgroundDysvascular partial foot amputation (PFA) is a common sequel to advanced peripheral vascular disease. Helping inform difficult discussions between patients and practitioners about the level of PFA, or the decision to have a transtibial amputation (TTA) as an alternative, requires an understanding of the current research evidence on a wide range of topics including wound healing, reamputation, quality of life, mobility, functional ability, participation, pain and psychosocial outcomes, and mortality. The aim of this review was to describe a comprehensive range of outcomes of dysvascular PFA and compare these between levels of PFA and TTA.MethodsThe review protocol was registered in PROSPERO (CRD42015029186). A systematic search of the literature was conducted using MEDLINE, EMBASE, psychINFO, AMED, CINAHL, ProQuest Nursing and Allied Health, and Web of Science. These databases were searched using MeSH terms and keywords relating to different amputation levels and outcomes of interest. Peer reviewed studies of original research—irrespective of the study design—were included if published in English between 1 January 2000, and 31 December 2015, and included discrete cohort(s) with dysvascular PFA or PFA and TTA. Outcomes of interest were rate of wound healing and complications, rate of ipsilateral reamputation, quality of life, functional ability, mobility, pain (i.e., residual limb or phantom pain), psychosocial outcomes (i.e., depression, anxiety, body image and self-esteem), participation, and mortality rate. Included studies were independently appraised by two reviewers. The McMaster Critical Review Forms were used to assess methodological quality and identify sources of bias. Data were extracted based on the Cochrane Consumers and Communication Review Group’s data extraction template by a primary reviewer and checked for accuracy and clarity by a second reviewer. Findings are reported as narrative summaries given the heterogeneity of the literature, except for mortality and ipsilateral reamputation where data allowed for proportional meta-analyses.ResultsTwenty-nine unique articles were included in the review, acknowledging that some studies reported multiple outcomes. Eighteen studies reported all-cause proportionate mortality. A smaller number of studies reported outcomes related to functional ability (two), mobility (four), quality of life (three), ipsilateral reamputation (six) as well as wound healing and complications (four). No studies related to pain, participation or psychosocial outcomes met the inclusion criteria. Subjects were typically older and male and had diabetes among other comorbidities. More detailed information about the cohorts such as race or sociodemographic factors were reported in an ad hoc manner. Common sources of bias included contamination, co-intervention, or lack of operational definition for some outcomes (e.g., wound healing) as illustrative examples.ConclusionsAside from mortality, there was limited evidence regarding outcomes of dysvascular PFA, particularly how outc...

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“…Respon relaksasi akan terjadi karena adanya aktifitas sistem saraf otonom parasimpatis nuclei rafe. Hal ini akan menyebabkan perubahan yang dapat mengontrol aktivitas sistem saraf otonom berupa pengurangan fungsi oksigen, frekuensi nafas, denyut nadi, ketegangan otot, tekanan darah, serta gelombang alfa dalam otak sehingga mudah untuk tertidur (Brunelli et al, 2015).…”

Section: Pembahasanunclassified

The Effect Of Progressive Muscle Relaxation On Sleep Quality In Patients With Hypertension In South Cilacap City

Kasron

Susilawati

2017

Nurscope

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ABSTRAKPendahuluan: Penderita hipertensi dapat mengeluhkan gangguan tidur seperti pusing atau sakit kepala, merasa lelah disiang hari, gelisah, konsentrasi menurun, mudah tersinggung. Tujuan penelitian ini adalah mengetahui pengaruh progressive muscle relaxation (PMR) terhadap kualitas tidur pasien hipertensi di Cilacap Selatan. Metodologi: Metode penelitian menggunakan quasi-experiment dengan pendekatan pre-post test without control group. Responden penelitian adalah pasien hipertensi di Cilacap Selatan, pemilihan responden menggunakan non-probability sampling dengan metode purposive sampling, dengan kriteria yang mengikuti prolanis aktif, mampu melakukan aktivitas mandiri, mengkonsumsi obat anti-hipertensi, melakukan PMR secara teratur selama 7 hari. Sedangkan kriteria ekslusi meliputi penderita yang ada gangguan gerak osteoarthtritis maupun rheumatoid arthtritis. Responden diukur tingkat kualitas tidur menggunakan terjemahan Pittsburgh Sleep Quality Index (PSQI) sebelum perlakuan dan 7 hari setelah pemberian PMR. Analisis statistik menggunakan Wilcoxon test. Sejumlah 16 responden memenuhi kriteria penelitian. Hasil:Sebelum perlakuan PMR sebanyak 7 orang (43,8%) kategori kualitas tidur kurang baik dan 9 orang (56,3%) sangat buruk. Setelah perlakuan sebanyak 3 orang (18,8%) kategori agak baik dan 13 orang (81,3%) kategori kurang baik. Hasil analisis menunjukan bahwa terdapat perbedaan yang kualitas tidur antara sebelum dan setelah pemberian PMR dengan p-value <0,001. Diskusi: Kesimpulan penelitian adalah terdapat perbedaan kualitas tidur antara sebelum dan setelah pemberian PMR pada penderita hipertensi di Cilacap Selatan. Perlu intervensi untuk meningkatkan kualitas tidur penderita hipertensi dengan intervensi mandiri seperti penggunaan PMR.Kata kunci: hipertensi, kualitas tidur, progressive muscle relaxation. THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON SLEEP QUALITY IN PATIENTS WITH HYPERTENSION IN SOUTH CILACAP CITYABSTRACT Introduction : Patients with hypertension patients can have sleep disorders such as dizziness or headache, feeling tired during the day, anxiety, decreasing concentration and irritability. This study aimed to evaluate the effect of progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. Method : The research used quasi-experiment with pre-post test without control group. Respondents werw patients with hypertension in South Cilacap City, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done PMR regularly for 7 days, and the exclusion criteria was patients with impaired osteoarthritis and rheumatoid arthritis. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after

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Efficacy of Progressive Muscle Relaxation, Mental Imagery, and Phantom Exercise Training on Phantom Limb: A Randomized Controlled Trial

Cited by 64 publications

References 47 publications

Systematic review of management of chronic pain after surgery

Systematic review of management of chronic pain after surgery

Outcomes of dysvascular partial foot amputation and how these compare to transtibial amputation: a systematic review for the development of shared decision-making resources

The Effect Of Progressive Muscle Relaxation On Sleep Quality In Patients With Hypertension In South Cilacap City

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