Progressive muscle relaxation as a supportive intervention for cancer patients undergoing chemotherapy: A systematic review

Pelekasis, Panagiotis; Matsouka, Ifigeneia; Koumarianou, Anna

doi:10.1017/s1478951516000870

Cited by 43 publications

(24 citation statements)

References 44 publications

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“…These mothers are often reliant on milk expression for long periods of time and are less likely to establish breastfeeding than mothers who deliver a healthy term infant (Bonet et al, 2011;Lee & Gould, 2009;Merewood, Brooks, Bauchner, MacAuley, & Mehta, 2006). Previous reviews on the effects of the relaxation therapy mainly involved patients in hospital (Kwekkeboom & Gretarsdottir, 2006;Pelekasis, Matsouka, & Koumarianou, 2016;van Dixhoorn & White, 2005), and to our knowledge, only one recent review has reported the effects of relaxation interventions in breastfeeding women (Fotiou et al, 2017). This review only included mothers of full-term infants, and their main focus was the influence on breastfeeding success including breastfeeding initiation and duration rates (Fotiou et al, 2017).…”

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confidence: 99%

The effectiveness of interventions using relaxation therapy to improve breastfeeding outcomes: A systematic review

Shukri

Wells

Fewtrell

2017

Maternal & Child Nutrition

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Maternal psychological state is recognised to influence lactation success, largely by affecting milk ejection. Thus, increased psychological distress can disrupt milk flow and in the long‐term, affect milk synthesis. Conversely, it is possible that milk ejection could be improved by using relaxation therapy during breastfeeding. We performed a systematic review to evaluate the effectiveness of interventions using relaxation therapy to improve breastfeeding outcomes and to assess the consequent impact(s) on infant growth and behaviour. A literature search was performed using the PRISMA guidelines where we included intervention studies (including nonrandomised controlled studies) using relaxation therapy in breastfeeding mothers during the post‐natal period. Out of 147 identified records at the initial search, 5 studies were eligible, of which 3 were randomised controlled trials and 2 were nonrandomised or quasi‐experimental studies. These studies were conducted in Europe, America, and India and included 311 mother–infant pairs, of which 64 infants were full‐term and 247 were premature infants. Relaxation therapy was shown to increase milk yield in mothers of preterm infants in 2 randomised trials, however, the milk sampling protocol for these studies could be questioned. None of the studies investigated the consequent effects on infant outcomes. Overall, limited evidence was found on the effectiveness of relaxation therapy on breast milk composition and infant outcomes. Experimental studies with better standardisation of protocol and robust methodological design are needed to investigate the effectiveness of relaxation therapy on both breastfeeding and infant growth and behavioural outcomes.

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confidence: 99%

The effectiveness of interventions using relaxation therapy to improve breastfeeding outcomes: A systematic review

Shukri

Wells

Fewtrell

2017

Maternal & Child Nutrition

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“…Reviews of the efficacy of PMR for healthy older adults (Klainin-Yobas, Oo, Yew, & Lau, 2015) and individuals with severe psychological disorders (Vancampfort et al, 2013) have concluded that PMR can significantly reduce state and trait anxiety, depression, and psychological distress. A systematic review of PMR as an intervention for patients with cancer undergoing chemotherapy (Pelekasis, Matsouka, & Koumarianou, 2017) provided evidence that PMR reduces chemotherapy side effects, including nausea and fatigue.…”

Section: Progressive Muscle Relaxation Interventions For Health Populmentioning

confidence: 99%

Improving biobehavioral outcomes with progressive muscle relaxation in patients with advanced lung cancer.

Arrato

Grogan

et al. 2019

JCO

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292 Background: Advanced lung cancer involves severe and distressing symptoms, especially anxiety, breathlessness, insomnia, and pain. Progressive muscle relaxation (PMR) is an empirically supported treatment for reducing stress and the emotional, cognitive, and physiological concomitants of anxiety. Methods: A quality improvement effort involved enhancing standard of care (SOC) by offering patients with newly diagnosed lung cancer one brief (20-minute) PMR session during a clinic visit for treatment determination. A static group comparison design was used. The PMR group ( n= 40) received PMR with pre (initial visit) and post (3-4 week follow-up) assessments of anxiety (Generalized Anxiety Disorder-7 Scale), breathlessness (American Thoracic Society for the Division of Lung Diseases Questionnaire), insomnia (Medical Outcomes Study Sleep Scale), and pain (Brief Pain Inventory). The static group ( n= 32) was assessed on one occasion only, during the 3-4 week follow-up visit. Pre/post analyses for the PMR group used paired samples t-tests. Linear regressions compared post data between the two groups. An alpha of .10 determined significance. Results: Analyses showed pre- to post-PMR differences in pain ( p= .036, d= .309) and breathlessness ( p= .084, d= .663), with null effects for anxiety ( p= .149, d= .178) and insomnia ( p= .811, d= .067). Controlling for performance status, smoking history, and toxicities, regression showed that the PMR group reported significantly less pain ( p= .046, b= 2.48). Conclusions: PMR effectively reduced symptoms of breathlessness and pain among patients with advanced lung cancer. Interventions based on the education and training of PMR may provide an improvement to SOC lung cancer treatment.

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“…Although a previous systematic review has explored the role of PMR among cancer patients receiving chemotherapy [18]. However, in this systematic review, Pelekasis and colleagues evaluated several outcomes such as nausea, vomiting, anxiety, fatigue, sleep quality and cancer discomfort [18].…”

Section: Introductionmentioning

confidence: 99%

“…This finding also verified the effect of PMR training in preventing and relieving nauseaand vomiting related to chemotherapy. More importantly, Pelekasi and colleagues[18] carried out a systematic review to comprehensively evaluate the value of PMR exercise as an adjunctive regime for cancer patients receiving chemotherapy. In this systematic review, 3 of five included studies which reported nausea and vomiting also generated a promising conclusion supporting positive application of PMR in cancer patients underwent chemotherapy.…”

mentioning

confidence: 99%

Role of Progressive Muscle Relaxation in Preventing and Alleviating of Nausea and Vomiting Caused by Chemotherapy among Cancer Patients: A Systematic Review of Six Randomized Controlled Trials

Tian¹,

Xu²,

Tang³

et al. 2019

Preprint

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(1) Background: Previous systematic review suggested a beneficial effect of progressive muscle relaxation (PMR) for cancer patients receiving chemotherapy. However, poor quality of eligible studies impaired the reliability and validity of findings. Moreover, additional potential studies with good quality published in Chinese language have been published recently. The aim of the present systematic review was to investigate the value of PMR training in preventing and alleviating nausea and vomiting caused by chemotherapy among cancer patients. (2) Methods: We assigned two independent investigators to search all potential studies in PubMed, Cochrane Controlled Register of Trial (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), China Biomedical Literature database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang data. We used data extraction sheet extracted all essential information, and used the Cochrane risk of bias assessment tool to appraise the quality of eligible studies. Finally, we qualitatively summarized the results of all included studies. (3) Results: Six studies enrolling 288 patients were considered to meet our selection criteria finally. Of these 6 studies, three were labeled as moderate quality, and the remaining studies were low quality. All included studies consistently suggested that PMR has a positive impact on nausea and vomiting caused by chemotherapy among cancer patients especially alleviating the incidence, frequency and degree of delayed nausea and vomiting. (4) Conclusions: Independent studies indicated that PMR was a beneficial approach to prevent and alleviate nausea and vomiting caused by chemotherapy among cancer patients. However, further studies considering other types of primary tumors should be designed in order to increase the generality of PMR because studies included in the present systematic review mainly enrolled lung cancer and breast cancer.

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Progressive muscle relaxation as a supportive intervention for cancer patients undergoing chemotherapy: A systematic review

Cited by 43 publications

References 44 publications

The effectiveness of interventions using relaxation therapy to improve breastfeeding outcomes: A systematic review

The effectiveness of interventions using relaxation therapy to improve breastfeeding outcomes: A systematic review

Improving biobehavioral outcomes with progressive muscle relaxation in patients with advanced lung cancer.

Role of Progressive Muscle Relaxation in Preventing and Alleviating of Nausea and Vomiting Caused by Chemotherapy among Cancer Patients: A Systematic Review of Six Randomized Controlled Trials

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