Progressive Muscle Relaxation Effect on Sleep Quality, Depression and Stress in People With Multiple Sclerosis

Study Overview
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Brief Summary
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Objective: Evaluate the effects of Progressive Muscle Relaxation on sleep quality and on stress and depression levels of individuals with multiple sclerosis.

Detailed Description
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Introduction: Multiple sclerosis is a chronic, autoimmune disease, characterized by demyelination and neurodegeneration of the central nervous system. The progressive course of this disease may cause individuals to develop extreme dependency and create serious difficulties both to the individuals themselves and family members and caregivers, since the disease brings a number of physical, emotional, psychological and social symptoms. Therefore, it is essential to offer healthcare practices that go beyond the usually fragmenting, dehumanized care services that focus on the disease bodily processes. Objective: Evaluate the effects of Progressive Muscle Relaxation on sleep quality and on stress and depression levels of individuals with multiple sclerosis. Methodology: This is randomized clinical test. The sample was made up of 40 individuals with multiple sclerosis (20 in control group and 20 in the experimental group) in outpatient follow-up. The progressive muscle relaxation technique was employed. In order to collect the data, we adopted the interview with form filling technique, using the Pittsburgh Sleep Quality Index, Perceived Stress Scale and Beck Depression Inventory. Blood pressure, heart rate and respiratory rate of experimental group were measured before and after the progressive muscle relaxation intervention. In order to treat statistical data, we used Statistical Package for Social Sciences, version 19.0.

Official Title
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Effect of Progressive Muscle Relaxation as a Nursing Intervention on Sleep Quality, Depression and Stress in People With Multiple Sclerosis

Conditions
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Multiple Sclerosis, Depression, Sleep, Stress Psychological

Intervention / Treatment
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* Other: Progressive muscle relaxation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be diagnosed with Multiple Sclerosis for at least 6 months To be diagnosed with relapsing-remitting multiple sclerosis To have Expanded Disability Status Scale score < 5.0 To not have had any attacks during the 3-month period preceding enrollment in the study To have audio at home To be residing in the Metropolitan region of Vitória-Espirito Santo-Brazil. To be 18-65 years of age Treatment with an immunomodulator Exclusion Criteria: Being hospitalized at the time of data collection or outbreak at the time of data collection Have physical and / or mental changes that prevent the collection of data, such as motor or cognitive deficits Experiencing relapse and/or corticosteroid use within the last month, diagnosed with progressive MS (primary or secondary) Use of psychotropic drugs (antidepressants, benzodiazepines, antipsychotic and cannabis, or other stimulants), Practice of other relaxation techniques (yoga, pilates, meditation, psychotherapy)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Group control<br>Control group: 20 patients with relapsing-remitting multiple sclerosis only receive traditional treatment. | |
| Experimental: experimental group<br>Intervention group: 20 patients with relapsing-remitting multiple sclerosis receive five sessions of Progressive Muscle Relaxation under the supervision of a researcher in neurology clinic. Before and after each session of the Progressive Muscle Relaxation. They will be measured heart rate, respiratory rate and blood pressure. Participants will be guided to realize the Progressive Muscle Relaxation daily for 8 weeks, the time of day you feel more comfortable. the same receive education and training as the technical as well as a audio and a leaflet with the description the stages of the Progressive Muscle Relaxation. | Other: Progressive muscle relaxation<br>* Intervention group: 20 patients with relapsing-remitting multiple sclerosis receive five sessions of Progressive Muscle Relaxation under the supervision of a researcher in neurology clinic. Before and after each session of the Progressive Muscle Relaxation They will be measured heart rate, respiratory rate and blood pressure. Participants will be guided to realize the Progressive Muscle Relaxation daily for 8 weeks, the time of day you feel more comfortable. the same receive education and training as the technical as well as a audio and a leaflet with the description the stages of the Progressive Muscle Relaxation. Control group: 20 patients with relapsing-remitting multiple sclerosis only receive traditional treatment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stress Level | Instrument: Perceived Stress Scale. | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Level of depression | Instrument : Beck Depression Inventory. | 2 months | 
| sleep quality | Instrument: Pittsburgh Sleep Quality Index. | 2 months |