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Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

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Original Article
A simple touch into the busy work routine: progressive relaxation and posture exercises improve physical and mental health of health professionals
Abstract
Aims: The aim of this study was to implement a combination of the progressive muscle relaxation technique (PMRT) along with posture exercises and assess their impact on the mental and physical well-being of health professionals with health complaints.
Methods: This quasi-experimental study utilized hybrid, remote, and web-based telehealth methods, including phone calls, video recordings, and electronic documents. Thirty-eight health professionals experiencing pain engaged in PMRT twice a day, every two days, over a two-week period. Posture exercises were seamlessly integrated into their daily work routines and performed 2-3 times a day. Various parameters, including pain, fatigue, anxiety, depression, kinesiophobia, sleep quality, and centrality of pain, were assessed both before and after the treatment.
Results: Significant improvements were observed in the prevalence, intensity, and centrality of pain, accompanied by a reduction in fatigue, anxiety, and depression scores post-treatment (p<0.05). However, there was no notable improvement in kinesiophobia and sleep quality scores following the treatment (p > 0.05).
Conclusion: The integration of PMRT and posture exercises into the daily routines of health professionals, delivered through remote web based telehealth, emerges as an effective and straightforward strategy for ameliorating certain physical complaints and enhancing mental health. This approach holds the potential to be easily adapted into both daily life and work environments, offering a valuable tool for coping with work-related disorders.

Keywords : progressive muscle relaxation technique, telemedicine, pain, COVID-19, mental health, health professionals

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1. Aslan E&Ccedil;. COVID-19 Pandemisinin sağlık hizmetleri erişimine etkisinin değerlendirilmesi: kesitsel bir araştırma. Turk Klin J Health Sci. 2022;7(2):534-543.
2. Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020;290:113129. doi:10.1016/j.psychres.2020.113129
3. Cag Y, Erdem H, Gormez A, et al. Anxiety among front-line health-care workers supporting patients with COVID-19: a global survey. Gen Hosp Psychiatry. 2021;68:90-96. doi:10.1016/j.genhosppsych.2020.12.005
4. Chew NWS, Lee GKH, Tan BYQ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559-565. doi:10.1016/j.bbi.2020.05.035
5. Duru H. The Continuing Effect of COVID-19 pandemic on physical well-being and mental health of ICU healthcare workers in Turkey: a single-centre cross-sectional later-phase study. J Intensive Care Med. 2022;37(9):1206-1214. doi:10.1177/08850666211011856
6. Li Y, Scherer N, Felix L, et al. Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: a systematic review and meta-analysis. PLoS One. 2021;16(3): e0246454. doi:10.1371/journal.pone.0246454
7. Pniak B, Leszczak J, Adamczyk M, et al. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work. 2021;68:285-295. doi:10.3233/WOR-203400
8. Sahebi A, Nejati-Zarnaqi B, Moayedi S, et al. The prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic: an umbrella review of meta-analyses. Prog Neuropsychopharmacol Biol Psychiatry. 2021;107:110247. doi:10.1016/j.pnpbp.2020.110247
9. Salari N, Khazaie H, Hosseinian-Far A, et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Hum Resour Health. 2020;18(1):100. doi:10.1186/s12960-020-00594-1
10. Fang J, Yu C, Liu J, et al. A systematic review and meta-analysis of the effects of muscle relaxation training vs. conventional nursing on the depression, anxiety and life quality of patients with breast cancer. Transl Cancer Res. 2022;11(3):548-558. doi:10.21037/tcr-21-1739
11. &Ouml;zl&uuml; İ, &Ouml;zt&uuml;rk Z, Karaman &Ouml;zl&uuml; Z, Tekin E, G&uuml;r A. The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID-19: a randomized controlled study. Perspect Psychiatr Care. 2021;57(4):1791-1797. doi:10.1111/ppc.12661
12. Yoo SA, Kim CY, Kim HD, Kim SW. Effects of progressive muscle relaxation therapy with home exercise on pain, fatigue, and stress in subjects with fibromyalgia syndrome: a pilot randomized controlled trial. J Back Musculoskelet Rehabil. 2022;35(2):289-299. doi:10.3233/BMR-200798
13. Loh EW, Shih HF, Lin CK, Huang TW. Effect of progressive muscle relaxation on postoperative pain, fatigue, and vital signs in patients with head and neck cancers: a randomized controlled trial. Patient Educ Couns. 2022;105(7):2151-2157. doi:10.1016/j.pec.2022.01.004
14. Manzoni GM, Pagnini F, Castelnuovo G, Molinari E. Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry. 2008;8:41. doi:10.1186/1471-244X-8-41
15. McCallie MS, Blum CM, Hood CJ. Progressive muscle relaxation. J Hum Behav Soc Environ. 2006;13(2):51-66. doi:10.1300/J137v13n02_05
16. Emerick T, Alter B, Jarquin S, et al. Telemedicine for chronic pain in the COVID-19 era and beyond. Pain Med. 2020;21(9):1743-1748. doi:10. 1093/pm/pnaa180
17. Fiol-DeRoque MA, Serrano-Ripoll MJ, Jim&eacute;nez R, et al. A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp): randomized controlled trial. JMIR Mhealth Uhealth. 2021;9(5):e27039. doi:10.2196/27039
18. Herdiman H, Fauzi DH, Lindayani L. The effect of progressive muscle relaxation on anxiety in COVID-19 patients in bandung. J Keperawatan Komprehensif Compr Nurs J. 2022;8:182-187. doi:10.24198/jkk.v8i2.335
19. Liu K, Chen Y, Wu D, Lin R, Wang Z, Pan L. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complement Ther Clin Pract. 2020;39:101132. doi:10.1016/j.ctcp.2020. 101132
20. Xiao CX, Lin YJ, Lin RQ, Liu AN, Zhong GQ, Lan CF. Effects of progressive muscle relaxation training on negative emotions and sleep quality in COVID-19 patients: a clinical observational study. Medicine (Baltimore). 2020;99(47):e23185. doi:10.1097/MD.0000000000023185
21. Zendehdel M, Elyasi F, Jahanfar S, Emami-Sahebi A. Effectiveness of progressive muscle relaxation technique on anxiety caused by COVID-19 in pregnant women: a randomized clinical trial. Neuropsychopharmacol Rep. 2022;42(2):158-165. doi:10.1002/npr2.12271
22. Langley GB, Sheppeard H. The Visual Analogue Scale: Its use in pain measurement. Rheumatol Int. 1985;5(4):145-148. doi:10.1007/BF00242707
23. Ozsoy-Unubol T, Unal-Ulutatar C. Cross-cultural adaptation and validation of the Turkish version of Centrality of Pain Scale in patients with fibromyalgia syndrome. Int J Rheum Dis. 2020;23:772-777. doi:10. 1111/1756-185X.13894
24. &Ouml;nder İ, Masal E, Demirhan E, et al. Psychometric properties of Sleep Quality Scale and sleep variables questionnaire in Turkish student sample. Int J Psychol Educ Stud. 2016;3(3):9-21. doi:10.16992/ijpes.296
25. Lemay KR, Tulloch HE, Pipe AL, et al. Establishing the minimal clinically important difference for the Hospital Anxiety and Depression Scale in patients with cardiovascular disease. J Cardiopulm Rehabil Prev. 2019;39(6):E6-E11. doi:10.1097/HCR.0000000000000432
26. Gencay-Can A, Can SS. Validation of the Turkish version of the fatigue severity scale in patients with fibromyalgia. Rheumatol Int. 2012;32(1): 27-31. doi:10.1007/s00296-010-1644-4
27. Tunca Yılmaz &Ouml;, Yakut Y, Uygur F, et al. Tampa Kinezyofobi &Ouml;l&ccedil;eği&rsquo;nin T&uuml;rk&ccedil;e versiyonu ve test-tekrar test g&uuml;venirliği. Fiz Rehabil. 2011;22(1): 44-50. doi:10.16919/fizikrehabilitasyon.2011.1.44
28. Xiao CX, Lin YJ, Liu AN, Zhong GQ, Lan CF. Effects of progressive muscle relaxation training on negative emotions and sleep quality in COVID-19 patients: a clinical observational study. Medicine (Baltimore). 2020;99(47):e23185. doi:10.1097/MD.0000000000023185
29. Hair J, Hult GTM, Ringle C, et al. A primer on partial least squares structural equation modeling (PLS-SEM). In: Handbook of Market Research. Springer; 2022:587-632. doi:10.1007/978-3-030-15722-4_30
30. Hair J, Black W, Babin B, et al. Multivariate Data Analysis. 8th ed. Cengage; 2013.
31. George D. SPSS for Windows Step by Step: a simple study guide and reference, 17.0 update, 10/e. Pearson Education India; 2011.
32. Cottrell MA, Russell TG. Telehealth for musculoskeletal physiotherapy. Musculoskelet Sci Pract. 2020;48:102193. doi:10.1016/j.msksp.2020. 102193
33. Amorim AB, Pappas E, Simic M, et al. Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial. BMC Musculoskelet Disord. 2019;20(1):71. doi:10.1186/s12891-019-2454-y
34. Jiang S, Xiang J, Gao X, et al. The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: a systematic review and meta-analysis. J Telemed Telecare. 2018;24(4):257-262. doi: 10.1177/1357633X16686748
35. Lauche R, Materdey S, Cramer H, et al. Effectiveness of home-based cupping massage compared to progressive muscle relaxation in patients with chronic neck pain-a randomized controlled trial. PLoS One. 2013; 8(6):e65378. doi:10.1371/journal.pone.0065378
36. Bennell KL, Nelligan R, Dobson F, et al. Effectiveness of an internet-delivered exercise and pain-coping skills training intervention for persons with chronic knee pain. Ann Intern Med. 2017;166(7):453-462. doi:10.7326/M16-1714
37. G&uuml;ndoğan R, Kaplan Serin E. The effects of progressive relaxation exercises on COVID-19-related fear, anxiety, and sleep quality in emergency aid station employees. Holist Nurs Pract. 2022. doi:10.1097/HNP.0000000000000524
38. Khoirunnisa ML, Ariani GAPP. Effects of progressive muscle relaxation on anxiety of nurses at COVID-19 units. J Aisyah J Ilmu Kesehat. 2021;6: 59-64. doi:10.30604/jika.v6iS1.761
39. Semerci R, &Ouml;zt&uuml;rk G, Akg&uuml;n Kostak M, Elmas S, İhsan Danacı A, Musbeg S. The effect of progressive muscle relaxation exercises on compassion satisfaction, burnout, and compassion fatigue of nurse managers. Perspect Psychiatr Care. 2021;57(3):1250-1256. doi:10.1111/ppc.12681
40. Kizmaz E, Telli-Atalay O, &Ccedil;etin N, Uğurlu E. Virtual reality for COPD exacerbation: a randomized controlled trial. Respir Med. 2024;230: 107696. doi:10.1016/j.rmed.2024.107696
41. Persson AL, Veenhuizen H, Zachrison L, Gard G. Relaxation as treatment for chronic musculoskeletal pain-a systematic review of randomised controlled studies. Phys Ther Rev. 2008;13(5):355-365. </ol> <p>
Article available in :
Volume 5, Issue 2, 2025
Page : 87-93
https://doi.org/10.51271/KMJ-0190
Article Information
Received : 06 Ağu 2024
Accepted : 21 Eki 2024
Published : 20 Haz 2025
Corresponding Author :

Ceyhun Topcuoğlu: Faculty of Physical Therapy and Rehabilitation, Hacettepe Universityi Ankara, Turkiye

[email protected]
Citation : Sürmeli M, Tütün Yümin E, Topcuoğlu C, Hamurcu R, Başol Göksülük M, Parlak E. A simple touch into the busy work routine: progressive relaxation and posture exercises improve physical and mental health of health professionals. Kastamonu Med J. 2025;5(2):87-93.

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