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Introducción: La relajación muscular se considera una terapia alternativa para el síndrome de las piernas inquietas (SPI).
Objetivo: Determinar el efecto de la relajación muscular progresiva (RMP) sobre el síndrome de piernas
inquietas en pacientes sometidos a hemodiálisis.
Metodología: Se llevó a cabo un estudio con diseño cuasi-experimental en la unidad de hemodiálisis. La muestra reclutada fue de 12 encuestados tanto en el grupo de intervención como en el de control, siendo el muestreo de conveniencia. El instrumento de investigación utilizado fue la Escala Internacional del Grupo de Estudio del SPI.
Resultados: En el grupo de intervención, las puntuaciones medias del SPI antes y después fueron de
22,92 y 17,42, respectivamente. En el grupo de control, las puntuaciones medias del SPI antes y después
de la intervención fueron de 24,33 y 23,50, respectivamente. La RPM fue eficaz para mejorar el SPI (p<0,005).
Conclusión: La RMP podría ser una alternativa para reducir el SPI en pacientes sometidos a hemodiálisis. Se necesitan estudios futuros para aclarar los hallazgos utilizando métodos más robustos y un tamaño de muestra mayor.
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Referencias
- Smart N, Stelee M. Exercise training in hemodialysis patients: A systematic review and meta-analysis. Nephrology. 2011;16:626-32. DOI: https://doi.org/10.1111/j.1440-1797.2011.01471.x
- Long A. In: Other movement disorders. 24 ed. Goldman LSA, editor. Philadelphia: Saunders Elsevier. 2011.
- Restless Legs Syndrome Foundation. Causes diagnosis and treatment. 2018. Available from: http://www.rls.org.
- Clemens S, Rye D, Hochman S. Restless legs syndrome: revisiting the dopamine hypothesis from the spinal cord perspective. Neurology. 2006;67(1): 125-30. DOI: https://doi.org/10.1212/01.wnl.0000223316.53428.c9
- Abeera M, Syed Rizwan A, B. Restless Leg Syndrome. Bookshelf ID: NBK430878 PMID: 28613628. StatPearls Publishing LLC. 2008. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430878/.
- Giannaki CD, Zigoulis P, Karatzaferi C. Periodic limb movements in sleep contribute to futher cardiac structure abnormalities in hemodialysis patients with restless legs syndrome. J Clin Sleep Med. 2013;9:147-53. DOI: https://doi.org/10.5664/jcsm.2412
- Kushida C, Martin M, Nikam P, Blaisdell B, Wallenstein G, Ferini- Strambi L, et al. Burden of restless legs syndrome on health-related quality of life. Qual Life Res. 2007;16(4):617-24. DOI: https://doi.org/10.1007/s11136-006-9142-8
- Sakkas GK, Hadjigeorgiou GM, Karatzaferi C, Maridaki MD, Giannaki CD, Mertens PR, et al. Intradialytic aerobic exercise training ame- liorates symptoms of restless legs syndrome and improves functional capacity in patients on hemodialysis: a pilot study. ASAIO J. 2008;54(2):185-90. DOI: https://doi.org/10.1097/MAT.0b013e3181641b07
- Molnar MZ, Novak M, Mucsi I. Management of Restless Legs Syndrome in Patients on Dialysis. Drugs. 2006;66:607-24. DOI: https://doi.org/10.2165/00003495-200666050-00003
- Luberto CM, Hall DL, Park ER, Haramati A, Cotton S. A Perspective on the Similarities and Differences Between Mindfulness and Relaxation. Glob Adv Health Med. 2020 5;9:2164956120905597. DOI: https://doi.org/10.1177/2164956120905597
- Jacobson, E. Progressive relaxation. Chicago: Chicago University Pres. 1938.
- Miltenberger RG. Behavior Modification Principles and Procedures (4th ed.). Australia: Thompson Wadsworth. 2008.
- Melo-Dias C, Lopes RC, Cardoso D, Bobrowicz-Campos E, Apóstolo J. Schizophrenia and Progressive Muscle Relaxation - A systematic review of effectiveness. Heliyon.2019;5(4): e01484. DOI: https://doi.org/10.1016/j.heliyon.2019.e01484
- Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Nursing Interventions Classification (NIC) (7th ed.). St. Louis: MO: Elsevier. 2018.
- Haseena TA, Sreelekshmi J. Effect of progressive muscle relaxation on quality of sleep among patients undergoing hemodialysis. GJRA. 2015; 4(2).
- The International Restless Legs Syndrome Study Group (Arthur S. Walters MD – Group Organizer and Correspondent), Towards a better definition of the restless legs syndrome. Mov Disord 1995;10: 634-42.
- Manzoni GM, Pagnini F, Castelnuovo G, Molinari E. Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry [Internet] 2008; 8:41. Available from: https://doi.org/10.1186/1471-244X-8-41. DOI: https://doi.org/10.1186/1471-244X-8-41
- Smeltzer, S.C & Bare, B.G. Buku ajar Keperawatan Medikal Bedah. Jakarta: EGC. 2013.
- Beladi-Mousavi SS, Jafarizade M, Shayanpour S, Bahadoram M, Moosavian SM, Houshmand G. Restless Legs Syndrome: Associated Risk Factors in Hemodialysis Patients. Nephrourol Mon. 2015 Nov 29;7(6):e31967. DOI: https://doi.org/10.5812/numonthly.31967. DOI: https://doi.org/10.5812/numonthly.31967
- Mousavi M, Soleimani M A, Akrami R, Tadayonfar M. The effect of progressive muscle relaxation on the severity of restless leg syndrome in patients under treatment with hemodialysis. Hayat. 2016. 106
Referencias
Smart N, Stelee M. Exercise training in hemodialysis patients: A systematic review and meta-analysis. Nephrology. 2011;16:626-32. DOI: https://doi.org/10.1111/j.1440-1797.2011.01471.x
Long A. In: Other movement disorders. 24 ed. Goldman LSA, editor. Philadelphia: Saunders Elsevier. 2011.
Restless Legs Syndrome Foundation. Causes diagnosis and treatment. 2018. Available from: http://www.rls.org.
Clemens S, Rye D, Hochman S. Restless legs syndrome: revisiting the dopamine hypothesis from the spinal cord perspective. Neurology. 2006;67(1): 125-30. DOI: https://doi.org/10.1212/01.wnl.0000223316.53428.c9
Abeera M, Syed Rizwan A, B. Restless Leg Syndrome. Bookshelf ID: NBK430878 PMID: 28613628. StatPearls Publishing LLC. 2008. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430878/.
Giannaki CD, Zigoulis P, Karatzaferi C. Periodic limb movements in sleep contribute to futher cardiac structure abnormalities in hemodialysis patients with restless legs syndrome. J Clin Sleep Med. 2013;9:147-53. DOI: https://doi.org/10.5664/jcsm.2412
Kushida C, Martin M, Nikam P, Blaisdell B, Wallenstein G, Ferini- Strambi L, et al. Burden of restless legs syndrome on health-related quality of life. Qual Life Res. 2007;16(4):617-24. DOI: https://doi.org/10.1007/s11136-006-9142-8
Sakkas GK, Hadjigeorgiou GM, Karatzaferi C, Maridaki MD, Giannaki CD, Mertens PR, et al. Intradialytic aerobic exercise training ame- liorates symptoms of restless legs syndrome and improves functional capacity in patients on hemodialysis: a pilot study. ASAIO J. 2008;54(2):185-90. DOI: https://doi.org/10.1097/MAT.0b013e3181641b07
Molnar MZ, Novak M, Mucsi I. Management of Restless Legs Syndrome in Patients on Dialysis. Drugs. 2006;66:607-24. DOI: https://doi.org/10.2165/00003495-200666050-00003
Luberto CM, Hall DL, Park ER, Haramati A, Cotton S. A Perspective on the Similarities and Differences Between Mindfulness and Relaxation. Glob Adv Health Med. 2020 5;9:2164956120905597. DOI: https://doi.org/10.1177/2164956120905597
Jacobson, E. Progressive relaxation. Chicago: Chicago University Pres. 1938.
Miltenberger RG. Behavior Modification Principles and Procedures (4th ed.). Australia: Thompson Wadsworth. 2008.
Melo-Dias C, Lopes RC, Cardoso D, Bobrowicz-Campos E, Apóstolo J. Schizophrenia and Progressive Muscle Relaxation - A systematic review of effectiveness. Heliyon.2019;5(4): e01484. DOI: https://doi.org/10.1016/j.heliyon.2019.e01484
Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Nursing Interventions Classification (NIC) (7th ed.). St. Louis: MO: Elsevier. 2018.
Haseena TA, Sreelekshmi J. Effect of progressive muscle relaxation on quality of sleep among patients undergoing hemodialysis. GJRA. 2015; 4(2).
The International Restless Legs Syndrome Study Group (Arthur S. Walters MD – Group Organizer and Correspondent), Towards a better definition of the restless legs syndrome. Mov Disord 1995;10: 634-42.
Manzoni GM, Pagnini F, Castelnuovo G, Molinari E. Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry [Internet] 2008; 8:41. Available from: https://doi.org/10.1186/1471-244X-8-41. DOI: https://doi.org/10.1186/1471-244X-8-41
Smeltzer, S.C & Bare, B.G. Buku ajar Keperawatan Medikal Bedah. Jakarta: EGC. 2013.
Beladi-Mousavi SS, Jafarizade M, Shayanpour S, Bahadoram M, Moosavian SM, Houshmand G. Restless Legs Syndrome: Associated Risk Factors in Hemodialysis Patients. Nephrourol Mon. 2015 Nov 29;7(6):e31967. DOI: https://doi.org/10.5812/numonthly.31967. DOI: https://doi.org/10.5812/numonthly.31967
Mousavi M, Soleimani M A, Akrami R, Tadayonfar M. The effect of progressive muscle relaxation on the severity of restless leg syndrome in patients under treatment with hemodialysis. Hayat. 2016. 106