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      El efecto de la relajación muscular progresiva en la reducción del síndrome de las piernas inquietas entre los pacientes sometidos a hemodiálisis en una unidad periférica en Indonesia Translated title: The effect of progressive muscle relaxation on reducing restless legs syndrome among patients undergoing hemodialysis in a satellite/hospital unit in Indonesia

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          Abstract

          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.

          Translated abstract

          Abstract Introduction: Muscle relaxation is considered as an alternative therapy for restless legs syndrome (RLS). Objective: To determine the effect of progressive muscle relaxation (PMR) on restless legs syndrome in patients undergoing hemodialysis. Methodology: This study was conducted using the quasi-experimental design in the unit hemodialysis. The sample recruited was 12 respondents in both intervention and control group using convenience sampling. The research instrument used the International RLS Study Group Scale. Results: The average score of RLS before and after PMR in the intervention group was 22.92 and 17.42, respectively. In the control group, the mean score of RLS before and after intervention was 24.33 and 23.50, respectively. PMR was effective to improve RLS (p<0.005). Conclusion: PMR could be an alternative to reduce RLS in patients undergoing hemodialysis. Future studies are needed to clarify the findings using more robust methods and large sample size.

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          Relaxation training for anxiety: a ten-years systematic review with meta-analysis

          Background Relaxation training is a common treatment for anxiety problems. Lacking is a recent quantitative meta-analysis that enhances understanding of the variability and clinical significance of anxiety reduction outcomes after relaxation treatment. Methods All studies (1997–2007), both RCT, observational and without control group, evaluating the efficacy of relaxation training (Jacobson's progressive relaxation, autogenic training, applied relaxation and meditation) for anxiety problems and disorders were identified by comprehensive electronic searches with Pubmed, Psychinfo and Cochrane Registers, by checking references of relevant studies and of other reviews. Our primary outcome was anxiety measured with psychometric questionnaires. Meta-analysis was undertaken synthesizing the data from all trials, distinguishing within and between effect sizes. Results 27 studies qualified for the inclusion in the meta-analysis. As hypothesized, relaxation training showed a medium-large effect size in the treatment of anxiety. Cohen's d was .57 (95% CI: .52 to .68) in the within analysis and .51 (95% CI: .46 to .634) in the between group analysis. Efficacy was higher for meditation, among volunteers and for longer treatments. Implications and limitations are discussed. Conclusion The results show consistent and significant efficacy of relaxation training in reducing anxiety. This meta-analysis extends the existing literature through facilitation of a better understanding of the variability and clinical significance of anxiety improvement subsequent to relaxation training.
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            Restless legs syndrome: revisiting the dopamine hypothesis from the spinal cord perspective.

            Restless legs syndrome (RLS) involves abnormal limb sensations that diminish with motor activity, worsen at rest, have a circadian peak in expression in the evening and at night, and can severely disrupt sleep. Primary treatment is directed at CNS dopaminergic systems, particularly activation of D(2)-like (D(2), D(3), and D(4)) receptors. Although RLS affects 2% to 15% of the general population, the neural circuitry contributing to RLS remains speculative, and there is currently no accepted animal model to enable detailed mechanistic analyses. Traditional views suggest that RLS arises from supraspinal sources which favor facilitation of the flexor reflex and emergence of the RLS phenotype. The authors forward the hypothesis that RLS reflects a dysfunction of the little-studied dorsoposterior hypothalamic dopaminergic A11 cell group. They assert that, as the sole source of spinal dopamine, reduced drive in this system can lead to spinal network changes wholly consistent with RLS. The authors summarize their recent investigations on spinal cord dopamine dysfunction that rely on lesions centered on A11, and on studies in D(3) receptor knockout (D(3)KO) mice. Excessive locomotor behavior is evident in both sets of animals, and D(3)KO mice exhibit facilitation rather than the expected depression of spinal reflexes in the presence of dopamine as well as a reversal in their circadian expression of the rate-limiting enzyme for dopamine synthesis, tyrosine hydroxylase. Taken together, these findings are consistent with an involvement of spinal dopamine dysfunction in the etiology of RLS, and they argue that the D(3)KO mouse might serve as a relevant animal model to study the underlying mechanisms of RLS.
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              Nursing interventions classification (NIC)

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                Author and article information

                Journal
                enefro
                Enfermería Nefrológica
                Enferm Nefrol
                Sociedad Española de Enfermería Nefrológica (Madrid, Madrid, Spain )
                2254-2884
                2255-3517
                December 2021
                : 24
                : 4
                : 409-415
                Affiliations
                [2] West Java orgnameSekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat Indonesia
                [1] West Java orgnameSekolah Tinggi Ilmu Kesehatan Jenderal Achmad Yani Cimahi Indonesia
                Article
                S2254-28842021000400008 S2254-2884(21)02400400008
                10.37551/s2254-28842021037
                f4ecb78c-625f-4f67-8500-96de9bc17af7

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 15 September 2021
                : 23 June 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 7
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                SciELO Spain

                Categories
                Originales

                síndrome de piernas inquietas,hemodialysis,progressive muscle relaxation,rest less legs syndrome,hemodiálisis,relajación muscular progresiva

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