Muscle Relaxation Intervention Research Articles

Isolated Transverse Process Fractures: Should We Offer Lumbar Corset or Not?

Background The aim of this study is to emphasize the need to be careful in terms of internal organ injuries in patients with isolated transverse process fracture (ITPF), and to investigate the effectiveness of corset use in controlling acute pain. Methods This is a retrospective study including 72 patients with only transverse process fractures secondary to trauma, who were admitted to the Emergency Department of Sakarya University Research and Training Hospital between January 2020 and October 2022. The radiological diagnoses were collected from spinal vertebral computed tomography images. Twelve patients were excluded from the study due to exclusion criteria. Sixty patients with ITPF were included in the comparison group. All patients were divided into two groups. The groupwith no lumbar corset (LC) included those who were discharged with analgesic and muscle relaxant treatment without a brace (n = 33). The LC+ group (n = 27) included those who received rigid lumbosacral orthosis in addition to analgesic and muscle relaxant treatment. Pain levels of all cases in both groups were evaluated with Visual Analog Scale scores on the day of trauma, the first week, the first month, and the sixth month. Results A total of 25 cases had one ITPF, 25 had two, 17 had three, and five patients had four or more ITPFs. The hospitalization rate was the highest among patients with four or more ITPFs (40%). Although the hospitalization rates according to the number of ITPFs were not statistically significant (p = 0.528), there was a clinical significance regarding increasing hospitalization rates with the increasing number of ITPFs. The hospitalization rates were 12%, 16%, 17.6%, and 40% in patients with one, two, three, and four or more ITPFs, respectively. Conclusion ITPFs should be treated conservatively. Concomitant organ injuries must be ruled out before treatment. Medical treatment without a lumbar corset could be used as a cost-effective choice.

Latrodectus envenomation in Ethiopia.

Black widows, one of the few spiders that can sting humans with poison, are members of the spider genus Latrodectus and are well-known for the extraordinary potency of their neurotoxic venom. Latrodectism, a symptom marked by excruciating muscular pain, stomach pain, and diaphoresis after envenomation, is very typical. We described a black widow envenomation case that produced a significant reaction, including diaphoresis and excruciating pain throughout the left thigh that later spread to the lower leg, lower back, belly, and chest. Because of the patient's description of the spider that bit him and his typical clinical state, it was assumed that Latrodectus envenomation was the cause of his symptoms. The patient received 3days of observation in the ED while receiving opioid analgesic pain management and muscle relaxant treatment with diazepam. The patient's pain and symptoms were satisfactorily managed, and he was sent home. This case report will help further research be done in the area where it was reported to see if there are cases with similar presentations misdiagnosed as other illnesses. Finally, immediate pain relief is the most critical goal for all patients.

Effectiveness of progressive muscle relaxation compared to BL 23 and GV 3 point acupressure therapy in reducing back pain intensity in third trimester pregnant women

Background/Aim: Back pain is one of the most common discomforts experienced by pregnant women in the third trimester of pregnancy. Interventions that can be done to overcome this are progressive muscle relaxation or acupressure at the BL 23 and GV 3 points. The aim was to determine the effectiveness of progressive muscle relaxation with BL 23 and GV 3 acupressure to reduce low back pain in third trimester pregnant women. Methods: Quasi-experimental research design method with a two-group pretest and post-test design approach was conducted. The total sample was 88 with inclusion criteria-third trimester pregnant women who experienced back pain. Pain was measured with numerical rating scale (NRS) and analysed using Wilcoxon test. Results: The average reduction in back pain for pregnant women after progressive muscle relaxation was 2.12, while the average reduction in back pain for pregnant women after BL 23 and GV 3 acupressure was 1.50. There is a mean difference between the two (0.62), so it can be concluded that there was a difference in the effectiveness of reducing back pain for pregnant women in the third trimester between the progressive muscle relaxation intervention and the respondents' pain scale after the acupressure therapy intervention at points BL 23 and GV 3. Conclusion: Back pain for pregnant women in the third trimester can be treated with progressive muscle relaxation therapy or acupressure at points BL 23 and GV 3 to reduce back pain. Progressive muscle relaxation therapy was more effective. Progressive muscle relaxation can be done by pregnant women themselves when back pain occurs.

Pengaruh Progressive Muscle Relaxation terhadap Kualitas Tidur dan Kelelahan dalam Kegiatan Perkuliahan pada Mahasiswa Jurusan Okupasi Terapi Poltekkes Kemenkes Surakarta

Abstract Background. Learning or lecturing is a process of interaction between instructors/teachers/lecturers and students. To obtain better learning outcomes, the learning approach used by lecturers influences students' activities and learning outcomes. The lecture process which involves physical and mental activity can cause learning fatigue and poor sleep quality. One effort that can be made to reduce study fatigue and improve student sleep quality is by providing progressive muscle relaxation (PMR) regularly. Objective. This study aims to determine the effect of PMR on sleep quality and fatigue during lecture activities among students majoring in Occupational Therapy, Health Polytechnic, Ministry of Health, Surakarta. Method. The design of this research is quasi experimental "One group pre and post test design with control group". Sampling was carried out using quota sampling technique. Sleep quality complaint data was taken using the Pittsburgh Sleep Quality Index (PSQI) instrument and fatigue data was taken using a subjective fatigue questionnaire. Results. Based on the independent sample T test statistical test, the results obtained for both sleep quality and fatigue variables showed significant differences in the intervention group compared to the control group, with P values ​​of 0.004 and 0.009 (P<0.05), respectively. Conclusion. Progressive Muscle Relaxation intervention affects sleep quality and fatigue during lecture activities in students of the Department of Occupational Therapy, Health Polytechnic, Ministry of Health, Surakarta. Keywords : Aerobic Low Impact, Stretching Exercise, Sleep Quality, Fatigue.

Impact of progressive muscle relaxation on psychological symptoms on an inpatient psychiatric unit

ObjectivesTo examine the effectiveness of short-term progressive muscle relaxation therapy in reducing symptoms of depression, anxiety, and aggression/agitation, in patients on an inpatient psychiatric unit. Additionally, to determine the impact of clinical and sociodemographic factors on its effectiveness. MethodsInpatients at an academic medical center psychiatric hospital were invited to participate in a progressive muscle relaxation activity and filled out pre- and post-activity surveys querying symptoms of depression, anxiety, and aggression/agitation, using a created Likert scale. ResultsThe 57 participants in this study showed an average decrease in every symptom domain, including − 0.93 in agitation/aggressive symptoms (p < 0.001), − 2.14 in depressive symptoms (p < 0.001), and − 1.81 in anxiety symptoms (p < 0.001). While diagnosis did not appear to be significantly related to change in score, patients with different primary diagnoses had changes in different symptom domains, with patients with Bipolar Disorder having statistically significant changes in aggression (−1.57, p = 0.012) and depression (−2.36, p < 0.001), but not in anxiety. Patients with Depression had significant changes in depression (−2.08, p < 0.001) and anxiety (−1.96, p < 0.001) but not in aggression/agitation, while patients with a Schizophrenia spectrum illness had changes in depression alone (−2.33, p = 0.008). Sociodemographic variables had no significant impact. ConclusionsThe findings in this study indicate that a short-term progressive muscle relaxation intervention can lead to statistically and clinically significant acute changes across various symptom domains and in patients with a variety of psychiatric diagnoses, and support the implementation of this non-invasive and budget-friendly exercise.

The Effect of Arthrocentesis Treatment for Maximum Mouth Opening and Pain in Temporomandibular Joint Diseases and the Effect of Splint, Drug, and Physical Therapy on This Treatment.

Background and Purpose: Temporomandibular disorders (TMD) are a heterogeneous group of musculoskeletal and neuromuscular diseases involving the temporomandibular joint complex and the surrounding muscle and osseous structure. TMD can be classified as intra-articular or extra-articular. The aim of this study was to evaluate the effect of arthrocentesis in terms of maximum mouth opening (MMO) and pain in patients with TMD of intra-articular origin. In addition to this treatment, the effects of factors such as splints, medication, and physical therapy on arthrocentesis were examined. Material and methods: This retrospectively designed study was conducted with 79 patients who had previously undergone arthrocentesis. These patients were divided into three groups according to the Research Diagnostic Criteria for temporomandibular disorder: disc displacement (DD) with locking (Group 1), DD without locking (Group 2), and degenerative joint diseases (Group 3) groups. The maximum mouth opening (MMO) and visual analog score (VAS) values of the groups were recorded before arthrocentesis (Baseline: T0), on the third day after arthrocentesis (T1), and at the sixth month (T2) after arthrocentesis. Information about whether the patients received concurrent medical treatment, splint treatment, and physical therapy was also recorded. These data were compared between groups. Results: It was observed that the VAS scores in all three groups decreased from T1 compared to T0 (p < 0.05). Likewise, the MMO value increased in all groups at T1 compared to T0. (p < 0.05). It was observed that splint treatment, pain killer and muscle relaxant treatment, and physical therapy made no additional contribution to arthrocentesis in terms of reducing pain or increasing MMO value (p > 0.05). Conclusions: Arthrocentesis was observed to be effective in terms of pain and function in TMJ patients in this study. It was observed that splint therapy, physical therapy, and medical therapy made no additional contribution to arthrocentesis in terms of MMO or pain.

The Effect of Progressive Muscle Relaxation (PMR) Exercise on Blood Pressure Reduction in Hypertensive Clients: A Literature Review

Compliance with taking antihypertensive drugs is low amongst patients with hypertension. Uncontrolled blood pressure causes heart disease, kidney failure, diabetes, and stroke. It is necessary to have alternative support in controlling blood pressure by using progressive muscle relaxation exercises. This study aimed to determine the effect of progressive muscle relaxation on reducing blood pressure in patients with hypertension. The research design used was a literature study with a sample size of 20 journals: Pubmed (n=2), Proquest (n=4), Science Direct (n=8) and Biomed Central (n=6). By using the keyword search data “Progressive Muscle Relaxation AND Blood Pressure AND Hypertension OR Hypertensive” and using analysis techniques with thematic analysis, 95% of the results of the study reported that there was a decrease in systolic and diastolic values in hypertensive patients before and after the progressive muscle relaxation intervention and 5% reported that there was no change. Progressive muscle relaxation is effective for lowering blood pressure in hypertensive patients.&#x0D; Keywords: Progressive Muscle Relaxation, Blood Pressure, Hypertension

Case Study of Progressive Muscle Relaxation Intervention to Reduce Pain in Appendicitis Patient

Objective: This case study was conducted to describe a progressive muscle relaxation intervention in reducing pain in appendicitis patients. Method: This study uses a case study design with an evidence-based practice approach that focuses on nursing interventions. This research was conducted at the BLUD RSU Banjar City on 27-31 May 2022. Participants in this study were Ny patients. C, 35 years old, female, complains of right lower quadrant abdominal pain. The process of assessing and establishing a diagnosis is focused on the main problem. Objective and subjective data becomes a reference for periodic evaluation of nursing implementation. Results: Patients gave recognition of decreased pain after being given a progressive muscle relaxation intervention with a pain scale of 4 out of 5 (0-10) and a scale of 3 out of 4 (0-10). Conclusion: Progressive muscle relaxation intervention should be suspected to be effective in reducing pain in appendicitis patients as evidenced by subjective patient recognition. Theoretically, this study does not conflict with previous research so that it can be a reference in future research. Theoretically, this research does not conflict with previous research so that it can be a reference in future research. Clinically, progressive muscle relaxation intervention can be an alternative intervention to reduce pain levels in patients with chronic diseases such as appendicitis in hospitals and health centers.

Progressive Muscle Relaxation: Alternatif Mengurangi Gejala pada Pasien Kemoterapi

This study aimed to analyze progressive muscle relaxation intervention as an alternative to reduce symptoms in patients with chemotherapy. The method used is a systematic literature review through the Science Direct, Proquest, and Scopus databases. The results of this study indicate that 6 scientific articles obtained show that progressive muscle relaxation can reduce physical symptoms such as pain and fatigue and reduce psychological symptoms such as depression, stress, anxiety, drowsiness, increase appetite, improve coping, self-efficacy, increase comfort and quality of life in chemotherapy-induced cancer patients. In conclusion, progressive muscle relaxation can reduce symptoms in cancer patients with chemotherapy physically and psychologically.&#x0D; &#x0D; Keywords: Chemotherapy, Cancer Patients, Progressive Muscle Relaxation

EFFECTIVITY GIVING PROGRESSIVE MUSCLE RELAXATION TO DECREASE ANXIETY PREGNANCY WOMEN

Background: Psychological changes are often experienced by pregnant women are anxiety, (28,7%) pregnant women in Indonesia experience anxiety. Several factors that cause anxiety in pregnant women are husband support, family support, age, environment conditions, parity and education. Anxiety can be reduce by relaxation. The effective relaxation for anxiety in pregnant woman is progressive muscle relaxation. This study aims to determain the effectiveness of progressive muscle relaxation to reduce anxiety in pregnant women. Method: This study uses the Study Systematic Mapping Method selected from the Google Scholar, Pubmed, and Garuda database. There are several points determined in the journal using the year of publication, according to keywords, duplication, Full Text, and Indonesian or english, were selected using PICO so that 14 journals are obtained, which are then analyzed. Result: The highest level of anxiety in pregnant women was found third trimester, teenage pregnant women and primigravida. Anxiety levels can be reduced by giving progressive muscle relaxation. Progressive muscle relaxation intervention is not only effective in reducing anxiety but also prevents occurent of pregnancy complication. Coclusion: The highest level of anxiety occurs in teenage pregnant women with first pregnancy in third trimester. The most effective technique for reduce anxiety in pregnant women is progressive muscle relaxation intervention.

THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION TO MENTAL HEALTH ON ADOLESCENT

&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; During the covid-19 pandemic, there are changes in living habits that must be faced by everyone, including teenagers. Adolescents in orphanages in adjustment experience stress, depression and sleep disturbances that can affect the quality of life. For this reason, progressive muscle relaxation efforts can be used as a way to improve adolescent mental health.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This type of research is an analitic observational. This research was conducted at the Marhdatillah Sukoharjo Orphanage, Central Java. The subjects in this study were 42 people living in the Mardhatillah orphanage which divided into control group (27 people) and intervention group (15 people). In both the control group and the intervention group, mental health assessments were carried out twice. In the intervention group, prior to the second mental health assessment, a progressive muscle relaxation intervention was performed. Data was collected using the Strengths and Difficulties Questionnaire (SDQ) and intervention. Analyzed by independent t-test with SPSS 21.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results of the independent t test were significant (p=0.042). The control group consisted of 27 subjects with a mean post-test SDQ score of 23.8 (abnormal) and post-test 13.22 (borderline). The intervention group consisted of 15 subjects with a mean SDQ score of 22.2 pre-test (abnormal) and 9.40 post-test (normal).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; Progressive muscle relaxation can improve mental health in adolescents who live in the Mardhatillah orphanage, Sukoharjo, Central Java.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;

Relaksasi Terapi Otot Progresif Terhadap Penurunan Skala Nyeri Low Back Pain (LBP) Pada Pengrajin Keset

Low Back Pain (LBP) or low back pain is one of the complaints of MSDs (Musculoskeletal Disorders) which is often complained of by tailors. In industrialized countries, about 80 percent of the population has experienced LBP which often occurs at the age of 35 to 55 years. In Indonesia, based on the results of the 2018 Basic Health Research, the prevalence of musculoskeletal disease based on the diagnosis of health workers is 7.3%. One of the complementary methods that can be used to treat LBP pain is to use progressive muscle relaxation techniques. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on reducing the LBP pain scale. The design of this study was a quasi-experimental design with Pre and Post Test Without Control. The research sample was doormat craftsmen at the UKK Majun Post at Citankil Health Center as many as 30 people. The results of the univariate analysis showed that the average LBP pain scale before the progressive muscle relaxation intervention was 6.79, while after the progressive muscle relaxation intervention the average LBP pain scale was 4.03. From the results of the bivariate analysis, it is known that there is an effect of progressive muscle relaxation on the LBP pain scale in doormat craftsmen at the UKK Majun Post, Citangkil Health Center Work Area, Cilegon City in 2021 (p value: 0.000). Researchers suggest that craftsmen maintain the progressive muscle relaxation method if they experience LBP pain in the future. In addition, for the UKK Pos management, it is recommended to work together with the Puskesmas to carry out regular health checks and provide education on preventing LBP pain to craftsmen.&#x0D; Keywords: low back pain, progressive muscle relaxation &#x0D; Keywords: low back pain, progressive muscle relaxation

The effect of progressive muscle relaxation interventions on depression, stress, anxiety, and quality of life for cancer patients: a systematic review

Patients with cancer experience emotional distress which characterized by psychological symptoms such as anxiety or depression, psychological symptoms that arise and complex cancer processes have negative impact on their quality of life. Many cancer patients use a wide variety of techniques to improve their psychological symptoms and quality of life including relaxation therapy and specifically, Progressive Muscle Relaxation (PMR). The systematic review purpose was to review the evidence regarding the use of PMR intervention for cancer patients. Thirty four published studies and nine identified original article as potentially relevant , undertaken in the past six years until now (2013 to 2019) with data bases in Scopus, Proquest, Google Scholar, Oxford, and Science direct Searches. The information flow chart from record identification to study inclusion was conducted in accordance with the PRISMA and extracted data with PICOT. The impact of progressive muscle relaxation interventions remained in effect for between seven days and six month after the interventions.. Progressive muscle relaxation intervention is the technique including continous and systematic stretching and relaxing of the muscles until the whole body becomes relaxed. It has effects in improving depression, stress, anxiety and quality of life via physical relaxation.

Sedation, Analgesia, and Muscle Relaxation During VV-ECMO Therapy in Patients With Severe Acute Respiratory Syndrome Coronavirus Type 2 (SARS-CoV-2): A Single-Center, Retrospective, Observational Study.

Objective: The pharmacokinetics and pharmacodynamics of ECMO-supported sedative, analgesic, and muscle relaxants have changed, but there are insufficient data to determine the optimal dosing strategies for these agents. Sedation, analgesia and muscle relaxation therapy for patients with severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) receiving ECMO support are more specific and have not been fully reported. This study observed and evaluated the use of sedative and analgesic drugs and muscle relaxants in SARS-CoV-2 patients treated with VV-ECMO.Methods: This study was a single-center, retrospective and observational study. Our study includes 8 SARS-CoV-2 patients treated with VV-ECMO in an intensive care unit at Shanghai Public Health Center from February to June 2020. We collected the demographic data from these patients and the dose and course of sedation, analgesia, and muscle relaxants administered during ECMO treatment.Results: The doses of sedative, analgesic and muscle relaxant drugs used in patients with VV-ECMO were significant. Over time, the doses of drugs that were used were increased, and the course of muscle relaxant treatment was extended.Conclusion: Sedation, analgesia, and muscle relaxant use require individualized titration in patients with SARS-CoV-2 who have respiratory failure and who are receiving VV-ECMO.

The Influence of Progressive Muscle Relaxation and Mental Imagery-based Relaxation on Psychological Characteristics of Women with Unintended First Pregnancy during COVID-19 Pandemic: A Single-Blind Clinical Trial

Background & aim: Pregnancy is one of the most important stages in a women's life. Occurance of unintended first pregnancy due to changes in women's life-style following COVID-19 pandemic has led to more stress, anxiety, and uncertainty pregnant women. Therefore, the current research aspires to examine how progressive muscle relaxation intervention and imagery-based relaxation technique can affect the psychological characteristics of women with unintended first pregnancy during COVID-19 pandemic. Methods: This single-blind, parallel groups, pretest-posttest randomized controlled trial was conducted on 60 women with first unwanted pregnancy who attended the urban clinics in Semnan, Iran in 2020, and were assigned to experimental and control groups. Tools for measurement included a demographic questionnaire as well as Depression, Anxiety, Stress Scale (DASS-21). In the experimental group, women were given 8 weeks of progressive muscle relaxation and imagery-based relaxation intervention; while women in the control group only received the routine care. One day before and one day after the intervention, DASS-21 was completed by the subjects.Results: The results of the multivariate analysis of covariance (MANCOVA) showed that after 8 weeks of intervention, the level of anxiety (P=0.0001), depression (P=0.0001) and stress (P=0.0001) decreased in the experimental group in comparison with the control group (P≤0.016). Conclusion: According to the results, it can be concluded that in order to improve the psychological status of women with unintended pregnancy, especially in the stressful conditions of COVID-19 disease, the relaxation techniques can be used as cost-effective and non-pharmacological approaches to build more emotional stability.

Effectiveness of Cognitive Behavioral Therapy and Muscle Relaxation on Fasting Blood Sugar Levels among Type 2 Diabetes Mellitus: A Systematic Review

Diabetes mellitus type 2 is a metabolic disease in the form of a collection of symptoms due to an increase in blood sugar. Interventions cognitive behavioral therapy and muscle relaxation focused on reducing fasting blood sugar levels shown to affect the management of diabetes mellitus. This literature study aimed to evaluate cognitive-behavioral therapy's effectiveness and muscle relaxation on fasting blood sugar levels in people with type 2 diabetes. This search systematic review was conducted with PRISMA using the electronic database method Science Direct, Proquest, PubMed, Scopus, Springer Link. The research study criteria used a randomized control trial, quasi-experimental, experimental, meta-analysis review published in 2015-2020. Based on 27 literature studies that found muscle relaxation intervention effectively controlling glycemic and lowering blood sugar levels. The study results were significant in muscle relaxation, improving blood sugar levels, and found multiple outcomes such as anxiety, depression, and quality of life. Cognitive-behavioral therapy and muscle relaxation can be applied to control and reduce blood sugar levels and improve the quality of life of people with type 2 diabetes mellitus

Hoping to Pass: Randomized Trial of a One-Time Hope Intervention on Standardized Exam Passing Rates in BSN Students.

BACKGROUND: National standardized nursing exams serve as critical measures of student readiness for practice and carry significant consequences for students and academic institutions. Educational interventions that can enhance a student's performance increase the probability of academic success. Previous studies link hope to grade point average in college students and on standardized exam (SE) scores in nursing students, yet it is not clear if hope can be increased utilizing a one-time intervention in ways that produce lasting benefits for passing SEs. AIMS: Aim 1 tested the efficacy of a one-time hope intervention on increasing SE passing rates among BSN nursing students. Aim 2 examined the role of the interventions, selected state-mechanism variables, and trait characteristics in predicting SE passing. METHOD: This comparative-effectiveness trial utilized a randomized, controlled, multiple-cohort experimental design to compare a one-time 90-minute hope intervention to an attention-matched progressive muscle relaxation intervention on SE passing scores among BSN nursing students. RESULTS: Levels of hope briefly increased following the hope intervention. Both interventions demonstrated short-term improvement in state-level psychosocial indicators but did not affect SE scores. Among trait and mechanism factors, only academic self-efficacy was linked with passing SEs. CONCLUSIONS: This study demonstrated that a single-session hope intervention can increase short-term hope. In this sample of 292 BSN students, there was no statistically significant long-term effect on passing SEs; however, this study may lay the groundwork for future interventions investigating booster sessions, or how to modify the intervention for struggling students.

A Pilot Randomized Controlled Study of a Smartphone Delivered Progressive Muscle Relaxation Intervention for Migraine in Primary Care (623)

A Pilot Randomized Controlled Study of a Smartphone Delivered Progressive Muscle Relaxation Intervention for Migraine in Primary Care (623)

Pengaruh Terapi Relaksasi Otot Progresif terhadap Respon Fisiologis Pasien Hipertensi

Hypertension is one type of non-communicable disease, which is increasing every year. Hypertension is a condition where systolic blood pressure ≥140 mmHg and/ or diastolic blood pressure ≥90 mmHg. Today the treatment of disease including hypertension has been widely modified between pharmacological therapy and non-pharmacological therapy. One of the non-pharmacological therapies currently used is relaxation therapy in a deep breath and progressive muscle relaxation. This study was to determine the effect of progressive muscle relaxation therapy on the physiological response of hypertensive patients at Cipayung Health Center, East Jakarta. The research design used was a quasi-experimental pre-test post-test with control group design. The number of research samples was 37 respondents in the intervention group and 37 respondents for the control group. The results showed that there was a difference in diastolic blood pressure between the intervention group and the control group after progressive muscle relaxation intervention (p-value=0,000).

Cognitive and Progressive Muscle Relaxation Intervention on Couple Undergoing IVF-ET

Cognitive and Progressive Muscle Relaxation Intervention on Couple Undergoing IVF-ET