Non-pharmacological Therapies Research Articles

The Effectiveness of Familiar Auditory Sensory Training (FAST) in Increasing Consciousness Levels among Stroke Patients

Stroke is a leading cause of death worldwide, along with myocardial infarction and cancer. Stroke often results in loss of consciousness and neurological deficits that affect sensory perception. To support recovery, non-pharmacological therapies like auditory sensory stimulation are crucial. Familiar Auditory Sensory Training (FAST) is one such intervention. This study assessed the effectiveness of FAST in improving consciousness levels in stroke patients using a one-group pretest-posttest design. It involved 35 stroke patients aged 35-75, who were selected through purposive sampling and underwent three FAST sessions. Consciousness levels were measured using the Glasgow Coma Scale (GCS) before and after the intervention. Data analysis with the Wilcoxon rank test at α=0.05 revealed a significant increase in consciousness from a mean of 6.77 to 10.83 post-intervention (p=0.001), demonstrating FAST's effectiveness in enhancing consciousness in ICU stroke patients.

Effect of Taichi Exercise on Blood Pressure in a Family with Hypertension in Banjarsengon Village: A Case Study

Hypertension is a critical global health issue that affects quality of life and increases the risk of cardiovascular disease. The purpose of this case study is to assess the efficacy of Taichi exercise as a nonpharmacological therapy for decreasing blood pressure in the family with hypertension. Mrs. H, a 49-year-old single mother with a history of hypertension lived in Banjarsengon Village, Jember. The Taichi exercise intervention was performed twice a week for three weeks. Following six sessions of Taichi exercise, total systolic blood pressure decreased by 10 mmHg and diastolic by 6 mmHg. Family empowerment through the participation of Mrs. H's children in supporting the implementation of Taichi exercise is key in this therapeutic approach. The results of this study suggest that Taichi exercise has potential as a safe and effective alternative therapy for the management of hypertension. In order for the hypertension management program in families to have maximum impact, it is very necessary to increase family empowerment through health workers in community health centers who are monitored periodically.

Advancements in Pharmacological Interventions and Novel Therapeutic Approaches for Amyotrophic Lateral Sclerosis.

(1) Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease in which the patient suffers from an affection of both upper and lower motor neurons at the spinal and brainstem level, causing a progressive paralysis that leads to the patient's demise. Gender is also considered a predisposing risk factor for developing the disease. A brief review of the pathophysiological mechanisms of the disease is also described in this work. Despite the fact that a cure for ALS is currently unknown, there exists a variety of pharmacological and non-pharmacological therapies that can help reduce the progression of the disease over a certain period of time and alleviate symptoms. (2) We aim to analyze these pharmacological and non-pharmacological therapies through a systematic review. A comprehensive, multidisciplinary approach to treatment is necessary. (3) Drugs such as riluzole, edaravone, and sodium phenylbutyrate, among others, have been investigated. Additionally, it is important to stay updated on research on new drugs, such as masitinib, from which very good results have been obtained. (4) Therapies aimed at psychological support, speech and language, and physical therapy for the patient are also available, which increase the quality of life of the patients.

Biomarkers and Novel Therapies of Diabetic Neuropathy: An Updated Review.

Diabetic neuropathy is a persistent consequence of the biochemical condition known as diabetes mellitus. As of now, the identification and management of diabetic neuropathy continue to be problematic due to problems related to the safety and efficacy of existing therapies. This study examines biomarkers, molecular and cellular events associated with the advancement of diabetic neuropathy, as well as the existing pharmacological and non-pharmacological treatments employed. Furthermore, a holistic and mechanism-centric drug repurposing approach, antioxidant therapy, Gene and Cell therapies, Capsaicin and other spinal cord stimulators and lifestyle interventions are pursued for the identification, treatment and management of diabetic neuropathy. An extensive literature survey was done on databases like PubMed, Elsevier, Science Direct and Springer using the keywords "Diabetic Neuropathy", "Biomarkers", "Cellular and Molecular Mechanisms", and "Novel Therapeutic Targets".Thus, we may conclude that non-pharmacological therapies along with palliative treatment, may prove to be crucial in halting the onset of neuropathic symptoms and in lessening those symptoms once they have occurred.

Time to revisit the enigma of mastalgia management

Mastalgia (breast pain) also known as mastodynia, is one of the most common causes of breast issues for which a female visits a medical practitioner. It is divided into cyclical mastalgia, which is associated with menstruation, or can be noncyclical mastalgia which can present premenopausal or postmenopausal. The incidence of breast cancer associated with mastalgia is extremely low and reassurance plays a major role in the treatment of patients. Hormonal changes have been associated with the pathogenesis of cyclical mastalgia. Outdated treatment modalities are still being followed even though newer and more effective treatment options have been established. Objective assessment of breast pain should be done with the visual analog scale. Non-pharmacological therapy should be encouraged in every patient of mastalgia such as counseling and reassurance, sports bra, yoga, and relaxation therapy. Tamoxifen and ormeloxifene are now the drug of choice in severe mastalgia and care should be taken to counsel the patients about use and common and detrimental side effects. The available treatment modalities and their directions to use are discussed in this review.

Strategies for Managing Pediatric Fracture Pain: Assessment, Pharmacological, and Non-Pharmacological Interventions.

Fractures are prevalent among the pediatric population, with approximately 1 in 3 children experiencing at least 1 fracture during childhood. Children are not just little adults; they have unique needs in pain management. With a lack of knowledge in pediatric pain management, medical staff primarily focus on the fractures, often overlooking and inadequately addressing pain. There is a scarcity of literature on acute fracture pain for children, while a wealth of literature summarizes chronic and tumor-related pain in children, which is not suitable for addressing pain caused by fractures. Therefore, a pain management literature review grounded in clinical experience is essential to provide guidance to doctors and parents on safely and effectively reducing the pain associated with children's fractures. We conducted a thorough review of existing literature and summarized treatment experiences into the 3 areas of pain assessment, non-pharmacological treatments, and pharmacological treatments. First, we evaluated and analyzed existing pain assessment methods, identifying the most suitable tools for different age groups. Second, we explored non-pharmacological treatments suitable for children with fractures to alleviate mild to moderate pain and reduce the need for analgesics. Lastly, we reviewed pharmacological treatments. For moderate pain, we recommend administering non-steroidal anti-inflammatory drugs. For severe pain, we suggest opioid medications, providing detailed information on usage and contraindications for different age groups. Therefore, this article aimed to review the evaluation and management of pain in children with bone fracture, and covers aspects of pediatric pain characteristics, pain assessment tools, pharmacological therapy, and non-pharmacologic therapy.

The Effect of Warm Compress on the Intensity of Back Pain in Pregnant Women in the Third Trimester: Scoping Review

Background: Pregnancy is a natural process. During pregnancy, a mother experiences discomfort, one of which is back pain, there are several treatments to treat back pain, namely pharmacological and non-pharmacological therapies. One of the nonpharmacological therapies that can be done is with warm compresses because it is safer, cheaper, effective, cheap and without adverse effects.Purpose : This article aims to identify literature related to the effect of warm compresses on the intensity of back pain in pregnant women in the third trimester.Methods: The method used is scoping review which consists of 5 phases, namely identifying scoping review questions using the PICO framework; identifying relevant articles; searching for articles using relevant databases, namely PubMed, Wiley, and Google Scholar; creating PRISMA flowcharts; conducting critical appraisals to assess the quality of articles; charting data; compiling, summarizing and reporting results.Results: The results of the review of 15 selected articles obtained 8 articles with grade A, 7 articles grade B, 11 articles using quasi experiment, and 4 articles pre experiment. Two themes that emerged based on the results of the Scoping Review are the concept of back pain, and the concept of warm compresses.Conclusion: Warm compresses are effective in reducing back pain in pregnant women in the third trimester, so they can be recommended as complementary therapy to reduce the intensity of back pain.

Original Research The Effect of Yoga or Nonpharmacotherapy on Dysmenorrhore in Medical Students of Andalas University, Indonesia

Background: Dysmenorrhea is a menstrual pain that is often experienced by young women, with a global prevalence of 16.8-81%. In Indonesia, the prevalence reaches 54.89%, with adolescent girls being the largest group. Treatment generally uses analgesics, but it has side effects. Yoga as a non-pharmacological therapy can reduce pain through muscle relaxation. Purpose: Analyzing the effect of yoga therapy on the intensity of the degree of dysmenorrhea in female students of the Class of 2018 Undergraduate Medical Education Study Program, Faculty of Medicine, Andalas University. Methods: This research uses a pure experimental design with a pre-test, post-test, and only group design, with a sample size of 32 people. The research instrument used in the study was a pre-test and post-test questionnaire, which contained VAS scores and guidelines regarding yoga movements. The questionnaire contains a Visual Analog Scale (VAS), which consists of a vertical scale from 0 to 10 cm. Results: The results showed there were no differences related to age. As many as 18% of respondents usually took analgesics, while 81.3% did not take analgesics to treat dysmenorrhea before yoga therapy. Meanwhile, after yoga therapy, 5 out of 6 respondents who usually consumed analgesics in previous menstrual cycles no longer consumed analgesics, and one respondent still consumed analgesics. Bivariate analysis showed a value of p=0.00 (p<0.05), which means there is a relationship between the provision of yoga therapy and the degree of dysmenorrhea. Where providing yoga therapy can reduce the intensity of pain in respondents who experience dysmenorrhea. Conclusion: This research concludes that there is a significant relationship between the provision of yoga therapy and the degree of dysmenorrhea.

Comparative efficacy of non-pharmacological interventions for anxiety in adult intensive care unit patients: A systematic review and network meta-analysis.

The primary goal of the intensive care unit is to the anxiety of conscious patients is often ignored in the care unit. The purpose of this study was to assess the efficacy of various non-pharmacological therapies for anxiety disorders in adult patients in the intensive care unit, in order to enhance humanistic care in the intensive care unit and to promote the patients' physical and mental recovery together. We conducted a systematic and comprehensive search of the literature in five databases (including the Cochrane Library, PubMed, EBSCO, Web of Science, and Embase) covering nearly a decade for randomized controlled trials of non-pharmacological therapies to reduce anxiety in adult intensive care unit patients. Two researchers independently assessed the quality of the literature, collected and condensed the data, and used STATA software to perform a network meta-analysis. The ranking probabilities for each intervention were calculated using the Surface under the Cumulative Ranking (SUCRA) method. The study protocol was registered with PROSPERO. This study ultimately included 26 randomized controlled trials involving 2791 adult ICU patients. Non-pharmacological interventions for anxiety in adult ICU patients included music therapy, aromatherapy, ICU diary, virtual reality, massage therapy, monitoring room diary, and health education. when compared to the control group (usual care), aromatherapy + music therapy [MD = -2.65, 95% CI (-4.76, -0.54)] (P = 0.0137) and music therapy [MD = -1.77, 95% CI (-3.40, -0.13)] (P = 0.0338) were superior in reducing anxiety in adult ICU patients. The results of the network meta-analysis showed that aromatherapy combined with music therapy significantly alleviated anxiety in adult ICU patients (SUCRA: 99.8%). Music therapy combined with aromatherapy has demonstrated superior effectiveness compared to other non-pharmacological interventions for reducing anxiety in awake adults in the ICU. However, the underlying mechanisms of this combined therapy require further exploration. Future research on the use of music therapy combined with aromatherapy in the care unit may help reduce anxiety in patients while fostering their physical and mental healing; however, individual variances and unique clinical circumstances must be considered.

Management of Knee Osteoarthritis (KOA) with Integrative Therapy: A Case Report

Knee osteoarthritis (KOA) is a serious public health concern and is described as a disorder characterised by degradation of articular cartilage, bone remodeling and inflammation, leading to pain, stiffness and functional impairment, primarily affecting weight bearing joints and hands. KOA affects more than 650 million individuals worldwide and is a leading cause of disability. In India, 28.7% of adults ≥ 40 years of age and 45.5% of adults ≥ 60 years of age have KOA. The annual incidence rate of KOA in India is 2.4%. The management of KOA involves a comprehensive approach, including non-pharmacological management, pharmacological management, surgical management, alternative therapies and lifestyle changes. By combining these management strategies, individuals with KOA can effectively reduce pain, improve function, and enhance their quality of life. We present the case of a 55-year-old female patient with bilateral KOA, who presented to Department of Regimenal therapies, National Institute of Unani Medicine, Bengaluru. The patient had taken NSAIDs and other measures intermittently for pain management from last 3 years. The symptoms have worsened from last 2 months despite taking medicines. The patient was assessed and examined clinically prior to intervention. The patient underwent treatment for 30 days with integrative therapy comprising of pharmacotherapy coupled with regimenal therapy. Prior and post intervention, the patient was assessed using multiple objective parameters. The patient reported amelioration of symptoms, which was also reflected by assessment parameters post intervention. The study found that integrative approach can be effective treatment for KOA. Keywords: KOA, Integrative therapy, NSAIDs, Regimenal therapy.

Effectiveness of Acupressure Therapy in Reducing Blood Pressure Hypertension sufferers

Hypertension is a disease that causes complications in sufferers, thereby reducing the sufferer's quality of life. Increased blood pressure in hypertension sufferers can be controlled with pharmacological and non-pharmacological therapy, one of which is using acupressure therapy. This study aims to determine the effectiveness of providing acupressure therapy in reducing blood pressure for hypertension sufferers in the Bukit Raya Village Sub-district Health Center Work Area, East Lampung. This research design is quantitative analytical with a Quasi-Experimental approach using a one group pretest and posttest design. The results of the research conducted showed that the average systolic blood pressure before acupuncture therapy was 168 with a standard deviation of 26.943. After therapy the average blood pressure value decreased to 122 with a standard deviation of 3.535. Meanwhile, the average diastolic blood pressure before acupressure therapy was 103 with a standard deviation of 11.18. After therapy the average blood pressure value decreased to 71 with a standard deviation of 2.204. Seeing the effectiveness of acupressure therapy in lowering blood pressure in hypertensive patients, this therapy can be applied as a non-pharmacological treatment for patients who experience high blood pressure. Keywords: Acupressure, blood pressure, hypertension

Targeting NETosis in Acute Brain Injury: A Systematic Review of Preclinical and Clinical Evidence.

Acute brain injury (ABI) remains one of the leading causes of death and disability world-wide. Its treatment is challenging due to the heterogeneity of the mechanisms involved and the variability among individuals. This systematic review aims at evaluating the impact of anti-histone treatments on outcomes in ABI patients and experimental animals and defining the trend of nucleosome levels in biological samples post injury. We performed a search in Pubmed/Medline and Embase databases for randomized controlled trials and cohort studies involving humans or experimental settings with various causes of ABI. We formulated the search using the PICO method, considering ABI patients or animal models as population (P), comparing pharmacological and non-pharmacological therapy targeting the nucleosome as Intervention (I) to standard of care or no treatment as Control (C). The outcome (O) was mortality or functional outcome in experimental animals and patients affected by ABI undergoing anti-NET treatments. We identified 28 studies from 1246 articles, of which 7 were experimental studies and 21 were human clinical studies. Among these studies, only four assessed the effect of anti-NET therapy on circulating markers. Three of them were preclinical and reported better outcome in the interventional arm compared to the control arm. All the studies observed a significant reduction in circulating NET-derived products. NETosis could be a target for new treatments. Monitoring NET markers in blood and cerebrospinal fluid might predict mortality and long-term outcomes. However, longitudinal studies and randomized controlled trials are warranted to fully evaluate their potential, as current evidence is limited.

Investigation on cognition for insomnia and preference for acupuncture in breast cancer survivors: a in-depth interview study

To understand the cognition for insomnia and preference for acupuncture in breast cancer survivors based on the in-depth interview. Thirty breast cancer survivors with insomnia symptoms were collected for in-depth interview. The interview questions included three aspects, i.e. sleep expectation, cognition for insomnia (discomfort caused by insomnia, and underlying inducing factors of insomnia) and the preference for acupuncture (treatment methods used in the past, the reasons for not choosing acupuncture, and the tendency of acupuncture treatment). Using Colaizzi content analysis method, the data was analyzed. Regarding sleep expectation, most breast cancer survivors with insomnia symptoms were able to maintain normal activity in daytime. Insomnia symptoms often led to fatigue, and the inducing factors of insomnia referred to the treatment with endocrine therapy, anticipatory anxiety and inadequate sleep hygiene. All of the patients had received pharmacotherapy. The use proportion of non-pharmacological therapies was relatively low, and acupuncture was not chosen due to "not familiar with" and "fear of pain". Concerning to the preference for acupuncture, patients preferred the therapeutic methods of acupuncture with mild pain sensation and gentle stimulation; and the treatment should be more acceptable if delivered 2 or 3 times a week. Breast cancer survivors have the expectations for sleep, and are willing to receive the treatment with medication for their sleep disorders. Because of lack of the knowledge for acupuncture effect on insomnia and fear of strong needling sensation, a part of patients are unwilling to be treated with acupuncture therapy, but they are expected to receive the treatment with acupuncture while feeling more comfortable.

Edukasi Penanganan Nonfarmakologi Nyeri Otot Kronis

Chronic pain can result from various clinical conditions and may persist for more than three months. The symptoms can range from mild to severe. While chronic pain can be associated with various diseases, its exact cause sometimes remains unclear. In 2019, data from the National Health Interview Survey in the United States indicated that approximately 1 in 5 adults experienced chronic pain, with over 7% frequently limiting their activities due to this condition. However, there is no comparable data available for Indonesia. Chronic pain restricts activities and can decrease a person’s quality of life. Various options are available for pain management, one of which is non-pharmacological therapy, including hot-cold compresses, massage and stretching techniques, music therapy, and aromatherapy. These therapies aim to improve bodily function, regulate emotions, reduce weakness, stress, and anxiety, and decrease the need for pain medication. Gout is among the most common causes of chronic pain, with a prevalence of 3.9% in the US, 2.5% in Europe, and 7.3% in Indonesia, according to Riskesdas (2018). Based on this, local citizens were provided with education about pain management. This community service activity involved educating citizens on non-pharmacological treatments for chronic pain management and offering health services to residents of Angke. The purpose was to increase knowledge about non-pharmacological treatments for managing chronic pain. This activity was conducted on April 27th, 2024, from 07.00 to 12.00 at the Dhammasavana School in the Angke sub-district area, West Jakarta. The activities proceeded smoothly and in an orderly manner. A comparison of citizens’ knowledge before and after the education revealed a 58.18% increase in knowledge, contributing to improved welfare among the local residents.

Pengaruh Prenatal Yoga terhadap Penurunan Nyeri Punggung pada Ibu Hamil Trimester III di PMB Usmalanah Bandar Lampung Tahun 2024

Based on data in the United States, Europe and several regions of Africa, back pain affects 30% to 78% of pregnant women.Pre-survey results conducted at PMB UsmalanahdatIn the April 2024 period, the number of TM III pregnant women was 37 people. Of the 10 third trimester pregnant women through interviews, 7 (70%) had back pain and 3 (30%) had no back pain.This type of quantitative research with an experimental design.The population of third trimester pregnant women who complained of back pain at PMB Usmalanah was 34 respondents. The sample size in this study was the entire population. Independent variable: prenatal yoga and dependent variable: back pain. The sampling technique used ispurposive sampling technique.Data were collected using the NRS pain scale observation sheet. Data were analyzed univariately and bivariately, the test used was the dependent T-test.The results of the study showed: the average back pain score before prenatal yoga was 4.76 (in the moderate pain category), the average back pain score after prenatal yoga was 2.55 (in the mild pain category). Based on the results of the Wilcoxon Signed Test calculation, the z value obtained is – 5.143 with a p value of 0.000. The conclusion of this research is that there is an effect of Prenatal Yoga on reducing back pain in TM III pregnant women at PMB Usmalanah Bandar Lampung. Advice for pregnant womenIt is hoped that non-pharmacological therapy will be preferred to reduce back pain. Because not all medicines can be consumed by pregnant women.

Penerapan Kompres Hangat Terhadap Skala Nyeri Dismenore pada Remaja Putri di Desa Tanjung Sukoharjo

Dysmenorrhea is menstrual pain in the lower abdomen that radiates to the waist and is accompanied by a headache that lasts for seven days due to increased production of prostaglandins and their release from the endometrium during menstruation. The prevalence of adolescent girls in Indonesia who experience dysmenorrhea is 64.25% which consists of primary dysmenorrhea 54.89% and secondary dysmenorrhea 9.36%. Warm compress is one of the non-pharmacological therapies that can be used to reduce dysmenorrhea pain. Describe the results of the comparison of the dysmenorrhea pain scale before and after warm compresses. This application uses a descriptive case study method on 2 respondents with dysmenorrhea pain. Performed once a day for 2 days with a time of 30 minutes. The instruments used in this application are (Warm Water Zak) WWZ, thermometer, hot water and measurement using (Numeric Ratting Scale) NRS. There was a decrease in dysmenorrhea pain in both respondents after being given a warm compress on Ms. A from a scale of 6 to 2 and on a Numeric Ratting Scale. A from scale 6 to 2 and on Ms. I from scale 5 to 3. I from scale 5 to 3. Conclusion: The application of warm compress therapy can reduce the dysmenorrhea pain scale in both respondents.

The effect of virtual reality distraction on haemodialysis patients’ pain and anxiety during arteriovenous fistula puncture: a randomised controlled trial

Background: Pain and anxiety during arteriovenous fistula (AVF) puncture are crucial factors affecting haemodialysis (HD) patients’ quality of life. Aim: The aim of this study is to assess the effect of virtual reality (VR) distraction on pain, anxiety, satisfaction and haemodynamics during AVF puncture. Methods: This randomised controlled trial study was conducted in a Haemodialysis unit at Mansoura University Hospital. Ninety-six patients were randomly divided into the intervention ( n = 48) and control ( n = 48) groups. Six minutes prior to the puncture, patients in the intervention group used VR glasses to experience a 360° ‘Relax River VR tour’, whereas patients in the control group received no intervention. Results: Following the intervention, pain, anxiety, systolic blood pressure and heart rate were significantly lower, and satisfaction scores were significantly higher in the intervention group than in the control group ( p < 0.05). Conclusion: VR distraction may help alleviate pain, anxiety and increase satisfaction. It may be considered a safe and cost-effective non-pharmacological therapy for HD patients undergoing AVF puncture.

Penerapan Abdominal Stretching Exercise Untuk Mengurangi Dismenore Pada Mahasiswi DIII Keperawatan Universitas ‘Aisyiyah Surakarta

Background: Dysmenorrhea is still experienced by many women, menstrual pain appears for several days during menstruation. Dysmenorrhea or menstrual pain can have an impact on teenagers' daily activities. The prevalence of dysmenorrhea in Surakarta is 89.8%. Efforts to reduce dysmenorrhea can be done in two ways, namely pharmacological and non-pharmacological. One non-pharmacological therapy that can be done is abdominal stretching exercise. Objective: To describe the results of applying the Abdominal Stretching Exercise to reduce dysmenorrhea pain in DIII Nursing students at 'Aisyiyah University, Surakarta. Method: This application uses the case study method. This method focuses more on the actions or behavior produced, in this method the variable measured is the level of pain in adolescents with dysmenorrhea who have been given intervention for 3 days. Results: After carrying out the Abdominal Stretching Exercise on two respondents who experienced dysmenorrhea for three consecutive days, it showed a change in pain level, Ms. K's pain scale decreased by 2 and Ms. N's pain scale decreased by 3. Conclusion: The application of Abdominal Stretching Exercise can reduce the level of dysmenorrhea pain in DIII Nursing students at 'Aisyiyah University, Surakarta.

Healthy Lifestyle and Cardiac Rehabilitation for Weight Loss.

Considerable current interest is directed at pharmacological agents for producing significant weight loss. However, healthy lifestyle choices can also lead to clinically meaningful weight loss and improvements in cardiovascular disease (CVD) risk factors. In this review, we summarize the recent research from our PROmoting Successful Weight Loss in Primary CarE in Louisiana (PROPEL) randomized controlled trial and review previous data on the potential benefits of cardiac rehabilitation and exercise training (CRET) programs to produce weight loss and improvements in CVD risk factors. Although obesity medications are becoming extremely attractive for secondary and even primary CVD prevention, high-intensity non-pharmacological therapies with healthy lifestyle choices reviewed herein can also lead to substantial health improvements in patients with obesity, including improvements in body weight and other body composition parameters as well as overall CVD risk.

Penerapan Hidroterapi Dalam Upaya Menurunkan Tekanan Darah Penderita Hipertensi di Desa Mipitan Kelurahan Mojosongo

Background: A person who is said to be hypertensive is a condition of someone who experiences an increase in high blood pressure that reaches a systolic number of more than 140 mmHg and a diastolic number of more than 90 mmHg. The prevalence of hypertension cases in the Surakarta City Health Office found an increase in the incidence of hypertension in 2023 reaching 67,355 cases. One of the Non-Pharmacological therapies that can be used is hydrotherapy. Purpose: This application describes a comparison of blood pressure developments before and after the application of hydrotherapy. Method: This application uses a case study of 2 respondents carried out for 6 consecutive days within a week with a therapy duration of 30 minutes at a temperature of 40 ° C. Results: The application of hydrotherapy to both respondents obtained the results of a comparison of developments before and after therapy in Mrs. S systolic blood pressure 20 MmHg diastolic 10 MmHg and in Mrs. M systolic blood pressure 22 MmHg diastolic 10 MmHg. Conclusion: The results of the study can be concluded that there is an effect of hydrotherapy on systolic and diastolic blood pressure in both respondents.