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Turn It Off – Relaxation Training
Published in Melissa G. Hunt, Aaron T. Beck, Reclaim Your Life From IBS, 2022
Melissa G. Hunt, Aaron T. Beck
Progressive muscle relaxation involves systematically tensing and relaxing the major muscle groups of the body. It may sound a little crazy to tense your muscles if you’re trying to relax, but we’re counting on the fact that tensing your muscles for about ten seconds actually leads to muscle fatigue. When you stop tensing the muscle, it will not only relax, it will actually get more relaxed than it normally is, because the muscle fibers are tired. This should leave the muscle feeling quite lax, but also warm and vital.
Intensive Care Management of Major Trauma
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
By categorizing patients into distinct clinical groups (mild, moderate and severe), it is hoped in the longer term to provide treatment options which optimize potential responses to therapy such as muscle relaxation. This is an evolving area and will be subject to change and modification. In severe ARDS, when oxygenation is the predominant problem, the patient may need to be fully sedated and paralysed and transient periods of hypoxia tolerated, especially if associated with a ‘de-recruiting’ procedure such as endobronchial suction. In extreme cases, prone ventilation, nebulized prostacyclin or ventilation using a high-frequency oscillator may be beneficial, but trials of these novel techniques have been equivocal when long-term outcome and death are the end-points, despite clinical improvements in oxygenation at the bedside.
Psychological Rehabilitation of COVID-19
Published in Wenguang Xia, Xiaolin Huang, Rehabilitation from COVID-19, 2021
It includes the following methods: Muscle relaxation training: The most commonly used is progressive muscle relaxation training. The rehabilitative subjects can feel the difference when their muscles are tense first and then relaxed. Instruct patients to clench their fists, then tense their arms, shoulders, chest, abdomen, buttocks, and legs, etc., then relax at each step. Finally, the whole body is relaxed by gradually relaxing each muscle group.Breath control training and abdominal breathing: Inhale through the nose, and exhale through the nose (mouth), and use the abdomen to breathe. Drop the shoulders naturally, slowly close eyes, place one hand on the abdomen and the other on the chest. The expiration time is twice the inhalation time. Experience the feeling of inhaling deeply and exhaling slowly.Imagine relaxation: Imagine the most comfortable, coziest, and most relaxing situation, usually at the sea.Other therapies include meditation, self-hypnosis, relaxation assisted by biofeedback, etc.
Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
Published in Libyan Journal of Medicine, 2023
Fatma Guezguez, Mohamed Romdhani, Amine Boutaleb-Joutei, Karim Chamari, Helmi Ben Saad
Relaxation aims at reducing somatic and cognitive hyperarousal states, which interfere with sleep [14,16,46]. The relaxation techniques include abdominal breathing, guided imagery, meditation, and progressive muscle relaxation [16]. The latter has proven its effectiveness in patients with acute COVID-19 [47]. Yet, the optimal relaxation method for insomnia remains the one that is the easiest to learn and the most acceptable for patients [46]. Progressive muscle relaxation involves methodological tensing and relaxing different muscle groups to learn how to distinguish between the sensation of muscle tension and relaxation [14,16]. Specific techniques can be delivered via live instruction, audio form, video, or immersive video forms [48]. Thus, the instructions include i) forcing tension with a group of muscles and concentrating on the feeling of tension; and ii) trying to hold the feeling of tension for seconds, and then relax. LC19Ps should experience the sensation of muscle relaxation resulting from the very recent relaxation exercise. They are recommended to move to another muscle group, once the previous group is relaxed.
A qualitative examination of the usability of a digital cognitive behavioral therapy for insomnia program after stroke
Published in Brain Injury, 2022
Tom Smejka, Alasdair L Henry, Catherine Wheatley, Colin A Espie, Heidi Johansen-Berg, Melanie K Fleming
We were pleased to find no clear physical issues associated with operating the program for participants with one-sided arm weakness. However, advice to leave the bed when unable to sleep was considered unsafe for participants with reduced mobility. This has also been noted for in-person CBT-I in this population as well as in people with traumatic brain injury (10,11). This could be adapted by advising users to sit on the edge of a bed, if leaving the room is not feasible, or using relaxation techniques such as those implemented in the study by Herron et al. (11). This may still help to break the bed-insomnia association. Similarly, it was noted that progressive muscle relaxation was deemed to be unsuitable for people with high tone (a common complication associated with motor deficits). It is worth mentioning that all participants are provided information on progressive muscle relaxation, however, following this “the Prof” instructs anyone who experiences muscular or joint problems to use autogentic relaxation instead. Progressive muscle relaxation could therefore be avoided if needed.
Clinical Hypnosis as an Adjunct to Cognitive Behavior Therapy: An Updated Meta-Analysis
Published in International Journal of Clinical and Experimental Hypnosis, 2021
Nicolino Ramondo, Gilles E. Gignac, Carmela F. Pestell, Susan M. Byrne
A final limitation of this meta-analysis concerns the reliance on selecting treatment studies based on broad, umbrella terms – behavioral, cognitive, and hypnotic. Such broad categories, at best, only identify a type or class of treatment. Even subtle differences within a type of treatment, however, can lead to different treatment effects. For example, two studies may be classed as behavioral because they used relaxation. However, there is some evidence to suggest that not only is there a differential effect across various methods of relaxation (e.g., Eppley et al., 1989), but even when the same form of progressive muscle relaxation is presented in different ways to two treatment groups, this itself can produce different outcomes (see Goldfried, 1977). There was no attempt to control for treatment equivalence in the delivery of CBT or hypnosis either within or across studies in our sample.