Effect of Slow Deep Breathing on Muscle Pain Reduction among Adults with Myalgia: A Quasi-Experimental Study
DOI:
https://doi.org/10.55018/janh.v8i1.540Keywords:
Breathing Exercises, Muscle Pain, Myalgia, Nonpharmacological Therapy, Nursing InterventionAbstract
Background: Relaxation techniques and slow deep breathing are known to activate the parasympathetic nervous system, making them an integral non-pharmacological intervention for musculoskeletal pain management. However, evidence regarding the effectiveness of slow deep breathing interventions in reducing muscle pain in adults with myalgia, particularly in primary care settings, is limited. This study aimed to examine the effect of slow deep breathing on reducing muscle pain in adults with myalgia.
Methods: This study used a quasi-experimental pre-test-post-test control group design following TREND guidelines. Total sampling was used to recruit 36 myalgia patients at the Peneleh Community Health Center, Surabaya, who were divided into an intervention group (n = 18) and a control group (n = 18). Participants aged 17–65 years with pain intensity ≥3 on the Numeric Rating Scale (NRS) were included. The intervention group received slow deep breathing exercises for 15 minutes twice daily for five days, while the control group received standard care. Muscle pain intensity measured using the NRS was the outcome variable. Data were analyzed using the Wilcoxon Signed Rank Test due to non-normal distribution and the Mann–Whitney U test, with p < 0.05 considered statistically significant.
Results: Muscle pain intensity in the intervention group significantly decreased from 4.33 ± 0.84 to 2.50 ± 1.15, showing a mean reduction of 1.83 points (Wilcoxon Signed Rank Test, p < 0.001). The control group showed no significant change (from 4.22 ± 0.81 to 4.00 ± 0.80; mean reduction = 0.22; p = 0.102). Posttest comparison demonstrated significantly lower pain intensity in the intervention group than in the control group (mean rank 24.67 vs 12.33; Mann–Whitney U = 51.0, p < 0.001).
Conclusion: Slow deep breathing for five days significantly reduced muscle pain intensity in patients with myalgia compared to standard care, suggesting it is an effective non-pharmacological intervention for pain management in primary care settings.
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References
Abdullah, R., Thalib, A. H. S., & Nurhalisa, S. (2023). Terapi Slow Deep Breathing Terhadap Penurunan Nyeri Pada Pasien Cedera Kepala. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 104–110.
Arovah, N. I. (2021). Olahraga Terapi Rehabilitasi Pada Gangguan Musculoskeletal. UNY Press. https://books.google.co.id/books?id=Wx9nEAAAQBAJ&printsec=frontcover&hl=id&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
Cahyani, T. D., Nursalam, N., Sudarmaji, W. P., & Priyantin, D. (2022). Teknik relaksasi napas dalam kombinasi guided imagery berbasis teori comfort dapat menurunkan intensitas nyeri pasien pasca bedah SC. Journal of Telenursing (JOTING), 4. https://doi.org/https://doi.org/10.31539/joting.v4i2.4810
Delyka, M., Carolina, M., & Evie. (2022). Pengaruh Teknik Slow Deep Breathing Terhadap Penurunan Intensitas Nyeri Pada Pasien Post Sectio Caesarea Di Ruang Cempaka Rsud Dr. Doris Sylvanus Palangka Raya. Jurnal Surya Medika, 8.
Gholamrezaei, A., Diest, I. Van, Aziz, Q., Pauwels, A., Tack, J., Vlaeyen, J. W. S., & Oudenhove, L. Van. (2021). Effect of slow, deep breathing on visceral pain perception and its underlying psychophysiological mechanisms. Neurogastroenterology & Motility, 34. https://doi.org/10.1111/nmo.14242
Haynes, A. B., Haukoos, J. S., & Dimick, J. B. (n.d.). TREND Reporting Guidelines for Nonrandomized/Quasi-Experimental Study Designs. JAMA Surgery, 9, 156. https://doi.org/DOI:10.1001/jamasurg.2021.0552
Joseph, A. E., Moman, R. N., Barman, R. A., Kleppel, D. J., Eberhart, N. D., Gerberi, D. J., Murad, M. H., & Hooten, W. M. (2022). Effects of Slow Deep Breathing on Acute Clinical Pain in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Evidence-Based Integrative Medicine, 27, 1–10. https://doi.org/10.1177/2515690X221078006
Lehrer, P., & Gevirtz, R. (n.d.). Heart rate variability biofeedback: How and why does it work? https://doi.org/doi.org/10.3389/fpsyg.2014.00756
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. https://doi.org/doi.org/10.1126/science.150.3699.971
Musculoskeletal Health (2018). https://chatgpt.com/c/69523cf6-7498-8321-8290-2860c4de1ef8
Mustain, Wulandari, I. S., Yuniarti, T., & Irawan, A. (2023). Pengaruh Pernapasan Dalam Yang Lambat Terhadap Mengurangi Tekanan Darah Pada Orang Dewasa Dengan Hipertensi. 2019, 380–388.
Nahdliyyah, A. I., Ristiawati, R., & Hermawan, A. (2023). Active Stretching With Slow deep breathing Exercise pada Pembatik Menurunkan Keluhan Muskulosekeletal dan Peningkatan Produktivitas. Jurnal Fisioterapi Dan Rehabilitasi, 7(2), 184–190. https://doi.org/10.33660/jfrwhs.v7i2.275
Ravinder Jerath, Connor Beveridge, M. J. (2018). Physiology of Long Pranayamic Breathing: Neural Respiratory Elements May Provide a Mechanism That Explains How Slow Deep Breathing Shifts the Autonomic Nervous System. World Journal of Neuroscience, 8. https://doi.org/doi.org/10.1016/j.mehy.2006.02.042
RI., K. (2018). Kemenkes RI. Badan Penelitian dan Pengembangan Kesehtan.
Rini, R. A. pramesti. (2019). Efektifitas teknik relaksasi deep breathing and guided imagery untuk menurunkan intensitas nyeri pada Pasien pasca operasi fraktur. Jurnal Penelitian Kesehatan SUARA FORIKES, 10. https://doi.org/http://dx.doi.org/10.33846/sf10418
Saidi, & Septi Andrianti. (n.d.). Perbedaan tehnik relaksasi nafas dalam dan tehnik slow slow stroke back massage terhadap skala nyeri penderita low back pain di Puskesmas Lok Jaya. INJECTION : Nursing Journal.
Sumardiyono, S., Lowa, N. W., Azzam, A. M., Huda, K. N., & Nurfauziah, N. (2017). faktor faktpr yang berhubungan dengan Kejadian Myalgia pada Lansia Pasien Rawat Jalan. Jrst: Jurnal Riset Sains Dan Teknologi, 1(2), 59.
Wahyuningsih, Sutanta, & Afifah, V. A. (2020). Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pasien Pre Operasi Fraktur Femur. Media Ilmu Kesehatan, 8(3), 230–236. https://doi.org/10.30989/mik.v8i3.334
World Health Organization. (2018). Musculoskeletal conditions: Key Facts. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions.
Yulis Mitra Reformasika, Hendra, G. A., & Aditya, M. (2023). Evaluasi Kualitas Hidup Penderita Myalgia terhadap Penggunaan Analgesik di Puskesmas Pujon. Jurnal Farmasi Ma Chung: Sains, Teknologi, Dan Klinis Komunitas, 1((2)), 14–18. https://doi.org/10.33479/jfmc.v1i(2).7
Zaccaro, Piarulli, Laurino, Garbella, Menicucci, N. and G. (2018). Systematic Review on Psycho-Physiological Correlates of Slow Breathing. Front. Hum. Neurosci, 12. https://doi.org/doi.org/10.3389/fnhum.2018.00353
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