Effectiveness Of Video-Based Progressive Muscle Relaxation On Pain Intensity And Sleep Quality Among Patients With Osteoarthritis
Main Article Content
Putra Ardhana
Eben Haezar Kristian
Elisabeth Wahyu Savitri
Marsela Oktavia Yunita
Background: Osteoarthritis is a degenerative joint disease commonly associated with chronic pain and sleep disturbances, which significantly reduce patients’ quality of life. Persistent pain and poor sleep quality often interact bidirectionally, leading to worsening physical and psychological conditions. Therefore, effective, feasible, and non-pharmacological interventions are needed to manage pain and improve sleep quality. This study aimed to evaluate the effectiveness of video-based progressive muscle relaxation on pain intensity and sleep quality among patients with osteoarthritis.
Methods: A quasi-experimental study with a pretest–posttest control group design was conducted in healthcare facilities in Pontianak, Indonesia. A total of 50 patients with osteoarthritis were recruited using purposive sampling and assigned to an intervention group (n = 25) and a control group (n = 25). The intervention group performed video-based progressive muscle relaxation once daily for seven consecutive days in addition to standard care, while the control group received standard care only. Pain intensity was measured using the Numeric Rating Scale (NRS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Mann–Whitney U test.
Results: The intervention group showed significantly greater reductions in pain intensity and improvements in sleep quality compared with the control group (p < 0.001). The magnitude of change in both outcomes was substantially higher in the intervention group, indicating a strong effect of video-based progressive muscle relaxation.
Conclusion: Video-based progressive muscle relaxation is effective in reducing pain intensity and improving sleep quality among patients with osteoarthritis. This intervention has important implications for nursing practice and health sciences, as it provides a practical, safe, and easily implemented non-pharmacological strategy to support self-care management in patients with chronic musculoskeletal conditions
Akıncı, A. C., Yıldız, T., & Taşcı, S. (2025). Effects of progressive muscle relaxation on postoperative pain intensity and sleep quality: A randomized controlled trial. Journal of PeriAnesthesia Nursing, 40(1), 45–52. Crossref
Aksu, N. T., Erdogan, A., & Ozgur, N. (2018). Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection. Sleep and Breathing, 22(3), 695-702. Crossref
Chegeni, P. S., Gholami, M., Azargoon, A., Pour, A. H. H., Birjandi, M., & Norollahi, H. (2018). The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complementary therapies in clinical practice, 31, 64-70. Crossref
De Paolis, G., Naccarato, A., Cibelli, F., D'Alete, A., Mastroianni, C., Surdo, L., ... & Magnani, C. (2019). The effectiveness of progressive muscle relaxation and interactive guided imagery as a pain-reducing intervention in advanced cancer patients: A multicentre randomised controlled non-pharmacological trial. Complementary therapies in clinical practice, 34, 280-287. Crossref
Gould, C. E., Rideaux, T., Spira, A. P., et al. (2024). A brief video-delivered relaxation intervention versus psychoeducation for older adults: A randomized feasibility trial. BMC Geriatrics, 24, 112. Crossref
Hakverir, Y., Yılmaz, M., & Çelik, S. (2024). The effect of progressive muscle relaxation on sleep quality in patients undergoing hemodialysis: A randomized controlled study. Journal of Turkish Sleep Medicine, 11(2), 65–72. Crossref
Harorani, M., Davodabady, F., Masmouei, B., & Barati, N. (2020). The effect of progressive muscle relaxation on anxiety and sleep quality in burn patients: A randomized clinical trial. Burns, 46(5), 1107-1113. Crossref
Hasanpour-Dehkordi, A., Solati, K., Tali, S. S., & Dayani, M. A. (2019). Effect of progressive muscle relaxation with analgesic on anxiety status and pain in surgical patients. British Journal of Nursing, 28(3), 174-178. Crossref
Khir, A. S. M., Omar, N., & Ismail, S. (2024). Effects of progressive muscle relaxation on stress, anxiety, and depression: A systematic review and meta-analysis. Frontiers in Psychology, 15, 1189452. Crossref
Kim, J. H., Park, E. C., & Lee, S. Y. (2022). Association between chronic pain and sleep disturbance in patients with osteoarthritis. Journal of Clinical Sleep Medicine, 18(6), 1531–1539. Crossref
Lawford, B. J., Hinman, R. S., & Bennell, K. L. (2024). Rehabilitation for knee osteoarthritis: Current evidence and future directions, including digital health approaches. Best Practice & Research Clinical Rheumatology, 38(1), 101844. Crossref
Mashhadi-Naser, H., Ashktorab, T., & Alavi-Majd, H. (2024). The effect of progressive muscle relaxation on anxiety and sleep quality in patients with hip fracture: A randomized controlled trial. Scientific Reports, 14, 3321. Crossref
Mbada, C. E., Olaoye, M. I., & Dada, O. O. (2025). Effectiveness of clinic-based versus asynchronous video-based exercise programs for knee osteoarthritis: A randomized controlled trial. Journal of Medical Internet Research, 27, e58393. Crossref
Ministry of Health of the Republic of Indonesia. (2018). Basic health research (Riskesdas) 2018. National Institute of Health Research and Development. Article
Mirzanah, S. A., Yona, S., & Dahlia, D. (2020). Effect of progressive muscle relaxation on sleep quality among patients with chronic diseases: A literature review. Belitung Nursing Journal, 6(2), 30-34. Crossref
Patten, R. K., Crossley, K. M., & Hinman, R. S. (2022). Digital self-management interventions for osteoarthritis: A scoping review. BMC Musculoskeletal Disorders, 23, 1017. Crossref
Zhou, Y., Wang, T., & Chen, L. (2021). Long-term safety of non-steroidal anti-inflammatory drugs in patients with osteoarthritis: A systematic review. Osteoarthritis and Cartilage, 29(5), 617–628. Crossref
World Health Organization. (2023). Osteoarthritis. Article
