Effect of Progressive Muscle Relaxation on the Fatigue and Quality of Life Among Iranian Aging Persons


Since the elderly population is increasing rapidly in developing countries which may decrease the physical activity and exercise and in turn could affect the elderly’s quality of life, this study aimed to investigate the effect of progressive muscle relaxation on the elderly’s quality of life in Iran. In a randomized clinical trial, participants were randomly divided into intervention and control groups. For the intervention group, muscular progressive relaxation was run three days per week for three months (totally 36 sessions). In relaxation, a patient contract a group of his/her muscles in each step and relaxes them after five seconds and finally loosens all muscles and takes five deep breaths. Each session lasts for 45 minutes. The instrument of data gathering consisted of questionnaires on individual’s demographic data and quality of life SF-36. After intervention, quality of life increased significantly in the patients undergoing muscular progressive relaxation and fatigue severity decreased significantly in the intervention group compared to prior to intervention. In addition, there was a statistically significant difference in mean score of physical performance, restricted activity after physical problem, energy, socially function, physical pain, overall hygiene, and quality of life between intervention and control groups. By implementing regular and continuous progressive muscle relaxation, quality of life could be increased in different dimensions in the elderly and the context could be provided to age healthily and enjoy higher health and autonomy. Therefore, all of the therapeutic staffs are recommended to implement this plan to promote the elderly’s quality of life.

Phelan EA, Anderson LA, Lacroix AZ, Larson EB. Older adults' views of “successful aging”—how do they compare with researchers' definitions? Journal of the American Geriatrics Society. 2004;52(2):211-6.

Eyigor S, Karapolat H, Durmaz B, Ibisoglu U, Cakir S. A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Archives of gerontology and geriatrics. 2009;48(1):84-8.

Dehkordi AH, Mohammadi N, Nasrabadi A. Hepatitis related stigma and discrimination in Chronic Patients: A qualitative study. Applied Nursing Research. 2015.

Frank L, Kerr J, Rosenberg D, King A. Healthy aging and where you live: community design relationships with physical activity and body weight in older Americans. Journal of physical activity & health. 2010;7(1):S82.

United Nations DoEaSA, Population Division. Word population aging 2013. 2013.

Heydarnejad S, Dehkordi AH. The effect of an exercise program on the health-quality of life in older adults. Dan Med Bull. 2010;57:A4113.

organization Wh. Global health and ageing. Available from:

Ministry of Cooperatives L SWiAfhwai. Iranian Aging in mirror statistics. 2012.

Tajvar M, Arab M, Montazeri A. Determinants of health-related quality of life in elderly in Tehran, Iran. BMC public health. 2008;8(1):323.

Dehkordi A, Heydarnejad MS, Fatehi D. Quality of life in cancer patients undergoing chemotherapy. Oman medical journal. 2009;24(3):204.

Dehkordi AH, Heydarnejad MS. Factors-related to quality of life in post myocardial infarction patients. JHMU. 2009;7:010.

Heydarnejad M, Hassanpour DA, Solati DK. Factors affecting quality of life in cancer patients undergoing chemotherapy. African health sciences. 2012;11(2).

Luleci E, Hey W, Subasi F. Assessing selected quality of life factors of nursing home residents in Turkey. Archives of gerontology and geriatrics. 2008;46(1):57-66.

Rogers ME, Page P, Bolin JN, Lyle RM, Sipe C, Chodzko-Zajko W. and Screening for You (EASY). Journal of aging and physical activity. 2008;16:215-33.

Dehkordi AH, Far AK. Effect of Exercise Training on the Quality of Life and Echocardiography Parameter of Systolic Function in Patients With Chronic Heart Failure: a Randomized Trial. Asian Journal of Sports Medicine. 2015;6(1).

Hassanpour-Dehkordi A, Jivad N. Comparison of regular aerobic and yoga on the quality of life in patients with multiple sclerosis. Medical journal of the Islamic Republic of Iran. 2014;28:141.

Valko PO, Bassetti CL, Bloch KE, Held U, Baumann CR. Validation of the fatigue severity scale in a Swiss cohort. Sleep. 2008;31(11):1601.

Dayapoğlu N, Tan M. Evaluation of the effect of progressive relaxation exercises on fatigue and sleep quality in patients with multiple sclerosis. The Journal of Alternative and Complementary Medicine. 2012;18(10):983-7.

Dehkordi AH, Heydarnejad S. Effect of Relaxation on the Level of Nursing Internship Students. JHMU. 2010;16(1):20-2.

Rambod M, Sharif F, Pourali-Mohammadi N, Pasyar N, Rafii F. Evaluation of the effect of Benson's relaxation technique on pain and quality of life of haemodialysis patients: A randomized controlled trial. International journal of nursing studies. 2013.

Mazloomy Mahmoodabad S ZR, Mirhossaini J, Yasini Ardakani S, Fallahzadeh H, Askarifar J. Effect of Benson Relaxation Education on Quality of Life in Patients after open Heart Surgery in Yazd City. Tolooebehdasht. 2014;12(4)::88-96.

Isa M-R, Moy FM, Razack A-HA, Zainuddin ZM, Zainal N-Z. Impact of applied progressive deep muscle relaxation training on the health related quality of life among prostate cancer patients—A quasi experimental trial. Preventive medicine. 2013;57:S37-S40.

Golafshani A G, Faghih S, Esmaeili H, . The effect of progressive muscle relaxation with High blood pressure in elderly patients with myocardial infarction. iranian journal of aging


Robertson M, Campbell J, Gardner M. Prevating Injury and increase quality of life in older people: A meta analysis of individual-level data. J Am Geriatr Soc. 2004;14(20):118-21.

Montazeri A, GOSHTASBI A, Vahdaninia M. The short form health survey (SF-36): Translation and validation study of the Iranian version. 2006.

Barrett C, Smerdely P. A comparison of community-based resistance exercise and flexibility exercise for seniors. Australian Journal of Physiotherapy. 2002;48(3):215-9.

Lord SR C. Physical activity program for older persons:effect on balance ,strength and quality of life. Arc Phy Med Rehabilitation. 2004;75(93):648-52.

Haworth J, Moniz‐Cook E, Clark A, Wang M, Waddington R, Cleland J. Prevalence and predictors of anxiety and depression in a sample of chronic heart failure patients with left ventricular systolic dysfunction. European journal of heart failure. 2005;7(5):803-8.

Whellan DJ, O'Connor CM, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, et al. Heart failure and a controlled trial investigating outcomes of exercise training (HF-ACTION): design and rationale. American heart journal. 2007;153(2):201-11.

Eshaghi S-R, Ramezani MA, Shahsanaee A, Pooya A. Validity and reliability of the Short Form-36 Items questionnaire as a measure of quality of life in elderly Iranian population. Am J Appl Sci. 2006;3(3):1763-6.

Boyce PM, Talley NJ, Balaam B, Koloski NA, Truman G. A randomized controlled trial of cognitive behavior therapy, relaxation training, and routine clinical care for the irritable bowel syndrome. The American journal of gastroenterology. 2003;98(10):2209-18.

Ghafari S, Ahmadi F, Nabavi M, Memarian R. Effects of applying progressive muscle relaxation technique on depression, anxiety and stress of multiple sclerosis patients in Iran National MS Society. Pejouhesh. 2008;32(1):45-53.

Bommareddi P, Valsaraj B. progressive muscle relaxation (JPMR) training to reduce anxiety and depression among people living with HIV. Nitte University Journal of Health Science. 2014;4(1):72-8.

Jariani M, Saki M, Momeni N, Ebrahimzade F, Seydian A. The effect of progressive muscle relaxation techniques on anxiety in Patients with myocardial infarction. Yafteh. 2011;13(3):22-30.

Molassiotis A, Yung HP, Yam BM, Chan FY, Mok T. The effectiveness of progressive muscle relaxation training in managing chemotherapy-induced nausea and vomiting in Chinese breast cancer patients: a randomised controlled trial. Supportive Care in Cancer. 2002;10(3):237-46.

Shaban M, Rasoolzadeh N, Mehran A, Moradalizadeh F. Study of two non-pharmacological methods, progressive muscle relaxation and music, on pain relief of cancerous patients. Hayat. 2006;12(3):63-72.

IssueVol 54, No 7 (2016) QRcode
Elderly Muscular progressive relaxation Quality of life

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Hassanpour-Dehkordi A, Jalali A. Effect of Progressive Muscle Relaxation on the Fatigue and Quality of Life Among Iranian Aging Persons. Acta Med Iran. 2016;54(7):430-436.