{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:55:52Z","timestamp":1790636152346,"version":"4.1.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2022,3,7]]},"abstract":"<jats:p>BACKGROUND: Fibromyalgia is accompanied by symptoms of fatigue, depression, sleep disorders, and physical and mental stress\u00a0[1]. It is a difficult-to-treat disorder because its exact causes are unknown. OBJECTIVE: This study aimed to examine the effect of progressive muscle relaxation therapy (PMRT) on pain, fatigue, and stress in patients with fibromyalgia syndrome. METHODS: Thirty-seven patients with fibromyalgia syndrome (age: 20\u201365\u00a0years) were randomly allocated to the PMRT group (n1= 18, 2 men and 16 women) or non-PMRT group (n2= 19, 2 men and 17 women). The PMRT group received PMRT twice a week for 8\u00a0weeks and the non-PMRT group received conventional physical therapies such as electro-stimulation and heat therapies during this period. The outcome was evaluated before and after 8\u00a0week sofintervention using the Visual Analogue Scale, Multidimensional Assessment of Fatigue, Perceived Stress Scale, and measurement of the blood pressure and pulse rate. RESULTS: Pain and fatigue significantly decreased in the PMRT group compared with the non-PMRT group (both P&lt; 0.001). In addition, perceived stress (P&lt; 0.001), systolic blood pressure (P&lt; 0.001), diastolic blood pressure (P&lt; 0.05), and pulse rate (P&lt; 0.001) significantly decreased in the PMRT group compared with the non-PMRT group. CONCLUSIONS: The findings indicate that progressive muscle relaxation therapy is a viable rehabilitative therapy for pain, fatigue, and stress symptoms in patients with fibromyalgia syndrome.<\/jats:p>","DOI":"10.3233\/bmr-191703","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T14:41:32Z","timestamp":1624027292000},"page":"289-299","source":"Crossref","is-referenced-by-count":21,"title":["Effects of progressive muscle relaxation therapy with home exercise on pain, fatigue, and stress in subjects with fibromyalgia syndrome: A pilot randomized controlled trial"],"prefix":"10.1177","volume":"35","author":[{"given":"Seoung-A.","family":"Yoo","sequence":"first","affiliation":[{"name":"Department of Health Science, The Graduate School, Korea University, Seoul, Korea"},{"name":"Department of Health Science, The Graduate School, Korea University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang-Yong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical and Bio-Pharmaceutical Industry, Pharma and Bio Pharma Industry Team, Korea Health Industry Development Institute, Cheongju-si, Korea"},{"name":"Department of Health Science, The Graduate School, Korea University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeong-Dong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Health and Environmental Science, College of Health Science, Korea University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhng-Wook","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Integrated Biomedical and Life Sciences, College of Health Science, Korea University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"5","key":"10.3233\/BMR-191703_ref1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe","year":"2010","journal-title":"Arthritis Care & Research."},{"key":"10.3233\/BMR-191703_ref2","doi-asserted-by":"crossref","unstructured":"Arnold LM, Clauw DJ, McCarberg BH. 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Effects of progressive muscle relaxation training for the elderly with type 2 diabetes on symptoms of stress, self care and HbA1c. Seoul: Seoul National University Graduate School, 2005."},{"issue":"9","key":"10.3233\/BMR-191703_ref21","first-page":"1127","article-title":"Measurement of pain","volume":"2","author":"Huskisson","year":"1979","journal-title":"Lancet"},{"key":"10.3233\/BMR-191703_ref22","unstructured":"Tack BB. Dimensions and correlates of fatigue in older adults with rheumatoid arthritis. San Francisco: University of California, 1991."},{"issue":"4","key":"10.3233\/BMR-191703_ref23","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A Global Measure of Perceived Stress","volume":"24","author":"Cohen","year":"1983","journal-title":"Journal of Health and Social Behavior."},{"issue":"3","key":"10.3233\/BMR-191703_ref24","first-page":"611","article-title":"Validation of the perceived stress scale (PSS) on samples of Korean university students","volume":"29","author":"Park","year":"2010","journal-title":"Korean Journal of Psychology."},{"issue":"2","key":"10.3233\/BMR-191703_ref25","doi-asserted-by":"crossref","first-page":"213","DOI":"10.4040\/jkan.2004.34.2.213","article-title":"Effect of progressive muscle relaxation using biofeedback on perceived stress, stress response, immune response and climacteric symptoms of middle-aged women","volume":"34","author":"Jeong","year":"2004","journal-title":"Journal of korean Academy of Nursing."},{"issue":"3","key":"10.3233\/BMR-191703_ref26","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.ctcp.2008.04.002","article-title":"Patients\u2019 perceptions of the effectiveness of guided imagery and progressive muscle relaxation interventions used for cancer pain","volume":"14","author":"Kwekkeboom","year":"2008","journal-title":"Complementary Therapies in Clinical Practice."},{"issue":"3","key":"10.3233\/BMR-191703_ref27","first-page":"20","article-title":"Pain: Clinical manual for nursing practice","volume":"38","author":"Mccaffrey","year":"1989","journal-title":"Pain"},{"key":"10.3233\/BMR-191703_ref28","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.ctcp.2018.01.010","article-title":"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","volume":"31","author":"Chegeni","year":"2018","journal-title":"Complementary Therapies in Clinical Practice."},{"issue":"6","key":"10.3233\/BMR-191703_ref29","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1097\/NCC.0000000000000457","article-title":"A sleep hygiene and relaxation intervention for children with acute lymphoblastic leukemia: a pilot randomized controlled trial","volume":"40","author":"Zupanec","year":"2017","journal-title":"Cancer Nursing."},{"issue":"3","key":"10.3233\/BMR-191703_ref30","doi-asserted-by":"crossref","first-page":"19","DOI":"10.12674\/ptk.2013.20.3.019","article-title":"The effect of using smart-phones on neck and shoulder muscle activities and fatigue","volume":"20","author":"Park","year":"2013","journal-title":"Physical Therapy Korea."},{"issue":"3","key":"10.3233\/BMR-191703_ref31","first-page":"240","article-title":"Anxiety status and its relationship with general health related quality of life among prostate cancer patients in two university hospitals in Kuala Lumpur, Malaysia","volume":"42","author":"Mohamad Rodi","year":"2013","journal-title":"Iranian Journal of Public Health."},{"key":"10.3233\/BMR-191703_ref32","unstructured":"Quick JC, Quick JD. 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