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December 14, 2023Healthcare in Low-resource SettingsOpen Access

Gamelan music-assisted progressive muscle relaxation significantly reduced systolic blood pressure by 18.87 mmHg compared to a 6.58 mmHg reduction with progressive muscle relaxation alone in hypertensive patients.

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Why the study?

Does Gamelan-assisted progressive muscle relaxation reduce blood pressure more effectively than progressive muscle relaxation alone in hypertensive elderly individuals?

Population

58 hypertensive elderly individuals in Malang, Indonesia (55 completed the study)

Comparison

Music-assisted progressive muscle relaxation… vs Progressive muscle relaxation alone, twice a…

Design

RCT, randomly assigned

Follow-up

8 weeks

Key result

Gamelan music-assisted progressive muscle relaxation significantly reduced systolic blood pressure by 18.87 mmHg compared to a 6.58 mmHg reduction with progressive muscle relaxation alone in hypertensive patients.

Authors

IRIra RahmawatiFMFirda Ayu MagfirohBBBudiono Budiono

Discussion

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Overview

May support culturally adapted relaxation for elderly hypertension in low-resource settings; leaves open superiority to PMR alone in larger trials.

Study Design

Type

RCT (n=58)

Randomization

Randomly assigned

Multicenter

No

Structured PICO

Does Gamelan-assisted progressive muscle relaxation reduce blood pressure more effectively than progressive muscle relaxation alone in hypertensive elderly individuals?

P
Population
58 elderly individuals aged over 45 years with primary hypertension were randomized to receive Gamelan music-assisted progressive muscle relaxation or relaxation alone for 8 weeks.
I
Intervention
Music-assisted progressive muscle relaxation (PMR) using Gamelan (Javanese classical music), twice a week for 20 minutes for 8 weeks
C
Comparator
Progressive muscle relaxation (PMR) alone, twice a week for 20 minutes for 8 weeks
O
Outcome
Systolic and diastolic blood pressuresurrogate

Main Result

Absolute Event Rate: 18.87% vs 6.58%

p-value: p=<0.001

Gamelan-assisted progressive muscle relaxation is an effective complementary therapy for reducing blood pressure in elderly patients with primary hypertension.

Limitations

  • Relatively small sample size
  • Single location limits generalizability

Cite This Study

Rahmawati et al. (2023) conducted an RCT in Primary hypertension (n=58). Gamelan music-assisted progressive muscle relaxation vs. Progressive muscle relaxation alone was evaluated on Reduction in systolic blood pressure (p=<0.001). Gamelan music-assisted progressive muscle relaxation significantly reduced systolic blood pressure by 18.87 mmHg compared to a 6.58 mmHg reduction with progressive muscle relaxation alone in hypertensive patients.

synapsesocial.com/papers/6ab0c1fae1ef46439d307697https://doi.org/10.4081/hls.2023.11814
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effectiveness of Balinese Selonding Gamelan Music Therapy in Reducing Blood Pressure and Anxiety in Older Adults with Hypertension: A Quasi-experimental Study2024 · 1 citations
  2. 2EFFECT OF PROGRESSIVE MUSCLE RELAXATION (PMR) ON BLOOD PRESSURE AMONG PATIENTS WITH HYPERTENSION2019 · 24 citations
  3. 3Comparative Effectiveness of Progressive Muscle Relaxation, Autogenic Training, and Combined Therapy on Blood Pressure Among Older Adults with Hypertension: A Quasi-Experimental Study2026
  4. 4Effect Of Progressive Muscle Relaxation Therapy And Slow Deep Breathing On Blood Pressure Of Elderly With Hypertension2024 · 4 citations
  5. 5Effect of Deep Breathing Relaxation and Progressive Muscle Relaxation on Blood Pressure2024 · 3 citations