Progressive Muscle Relaxation Increase Peak Expiratory Flow Rate On Chronic Obstructive Pulmonary Disease Patients

Tintin Sukartini, Ika Yuni Widyawati, Yani Indah Sari

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Introduction: Limited progressive air flow in Chronic Obstructive Pulmonary Disease (COPD) can caused by small airway disease (bronchiolitis obstructive) and loss of elasticity of the lung (emphysema). Further it can be decreasing the quality of life in COPD patients because dyspnea and uncomfortable in activity. Progressive muscle relaxation (PMR) is one of the relaxation technique that can repair pulmonary ventilation by decreasing chronic constriction of the respiratory muscles. The objective of this study was to analyze the effect of progressive muscle relaxation on raised peak expiratory flow rate (PEFR).

Methods: A pre-experimental one group pre-post test design was used in this study. Population was all of the COPD patients at Pulmonary Specialist Polyclinic Dr Mohamad Soewandhie Surabaya. There were 8 respondents taken by using purposive sampling. PEFR was counted by using peak flow meter every six day. Data were analyzed by using Paired t-Test with significance level  p≤0.05.

Results: The result showed that PMR had significance level on increasing of PEFR (p=0.012).

Conclusion: It can be concluded that PMR has an effect on raise PEFR. Further studies are recommended to measure the effect of PMR on respiratory rate (RR), heart rate (HR) subjective dyspnoe symptoms, forced expiration volume on the first minute (FEV1) and mid maximum flow rate (MMFR) in COPD patients.


COPD; peak expiratory flow rate; progressive muscle relaxation

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Alsagaff dan Mukty. 2006. Dasar-Dasar Ilmu Penyakit Paru. Surabaya: Airlangga University Press, hlm. 67- 89.

Amin. 2004. Penyakit Paru Obstruksi Kronik: Polusi Udara, Rokok dan Alfa-1-Antitripsin. Surabaya: Airlangga University Press, hlm. 77- 85.

Baratawidjaja. 2007. Ethical Digest: PPOK Semijurnal Farmasi dan Kedokteran, 37, 18-29.

Casabury and Petty. 1993. Principle and Practise of Pulmonary Rehabilitation. Philadelphia: WB. Saunders, pp. 366- 372.

Gift, et al. 1997. Relaxation to Reduce Dispnea and Anxiety in COPD Patients. European Journal Respiratory, 10(7), 1581.

Greenberg. 2002. Comprehensive Stress Management Seventh Edition. New

York: Mc Graw Hill Higher Education Inc., pp. 179-190.

Guyton dan Hall. 1997. Buku Ajar Fisiologi Kedokteran. Alih Bahasa oleh Irawati. Jakarta: EGC, hlm. 645-654.

Isselbacher, et al. 2000. Horison PrinsipPrinsip Ilmu Penyakit Dalam. Alih Bahasa oleh Asdi A.H. Jakarta: EGC, hlm. 1347-1353.

Mangunnegoro. 2001. Pedoman Diagnosis dan Penatalaksanaan PPOK di Indonesia. Jakarta: Balai Penerbit FKUI, hlm. 1-35.

Mulyono. 1997. Rehabilitasi pada Penderita Penyakit Paru Obstruksi Menahun. Cermin Dunia Kedokteran, 114, 33-36.

Patel. 1989. The Complete Guide to Stress Management. London: Vermillion, pp. 109-113.

Renfroe. 1992. Effect of Progressive Relaxation on Dyspnea and State Anxiety in Patients with Chronic Obstructive Pulmonary Disease. European Journal Respiratory, 17(4), 90-100.

Smith. 1994. Coping with Bronchitis and Emphysema. London: Seldon Press, pp. 45-50.

Stein. 2001. Panduan Klinik Ilmu Penyakit Dalam. Alih Bahasa oleh Nugroho E. Jakarta: EGC, hlm. 281-321.

Sudoyo. 2006. Buku Ajar Ilmu Penyakit Dalam. Jakarta: Pusat Penerbitan Departemen Ilmu Penyakit Dalam FKUI, hlm. 65-78.

Suharto. 2000. Fisioterapi pada Emfisema. Cermin Dunia Kedokteran, 128, 22-24.

Suyono, et al. 2001. Buku Ajar Ilmu Penyakit Dalam. Jakarta: Balai Penerbit FKUI, hlm. 796-797.

Yunus. 1997. Penatalaksanaan Bronkitis Kronik. Cermin Dunia Kedokteran, 122, 36-39.

Yunus. 1993. Uji Faal Paru Penyakit Paru Obstruktif. Cermin Dunia Kedokteran, 84, 19-21.


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