Reflexology Versus Progressive Muscle Relaxation for Fatigue in Hemodialysis Patients

Comparative Efficacy of Reflexology and Progressive Muscle Relaxation in Mitigating Fatigue Among Hemodialysis Patients

The goal of this clinical trial is to compare the effects of reflexology and progressive muscle relaxation in reducing fatigue among hemodialysis patients and to determine which intervention provides greater relief from fatigue.

The main question it aims to answer is:

Is there any difference in effectiveness between reflexology and progressive muscle relaxation techniques in reducing fatigue levels among patients undergoing hemodialysis?

Participants will be randomly assigned to one of three groups:

Group 1: 20 participants will receive reflexology therapy 3 times per week for 12 weeks.

Group 2: 20 participants will receive progressive muscle relaxation 3 times per week for 12 weeks.

Group 3: 20 participants will be a control group.

Fatigue and sleep quality will be measured before and after the intervention using:

Fatigue Severity Scale (FSS) Pittsburgh Sleep Quality Index (PSQI) Epworth Sleepiness Scale (ESS)

This study aims to offer a safe, low-cost, non-pharmacological method that can help hemodialysis patients reduce fatigue and improve sleep quality.

Inclusion Criteria:

• Adult patients of both genders aged from 50 to 70 years old.
• Patients are experiencing moderate to severe fatigue (as measured by a standardized fatigue scale).
• Medically stable as determined by the attending nephrologist.
• Able to understand and follow instructions for relaxation techniques

Exclusion Criteria:

• Patients with severe cognitive impairment or psychiatric disorders that interfere with participation.
• Patients with foot ulcers, wounds, or any contraindications for foot reflexology.
• Currently practicing any relaxation or complementary therapies regularly.
• Patients with unstable medical conditions or undergoing treatment changes during the study period.
• History of recent surgery.