Effect of muscular relaxation on diabetic children covered by Endocrinology Research Center of Esfahan University of Medical Sciences

From the time diabetes was diagnosed, there have been different methods to treat it of that the most routine is through insulin, diet therapy and sport. There has been a complementary treatment, recently introduced, as progressive muscular relaxation of that the main mechanism is mainly based on a decrease in stress and anxiety among diabetic children. This procedure is vastly carried out by nurses and other health team members in clinical fields This is a quasi-experimental study [pre post test]. The samples included 52 diabetic children aged 7-15 years quite identical in research qualifications to enter the study in two groups of controls and muscular relaxation. The data were collected by laboratory reports [glycosylated hemoglobin], patients' files or IDs and interviews. Sampling was r and om convenient. After the subjects were selected, educational sessions were held for intervention group. In relaxation group, all body parts of the child were contracted and relaxed for 45 minutes just before going to bed for two months. After educating all subjects, glycosylated hemoglobin test was checked for all of them. This procedure of relaxation was continued by giving a relaxation cassette to the subjects for home use. The subjects were checked four times through r and om phone calls to investigate and to be sure about the intervention precisely followed. Glycosylated hemoglobin were again checked after two months. Descriptive, inferential statistics were used to analyze the data. The findings showed that HbAlc changes in relaxation group was as 62.5% while it had a descending trend of 50% in controls which can be due to intervention. Mean of glycosylated hemoglobin before the study in relaxation group was 10.27 while thereafter it got 10.13 [about 14% decline in glycosylated hemoglobin]. According to paired t-test, this decline has been significant [p=0.036] Since, this technique is economical and effective in decreasing diabetic children's anxiety, it is suggested to be h and led as a non medication intervention in health and treatment clinics

[Effect of massage therapy on the level of blood glucose in diabetic children]

Introduction: Since the recognition of diabetes, different management methods have been found of which the most important ones are insulin and regimen therapies as well as exercise. Besides these types of management and treatment, complementary treatments such as massage therapy also can be practiced in this study. The goal of this study is assessment of the effect of massage therapy on the level of blood glucose in diabetic children

Methods: This is a quasi-experimental, two group, two step, pre Post design. Samples included 15 diabetic children, 7-15 years old, all having including criteria of the study, in two groups of control and massage. Sampling was done with convenience method and groups were divided randomly by the investigator. In massage group, parents had to massage their children's body 6 times everyday for 15 minutes at bedtime, for a period of two months. After completing education, one glycated hemoglobin test was done as well as a retest after two months. The data were analyzed by SPSS software and descriptive inferential statistical method

Results: Paired t_test showed that glycated hemoglobin had been significantly decreased after study in massage group compared with pre-study period [P<0/05]. Analysis of variance showed a mere significant difference between pre and post study mean of glycated hemoglobin between massage and control groups [P<0/05]

Discussions: Results showed the positive effect of massage on decrease of blood glucose resulting in the decrease of glycated hemoglobin in diabetic children. Therefore, this method can be suggested as a complement method in addition to the routine treatment of diabetes to decrease blood glucose in diabetic children