Progressive Muscle Relaxation (englisch)
Progressive Muscle Relaxation nach Jacobson (1938, englische Version). Evidenzgrad A für Anxiety und Tension (Manzoni et al. 2008, d=0.57). Durchführung: Session + Home practice (3-4×/week).
Schritt-für-Schritt Anleitung
- 1
Explain to the patient: 'Progressive Muscle Relaxation helps you become aware of physical tension and release it systematically. We will tense and relax different muscle groups.'
- 2
Guide: 'Find a comfortable position, sitting or lying down. Close your eyes and take three deep breaths.'
- 3
Lead through: 'Clench both fists tightly now... hold the tension...'
- 4
Count: '5... 4... 3... 2... 1... and release. Let your hands go completely limp.'
- 5
Allow time: 'Notice the difference between tension and relaxation.' (15-20 seconds pause)
- 6
Lead through: 'Arms: Bend your forearms and tense your biceps... hold...' Count: '5... 4... 3... 2... 1... release.'
- 7
Lead through: 'Shoulders: Raise them toward your ears... hold...' Count: '5... 4... 3... 2... 1... release.'
- 8
Lead through: 'Face: Squeeze eyes shut, furrow brow, clench jaw... hold...' Count: '5... 4... 3... 2... 1... release.'
- 9
Lead through: 'Abdomen: Tense your stomach as if bracing for impact... hold...' Count: '5... 4... 3... 2... 1... release.'
- 10
Lead through: 'Legs: Press knees together, tense thighs... hold...' Count: '5... 4... 3... 2... 1... release.'
- 11
Lead through: 'Feet: Point toes upward... hold...' Count: '5... 4... 3... 2... 1... release.'
- 12
Watch for: Signs of cramping or pain. If problems occur: reduce tension intensity.
- 13
End the exercise: 'Now notice the contrast between tension and relaxation throughout your body. Take a deep breath. Slowly move your fingers and toes. Open your eyes when ready.'
Tipps für die Praxis
- Practice once daily at a consistent time
- Reduce tension intensity if you have muscle pain
- The relaxation phase is more important than the tension phase
- Use this technique before stressful situations
Wissenschaftliche Referenzen
Jacobson, E. (1938)
Progressive Relaxation
University of Chicago Press
Befund: Grundlagenwerk der Progressiven Muskelentspannung
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