Clinical Effect of Swedish Massage Versus Adjuvant Yoga on Blood Glucose Level in Children With Type 1 Diabetes Mellitus

Swedish massage (SM) and yoga are complementary non-pharmacological techniques that have recently been used in managing chronic disorders such as type 1 diabetes mellitus (T1DM). Both techniques play an important role in reducing stress, which contributes to lowering blood glucose levels in children with T1DM. Objective: To investigate the effect of Swedish massage versus children's yoga exercises on blood glucose levels of children with T1DM

Progressive muscle relaxation (PMR) is one of the best effective non-pharmacological techniques, which decreases stress in children because it influences mental and physical conditions. It can be applied by making the muscles maximally strain, and then loosening it until the muscle is relaxed. It is repeated until children acquire complete relaxation (Casman & Nurhaeni, 2018).

Progressive muscle relaxation leads to regulation of autonomic nervous system activity that potentially contributes to medical management of T1DM through improving in glycosylated hemoglobin level (HbA1c) (Paschali et al., 2020). Swedish massage and Progressive muscle relaxation had an effective role in decreasing blood glucose level in children with T1DM, so that the pediatric nurse should apply and educate care giver about Swedish massage and PMR techniques (Ismaili et al., 2018)

Inclusion criteria

• Diabetic children's age: 6 - 12 years.
• Children who live in Cairo only.
• Free from other medical disorders as cardiac, renal, or any other metabolic disorder

Exclusion criteria

• Diabetic children who can't understand the order
• Diabetic patient's who have medical disorders as cardiac,renal and other metabolic disorders