Effectiveness of manipulative therapy in improving sleep quality and reducing fatigue levels in post-COVID-19 workers

Abstract

This research aims to determine the effectiveness of manipulative therapy in improving sleep quality in post-COVID-19 workers. The research was carried out in the Special Region of Yogyakarta, Indonesia. The research design used a quasi-experimental design with a one-group pretest-posttest design. The research sample was 20 post-COVID-19 workers who had poor sleep quality and experienced fatigue. The treatment was carried out once with a duration of 45 minutes. Sleep quality was measured using the Sleep Quality Questionnaire (KKT) instrument and fatigue levels used the Indonesian version of the Fatigue Severity Scale. The level of sleep quality experienced by the samples before and 24 hours after treatment can be described: 18 (90%) samples had poor sleep quality and 2 (10%) samples had good sleep quality before treatment, and after 24 hours after treatment, 18 (90%) experienced good sleep quality improvement and 2 (10%) samples still had poor sleep quality. Level of fatigue: 20 (100%) samples experienced complaints of fatigue before treatment and 24 hours after treatment 1 (5%) still experienced fatigue and 19 (95%) other samples did not experience fatigue or decreased fatigue. The criteria for sleep quality and level of fatigue, seen from the total scores on the questionnaire filled in by the sample, are in accordance with the score norms. Data analysis techniques use normality tests and difference tests. The research results show that the traditional massage method improves sleep quality and reduces fatigue levels significantly with a p-value < 0.05.