Immediate Effect of Smart Paraffin Bath Therapy on Leg Pain among Third-Trimester Pregnant Women: A Quasi-Experimental Study

  • Juneris Aritonang Universitas Sari Mutiara Indonesia, Medan, North Sumatera, Indonesia
  • Surya Anita Universitas Sari Mutiara Indonesia, Medan, North Sumatera, Indonesia
  • Mhd Aldi Primasyukra Universitas Sari Mutiara Indonesia, Medan, North Sumatera, Indonesia
  • Sharfina Haslin Universitas Sari Mutiara Indonesia, Medan, North Sumatera, Indonesia
  • Elisa Silvia Aritonang Universitas Sari Mutiara Indonesia, Medan, North Sumatera, Indonesia
Keywords: Antenatal Care, Leg Pain, Pregnant Women, Smart Paraffin Bath, Third-Trimester

Abstract

Introduction: Leg pain is a frequent musculoskeletal complaint among third-trimester pregnant women due to physiological and biomechanics changes during pregnancy. Non-pharmacological pain management approaches are needed during pregnancy because pharmacological options may be limited due to maternal and fetal safety considerations. This study aimed to examine the immediate effect of Smart Paraffin Bath therapy on leg pain intensity among third-trimester pregnant women.

Methods: A quasi-experimental study with a non-equivalent control group design was conducted among 28 third-trimester pregnant women with leg pain. Participants were allocated into an intervention group (n = 14) receiving one supervised session of Smart Paraffin Bath therapy and a control group (n = 14) receiving conventional care. Pain intensity was measured using the Visual Analog Scale (VAS) before and immediately after the intervention. Data collection was conducted between May and November 2025. Data were analyzed using paired and independent t-tests.

Results: In the intervention group, the mean VAS score decreased from 5.71 ± 0.96 to 4.02 ± 0.88. In the control group, the mean score decreased from 5.91 ± 0.86 to 5.64 ± 0.88, with a mean reduction of 0.27 points (p < 0.001). Pain reduction was greater in the intervention group than in the control group (p < 0.001).

Conclusion: Smart Paraffin Bath therapy was associated with an immediate reduction in leg pain intensity among third-trimester pregnant women. However, these findings should be interpreted as preliminary evidence due to small sample size, non-random group allocation, and absence of follow-up assessment.

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References

  1. Foraldy J, Jehosua S, Momole A, Tumewah R, Runtuwene T, Wariki WMV. Plantar Fascia Thickness Difference Between Pregnant and Nulliparous in Indonesia. J Med Ultrasound 2024; 32:323–8. https://doi.org/10.4103/jmu.jmu_142_23.
  2. Sahr ME, Grünebaum A, Positano RC, Nwawka O, Chervenak FA, Positano RG. Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound. J Perinat Med 2024. https://doi.org/10.1515/jpm-2024-0276.
  3. Zangão MOB, Poeira AF, Branco M, Santos-Rocha R. Changes in Foot Biomechanics during Pregnancy and Postpartum: Scoping Review. Int J Environ Res Public Health 2024;21. https://doi.org/10.3390/ijerph21050638.
  4. Letompa S, Khanyile L, Mathivha T, Purbhoo M. Foot health status in pregnant women. The Foot 2022;55.
  5. Gau ML, Hsu HM, Chen LL, Chen TL, Pan WL. Changes in Foot Biomechanics During Pregnancy: Associations with Plantar Pressure, Low Back Pain and Daily Function in Taiwanese Women. J Foot Ankle Res 2025;18: e70094. https://doi.org/10.1002/jfa2.70094.
  6. Fiat F, Merghes PE, Scurtu AD, Almajan Guta B, Dehelean CA, Varan N, Bernad E. The main changes in pregnancy—therapeutic approach to musculoskeletal pain. Medicina (B Aires) 2022; 58:1115. https://doi.org/https://doi.org/10.3390/medicina58081115.
  7. Nunge RA, Kendle AM, Alwan S. Pain medication use during pregnancy. Semin Perinatol 2025;49. https://doi.org/10.1016/j.semperi.2025.152074.
  8. Arisman Y, Liesmayani EE, Zulianti P, Pardede DW. The Effect of Giving Warm Water Immersion Therapy for Oedema of the Legs of Pregnant Women Third Trimester at Pratama Clinic Cahaya Lubuk Pakam. JURNAL KEBIDANAN KESTRA (JKK) 2024; 7:46–51. https://doi.org/https://doi.org/10.35451/jkk.v7i1.2302.
  9. An J, Lee I, Yi Y. The thermal effects of water immersion on health outcomes: an integrative review. Int J Environ Res Public Health 2019; 16:1280. https://doi.org/https://doi.org/10.3390/ijerph16071280.
  10. Aritonang J, Brahmana NEB, Sarita M. Edukasi Terapi Komplementer Dalam Upaya Mengurangi Rasa Nyeri Persalinan Di BPM Mariana. Jurnal Abdimas Mutiara 2024; 5:211–5. https://doi.org/DOI:https://doi.org/10.51544/jam.v5i1.
  11. Yan W, Liu L, Yang T, Yang X. Traditional Chinese medicine paraffin therapy: an evidence-based overview from a modern medicine perspective. Chin Med 2022; 17:106. https://doi.org/https://doi.org/10.1186/s13020-022-00662-z.
  12. Karahan A, Ordahan B, Ozkuk K. The effect of paraffin bath therapy versus extracorporeal shockwave therapy in the management of plantar fasciitis: A randomized clinical trial. Ann Phys Rehabil Med 2018; 61:149–51.
  13. Kim S-G, Kang JW, Bo JH, Jin DU, Choi SJ, Song GG, Jung JH. Effectiveness of paraffin bath therapy for the symptoms and function of hand diseases: A systematic review and meta-analysis of randomized controlled trials. Journal of Hand Therapy 2023; 36:706–12.
  14. Abhinav V, Basu P, Verma SS, Verma J, Das A, Kumari S, Yadav PR, Kumar V. Advancements in wearable and implantable BioMEMS devices: transforming healthcare through technology. Micromachines (Basel) 2025; 16:522. https://doi.org/https://doi.org/10.3390/mi16050522.
  15. Arandia N, Garate JI, Mabe J. Embedded sensor systems in medical devices: Requisites and challenges ahead. Sensors 2022; 22:9917. https://doi.org/https://doi.org/10.3390/s22249917.
  16. Karpuz S, Akkurt H. Comparison of the short-term efficacy of peloid and paraffin treatments on pain and quality of life in the treatment of plantar fasciitis: a randomized controlled study. Int J Biometeorol 2023; 67:1679–88.
  17. Morese S, Woias P, Pelz U. Recent advances in paraffin-based actuation: a pathway to multifunctional systems. Smart Mater Struct 2025; 34:083001. https://doi.org/10.1088/1361-665X/adfb15.
  18. Khaing KK, Srujan Raju K, Sinha GR, Swe WY. Automatic temperature control system using arduino. Proceedings of the Third International Conference on Computational Intelligence and Informatics: ICCII 2018, Springer; 2020, p. 219–26. https://doi.org/https://doi.org/10.1007/978-981-15-1480-7_18.
  19. Okorie PU, Ibraim AA, Auwal D. Design and implementation of Arduino-based smart heating system. 2020 International Congress on Human-Computer Interaction, Optimization and Robotic Applications (HORA) 2020.
  20. Medoff ZM, Colloca L. Placebo analgesia: understanding the mechanisms. Pain Manag 2015; 5:89–96. https://doi.org/https://doi.org/10.2217/pmt.15.3.
  21. Pinho-Ribeiro FA, Verri WA, Chiu IM. Nociceptor sensory neuron–immune interactions in pain and inflammation. Trends Immunol 2017; 38:5–19. https://doi.org/https://doi.org/10.1016/j.it.2016.10.001.
  22. Karcz M, Abd-Elsayed A, Chakravarthy K, Aman MM, Strand N, Malinowski MN, Latif U, Dickerson D, Suvar T, Lubenow T, Peskin E, D’Souza R, Cornidez E, Dudas A, Lam C, Farrell II M, Sim GY, Sebai M, Garcia R, Bracero L, Ibrahim Y, Mahmood SJ, Lawandy M, Jimenez D, Shahgholi L, Sochacki K, Ramadan ME, Tieppo Francio V, Sayed D, Deer T. Pathophysiology of Pain and Mechanisms of Neuromodulation: A Narrative Review (A Neuron Project). J Pain Res 2024; 17:3757–90. https://doi.org/10.2147/JPR.S475351.
  23. Gulfam R, Zhang P, Meng Z. Advanced thermal systems driven by paraffin-based phase change materials–A review. Appl Energy 2019; 238:582–611. https://doi.org/https://doi.org/10.1016/j.apenergy.2019.01.114.
  24. Du C, Li S, He D, Chen Y. Experimental study of electric field and nanoparticles enhancing the thermal performance of paraffin thermal energy storage. Appl Therm Eng 2025; 261:125087. https://doi.org/https://doi.org/10.1016/j.applthermaleng.2024.125087.
  25. Mombeki Pea HJ, An Z, Du X, Shi T, Zhang D. Structure, Characterization and Thermal Properties of the Form-Stable Paraffin/High-Density Polyethylene/Expanded Graphite/Epoxy Resin Composite PCMs for Thermal Energy Storage. Journal of Thermal Science 2023; 32:2104–14. https://doi.org/10.1007/s11630-023-1800-4.
  26. Hochler H, Lipschuetz M, Suissa-Cohen Y, Weiss A, Sela HY, Yagel S, Rosenbloom JI, Grisaru-Granovsky S, Rottenstreich M. The Impact of Advanced Maternal Age on Pregnancy Outcomes: A Retrospective Multicenter Study. J Clin Med 2023;12. https://doi.org/10.3390/jcm12175696.
  27. Laopaiboon M, Lumbiganon P, Intarut N, Mori R, Ganchimeg T, Vogel JP, Souza JP, Gülmezoglu AM, WHO Multicountry Survey on Maternal Newborn Health Research Network. Advanced maternal age and pregnancy outcomes: a multicountry assessment. BJOG 2014;121 Suppl 1:49–56. https://doi.org/10.1111/1471-0528.12659.
  28. Gutteck N, Schilde S, Delank K-S. Pain on the plantar surface of the foot. Dtsch Arztebl Int 2019; 116:83. https://doi.org/https://doi.org/10.3238/arztebl.2019.0083.
  29. Huang L, Xing L, Zheng Y, Yao H. A chip thermal management method realizing integrated applications of cooling, power generation and heat flow measurement based on thermoelectric effect. Appl Therm Eng 2025; 258:124739. https://doi.org/https://doi.org/10.1016/j.applthermaleng.2024.124739.
  30. Fiska V, Papanikolaou E, Patila M, Prodromidis MI, Trachioti MG, Tzianni EI, Spyrou K, Angelidis P, Tsipouras MG. DEMIGOD: A Low-Cost Microcontroller-Based Closed-Loop System Integrating Nanoengineered Sweat-Based Glucose Monitoring and Controlled Transdermal Nanoemulsion Release of Hypoglycemic Treatment with a Software Application for Noninvasive Personalized Diabetes Care. Micromachines (Basel) 2024; 15:887. https://doi.org/https://doi.org/10.3390/mi15070887.
  31. Javaid M, Haleem A, Singh RP, Suman R. Sustaining the healthcare systems through the conceptual of biomedical engineering: A study with recent and future potentials. Biomedical Technology 2023; 1:39–47. https://doi.org/https://doi.org/10.1016/j.bmt.2022.11.004.
  32. Connor L, Dean J, McNett M, Tydings DM, Shrout A, Gorsuch PF, Hole A, Moore L, Brown R, Melnyk BM. Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews Evid Based Nurs 2023; 20:6–15. https://doi.org/https://doi.org/10.1111/wvn.12621.
  33. Subbiah V. The next generation of evidence-based medicine. Nat Med 2023; 29:49–58. https://doi.org/https://doi.org/10.1038/s41591-022-02160-z.
Published
2026-08-19
How to Cite
Aritonang, J., Anita, S., Primasyukra, M. A., Haslin, S., & Aritonang, E. S. (2026). Immediate Effect of Smart Paraffin Bath Therapy on Leg Pain among Third-Trimester Pregnant Women: A Quasi-Experimental Study. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 9(8), 1577-1583. https://doi.org/10.56338/mppki.v9i8.10596
Section
Research Article

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