骨科心脏专注的触摸是否会改变肌肉骨疼痛的压力参与者的心率变化? 一个随机控制的试点研究
Torsten Liem1,2, Lucas Bohlen1,2, Anna-Moyra Jung2,3
1Osteopathic Research Institute, 22297 Hamburg, Germany.
Healthcare (Basel, Switzerland)
|January 23, 2024
概括
专注于心脏的触摸 (HFP) 在压力和肌肉骨疼痛的成年人中改善了心率变化 (HRV). 这项可行的试点研究表明HFP可以增强自主功能,这表明未来试验的潜力.
科学领域:
- 自主神经系统研究 自主神经系统研究
- 心灵与身体的医学
- 疼痛管理 疼痛管理
背景情况:
- 心率变化 (HRV) 反映了自主神经系统的活动,并且在经历压力和肌肉骨疼痛的人群中经常减少.
- 骨科医学的操纵治疗和心身干预措施在改善这些人群的HRV方面表现有前途.
- 专注于心脏的触摸 (HFP) 将手动治疗与心身技巧相结合,以促进放松.
研究的目的:
- 评估可行性并确定未来随机对照试验的样本大小.
- 为了评估单次HFP治疗对HRV的短期影响,在压力和肌肉骨疼痛的成年人中.
- 为了比较HFP与虚假的HFP (SHAM) 干预.
主要方法:
- 一项随机对照试点研究,涉及33名有压力和肌肉骨疼痛的成年人.
- 参与者接受了HFP或SHAM治疗.
- 在干预之前和之后测量了短期HRV参数.
主要成果:
- HFP显著增加了关键HRV指标,包括连续RR间隔差异的根平均平方和NN间隔的标准偏差.
- 低频与高频功率带的比率,表明了同情/副同情平衡,HFP显著增加.
- 无论是HFP还是SHAM干预措施都显著降低了心率,但其他压力和自主性标志物没有显著改变.
结论:
- 试点研究证明了高招聘,保留和坚持率的可行性.
- 一次HFP治疗有效地改善了成年人患有压力和肌肉骨疼痛的HRV,这表明了副交感效应.
- 未来的随机对照试验需要根据功率分析估计有72名参与者.
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