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Photobiomodulation Therapy (PBMT) is Feasible and Acceptable in Pre-conditioning and Post-operative Recovery of Patients after Total Knee arthroplasty (TKA): A Clinical Case Series 光生物调制疗法(PBMT)在全膝关节置换术(TKA)患者术前和术后恢复中是可行和可接受的:一个临床病例系列
Pub Date : 2022-02-03 DOI: 10.21926/obm.icm.2201012
P. G. Vassão, E. Laakso
Photobiomodulation therapy (PBMT) for minimal to moderate Kellgren and Lawrence grade knee osteoarthritis has significant evidence for effectiveness. The effect of PBMT in severe grades of osteoarthritis is less clear; and no studies have investigated the effect of PBMT before and after knee replacement surgery. This small study (n=4) aimed to understand the potential feasibility of undertaking a future randomised controlled clinical trial of a self-administered, home-based light patch system before and after total knee arthroplasty (TKA) The PBM device (450nm (6.75 mW/cm2) and 640nm (2.25 mW/cm2); 33kHz frequency, 4.5 J/cm2 radiant exposure) was self-applied by patients daily for 30 minutes for one week before, and 3 times in the week following hospital discharge after TKA. We measured numeric pain ratings, physical function and patient-reported outcomes at baseline one week prior to surgery, the day prior to surgery, at Day 4 after surgery, and at 1, 2, 4 and 6 weeks after hospital discharge. The study protocol and methods were found to be feasible and acceptable to participants. No pain was reported by any participants at 6-week follow-up. Functional measures of timed-up-and-go and 30 second chair stands test demonstrated marked improvement over the study period. No patients were requiring opioid analgesia at 6-week follow-up. Limitations included lack of gender diversity, the small number of participants and absence of information about post-hospital discharge opioid analgesic requirements from control group. The results provide confidence in progressing this research in an adequately powered, placebo-controlled, randomised clinical trial.
光生物调制疗法(PBMT)治疗最小至中度Kellgren和Lawrence级膝关节骨性关节炎具有显著的有效性。PBMT在严重骨关节炎中的作用尚不清楚;并且没有研究调查PBMT在膝关节置换手术前后的作用。这项小型研究(n=4)旨在了解在全膝关节置换术(TKA)前后对自行管理的家庭光贴片系统进行未来随机对照临床试验的潜在可行性;33kHz频率,4.5J/cm2辐射暴露)由患者在TKA前一周内每天自行施用30分钟,在TKA出院后一周内施用3次。我们测量了手术前一周、手术前一天、手术后第4天以及出院后1、2、4和6周基线时的数字疼痛评分、身体功能和患者报告的结果。研究方案和方法被认为是可行的,参与者可以接受。在6周的随访中,没有任何参与者报告疼痛。在研究期间,计时即用和30秒椅子站立测试的功能指标显示出显著的改善。在6周的随访中,没有患者需要阿片类镇痛。局限性包括缺乏性别多样性、参与者人数少以及对照组缺乏出院后阿片类镇痛需求的信息。这一结果为在一项充分有力的安慰剂对照随机临床试验中推进这项研究提供了信心。
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引用次数: 1
Integrating Mindfulness Practice in Cognitive Behavioral Hypnotic Psychotherapy 将正念实践融入认知行为催眠心理治疗
Pub Date : 2022-01-28 DOI: 10.21926/obm.icm.2202021
Z. Arnon
After the emergence of Mindfulness in the Western world, many studies proved its mental and physical benefits. However, implementing Mindfulness in psychotherapy has several challenges: therapists are not formal Mindfulness instructors; the Mindfulness course is a continuous eight-week course, which many patients do not attend during therapy, while others attend and drop out. Thus, Hypnosis was applied to shorten and strengthen the desired changes. The article describes the logic behind this integration, demonstrates it using a case study, and details the ideas, philosophy, and hypnotic scripts in the appendix.
在西方世界出现正念之后,许多研究证明了它对精神和身体的好处。然而,在心理治疗中实施正念有几个挑战:治疗师不是正式的正念导师;正念课程是一个连续的八周课程,许多患者在治疗期间没有参加,而其他人参加并退出。因此,催眠被用于缩短和加强所期望的变化。本文描述了这种集成背后的逻辑,使用案例研究进行了演示,并在附录中详细介绍了其思想、哲学和催眠脚本。
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引用次数: 0
The Energy of Energy Psychology 能量心理学的能量
Pub Date : 2022-01-27 DOI: 10.21926/obm.icm.2202015
D. Feinstein
The vague or controversial use of the term energy in the clinical subdiscipline known as “energy psychology” has been an obstacle to the field’s acceptance. This paper discusses five forms of energy and explores the role of each in energy psychology treatments. While patterns in (a) electrical signaling, (b) brain waves, and (c) electromagnetic fields are presumably shifted in any form of effective psychotherapy, a strength of energy psychology interventions is shown to be in their ability to initiate such effects in a deliberate and targeted manner. This paper examines the roles of these three well-established energy forms in explaining the rapid and durable outcomes seen with a wide range of conditions following energy psychology treatments. A fourth form of energy, “subtle energy,” is by definition too subtle for detection by conventional scientific instruments. These energies have, however, been recognized in at least 97 healing traditions around the world and are considered to be the infrastructure of the body’s physiological processes. Skepticism about subtle energies has, nonetheless, caused many critics to reject an energy psychology approach entirely, ignoring the substantial evidence base supporting it. Even more speculative are quantum influences that occur within energy psychology treatments, yet preliminary evidence for these dynamics, such as healing from a distance, has been accumulating. Although the more speculative mechanisms associated with energy psychology remain controversial, the measurable electromagnetic effects that have been shown to affect psychological states strongly support the use of the term “energy psychology.”
在被称为“能量心理学”的临床子学科中,能量一词的使用模糊或有争议,一直是该领域被接受的障碍。本文讨论了能量的五种形式,并探讨了每种形式在能量心理学治疗中的作用。虽然(a)电信号、(b)脑电波和(c)电磁场的模式可能在任何形式的有效心理治疗中都会发生变化,但能量心理学干预的优势在于它们能够以深思熟虑和有针对性的方式引发这种影响。本文研究了这三种公认的能量形式在解释能量心理学治疗后在各种情况下所看到的快速而持久的结果中的作用。第四种形式的能量,“微妙的能量”,根据定义,对于传统的科学仪器来说,太微妙了。然而,这些能量在世界各地至少97种治疗传统中得到了认可,并被认为是身体生理过程的基础设施。尽管如此,对微妙能量的怀疑导致许多评论家完全拒绝了能量心理学的方法,忽视了支持它的大量证据基础。更具推测性的是能量心理学治疗中发生的量子影响,但这些动力学的初步证据,如远距离治愈,已经在积累。尽管与能量心理学相关的更具推测性的机制仍然存在争议,但已被证明会影响心理状态的可测量电磁效应强烈支持“能量心理学”一词的使用
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引用次数: 1
An Interview with Dr. Paul J. Arciero Paul J.Arciero博士访谈录
Pub Date : 2022-01-25 DOI: 10.21926/obm.icm.2201004
Interview with Dr. Paul J. Arciero. Precision lifestyle medicine and implementation science are the emerging frontiers of research in his field. He is an applied physiology and nutrition scientist, specializing in evidence-based scientific research on integrative and complementary lifestyle strategies to optimize health, wellness, and performance in individuals and organizations of all ages, fitness and health status. Specifically, his PRISE® Life protocol emphasizes a qualitative approach to nutrition, fitness, and emotional and cognitive well-being with particularly focus on body weight and composition management, cardiometabolic, hormonal, emotional, and cognitive health, as well as physical performance.
采访Paul J. Arciero博士。精准生活方式医学和实施科学是他所在领域的新兴研究前沿。他是一名应用生理学和营养科学家,专门从事基于证据的科学研究,研究综合和互补的生活方式策略,以优化所有年龄,健身和健康状况的个人和组织的健康,健康和表现。具体而言,他的PRISE®Life方案强调营养,健身,情绪和认知健康的定性方法,特别关注体重和成分管理,心脏代谢,激素,情绪和认知健康以及身体表现。
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引用次数: 0
Mindfulness and the Wisdom of Advocates - Journeys in the Landscape of Health Care 正念和倡导者的智慧——医疗保健领域的旅程
Pub Date : 2022-01-10 DOI: 10.21926/obm.icm.2202019
M. Hales, R. Marx
Service-user volunteers in a National Health Service (NHS) Mental Health Trust in the UK have made an unusual contribution to mindfulness teaching, training, research and governance as ‘advocates’ of mindfulness-based therapy interventions. We explore the nature of what has been named internally as the ‘wisdom’ of the ‘advocate’ group in this NHS Trust, and its impact on mental health provision. A clinician (clinical psychologist) and an advocate (anthropologist) conduct an investigative conversational journey using a grounded theory framework in an institutional-personal landscape. They look for roots of the ‘wisdom’ in the mindfulness-based therapy, in the practices of the Trust, and in the tradition out of which the therapy has emerged. The investigators find themselves focusing on matters of institutionalisation and professionalism (as forms of exclusion), on journeying and arriving (as expectations - in life, and in embarking on therapy) and on the advocates’ ‘wisdom’ as a deepening recognition of the intrinsic inclusiveness of mindfulness as a practice. The paper stands at a distance from typical healthcare presumptions of professionalism and delivery of treatment. This particular (mindfulness-based) therapy is presented as an intrinsically inclusive life-practice within a community of deepening capability, rather than a medicalised treatment. The method of writing the paper parallels the fluidity of professional/patient role and mutual contribution and journeying that the mindfulness-based approach itself embodies, and this offers an alternative model of ‘service-user participation’.
英国国民健康服务(NHS)心理健康信托基金的服务用户志愿者作为正念治疗干预的“倡导者”,对正念教学、培训、研究和治理做出了不同寻常的贡献。我们探索了在这个NHS信托中内部被称为“倡导者”团体的“智慧”的本质,以及它对心理健康提供的影响。临床医生(临床心理学家)和倡导者(人类学家)在机构-个人景观中使用扎根的理论框架进行调查对话之旅。他们在以正念为基础的治疗中寻找“智慧”的根源,在信托的实践中,在传统的治疗中出现。调查人员发现自己关注的是制度化和专业化(作为排斥的形式),旅程和到达(作为生活中的期望,以及开始治疗),以及倡导者的“智慧”,作为对正念作为一种实践的内在包容性的深化认识。这篇论文与典型的医疗保健专业和提供治疗的假设有一定距离。这种特殊的(以正念为基础的)疗法是作为一种内在包容的生活实践,在一个不断深化的能力社区中呈现出来的,而不是一种医学治疗。撰写论文的方法与专业/患者角色的流动性以及基于正念的方法本身所体现的相互贡献和旅程相似,这提供了一种“服务-用户参与”的替代模式。
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引用次数: 0
Experiences of Patients With Hashimoto Thyroiditis Through the Lens of Compassion 从同情的角度看桥本甲状腺炎患者的经验
Pub Date : 2022-01-09 DOI: 10.21926/obm.icm.2203027
Zoi Portokalidou, Anna Huysse-Gaytandjieva, M. Peters
Hashimoto thyroiditis (HT) is an autoimmune disease affecting mainly middle-aged women. Hormonal replacement is the most common therapy; however, it tackles only the functionality of the thyroid and not the autoimmunity components. Thus, patients experience persistent somatic and psychological symptoms, thereby affecting their quality of life. The cause of HT remains uncertain. Primary evidence suggests that adverse experiences in childhood are associated with autoimmune disease manifestation in adulthood; therefore, the effect of early adverse events on disease course needs to be explored. This paper explored patients’ early life events and everyday experiences through the lens of compassion, as defined in compassion-focused therapy (CFT). In this study, nine participants were interviewed, and the transcribed interviews were analyzed using Thematic Analysis. Qualitative analysis indicated that patients exhibited increased psychological distress and a lack of understanding from others. Common patterns of experiences and behaviors were identified, such as the lack of compassion and affiliation between significant others and themselves. Therefore, including psychological care in the therapeutic process of HT would improve patients’ well-being and quality of life. In particular, cultivating compassion could be a promising strategy for disease prevention and the healthy functioning of patients.
桥本甲状腺炎(HT)是一种主要影响中年妇女的自身免疫性疾病。激素替代是最常见的治疗方法;然而,它只涉及甲状腺的功能,而不是自身免疫成分。因此,患者会经历持续的身体和心理症状,从而影响他们的生活质量。HT的病因尚不确定。初步证据表明,儿童时期的不良经历与成年后的自身免疫性疾病表现有关;因此,需要探讨早期不良事件对病程的影响。本文通过以同情为中心的治疗(CFT)中定义的同情视角,探讨了患者的早期生活事件和日常经历。在这项研究中,九名参与者接受了访谈,并使用主题分析对转录的访谈进行了分析。定性分析表明,患者表现出更多的心理困扰和缺乏他人的理解。发现了常见的经验和行为模式,例如重要的他人和自己之间缺乏同情心和从属关系。因此,将心理护理纳入HT的治疗过程将提高患者的幸福感和生活质量。特别是,培养同情心可能是一种很有前途的疾病预防和患者健康功能的策略。
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引用次数: 0
Cluster Sets for Muscle Hypertrophy: A Short Review † 肌肉肥大的聚类集:简短回顾†
Pub Date : 2021-11-25 DOI: 10.21926/obm.icm.2201010
S. Vargas-Molina, J. Petro, D. Bonilla, Eneko Baz-Valle, L. Carbone, Roberto Cannataro, J. Benítez-Porres
Cluster-set resistance training is focused on performance improvements of sports by increasing the repetition maximum, jump height, and efficiency in the sprint. In this commentary, we present relevant aspects to optimize the use of cluster training under the context of muscle hypertrophy. Therefore, we address intra-sets pauses, the number of repetitions per block, and strategies that benefit this methodology. During a cluster set resistance training program, not only the total number of repetitions could be higher, which means a superior total volume, but also a higher mechanical output might lead to potential benefits to muscle hypertrophy.
集群阻力训练的重点是通过提高重复次数、跳跃高度和短跑效率来提高运动成绩。在这篇评论中,我们提出了在肌肉肥大的背景下优化集群训练使用的相关方面。因此,我们讨论了集合内暂停、每个块的重复次数以及有利于这种方法的策略。在集群阻力训练计划中,不仅重复的总次数可能更高,这意味着总体积更大,而且更高的机械输出可能会对肌肉肥大产生潜在的益处。
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引用次数: 1
Holy be the Lay: A Way to Mindfulness Through Christian Poetry 圣洁的平信徒:通过基督教诗歌达到正念之路
Pub Date : 2021-11-23 DOI: 10.21926/obm.icm.2201011
H. Kempton
Mindfulness practices have exploded in popularity in public awareness and in therapeutic applications. While mindfulness in a therapeutic context is presented as a secular practice, its primarily Buddhist heritage may make some Christian clients wary of engaging. Research indicates that both reflection (co-creation) on poetry and creation of poetry can be therapeutic, and that both Buddhist and secular/therapeutic mindfulness texts use poetry to convey meaning through key themes of nature, change/impermanence, stages of practice, and acceptance. Taken together poetry offers a pathway to mindfulness, which in this article is applied to the Christian client. Examples are given of: how mindfulness-based practices are in accordance with Christian teachings (e.g., grace theology), that poetic practices already exist in Christian traditions (e.g., Lectio Divina and the Prayer of the Heart), and themes previously identified in Buddhist and secular/therapeutic mindfulness related poetry, are also present in Christian poetry. It is argued that poetry can provide an appropriate and palatable vehicle for introducing Christian clients to mindfulness, which allows for the individual’s spirituality to be harnessed as a mediator of the benefits of mindfulness practice.
正念练习在公众意识和治疗应用中受到了广泛的欢迎。虽然正念在治疗中被视为一种世俗的实践,但其主要的佛教传统可能会使一些基督徒客户对参与持谨慎态度。研究表明,对诗歌的反思(共同创造)和诗歌创作都具有治疗性,佛教和世俗/治疗性正念文本都使用诗歌通过自然、变化/无常、实践阶段和接受等关键主题来传达意义。总之,诗歌提供了一条通往正念的途径,这在本文中适用于基督徒客户。例如:基于正念的实践是如何与基督教教义相一致的(例如,恩典神学),诗歌实践已经存在于基督教传统中(例如,《神选》和《心祷》),以前在佛教和世俗/治疗性正念相关诗歌中确定的主题也出现在基督教诗歌中。有人认为,诗歌可以提供一个适当的和可口的工具,介绍基督徒客户的正念,这允许个人的灵性被利用为正念练习的好处的中介。
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引用次数: 0
Mindfulness in Well-Being, Cognition and Learning: Benefits on Higher Education and Health-Care Professions 幸福、认知和学习中的正念:对高等教育和医疗保健专业的好处
Pub Date : 2021-11-14 DOI: 10.21926/obm.icm.2201009
Maria Victoria, Sara Lodhi
Mindfulness is a form of meditation that can be defined as one’s ability to be present to the surroundings and environment, and not overreact to what is happening around us. With the recent pandemic still affecting the world, more studies have recently become known describing the suitability of mindfulness to prevent and manage mental health. This fact alone offers grounds for mindfulness practices to be added to any stressful environment, including Institutions of higher education and the workforce. Even more, mindfulness practices have a strong link to brain function, increasing cognitive ability, memory, and emotional regulators. The objective of mindfulness-based practices is to experience cognitive flexibility and attentional focus, essential traits for students and health-care professionals in today’s world. As a College of Pharmacy, training future healthcare workers, we wanted to decide whether mindfulness practices might be of benefit to be included in the curriculum. Herein we performed a selective literature review to determine how mindfulness affect human cognition and learning. We observed that, compared to non-meditators, meditators are more likely to experience less mental, emotional, and physical symptoms associated with stress, burnout, or feelings of hopelessness. Several studies discuss the improvements that mindfulness-based meditation has on cognitive flexibility and attentional functions. We widen our search to reveal the impact that mindfulness-based meditation has in the stress observed in education, students and healthcare professionals. Higher education and health professionals are more likely to experience severe stress and suffer from enervation. We concluded that, in our line of work, those pursuing higher education and health professional degrees would benefit from practicing mindfulness. Incorporating mindfulness-based meditation can help alleviate these symptoms and improve not only the quality of life and learning, but also the patient-doctor interaction.
正念是一种冥想形式,可以定义为一个人能够面对周围环境,不会对周围发生的事情反应过度。随着最近的疫情仍在影响世界,最近有更多的研究描述了正念是否适合预防和管理心理健康。这一事实本身就为在任何压力环境中增加正念练习提供了理由,包括高等教育机构和劳动力。更重要的是,正念练习与大脑功能、增强认知能力、记忆力和情绪调节器有着密切的联系。基于正念的实践的目标是体验认知灵活性和注意力集中,这是当今世界学生和医疗保健专业人员的基本特征。作为一所培训未来医护人员的药学院,我们想决定将正念练习纳入课程是否有益。在此,我们进行了一项选择性的文献综述,以确定正念如何影响人类的认知和学习。我们观察到,与非冥想者相比,冥想者更有可能经历较少的与压力、倦怠或绝望感相关的心理、情绪和身体症状。几项研究讨论了基于正念的冥想对认知灵活性和注意力功能的改善。我们扩大了搜索范围,以揭示基于正念的冥想对教育、学生和医疗保健专业人员压力的影响。高等教育和卫生专业人员更有可能经历严重的压力和衰弱。我们得出的结论是,在我们的工作中,那些追求高等教育和健康专业学位的人将从练习正念中受益。结合基于正念的冥想可以帮助缓解这些症状,不仅提高生活和学习质量,还可以改善患者与医生的互动。
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引用次数: 0
Mind-Body Interactions Across the Menstrual Cycle Phases: A Systematic Review 月经周期各阶段的身心互动:系统综述
Pub Date : 2021-11-07 DOI: 10.21926/obm.icm.2202014
R. Borlimi, G. Riboli, M. Nese, Matilde Buattini, Marella Colombardo, G. Brighetti
The length of the menstrual cycle (MC) varies among women, with an average regularity between 21 and 40 days. Six temporal frames can be observed within the monthly cycle, based on the fluctuations of the hormone levels. These fluctuations are accompanied by alterations in the central nervous system (CNS) and autonomic nervous system (ANS) and can be quantified using psychophysiological techniques. In this systematic review, we discussed the studies conducted with healthy females that examined aspects associated with the functions of the ANS and the CNS, including psychological, emotional, behavioral, hormonal, and perceptive variables, relating their possible changes and alterations to different phases of the MC. The PubMed and EBSCO databases were searched for articles published between January 2010 and September 2020. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was applied. A total of 64 studies investigating ANS and CNS or perceptual systems across the MC were included in this review. Several studies found more alterations in the heart rate variability components during the days following ovulation compared to the days of the follicular phase. Behavioral alterations included a decrease in the percentage of REM sleep during the mid-luteal phase and an increase in calorie intake during the late-luteal phase compared to that in the follicular phase. Additionally, the reward system was found to be engaged to a greater extent during the luteal phase than during the follicular phase. The results differed considerably for many cognitive, behavioral, and autonomic variables. No significant alterations were found in most perceptual systems. A variegated picture emerged from the results of the various studies that applied different methodologies and measurements. The results suggested a new methodology that uses the temporal dimension for investigating the interactions between biological systems and psychological effects.
月经周期(MC)的长短因女性而异,平均规律在21至40天之间。根据激素水平的波动,在一个月的周期内可以观察到六个时间框架。这些波动伴随着中枢神经系统(CNS)和自主神经系统(ANS)的变化,可以使用心理生理学技术进行量化。在这篇系统综述中,我们讨论了对健康女性进行的研究,这些研究检查了与ANS和CNS功能相关的方面,包括心理、情绪、行为、激素和感知变量,将其可能的变化和改变与MC的不同阶段联系起来。检索PubMed和EBSCO数据库中2010年1月至2020年9月期间发表的文章。应用了系统评价和荟萃分析(PRISMA)的首选报告项目。本综述共包括64项研究,研究整个MC的ANS和CNS或感知系统。几项研究发现,与卵泡期相比,排卵后几天的心率变异性成分发生了更多变化。与卵泡期相比,行为改变包括黄体中期快速眼动睡眠的百分比降低,以及黄体晚期热量摄入增加。此外,研究发现,与卵泡期相比,黄体期的奖励系统参与程度更高。许多认知、行为和自主变量的结果差异很大。在大多数感知系统中没有发现显著的改变。应用不同方法和测量的各种研究结果呈现出多样化的景象。研究结果提出了一种新的方法,使用时间维度来研究生物系统和心理影响之间的相互作用。
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引用次数: 0
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OBM integrative and complimentary medicine
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