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The Effect of Head and Neck Position on Head Rotation, Cervical Muscle Tension, and Symptoms 头颈体位对头部旋转、颈肌紧张和症状的影响
Pub Date : 2018-09-01 DOI: 10.5298/1081-5937-46.3.04
Richard Harvey, E. Peper, Annette Booiman, A. Cedillo, Elizabeth Villagomez
Slouching posture may be observed when people interact with digital devices such as sitting at a computer screen or looking downwards at a smartphone while sitting or walking. The study investigated two procedures: the effect of head position on perceived head rotation and the effect of neck scrunching on symptom development. In the first study, 87 students sat in either a head-erect or head-forward position and rotated their heads from side to side. Ninety-two percent of the participants reported that they significantly increased their head rotation range during the head-erect position as comparted to the head-forward position, and that it was much easier to rotate their head in the erect position (M = 8.5; SD = 2.4) than in the slouched position (M = 4.3; SD = 1.9), F(1, 171) = 152, p < 0.001. In the second study, 125 students were asked to scrunch their neck for 30 seconds. After neck scrunching, 98.4% of participants reported experiencing an average pain rating of 5.3 on a scale from 0 (none) to 10 (severe), which consisted of pressure in the head (M = 6.7), stiff neck (M = 5.9), eye tension (M = 4) and headaches (M = 3.8). For a subset of 12 students, the effects of head-forward position and neck scrunching (compression) on cervical and trapezius muscles was monitored with electromyography. The average cervical surface electromyography (sEMG) was higher during head-forward position and neck scrunching than during pre- and post-baseline, and the average trapezius sEMG was higher during the neck scrunching than during pre- and post-baseline. For most participants, the effect of their head/neck position on rotation and neck scrunching on symptom development was a total surprise. Experiential practices can provide somatic feedback as an education tool to teach awareness and thus motivate participants to change their body posture so that they reduce slouching and neck scrunching.
当人们坐在电脑屏幕前或坐着或走路时低头看智能手机等数字设备时,可能会出现懒散的姿势。本研究考察了两个过程:头部位置对感知的头部旋转的影响和颈部扭动对症状发展的影响。在第一项研究中,87名学生以头直立或头向前的姿势坐着,把头从一边转到另一边。92%的参与者报告说,与头向前的姿势相比,他们在头直立姿势时头部旋转的范围明显增加,而且在直立姿势时更容易旋转头部(M = 8.5;SD = 2.4)较懒散体位(M = 4.3;SD = 1.9), F(1,171) = 152, p < 0.001。在第二项研究中,125名学生被要求蜷缩脖子30秒。在扭颈后,98.4%的参与者报告说,在0(无)到10(严重)的范围内,他们的平均疼痛等级为5.3,其中包括头部压力(M = 6.7),颈部僵硬(M = 5.9),眼睛紧张(M = 4)和头痛(M = 3.8)。在12名学生中,用肌电图监测头向前和颈部挤压(压迫)对颈椎和斜方肌的影响。前倾体位和扭颈时的平均颈表肌电图(sEMG)高于基线前后,扭颈时的斜方肌肌电图(sEMG)高于基线前后。对于大多数参与者来说,他们的头颈位置对旋转的影响和颈部扭动对症状发展的影响是完全出乎意料的。体验性练习可以提供身体反馈,作为一种教育工具来教授意识,从而激励参与者改变他们的身体姿势,从而减少懒散和扭脖子的现象。
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引用次数: 2
Biofeedback Certification International Alliance Update 生物反馈认证国际联盟更新
Pub Date : 2018-09-01 DOI: 10.5298/1081-5937-46.3.02
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引用次数: 0
Attachment-Informed Biofeedback—The Next Generation of Biofeedback Therapy 附着型生物反馈——下一代生物反馈疗法
Pub Date : 2018-09-01 DOI: 10.5298/1081-5937-46.3.03
Yossi Ehrenreich
Traditional biofeedback generally focuses on individual therapy that serves one of two purposes: (a) treating a functional health disorder that stems from an organic source or a mental disorder caused by high levels of stress or (b) improving performance. The author describes a therapy model that was developed based on biofeedback to treat interpersonal challenges such as parent–child relationships and spousal relationships. The author begins by describing the principles of the interpersonal biofeedback model and continues with practical examples.
传统的生物反馈通常侧重于满足以下两个目的之一的个体治疗:(a)治疗由器质性来源引起的功能性健康障碍或由高水平压力引起的精神障碍,或(b)提高表现。作者描述了一种基于生物反馈的治疗模式,用于治疗亲子关系和配偶关系等人际挑战。作者首先描述了人际生物反馈模型的原理,并继续给出了实际的例子。
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引用次数: 0
Case Report: Control of Heart Rate Variability to Cope with Stress and Pain After Colectomy 病例报告:控制心率变异性以应对结肠切除术后的压力和疼痛
Pub Date : 2018-09-01 DOI: 10.5298/1081-5937-46.3.01
A. Baldwin
Colectomy is psychologically very stressful, but little information is available to help patients manage stress. The client presented with anxiety, high heart rate, and apparent arrhythmias 9 months after colectomy. After 7 weeks of daily practice of controlled breathing and positive visualization, she showed no apparent arrhythmias and felt less anxious. She then suffered a stroke and underwent ileostomy surgery, but she was soon feeling less anxious, and her blood pressure and heart rate variability resumed normal values. This case demonstrates the effectiveness of autoregulatory practices for controlling stress after colectomy.
结肠切除术在心理上是非常紧张的,但很少有信息可以帮助患者管理压力。病人在结肠切除术后9个月出现焦虑、高心率和明显的心律失常。经过7周的日常控制呼吸和积极的想象练习,她没有出现明显的心律失常,感到焦虑减轻。随后,她中风并接受了回肠造口手术,但她很快就不那么焦虑了,血压和心率变异性也恢复了正常值。本病例证明了自我调节实践在结肠切除术后控制应激的有效性。
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引用次数: 2
The Role of Mindfulness Approaches in Integrative Medicine 正念方法在综合医学中的作用
Pub Date : 2018-06-01 DOI: 10.5298/1081-5937-46.1.03
D. Moss
Patients today frequently present with conditions caused by or aggravated by stress, lifestyle, and behavior. The number of patients with one or more chronic illnesses has increased worldwide, and lifestyle and behavior frequently contribute to these chronic conditions. Biomedical care fails to address many of the behavioral, lifestyle, and environmental factors causing and aggravating these conditions. The article proposes that integrative healthcare is better suited than biomedicine to address the biopsychosocial aspect of modern illness. In addition, mindfulness-based coping and mindfulness meditation are introduced as valuable tools for integrative medicine and integrative practitioners. The article introduces the concepts of the mindful practitioner, the mindful treatment encounter, mindful engagement of the patient, and mindfulness as treatment.
今天的患者经常出现由压力、生活方式和行为引起或加重的疾病。在世界范围内,患有一种或多种慢性疾病的患者数量有所增加,而生活方式和行为往往会导致这些慢性疾病。生物医学治疗不能解决导致和加重这些疾病的许多行为、生活方式和环境因素。本文提出,综合医疗保健比生物医学更适合解决现代疾病的生物心理社会方面。此外,正念为基础的应对和正念冥想被介绍为整合医学和整合从业者的宝贵工具。这篇文章介绍了正念实践者、正念治疗遭遇、病人的正念参与和正念治疗的概念。
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引用次数: 2
“Watch the Screen”: Biofeedback Can Improve Mindfulness for Chronic Pain “看屏幕”:生物反馈可以提高慢性疼痛的专注力
Pub Date : 2018-06-01 DOI: 10.5298/1081-5937-46.1.06
S. Rosenthal
Chronic pain has a significant impact on the quality of lives for millions of people. Because it is resistant to traditional medical intervention, the optimal approach to chronic pain management relies on a biopsychosocial understanding of health and treatment. To date, cognitive behavioral therapy (CBT) has been the treatment of choice. However, CBT's emphasis on active control can prove counterproductive because the cognitions, behaviors, and emotions related to pain are difficult to directly confront. More recently, CBT has begun to integrate mindfulness, shifting toward paradigms of accepting sensations rather than trying to change them. This is difficult for individuals with chronic pain, who frequently spend significant resources avoiding and trying to minimize sensations. Biofeedback can be a useful tool for shaping mindfulness because it allows a focus on an external signal that in fact reflects the internal process. Over time, individuals can learn to integrate mindfulness techniques in their daily life that minimize the influence of pain, allowing them to focus on other aspects of their lives.
慢性疼痛对数百万人的生活质量有重大影响。因为它抵抗传统的医学干预,慢性疼痛管理的最佳方法依赖于对健康和治疗的生物心理社会理解。迄今为止,认知行为疗法(CBT)一直是首选的治疗方法。然而,CBT强调主动控制可能会适得其反,因为与疼痛相关的认知、行为和情绪很难直接面对。最近,CBT开始整合正念,转向接受感觉的范式,而不是试图改变它们。这对患有慢性疼痛的人来说很难,他们经常花费大量的资源来避免和尽量减少感觉。生物反馈可以成为塑造正念的有用工具,因为它可以让人们关注外部信号,而这些信号实际上反映了内部过程。随着时间的推移,个人可以学会将正念技术融入日常生活,将疼痛的影响降到最低,使他们能够专注于生活的其他方面。
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引用次数: 2
Special Issue: More Mindful, More Accepting, More Compassionate, and More Self-Regulation 特刊:更用心,更接受,更有同情心,更自律
Pub Date : 2018-06-01 DOI: 10.5298/1081-5937-46.2.01
I. Khazan, D. Moss
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引用次数: 0
Special Issue: Mindfulness, Compassion, and Biofeedback Practice 特刊:正念,同情和生物反馈实践
Pub Date : 2018-06-01 DOI: 10.5298/1081-5937.46.1.01
I. Khazan, D. Moss
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引用次数: 0
Integrating Mindfulness and Biofeedback in the Treatment of Posttraumatic Stress Disorder 整合正念和生物反馈治疗创伤后应激障碍
Pub Date : 2018-06-01 DOI: 10.5298/1081-5937-46.02.03
Yuval Oded
Teaching mindfulness skills as part of psychological rehabilitation for PTSD patients can be highly beneficial. However, certain factors must be considered such as determining at what stage of therapy to introduce mindfulness training, the length of the practices, and the focal point of the training (e.g., attention, open focus, loving kindness). This article will address these considerations and outline ways in which psychophysiological monitoring and biofeedback can assist therapists in guiding their clients through the process. Specifically, it will highlight how the elevated arousal levels typical of PTSD and the lack of physiological habituation result in rigid and negatively biased attention, which in turn propels the elevated arousal levels into a vicious cycle. Mindfulness practices and approach may help achieve increased flexibility; however, the process must be tailored for each client in accordance with the severity of his or her PTSD symptoms.
教授正念技能作为PTSD患者心理康复的一部分是非常有益的。然而,必须考虑某些因素,例如确定在治疗的哪个阶段引入正念训练,练习的长度,以及训练的焦点(例如,注意力,开放焦点,爱心)。本文将讨论这些问题,并概述心理生理监测和生物反馈可以帮助治疗师指导他们的客户完成这一过程的方法。具体来说,它将强调PTSD典型的唤醒水平升高和生理习惯的缺乏如何导致刻板和负面偏见的注意,这反过来又推动了唤醒水平升高进入恶性循环。正念练习和方法可能有助于提高灵活性;然而,这个过程必须根据每个病人的创伤后应激障碍症状的严重程度量身定制。
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引用次数: 3
Stairway to Togetherness: Taking Mindfulness and Biofeedback into the Intersubjective Realm 通往团结的阶梯:将正念和生物反馈带入主体间领域
Pub Date : 2018-06-01 DOI: 10.5298/1081-5937-46.1.07
Nimrod Tom Oren, Dror Gronich, Arnon Rolnick
This paper proposes an integration of three therapeutic languages—biofeedback, mindfulness, and multiple-person oriented therapy (family, couple, etc.)—using a novel narrative we call the “Stairway to Togetherness.” Relying on recent theoretical and empirical developments, we present a model that combines these three languages into a single coherent therapeutic approach. This approach points to a new direction for multiperson therapy, emphasizing mindfulness interventions, conflict de-escalation, and psychophysiological mutual-regulation patterns, as opposed to content-based and behavioral interventions that have so far been the norm. We suggest that mindfulness and biofeedback practices and insights can find a proper place in the context of multiperson therapy, by making the intersubjective space between individuals the object of mindful attention. We show how mindfulness principles apply to this relational space, and how biofeedback can support this endeavor. A metaphor of a four-story home is provided to help couples navigate their relationship as they attempt to reach a place of felt togetherness—a therapeutic goal that goes beyond problem solving or communication training. Although this paper focuses on couples therapy, it can easily encompass other forms of multi-person therapy.
这篇论文提出了三种治疗语言的整合——生物反馈、正念和多人导向治疗(家庭、夫妻等)——使用一种我们称之为“通往团聚的阶梯”的新颖叙事。根据最近的理论和经验发展,我们提出了一个模型,将这三种语言结合成一个单一的连贯的治疗方法。这种方法指出了多人治疗的新方向,强调正念干预、冲突降级和心理生理相互调节模式,而不是迄今为止的基于内容和行为的干预。我们认为,正念和生物反馈的实践和见解可以在多人治疗的背景下找到合适的位置,通过使个体之间的主体间空间成为正念关注的对象。我们展示了正念原则如何应用于这个关系空间,以及生物反馈如何支持这一努力。一个四层楼的房子的比喻提供了帮助夫妻在他们试图达到一个感觉在一起的地方时驾驭他们的关系-一个超越解决问题或沟通训练的治疗目标。虽然本文的重点是夫妻治疗,但它可以很容易地涵盖其他形式的多人治疗。
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引用次数: 2
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Biofeedback and self-regulation
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