非接触性治疗性触摸的多位点肌电图分析。

D P Wirth, J R Cram
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引用次数: 0

摘要

自1975年作为护理干预引入以来,治疗触摸(TT)一直是医学领域的积极变革剂。然而,在这一领域进行的研究中缺少的一个关键因素是明确的科学证据或文件,证明TT对受试者的生理有客观的可量化的影响。本研究采用随机ABAC方法设计,研究无接触TT (NCTT)对自主神经和中枢神经系统参数的影响。受试者不知道实验协议的真实性质,也不知道治疗研究是为了控制安慰剂和预期效应而进行的。NCTT的影响是通过位于额肌、颈旁肌、胸旁肌和腰骶旁肌的多点表面肌电图记录来评估的。还监测了生理活动的自主指标,包括手和头的温度、心率和潮汐结束时的二氧化碳水平。结果表明,随着时间的推移,所有的自主神经指标都显示出一个普遍的趋势,即唤醒水平越来越低。数据还显示,对大多数受试者来说,在NCTT治疗期间和之后,被监测的四个肌肉区域中的三个——C4、T6和L3棘旁肌——表明能量显著减少。C4肌电图显示NCTT治疗效果显著(F = 10.31;Df = 1;p < 0.009水平),而T6肌电图(F = 13.49;Df = 1;p < 0.004)和L3肌电图(F = 4.74;Df = 1;P < 0.05)也有显著性。除了在自主变量中看到的习惯化效应外,还讨论了中和姿势内稳态和降低情绪唤醒的含义,并考虑了东方的“nadis”概念。
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Multi-site electromyographic analysis of non-contact therapeutic touch.

Therapeutic Touch (TT) has been an active change agent within the field of medicine since its introduction as a nursing intervention in 1975. A critical factor which has been missing from the research conducted in this area, however, is definitive scientific evidence or documentation that TT has an objective quantifiable impact upon the physiology of the subject. This study utilized a randomized ABAC methodological design to investigate the effect of TT without contact (NCTT) upon autonomic and CNS parameters. The subjects were blinded to the true nature of the experimental protocol as well as the fact that a healing study was being conducted in order to control for placebo and expectation effects. The impact of NCTT was assessed by multi-site surface EMG recordings located at the Frontalis, Cervical 4 paraspinals, Thoracic 6 paraspinals, and Lumbosacral 3 paraspinals. Autonomic indicators of physiological activity were also monitored and included hand and head temperature, heart rate, and end tidal CO2 levels. The results demonstrated that all of the autonomic indicators showed a general trend towards lower levels of arousal over time. The data also showed that three of the four muscle regions monitored--C4, T6, and L3 paraspinals--indicated a significant reduction in energy during and following the NCTT treatment sessions for a majority of the subjects. For example, the C4 EMG showed a significant NCTT treatment effect (F = 10.31; df = 1; p < .009 level), while the T6 EMG (F = 13.49; df = 1; p < .004) and L3 EMG (F = 4.74; df = 1; p < .05) also demonstrated significance. In addition to the habituation effects seen in the autonomic variables, the implications of neutralization of postural homeostasis and lowering of emotional arousal are discussed along with consideration of the Eastern concept of "nadis."

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