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肌肉紧张与精神病理学。通过对肌肉紧张进行一般物理治疗检查对四个精神病理学组进行比较。

Muscular tension and psychopathology. A comparison of four psychopathological groups by general physiotherapeutic examination of muscular tension.

作者信息

Sundsvold M

出版信息

Psychother Psychosom. 1975;26(4):219-228. doi: 10.1159/000286933.

DOI:10.1159/000286933
PMID:1226418
Abstract

From 1968 to 1970, 136 test patients divided in four groups have been examined by general physiotherapeutic muscle tension examination. Group 1 were psychotic patients, group 2 were neurotic patients, and both groups were inpatients in a psychiatric hospital. Group 3 were ambulant patients at a physical institute and group 4 were healthy control persons. Each group was examined by five different, independent clinical muscle tension investigations: (1) examination of posture when standing and lying supine; (2) examination of respiration standing and lying supine; (3) examination of resistance to passive movements; (4) examination of muscle elasticity on palpation, and (5) examination of the patients reaction to the palpation. Altogether 47 variables were investigated, and of these 34 gave results which were statistically significant. This study confirms that there is a systematic connection between muscle tension and psychic conditions and the physiotherapeutic muscle tension investigation can contribute to diagnosing the degree of psychopathology and could be an aid in the selection of treatment. It is of interst to find out whether there is a connection between tension of the skeletal muscles on the one side and psychopathology on the other. A possible connection between the two might open the door for a comprehensive understanding of somatical and psychological illnesses, and offer the possibility for a more concise and direct treatment.

摘要

1968年至1970年期间,136名被分为四组的受试患者接受了常规物理治疗性肌张力检查。第一组是精神病患者,第二组是神经症患者,两组均为一家精神病医院的住院患者。第三组是一所体育机构的门诊患者,第四组是健康对照者。每组均通过五项不同的、独立的临床肌张力检查进行检查:(1)站立和仰卧时的姿势检查;(2)站立和仰卧时的呼吸检查;(3)被动运动阻力检查;(4)触诊时的肌肉弹性检查,以及(5)患者对触诊的反应检查。总共调查了47个变量,其中34个得出了具有统计学意义的结果。这项研究证实,肌张力与心理状况之间存在系统性联系,物理治疗性肌张力检查有助于诊断精神病理学程度,并且可能有助于治疗方案的选择。弄清楚一侧骨骼肌的张力与另一侧精神病理学之间是否存在联系很有意思。两者之间的可能联系可能为全面理解躯体疾病和心理疾病打开大门,并提供更简洁直接治疗的可能性。

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