Blaauwendraat Conny, Levy Berg Adrienne, Gyllensten Amanda Lundvik
a Skönvik Fysioterapi , Arvika , Sweden.
b Karolinska Institutet, Institutionen för Neurobiologi , Vårdvetenskap och Samhälle, Sektionen för Fysioterapi , Huddinge , Lund , Sweden.
Physiother Theory Pract. 2017 Jul;33(7):515-526. doi: 10.1080/09593985.2017.1325957. Epub 2017 May 25.
The present study with mixed methods design evaluated the long-term effects of Basic Body Awareness Therapy (BBAT) for patients with posttraumatic stress disorder (PTSD). Fifteen patients received 12 individual sessions of BBAT treatment as usual (TAU) when needed. The patients were assessed at baseline (T0), directly after treatment (T1) and at one-year follow-up (T2), using the Body Awareness Scale Movement Quality and Experience (BAS MQ-E), the Visual Analog Scale (VAS), and the Impact of Event Scale-Revised (IES-R). The results at T1 showed significant improvement in the quality of movement (p = 0.001), body experience (p = 0.007), and symptoms (p = 0.001). At T2, the improvements were sustained. Pain in stillness (p = 0.017) and during movement (p = 0.007) had decreased. The verbal ability to describe the body experiences in words was poor at T0, but became more detailed at T1 and even more so at T2. Our findings suggest that BBAT in addition to TAU can be a viable physiotherapeutic treatment for patients with PTSD. This knowledge may influence future treatment strategies for patients with PTSD and be of guidance to physiotherapists working with persons with trauma experiences in the community or psychiatry/mental healthcare areas.
本混合方法设计研究评估了基础身体觉知疗法(BBAT)对创伤后应激障碍(PTSD)患者的长期影响。15名患者在需要时接受了12次常规的BBAT个体治疗。在基线期(T0)、治疗结束后即刻(T1)和一年随访期(T2),使用身体觉知量表运动质量与体验(BAS MQ-E)、视觉模拟量表(VAS)和事件影响量表修订版(IES-R)对患者进行评估。T1时的结果显示,运动质量(p = 0.001)、身体体验(p = 0.007)和症状(p = 0.001)有显著改善。在T2时,这些改善得以维持。静息时的疼痛(p = 0.017)和运动时的疼痛(p = 0.007)有所减轻。在T0时,用言语描述身体体验的能力较差,但在T1时变得更加详细,在T2时更是如此。我们的研究结果表明,除常规治疗外,BBAT对PTSD患者可能是一种可行的物理治疗方法。这一知识可能会影响PTSD患者未来的治疗策略,并为在社区或精神病学/精神卫生保健领域为有创伤经历的人提供服务的物理治疗师提供指导。