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一项关于枕下筋膜松解对服装行业工人皮质醇水平影响的试点研究——随机临床试验。

A pilot study of the effects of suboccipital fascial release on cortisol levels in workers in the clothing industry - randomized clinical trial.

作者信息

Silva Bruna Luísa, de Oliveira Lara Alves, Costa Camila Medeiros, Guimarães Cristiano Queiroz, Vieira Leonardo Sette, Pernambuco Andrei Pereira

机构信息

Centro Universitário de Formiga - UNIFOR-MG, Formiga, Minas Gerais, Brazil.

Faculdade Ciências Médicas de Minas Gerais - CMMG, Belo Horizonte, Minas Gerais, Brazil.

出版信息

J Can Chiropr Assoc. 2020 Aug;64(2):109-118.

Abstract

INTRODUCTION

Repetitive and time sensitive demands of clothing workers has been associated with higher salivary cortisol levels that may reflect the stress experienced by the worker.

OBJECTIVE

This trial evaluates if suboccipital fascial release (SFR) is associated with reduced salivary cortisol levels.

METHODS

Randomized controlled trial with 40 workers, divided into: untreated group (UG, n = 15) and treated group (TG, n = 25). Both were removed from the work environment. The TG received the above technique and the UG remained lying at rest, both for five minutes. Salivary cortisol levels were measured by a commercial enzyme-linked immunosorbent assay (ELISA) kit. Statistical analysis of data distribution, intragroup and intergroups, were performed with α adjusted to 0.05.

RESULTS

Pre / post intragroup analyses showed significant differences in cortisol levels in both groups, as well as intergroup analyses with lower values in favor of TG (p = 0.014).

CONCLUSION

The reduction in salivary cortisol levels in TG suggests that SFR may be more effective than rest in reducing stress. Future studies with increased experimental rigor are necessary to confirm this conclusion.

CLINICAL TRIAL REGISTRATION NUMBER

REBEC - RBR - 56yk9m.

摘要

引言

服装工人重复性且有时间限制的工作要求与较高的唾液皮质醇水平相关,这可能反映了工人所经历的压力。

目的

本试验评估枕下筋膜松解术(SFR)是否与唾液皮质醇水平降低相关。

方法

对40名工人进行随机对照试验,分为:未治疗组(UG,n = 15)和治疗组(TG,n = 25)。两组均脱离工作环境。TG接受上述技术治疗,UG则保持静卧休息,均持续五分钟。使用商用酶联免疫吸附测定(ELISA)试剂盒测量唾液皮质醇水平。对数据分布、组内和组间进行统计分析,α调整为0.05。

结果

组内术前/术后分析显示两组皮质醇水平均有显著差异,组间分析显示TG的皮质醇水平较低(p = 0.014)。

结论

TG中唾液皮质醇水平的降低表明,SFR在减轻压力方面可能比休息更有效。需要进行更严格的实验的未来研究来证实这一结论。

临床试验注册号

REBEC - RBR - 56yk9m。

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