Corazon Sus Sola, Olsen Lisbeth Jul, Kæreby Natasha, Poulsen Dorthe Varning, Sidenius Ulrik, Bekke-Hansen Stine, Marschner Linda
Department of Geosciences and Natural Resource Management, University of Copenhagen, 1958 Frederiksberg, Denmark.
Municipality of Copenhagen, 2300 Copenhagen, Denmark.
Behav Sci (Basel). 2024 Jul 12;14(7):594. doi: 10.3390/bs14070594.
This study investigated the efficacy of a 10-session nature-based therapeutic intervention for people with post-concussion symptoms. The intervention involved physical and vestibular exercises, sensory training, relaxation, and psychoeducation, all of which were integrated with the natural environment in a forest therapy garden. This study was designed with a passive control period followed by the intervention ( = 30). The Mental Fatigue Scale (MFS) was the primary outcome measure. The secondary outcome measures were the Warwick-Edinburg Mental Wellbeing Scale and the short version of the Quality of Life after Brain Injury. A Likert scale was used to examine the mental strain of the sessions themselves. The MFS (primary outcome) exhibited a significant decrease with a medium-sized effect from before to after the intervention. The secondary outcomes exhibited significant increases from the beginning to the end of the intervention. All outcomes were sustained at follow-up ten weeks later. No significant difference was found from the control period. This study indicates that the described nature-based intervention is a feasible treatment for reducing prolonged post-concussion symptoms. However, it should be studied more in-depth to understand the impact of the natural environment and to validate the results on a larger representative population.
本研究调查了为期10节的基于自然的治疗干预对脑震荡后有症状者的疗效。该干预包括身体和前庭锻炼、感官训练、放松以及心理教育，所有这些都在森林治疗花园中与自然环境相结合。本研究设计为先有一个被动对照期，然后进行干预（n = 30）。精神疲劳量表（MFS）是主要的结局指标。次要结局指标是沃里克 - 爱丁堡心理健康量表和脑损伤后生活质量简版。使用李克特量表来检查各节治疗本身的精神压力。主要结局指标MFS在干预前后呈现出显著下降，效应量为中等。次要结局指标在干预开始到结束时呈现出显著增加。所有结局在十周后的随访中得以维持。与对照期相比未发现显著差异。本研究表明，所描述的基于自然的干预是一种减轻长期脑震荡后症状的可行治疗方法。然而，应进行更深入的研究，以了解自然环境的影响，并在更具代表性的更大人群中验证结果。
