Sillevis Rob, Hansen Anne Weller
Department of Rehabilitation Sciences, Florida Gulf Coast University, 10501 FGCU Boulevard South, Marieb 435, Fort Myers, FL 33965, USA.
J Clin Med. 2024 Oct 2;13(19):5898. doi: 10.3390/jcm13195898.
Musculoskeletal disorders such as cervicogenic headaches present with suboccipital muscle hypertonicity and trigger points. One manual therapy intervention commonly used to target the suboccipital muscles is the suboccipital release technique, previously related to positive systemic effects. Therefore, this study aimed to determine the immediate and short-term effects of the Suboccipital Release Technique (SRT) on brainwave activity in a subgroup of healthy individuals. Data were collected from 37 subjects (20 females and 17 males, with a mean age of 24.5). While supine, the subjects underwent a head hold followed by suboccipital release. A total of four 15 s electroencephalogram (EEG) measurements were taken and a Global Rating of Change Scale was used to assess self-perception. There was a statistically significant difference ( < 0.005) in various band waves under the following electrodes: AF3, F7, F3, FC5, T7, P7, O1, O2, P8, T8, and FC6. An 8-point range in the Global Rating of Change Scores with a mean score of 1.649 (SD = 1.719 and SE = 0.283) supported the hypothesis of a self-perceived benefit from the intervention. The results of this study indicate that the suboccipital release technique significantly affects brain wave activity throughout different brain regions. This change is likely not the result of any placebo effect and correlates highly with the subject's self-perception of a change following the intervention. These findings support the clinical use of the suboccipital release technique when a centralized effect is desired.
诸如颈源性头痛之类的肌肉骨骼疾病会伴有枕下肌肉张力亢进和触发点。一种常用于针对枕下肌肉的手法治疗干预是枕下松解技术，该技术先前被认为具有积极的全身效应。因此，本研究旨在确定枕下松解技术（SRT）对一组健康个体脑电波活动的即时和短期影响。研究数据来自37名受试者（20名女性和17名男性，平均年龄24.5岁）。受试者仰卧时，先进行头部固定，然后进行枕下松解。总共进行了四次15秒的脑电图（EEG）测量，并使用全球变化评分量表来评估自我感知。在以下电极下的各种波段中存在统计学上的显著差异（<0.005）：AF3、F7、F3、FC5、T7、P7、O1、O2、P8、T8和FC6。全球变化评分的范围为8分，平均得分为1.649（标准差=1.719，标准误=0.283），支持了干预带来自我感知益处的假设。本研究结果表明，枕下松解技术会显著影响不同脑区的脑电波活动。这种变化可能不是任何安慰剂效应的结果，并且与受试者对干预后变化的自我感知高度相关。这些发现支持在期望产生集中效应时临床使用枕下松解技术。
