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单次功能性神经学治疗对轻度抑郁症患者自主神经调节的急性影响:一例病例报告。

Acute effects of a single functional neurology session on autonomic modulation in a patient with mild depression: a case report.

作者信息

Clemente-Suárez Vicente Javier, Escribano-Colmena Guillermo, Navarro-Jiménez Eduardo, Rey-Mota Jorge

机构信息

Faculty of Sports Sciences, Universidad Europea de Madrid, Madrid, Spain.

Independent Researcher, Boadilla del Monte, Spain.

出版信息

Front Neurosci. 2025 May 23;19:1567062. doi: 10.3389/fnins.2025.1567062. eCollection 2025.

DOI:10.3389/fnins.2025.1567062
PMID:40486727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141250/
Abstract

Autonomic dysregulation is frequently observed in individuals with psychological distress, including mild depression, anxiety, loneliness, and chronic pain. Functional neurology offers a non-invasive, sensorimotor-based approach aimed at restoring autonomic balance through targeted neural stimulation. This case report explores the acute effects of a single-session multimodal functional neurology intervention on heart rate variability (HRV) in a 38-year-old female patient presenting with mild depression, moderate anxiety, high loneliness, psychological inflexibility, and chronic musculoskeletal pain. Baseline psychological assessments were conducted to characterize the patient's emotional and cognitive profile, but no post-intervention psychological data were collected. HRV was measured before and after the intervention using photoplethysmography, with time and frequency domain analyses performed. Post-intervention results showed an increase in high-frequency (HF) power and a decrease in low-frequency (LF) power, suggesting enhanced parasympathetic modulation. These findings provide preliminary physiological evidence that a brief neuromodulatory intervention may positively influence autonomic function. Further controlled research is warranted to assess the consistency and clinical significance of these effects.

摘要

自主神经调节异常在有心理困扰的个体中经常出现,包括轻度抑郁、焦虑、孤独和慢性疼痛。功能神经学提供了一种基于感觉运动的非侵入性方法,旨在通过有针对性的神经刺激恢复自主神经平衡。本病例报告探讨了单次多模式功能神经学干预对一名38岁女性患者心率变异性(HRV)的急性影响,该患者患有轻度抑郁、中度焦虑、高度孤独、心理僵化和慢性肌肉骨骼疼痛。进行了基线心理评估以描述患者的情绪和认知特征,但未收集干预后的心理数据。干预前后使用光电容积脉搏波描记法测量HRV,并进行时域和频域分析。干预后结果显示高频(HF)功率增加,低频(LF)功率降低,提示副交感神经调节增强。这些发现提供了初步的生理学证据,表明短暂的神经调节干预可能对自主神经功能产生积极影响。有必要进行进一步的对照研究,以评估这些影响的一致性和临床意义。