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脊柱推拿对暴露于威胁刺激的恐惧症患者情绪唤醒强度的影响:一项随机、对照、双盲临床试验。

The effects of spinal manipulation on the intensity of emotional arousal in phobic subjects exposed to a threat stimulus: a randomized, controlled, double-blind clinical trial.

作者信息

Peterson K B

出版信息

J Manipulative Physiol Ther. 1997 Nov-Dec;20(9):602-6.

PMID:9436145
Abstract

OBJECTIVE

To determine the effect of spinal manipulation upon the intensity of emotional arousal in phobic subjects exposed to a threat stimulus.

DESIGN

Randomized, controlled, double-blind clinical trial.

SETTING

Community college campus.

SUBJECTS

Eighteen phobic community college student volunteers randomized into treatment and control groups.

INTERVENTION

Visual analog scale (VAS) and pulse rates were obtained in response to the subjects' viewing their phobogenic stimulus. Spinal manipulation was performed while the subjects experienced emotional responses. Manual muscle testing was utilized to ascertain the associated spinal segments and involved emotion.

RESULTS

Data were analyzed using analysis of variance for a repeated measures experimental design and Least Significant Differences (LSDs) for mean comparisons. Baseline, preintervention and postintervention pulse rates were not statistically different for the control and treatment groups (p = .0807). VAS postintervention mean for the spinal manipulation group was significantly lower than the control means (p = .05) and from its corresponding preintervention mean (p = .001).

CONCLUSION

Spinal manipulation significantly decreased the intensity of emotional arousal reported by phobic subjects. The mechanism for this effect is not known.

摘要

目的

确定脊柱推拿对暴露于威胁性刺激的恐惧症患者情绪唤醒强度的影响。

设计

随机、对照、双盲临床试验。

地点

社区大学校园。

受试者

18名患有恐惧症的社区大学学生志愿者,随机分为治疗组和对照组。

干预措施

受试者观看其恐惧源刺激物时,获取视觉模拟量表(VAS)评分和脉搏率。在受试者产生情绪反应时进行脊柱推拿。采用徒手肌力测试来确定相关的脊柱节段和涉及的情绪。

结果

采用重复测量实验设计的方差分析和均数比较的最小显著差法(LSDs)对数据进行分析。对照组和治疗组的基线、干预前和干预后的脉搏率无统计学差异(p = 0.0807)。脊柱推拿组干预后的VAS均数显著低于对照组均数(p = 0.05),且低于其相应的干预前均数(p = 0.001)。

结论

脊柱推拿显著降低了恐惧症患者报告的情绪唤醒强度。这种效应的机制尚不清楚。

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