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Phản hồi sinh học biến thiên nhịp tim cho chấn thương đầu nhẹ: Một nghiên cứu ngẫu nhiên - đối chứng
Tóm tắt
Để xác định liệu đào tạo phản hồi sinh học biến thiên nhịp tim (HRV-BF), so với điều kiện kiểm soát giáo dục tâm lý có thể tăng cường sự tích hợp của hệ thần kinh trung ương và hệ thần kinh tự động như được đo lường bằng các chỉ số tâm lý thần kinh ở bệnh nhân bị chấn thương não nhẹ (mTBI). Người tham gia được tuyển chọn từ hai bệnh viện đại học ở Đài Bắc, Đài Loan. Tổng cộng 49 người tham gia bị mTBI đã được tuyển cho nghiên cứu này. Bốn mươi mốt người tham gia đã hoàn thành nghiên cứu, 21 người trong nhóm giáo dục tâm lý và 20 người trong nhóm HRV-BF. Nghiên cứu được kiểm soát ngẫu nhiên. Bộ kiểm tra đánh giá nhanh não bộ Đài Loan, Bài kiểm tra lưu loát ngôn từ và liên tưởng từ ngữ, phiên bản Đài Loan của Bài kiểm tra học các từ theo trình tự, Bài kiểm tra thêm tuần tự qua âm thanh đã được sửa đổi, và Bài kiểm tra lập trình tuần tự đã được sử dụng như các biện pháp đo lường chức năng tâm lý thần kinh dựa trên hiệu suất. Danh sách triệu chứng sau chấn thương, phiên bản Đài Loan của Bảng hỏi rối loạn chức năng điều hành, Bảng hỏi lo âu Beck, Bảng hỏi trầm cảm Beck, và Thang đo gây khó chịu của Đại học Quốc gia Đài Loan đã được sử dụng như các biện pháp tự báo cáo chức năng tâm lý thần kinh. Hơn nữa, biến thiên nhịp tim trước và sau đào tạo đã được sử dụng để đo lường chức năng hệ thần kinh tự động. Chức năng điều hành, xử lý thông tin, trí nhớ ngôn ngữ, chức năng tâm lý thần kinh cảm xúc, và biến thiên nhịp tim (HRV) đã được cải thiện một cách đáng kể trong nhóm HRV-BF ở bài kiểm tra sau, trong khi nhóm giáo dục tâm lý không cho thấy sự thay đổi. Phản hồi sinh học HRV là một kỹ thuật khả thi sau chấn thương não nhẹ có thể cải thiện chức năng tâm lý thần kinh và chức năng hệ thần kinh tự động. HRV-BF có thể khả thi trong lâm sàng cho việc phục hồi chức năng của bệnh nhân bị mTBI.
Từ khóa
#biến thiên nhịp tim #phản hồi sinh học #chấn thương não nhẹ #chức năng tâm lý thần kinh #hệ thần kinh tự độngTài liệu tham khảo
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