Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Cranio-Sacral Therapy on Brain Function Quotient of Elderly with Long-term Care Insurance Service

두개천골요법이 장기요양시설노인의 뇌기능지수에 미치는 효과

  • Lee, Jung-eun (Major in Neurosceince, Department of Mind-Body Healing, Seoul University of Buddhism)
  • 이정은 (서울불교대학원대학교 심신통합치유학과 뇌과학전공)
  • Received : 2015.09.11
  • Accepted : 2016.01.05
  • Published : 2016.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to identify the effects of the improvement of brain function by CST on the elderly with the 2nd or 3rd grade of long-term care insurance service. A quasi-experimental design using a nonequivalent control group, pre-post test was used. A total of 12 elders (6 in the experimental group and 6 in the control group) were recruited. Upledger CST(10-Step Protocol) was performed on each subject for 50 minutes per session, once a week, for a total of 8 treatments over an 8 week period from Jan to Feb 2015. The brain function quotient was measured before the 1st CST and after the last CST by portable EEG measurement device using a 2 Channel neuro-feedback system. The data was analyzed by SPSS (Ver. 18.0) program. After CST intervention, the attention quotient (AQ), level of tension, anti-stress quotient (ASQ), emotion quotient (EQ) and brain quotient (BQ) of the experimental group was significantly better than that of the control group. These results showed that the CST was effective in reducing the level of fatigue by the AQ, increasing the physical and psychological stress relief by the ASQ, emotional balance by the EQ, and improving the total brain function by the BQ. Therefore, CST can be used as an effective intervention for improving the health and brain function of the elderly in health facilities.

최근 CST 효과에 대한 많은 과학적 근거들이 활발히 제시되고 있으며, CST를 실제 임상에서 적극적으로 활용하고 있다. 이에 본 연구는 CST가 장기요양시설노인의 뇌기능 향상에 효과가 있는지를 확인하기 위한 비동등성 대조군 전후 설계의 유사 실험연구이다. 2015년 1월 3일~2015년 2월 28일까지 장기요양시설노인 12명(실험군 6명, 대조군 6명)을 대상으로 Upledger가 개발한 10단계(10-Step Protocol) CST를 1회 50분, 주 1회, 8주간, 총 8회 적용하였다. 뇌기능 측정은 2 Channel neuro-feedback system 이동식 뇌파 측정기를 이용하여, CST 시술 시작 전과 마지막 시술 후에 뇌파를 측정하였으며, 한국정신과학연구소에서 개발한 뇌기능 분석 프로그램인 BQ test로 뇌기능지수를 분석하였다. 집단 간 자료의 분석은 SPSS Windows(Version 18.0)프로그램의 Mann-Whitney U-test를 사용하였다. 연구결과 뇌기능지수 중 주의지수(좌)(우), 주의지수의 하위지수인 긴장도(좌)(우), 항스트레스지수(좌)(우), 정서지수, 브레인지수에서 유의한 변화가 나타났고, 주의지수의 하위 지수인 주의비율에서만 유의하지 않았다. 이상의 결과로 CST가 시설노인의 뇌기능지수를 증가시켜 뇌기능을 향상시켰음을 확인할 수 있었으며, CST를 노인요양시설에서 건강과 뇌기능 향상을 위한 효과적인 중재방법으로 활용할 것을 제안한다.

Keywords

References

  1. Lee YW, Park KH, Seong YS. A study on changes of primary Caregivers' fatigue, depression and life satisfaction by using dementia day care service. J Korean Academy of Adult Nurs. 20(3), 443-451, 2008.
  2. National Health Insurance Service(2008, June). Judgement rating for long-term care insurance. http://www.longtermcare.or.kr/portal/ny/jsp/p/d/01/nypdfaqlst_R.jsp?act=VIEW(accessed July 22, 2015)
  3. Upledger JE. Craniosacral therapy I: Study guide. UI Publishing, Florida, 2002.
  4. Upledger JE, Kaplan BS, Bourne RA, Zonderman RB. The effects of Upledger craniosacral therapy on post traumatic stress disorder symptomology in Vietnam combat veterans. Subtle Energy & Energy Medicine 11(2), 123-143, 1993.
  5. Upledger JE. Craniosacral therapy and scientific research part I. Palm Beach Gardens, Florida, 2003.
  6. Guillermo A. Mataran-Penarrocha, Adelaida Maria Castro-Sanchez, Gloria Carballo Garcia, Carmen Moreno-Lorenzo, Tesifon Parron Carreno and Maria Dolores Onieva Zafra. Influence of craniosacral therapy on anxiety, depression and quality of life in patients with fibromyalgia. eCAM 2009(3), 1-9, 2009.
  7. Harrison RE, Page JS. Multipractitioner Upledger craniosacral therapy: descriptive outcome study 2007-2008. J Alternative Complement Med. 17(1), 13-17, 2011. DOI: http://dx.doi.org/10.1089/acm.2009.0644
  8. Helen E, Hans-Christian Ostgaard, Anna G, Pia M, Ann-Charlotte Linner, Monika FO. Effects of craniosacral therapy as adjunct to standard treatment for pelvic girdle pain in pregnant women: a multicenter, single blind, randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica 92(7), 775-782, 2013. DOI: http://dx.doi.org/10.1111/aogs.12096
  9. Haller H, Cramer H, Werner M, Dobos G. Treating the sequelae of postoperative meningioma and traumatic brain injury: A case of implementation of craniosacral therapy in integrative inpatient care. J Alternative and Complementary Med. 21(2), 110-112, 2015. DOI: http://dx.doi.org/10.1089/acm.2013.0283
  10. Choi SS, Park HS. The effects of craniosacral therapy on chronic headache. J Korean Rehabilitation Nurs. 7(1), 68-77, 2004.
  11. Jung MR. The effect of craniosacral therapy on relieving the stress of high school girls. Unpublished master's thesis, Chosun University, Gwangju, 27-30, 2006.
  12. Lee JE, Chae MS, Hyun KS, Park PW. Effects of neurofeedback and cranio-sacral therapy on fatigue and the stress resistance in korean middle aged women. J Korean Acad Psychiatr Ment Health Nurs. 17(2), 21-31, 2008.
  13. Nam HS. The effect of massage on fatigue element and stress hormones : The comparative study of meridian massage and craniosacral therapy. Unpublished master's thesis, Hansung University, Seoul, 32-44, 2010.
  14. Lyou JL. The effects of cranio sacral therapy on pain and muscle tension for middle-aged women. International J Complementary, Integrative and Alternative Med. 7(1), 37-56, 2011.
  15. Jeun JS. The effects of the stress and the balance for left & right scapula with the craniosacral therapy. Unpublished master's thesis, Taejon University, Taejon, 49-51, 2012.
  16. Lee JE, Hyun KS. Content analysis on experiences in middle aged women participating in neurofeedback, cranio-sacral therapy and combine therapy. J Korea Academia-Industrial Cooperation Society 13(3), 1042-1053, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.3.1042
  17. Oh US. The effect of craniosacral therapy on insomnia. Unpublished master's thesis, Hansung University, Seoul, 30-33, 2012.
  18. Shin SJ, Lee MN, Lee IH. The effects of Thai massage on women 20s, lower edema, fatigue substance and stress hormone. J Korea Soc. Beauty and Art 15(1), 243-252, 2014.
  19. Lee JE. Effects of cranio-sacral therapy on self-regulation and brain quotient in practitioner and client. J Investigative Cosmetology 11(1), 17-24, 2015. DOI: http://dx.doi.org/10.15810/jic.2015.11.1.003
  20. Lee JE. Effects of neurofeedback, cranio-sacral therapy and mixed therapy on fatigue, stress and the brain quotient in korean middle aged women. J. Kor. Soc. Cosm. 16(4), 1028-1040, 2010.
  21. Ko YM, Hwang HJ, Han EH, Jang TS. The effect of craniosacral therapy on brain wave and electrocardiogram in the elderly. Kor. J. Aesthet. Cosmetol. 10(4), 879-886, 2012.
  22. Lee JE, Youn MK, Hyun KS, Park PW, Lee KS, Jeong DL. The effects of neurofeedback training on brain function quotient of elderly with long-term care insurance service. J East-West Nursing Research 18(2), 111-119, 2012.
  23. Jasper HH. The ten-twenty electrode system of the international federation. Electroencephalography and Clin Neurophysiology 56(6), 898-902, 1958.
  24. Ryu CS, An MH, Na YC, Cho JO, Han YS, Kim KH, Park PW. A portable neurofeedback system and EEG-analysis methods for evaluation. World Congress on Medical Physics and Biomedical Engineering Proceeding, 1060-1062, 2006.
  25. Kim YJ, Kim HH, Park JK, Chae HK, Park MA, Kang KM, Cho SH, Min YK, Chang NK. The evaluations of the functional state of the brain by brain wave measure during problem-solving activities. Korean J Biological Education 28(3), 291-301, 2000.
  26. Park PW. Interpretation method of EEG. Korea Research Institute of Jungshin Science, Seoul, 99-113, 2005.
  27. Shim DH, Yi SH. Comparison of brain function scores between computer-game addicted and not addicted children in performing left brain hemisphere typed cognitive tasks. The Korean J the Human Development 12(4), 191-207, 2005.
  28. Kim YR. Effect of aroma oil back massage on the brain wave and psychological factors in perimenopause women. J Investigative Cosmetology 10(1), 45-51, 2014. DOI: http://dx.doi.org/10.15810/jic.2014.10.1.006
  29. Park HR, Park PW, Song GW, Lim GW. Socio-economic effects on brain functions and symptoms of child behavioral problems. J Korea Academia-Industrial Cooperation Society 16(1), 462-470, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.1.462
  30. Lubar JF, Swartwood MO, Swartwood JN, O'Donnell PH. Evaluation of the effectiveness of EEG neurofeedback training for ADHD in a clinical setting as measured by changes in T.O.V.A. scores behavioral rating and WISC-R performance. Biofeedback & Self Regulation 20, 83-99, 1995. DOI: http://dx.doi.org/10.1007/BF01712768
  31. Peniston EG, Marrinan DA, Deming WA, Kulkosky PJ. EEG alpha-theta brain wave synchronization in Vietnam theater veterans with combat-related post-traumatic stress disorder and alcohol abuse. Advances in Medical Psychotherapy 6, 37-50, 1993.
  32. Maulsby RL. An illustration of emotionally evoked theta rhythm in infancy: hedonic hypersynchrony. EEG and Clinical Neuroscience Letters 143, 10-14, 1971. DOI: http://dx.doi.org/10.1016/0013-4694(71)90186-6
  33. Woodruff D. Craniosacral therapy: A brief description. Victoria Pain Clinic Publishing, Victoria, 1995.
  34. Horn C. 13 ways to wipe out pain, Natural Health Jan, 37-45, 1999.
  35. Kim DS, Chung YS, Par SK. Relationship between the stress hormone, salivary cortisol level and stress score by self-report measurement. Korean J Health Psychology 9(3), 633-645, 2004.
  36. Youn MK, Lee JE, Kim SK, Lee SW, Kim JH, Woo KO. The effects of oriental herbal tea on the brain function quotient of elders at health facility. J East-West Nursing Research 19(2), 128-137, 2013. DOI: http://dx.doi.org/10.14370/jewnr.2013.19.2.128
  37. Jeong ES. The effect of the integrated therapy of neurofeedback, brain gymnastics, and oriental herbal tea on the improvement of brain functions and the quality of life of elders living alone. Unpublished master's thesis, Seoul University of Buddhism, Seoul, 54-64, 2015.
  38. Peniston EG, Marrinan DA, Deming WA, Kulkosky PJ. EEG alpha-theta brain wave synchronization in Vietnam theater veterans with combat-related post-traumatic stress disorder and alcohol abuse. Advances in Medical Psychotherapy 6, 37-50, 1993.
  39. Lee SY, Lee JY, Kim JS. Lee JH, Kang SS: Flavonoids from the seeds of zizyphus jujuba var. spinosa. Korean J Pharmacognosy 43(2), 127-136, 2012.
  40. Lee JE, Park PW, Hyun KS. The Relationship between Fatigue, Stress resistance and Emotion in Korean middle aged women. J Korea Academia-Industrial cooperation Society, 12(3), 1145-1150, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.3.1145
  41. Yoon BS. BIS and BAS related difference on cognitive and psychophysiological responses to the affective stimuli. Korean J Psychological Association General 29(4), 679-705, 2010.
  42. Weon HW, Lim JY, Son HK, Kim MA. The effects of the neurofeedback training on the general health status, mental health and problem behavior, and brain function quotient among high school students. J Korea Academia-Industrial cooperation Society 14(12), 6309-6316, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.12.6309
  43. You YH, Jeong YT. Effectiveness of participating TGMD-2 basis program for intellectual & development disability in brain quotient and exercise perform capability. J Korean Society of Adapted Physicalactimity and Exercise 23(1), 49-63, 2015. https://doi.org/10.17006/kjapa.2015.23.1.49
  44. Choi NS, Ahn SK, Park PW. Research on the difference of anti-stress by classification of puberty development index. J Korea Academia-Industrial cooperation Society 16(4), 2505-2510, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.4.2505
  45. Im GY, Park HR, Choi NS, Park PW. A study of correlation between big 5 personality traits and SRQ of brain quotient. J Korea Academia-Industrial cooperation Society 16(6), 3760-3768, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.6.3760