• Title/Summary/Keyword: Autonomic nerve system

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Effects of Laughing and Music Therapy on Depression and Activities of the Autonomic Nervous System in the Elderly with Dementia (요양시설에 거주하는 치매노인을 위한 웃음요법과 음악요법이 우울과 자율신경활성도에 미치는 영향)

  • Chae, Kyung Suk
    • Journal of Korean Biological Nursing Science
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    • v.17 no.3
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    • pp.245-252
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    • 2015
  • Purpose: This study was to identify the effects of laughing and music therapy on depression and the activities of the autonomic nervous system in the elderly with dementia. Methods: The participants were 61 seniors over 65 years old with dementia, admitted to nursing homes. Twenty of them received laughing therapy, 21 received music therapy and 18 were in the control group. A total of 59 patients' data were analyzed. Depression was measured by Cornell Scale for Depression in Dementia tool, and the activities of the autonomic nervous system by the heart rate variability measuring device. The data were analyzed by frequency and percentage, Chi-square test, t-test, ANOVA, and Tukey test. Results: The depression of the music therapy group was more significantly decreased than the laughing therapy group and the control group. The activities of the autonomic nervous system of the laughing therapy group were more significantly increased than the music therapy group. The magnitude of the activities of the autonomic nervous system of the laughing therapy group were more significantly increased than the music therapy group. Conclusion: This study showed that music therapy was more effective than laughing therapy for the decrease of depression. Laughing and music therapy were more effective than in the control group for increasing the activities of the para-sympathetic nervous system and decreasing the activities of the sympathetic nerve system.

Neuromodulation for Atrial Fibrillation Control

  • Seil Oh
    • Korean Circulation Journal
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    • v.54 no.5
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    • pp.223-232
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    • 2024
  • Trigger and functional substrate are related to the tone of autonomic nervous system, and the role of the autonomic nerve is more significant in paroxysmal atrial fibrillation (AF) compared to non-paroxysmal AF. We have several options for neuromodulation to help to manage patients with AF. Neuromodulation targets can be divided into efferent and afferent pathways. On the efferent side, block would be an intuitive approach. However, permanent block is hard to achieve due to completeness of the procedure and reinnervation issues. Temporary block such as botulinum toxin injection into ganglionated plexi would be a possible option for post-cardiac surgery AF. Low-level subthreshold stimulation could also prevent AF, but the invasiveness of the procedure is the barrier for the general use. On the afferent side, block is also an option. Various renal denervation approaches are currently under investigation. Auditory vagus nerve stimulation is one of the representative low-level afferent stimulation methods. This technique is noninvasive and easy to apply, so it has the potential to be widely utilized if its efficacy is confirmed.

Study of the Relation between Palpation of the Jeonjung(膻中, $CV_{17}$) and Autonomic Nerve System by Heart Rate Variability (심박 변이도 분석을 통한 전중혈(膻中穴) 압진(壓診)과 자율신경실조의 상관성 연구)

  • Ha, Seon-Yun;Cho, Seong-Yeun;Jang, Jin-Young;Kim, Yong-Suk;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • v.26 no.5
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    • pp.57-63
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    • 2009
  • Objectives : Since the Front Points are treated as response zone, it can be used for the diagnosis and treatment of disease in viscera and bowels. Jeonjung($CV_{17}$) is the Front Point of SIMPO, it is related with cardiovascular, neuro-psychiatrical disease in aspect of Oriental Medicine. This research is for clarifying relations with palpation of the Jeonjung($CV_{17}$) and autonomic nerve system by comparing HRV and SRI(Stress Reaction Index). Methods : This study was proceeded for three months, from June 2009 to September 2009. Among 31 healthy volunteers, 13 subjects who complained the pressure pain around Jeonjung($CV_{17}$) are classified pressure pain group and 18 subjects who had no pain around Jeonjung($CV_{17}$) as normal group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : LF normalization of the pressure pain group were significantly higher than those of the normal group. HF normalization of the pressure pain group were significantly lower than those of the normal group. Compared with those of the normal group, total SRI of the pressure pain group were low but it's not significant. Conclusions : The results of HRV of the pressure pain group show that pressure pain around Jeonjung($CV_{17}$) is related to mental stress and autonomic disturbance.

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The Study of Differences between Traffic Accident and Non-traffic Accident Patients in the Early Stage - by Analysis of Heart Rate Variability(HRV) and Visual Analogue Scale(VAS) - (교통사고 환자와 비교통사고 환자의 심박수 변이도와 통증 지수 차이 연구)

  • Lee, Jung-Min;Hong, Seo-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.101-111
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    • 2010
  • Objectives : The purpose of this study was to investigate differences between traffic accident and non-traffic accident patients in the early stage, by analysis of the heart rate variability(HRV) and visual analogue scale(VAS). Methods : This study carried out on 38 patients who complained of nuchal or lower back pain. They have received hospital treatment in Dae-Jeon Univ. Cheonan Oriental Hospital. In the TA(Traffic accident) group, the pain caused by TA and in non-TA group, the pain caused by other reasons. We measured HRV and VAS twice(pre-treatment(Tx.) and post-Tx.). Then we analyzed the data. Results : As time goes by, patients who complained of pain showed the inclination to improve ability to balance autonomic nerve system. And fatigue and pain were improved. But they showed the inclination to increase stress index. At pre-Tx., TA group had more stress and worse ability to balance autonomic nerve system, but showed lower fatigue index than non-TA group. But, as time goes by, in TA group the fatigue and autonomic balance got worse. At pre-Tx., non-TA group complained of more severe pain than TA group, but at post-Tx., TA group complained of more severe pain than non-TA group. In other words, in TA group, the decreasing rate of pain was lower than non-TA group. Conclusions : Results from this investigation showed that TA have a negative effect on stress index, ability to balance autonomic nerve system, fatigue index and decreasing rate of pain. These results are expected to consider characteristics of patients who complained of pain caused by TA.

Systemic Simulation Models for the Theoretical Analysis of Human Cardiovascular System (인체 심혈관계의 이론적 분석을 위한 시스템 시뮬레이션모델에 관한 연구)

  • Ko Hyung Jong;Youn Chan Hyun;Shim Eun Bo
    • Journal of Institute of Control, Robotics and Systems
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    • v.10 no.12
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    • pp.1181-1188
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    • 2004
  • This paper reviews the main aspects of cardiovascular system dynamics with emphasis on modeling hemodynamic characteristics using a lumped parameter approach. Methodological and physiological aspects of the circulation dynamics are summarized with the help of existing mathematical models: The main characteristics of the hemodynamic elements, such as the heart and arterial and venous systems, are first described. Lumped models of micro-circulation and pulmonary circulation are introduced. We also discuss the feedback control of cardiovascular system. The control pathways that participate in feedback mechanisms (baroreceptors and cardiopulmonary receptors) are described to explain the interaction between hemodynamics and autonomic nerve control in the circulation. Based on a set-point model, the computational aspects of reflex control are explained. In final chapter we present the present research trend in this field and discuss the future studies of cardiovascular system modeling.

The Effect of Manual Lymph Drainage on the Changes of Autonomic Nervous System and Pain in Stressed Hospital Office Employees

  • Ko, Min-Gyun
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.11
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    • pp.263-268
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    • 2020
  • This study is to investigate the effects of manual lymphatic drainage of stressed hospital office employees on the autonomic nervous. A total of 30 stressed hospital office women voluntarily participated in the study. The participants were randomized to the manual lymphatic drainage groups and rest groups. The intervention was conducted for 20 minutes in each group. There were significant differences in sympathetic nerve, parasympathetic nerve, and pain within manual lymphatic drainage groups(p<.05). There were significant differences between groups for the sympathetic nerve, parasympathetic nerve, and pain(p<.05). Therefore, manual lymphatic drainage is an effective intervention for reducing the stress and pain of stressed hospital office employees.

Effect of Acupuncture at the Field of the Auricular Branch of the Vagus Nerve on Autonomic Nervous System Change (미주신경 감각분지 분포영역의 자침이 자율신경 변화에 미치는 영향)

  • An, Sunjoo;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.81-97
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    • 2021
  • Objectives This study was designed to identify the changes of autonomic nervous system (ANS) which was induced by acupuncture at the field of the auricular branch of the vagus nerve. Methods 30 healthy adults were selected and classified into two groups; experimental group, control group. After providing mental stress, acupuncture was applied at external ear in experimental group and no treatment executed in control group. The evaluation of ANS function was measured by heart rate variability (HRV). We statically analyzed the difference of HRV parameters which include mean heart rate (MHRT), standard deviation of all N-N intervals (SDNN), square root of the mean of the sum of the squares of differences between adjacent N-N intervals (RMSSD), total power (TP), low frequency power (LF), high frequency power (HF), LF/HF ratio. Results All subjects showed significant increase in SDNN, LF after stress stimulation (p<0.05). Immediately after intervention, MHRT was significantly decreased (p<0.001) and RMSSD, HF were significantly increased in experimental group (p<0.05). After the end of intervention, SDNN, HF, RMSSD, TP, LF were significantly increased in experimental group (p<0.01, p<0.05). And when comparing baseline HRV, SDNN, LF were significantly increased in control group (p<0.01) and SDNN, RMSSD, TP, LF were significantly increased in experimental group (p<0.05). In the subgroup analysis, normal balance of ANS group showed significant increase in TP, LF, SDNN, HF (p<0.01, p<0.05). Conclusions We suggested that acupuncture at external ear, region of the vagus nerve distribution could increase parasympathetic activity and cause changes and reregulation of the ANS.

Cancer Pain Control for Advanced Cancer Patients by Using Autonomic Nerve Pharmacopuncture

  • Kang, Hwi-Joong;Yoon, Jung-Won;Park, Ji-Hye;Cho, Chong-Kwan;Yoo, Hwa-Seung
    • Journal of Pharmacopuncture
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    • v.17 no.3
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    • pp.62-69
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    • 2014
  • Objectives: The purpose of this study is to report a case series of advanced cancer patients whose cancer pain was relieved by using autonomic nerve pharmacopuncture (ANP) treatment. ANP is a subcutaneous injection therapy of mountain ginseng pharmacopuncture (MGP) along the acupoints on the spine (Hua-Tuo-Jia-Ji-Xue; 0.5 cun lateral to the lower border of the spinous processes of vertebrae) to enhance the immune system and to balance autonomic nerve function. Methods: Patients with three different types of cancer (gastric cancer, lung cancer, colon cancer with distant metastases) with cancer pain were treated with ANP. 1 mL of MGP was injected into the bilateral Hua-Tuo-Jia-Ji-Xue on the T1-L5 sites (total 12-20 mL injection) of each patient's dorsum by using the principle of symptom differentiation. During ANP treatment, the visual analogue scale (VAS) for pain was used to assess their levels of cancer pain; also, the dosage and the frequency of analgesic use were measured. Results: The cancer pain levels of all three patients improved with treatment using ANP. The VAS scores of the three patients decreased as the treatment progressed. The dosage and the frequency of analgesics also gradually decreased during the treatment period. Significantly, no related adverse events were found. Conclusion: ANP has shown benefit in controlling cancer pain for the three different types of cancer investigated in this study and in reducing the dosage and the frequency of analgesics. ANP is expected to be beneficial for reducing cancer pain and, thus, to be a promising new treatment for cancer pain.

A Clinical Report of Tension Headache (긴장성 두통 환자 치험(治驗) 1례(例) 보고)

  • Lee, Seung-Hee;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.111-115
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    • 2006
  • Tension headache is one of the most common form of headache. It may occur at any age, but is most common in adult and adolescents. One cause of this muscle contraction is a response to stress that induces changes and imbalance on autonomic nerve system. To cure tension headache, getting rid of psychological stress and anxiety have to do first. In this case, we described a 42 years old woman who diagnosed as tension headache. She complained headache with scruff pain, dyspepsia, nausea and coldness of toes. through oriental medical treatment(for example, acupuncture, herbal medicine ect.), her condition was improved.

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Clinical Study for Characteristics of Heart Rate Variability in Acute Dyspepsia Patients (급체 환자의 심박변이도 특성에 대한 임상적 연구)

  • Kim, Won-Il
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.3
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    • pp.49-58
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    • 2012
  • Objectives: This research was designed to study the characteristics of heart rate variability in acute dyspepsia patients compared with normal group. Methods: The testing of HRV was carried out at Oriental Medical Center of ${\bigcirc}{\bigcirc}$University with the participation of 94 acute dyspepsia patients and 85 control group people. We checked HRV of the 2 groups that were checked on the first visit day and compared HRV index between groups. Results: In the frequency domain analysis, HF, LF, VLF, LF/HF ratio, TP were significantly lower than control group on acute dyspepsia patient group. HF, LF, VLF, LF/HF ratio, TP were not significantly associated with age. Conclusions: According to this study, autonomic nerve system was more decreased on the acute dyspepsia patient group compared with the control group. Though further studies will be needed, the present finding provide us the possibility that stress is a major cause of the acute dyspepsia along with food factor.