BODOVI KOHERENCIJE I NIVO KOHERENCIJE: MODIFIKACIONI EFEKTI HIDROAROMATERAPIJE I MEDITACIJE PUNE SVESNOSTI KOD BOLESNIKA SA UPALNIM REUMATOIDNIM BOLESTIMA
Sažetak
Nedavno su varijabilnost otkucaja srca (HRV) i koherentni rezultat (CS) ili koherentan obrazac srčanog ritma prihvaćene kao validirane metode za uspostavljanje aktivnosti auto-nomnog nervnog sistema (ANS).
Cilj ovog istraživanja je proceniti modifikacije CS-a u uzorku bolesnika koji pate od upalnih reumatoidnih bolesti, tokom njihovog fizikalnog lečenja i rehabilitacije, na osnovu prirodnih faktora, kao i hidroaromaterapije i meditacije.
Ovo istraživanje obuhvatilo je 44 norveška bolesnika sa potvrđenom dijagnozom inflamatornih reumatoidnih bolesti, tokom četiri nedelje fizikalnog lečenja i rehabilitacije u Institutu „Dr Simo Milošević“ Igalo, Crna Gora. Bolesnici su podeljeni u dve grupe: (1) eksperimentalna (n = 22) i (2) kontrolna (n = 22). Svi bolesnici dobili su standardni protokol zasnovan na prirodnom lekovitom blatu i mineralnoj vodi. Međutim, bolesnici u eksperi-mentalnoj grupi imali su dodatnu hidroaromaterapiju (mineralna voda obogaćena eteričnim uljima lavande, narandže i limuna) i meditaciju. Mašina emVave Pro merila je CS, pre i posle tretmana. Postojala su tri nivoa koherentnosti (CL): niski, srednji i visoki. Nizak nivo koherentnosti odražavao je količinu vremena u kojem nije bilo talasne aktivnosti, srednji nivo imao je neku talasnu aktivnost, a visoki nivo koherentnosti imao je značajnu količinu talasne aktivnosti u praćenju HRV-a.
Nakon tretmana, utvrđeno je da je CS značajno veći kod bolesnika iz eksperimentalne grupe nego kod bolesnika iz kontrolne grupe (p < 0,015). Istovremeno, visoka CL bila je značajno veća kod bolesnika iz eksperimentalne grupe (p < 0,026), a niska CL bila je značajno niža kod bolesnika iz kontrolne grupe (p < 0,017). Poređenje dobijenih CL između eksperimentalne i kontrolne grupe nakon tretmana pokazalo je da je samo CL medijuma statistički različito (p < 0,009).
Standardni protokol u Institutu Igalo uz dodatak hidroaromaterapije i meditacije značajno je poboljšao aktivnost ANS bolesnika koji pate od upalnih reumatoidnih bolesti.
Reference
Aboutaleba N, Jamalia H, Abolhasanib M, Pazoki Toroudia H. Lavender oil (Lavandula angustifolia) attenuates renal ischemia/reperfusion injury in rats through suppression of inflammation, oxidative stress and apoptosis. Biomed Pharmacother 2019;110:9-19. [CrossRef] [PubMed]
Antonovsky A. Unravelling the mystery of health: how people manage stress and stay well. San Francisco (CA): Jossey-Bass;1987.
Atsumi T, Tonosaki K. Smelling lavender and rose-mary increases free radical scavenging activity and decrease cortisol level in saliva. Psychiatry 2007;150: 89-6. [CrossRef] [PubMed]
Ben-Menachem E, Hellstrom K, Verstappen D. Ana-lysis of direct hospital cost before and after 18 months after treatment with vagus nerve stimulation therapy in 43 patients. Neurology 2002;59(6 suppl 4):S44-7. [CrossRef] [PubMed]
Berthoud HR, Neuhuber WL. Functional and chemical anatomy of the afferent vagal system. Auton Neurosci 2000;85(1-3):1-17. [CrossRef] [PubMed]
Creswell JD, Taren AA, Lindsay EK, Greco CM, Gianaros PJ, Fairdrieve A, et al. Alterations in resting-state functional connectivity link Mindfulness Medita-tion with reduced Inteleukin-6: a randomized con-trolled trial. Biol Psych 2016;80:53-61. [CrossRef] [PubMed]
Creswell JD, Taren AA, Linsay EK, Greco CM, Gianaros PJ, Fairgrive A, et al. Alterations in resting-state functional connectivity link mindfulness meditation with reduced interleukin-6: a randomized controlled trial. Biol Psych 2016;80:53-61. [CrossRef] [PubMed]
de Lavor EM, Cavalcante Fernandes AW, Andrade Teles RB, Pereira Leal AEB, de Oliveira Júnior RG, e Silva MG et al. Essential oils and their major com-pounds in the treatment of chronic inflammation: a review of antioxidant potential in preclinical studies and molecular mechanisms. Oxid Med Cell Longev 2018;2018:Article ID 6468593. [CrossRef] [PubMed]
Gerbard PL, Jacob VE, Stevens L, Bosworth BP, Chabouni F, DeFillipis EM, et al. The effect of breathing, movement and meditation on psychological and physical symptoms and inflammatory biomarkers in inflammatory bowel disease: a randomized con-trolled trial. Inflamm Bowel Dis 2015;21:2886-96. [CrossRef] [PubMed]
Hildreth CM, Goodchild AK, Phillips JK. Insight into autonomic nervous system control of heart rate in the rat using analysis of heart rate variability and baro-reflex sensitivity. In: Pilowsky OM, Farnham MMJ, Fong AY, editors. Stimulation and inhibition of neurons. New York: Humana; 2013:203-23. [CrossRef]
Inoue T, Iseki K, Ohya Y. Heart rate as a possible therapeutic guide for prevention of cardiovascular disease. Hypert Res 2013;36(10):838-44. [CrossRef] [PubMed]
Khodabakhsh P, Shafaroodi H, Asgarpanah J. Anal-gesic and anti-inflammatory activities of Citrus auran-tium L. blossoms essential oil (neroli): involvement of the nitric oxide/cyclic-guanosine monophosphate pathway. J Nat Med 2015;69:324-31. [CrossRef] [PubMed]
Kiecolt-Glaser JK, Graham JE, Malarkey WB. Olfactory influences on mood and autonomic, endocrine and immune function. Psychoneuroendocrinology 2008; 33:328-39. [CrossRef] [PubMed]
Komori T, Fujiwara R, Tanida M. Effects of citrus fragrance on immune function and depressive states. Neuroimmunomodulation 1995;2:174-80. [CrossRef] [PubMed]
Koopman FA, Tang MW, Vermeij J, Hair MJ, Choi IY, Vervoordeldonk MJ, et al. Autonomic dysfunction pre-cedes development of rheumatoid arthritis: a pros-pective cohort study. EbioMed 2016;16(6):231-7. [CrossRef] [PubMed]
Levy MN. Autonomic interactions in cardiac control. Ann N Y Acad Sci 1990;601:209-21. [CrossRef] [PubMed]
Liu Y, Liebertwirth C, Jia X, Curtis JT, Meredith M, Wang ZX. Chemosensory cues affect amygdaloidal neurogenesis and alter behaviors in the socially monogamous prairie vole. Eur J Neurosci 2014;39: 1632-41. [CrossRef] [PubMed]
McCabe C, Rolls ET. Umami: a delicious flavor formed by convergence pathways in the human brain. Eur J Neurosci 2007;25:1855-64. [CrossRef] [PubMed]
McCraty R, Atkinson M, Tomasino D, Bradley RT, editors. The coherent heart: Heart-Brain interactions, psychophysiological coherence, and the emergence of system-wide order. Boulder Creek, CA: Institute of Heartmath; 2009.
McCraty R, Shaffer F. Heart rate variability: new perspectives on physiological mechanisms, assess-ment of self-regulatory capacity and health risk. Glob Adv Health Med 2015;4(1):46-60. [CrossRef] [PubMed]
Miguel MG. Antioxidant and anti-inflammatory activi-ties of essential oils: a short review. Molecules 2010; 15(12):9252-87. [CrossRef] [PubMed]
Pascoe M, Bauer I. A systematic review of randomised control trials examining the effects of mindfulness on stress and anxious symptomatology. Anxiety Disord 2016;68:270-82. [CrossRef] [PubMed]
Pascoe MC, Thompson DR, Jenkins ZM, Ski CF. Mindfulness mediates the physiological markers of stress: systematic review and meta-analysis. J of Psych Res 2017;95:156-78. [CrossRef] [PubMed]
Robertson D, Biaggioni I, editors. Primer on the autonomic nervous system. San Diego: Academic; 2012.
Sayorwan W, Siripornpanich V, Piriyapunyaporn T, Hongratanaworakit T, Kotchabhakdi N, Ruangrungsi N. The effects of lavender oil inhalation on emotional states, autonomic nervous system and brain electrical activity. J Med Assoc Thai 2012;95(4):598-606. [PubMed]
Shaffer F, McCraty R, Zerr CL. A healthy heart is not a metronome: an integrative review of the heart’s anatomy and heart rate variability. Front Psychol 2014;5:1040. [CrossRef] [PubMed]
Streeter CC, Gerbard PL, Saper RB. Effects of yoga on the autonomic nervous system, gamma-aminobutyric acid, and allostasis in epilepsy, depression and post-traumatic stress disorder. Med Hypotheses 2012;78: 571-9. [CrossRef] [PubMed]
Syngle A, Verma I, Garg N, Krishan P. Autonomic dysfunction in psoriatic arthritis. Clin Rheumatol 2013; 19(3):1059-64. [CrossRef] [PubMed]
Thayer JF, Lane RD. The role of vagal function in the risk for cardiovascular disease and mortality. Biol Psychol 2007;74:224-42. [CrossRef] [PubMed]
Tiller WA, McCraty R, Atkinsom M. Cardiac coherence: a new non-invasive measure of autonomic nervous system order. Alter Ther Health Med 1996;2:52-65. [PubMed]
Tracey KJ. Reflex control of immunity. Nat Rev Immunol 2009;9(6):418-28. [CrossRef] [PubMed]
Wysocka-Skurska I, Sierakowska M, Kułak W. Evalua-tion of quality of life in chronic, progressing rheumatic diseases based on the example of osteoarthritis and rheumatoid arthritis. Clin Interv Aging 2016;11:1741-50. [CrossRef] [PubMed]
Yang EJ, Beck KM, Koo J. Neuromodulation in psoriasis and psoriatic arthritis. Ann Chron Dis 2018;2(1):1003.
Zygmunt A, Stanczyk J. Methods of evaluation of autonomic nervous system function. Arch Med Sci AMS 2010;6(1):11-8. [CrossRef] [PubMed]