긴장형 두통환자의 몰입수준에 따른 EMG바이오피드백 훈련과 이완 훈련의 효과
The Effects of EMG Biofeedback Training and Progressive Muscle Relaxation Training on Tension Headache Reduction in Tension Headache Patient's Absorption Capacity
손정락 (전북대학교)
초록
본 연구는 긴장형 두통환자의 몰입 수준에 따른 EMG 바이오피드백 훈련과 점진적 이완훈련을 통한 두통감소의 효과를 검증하기 위해서 행해졌다. 몰입은 자신의 자각과 상상적이고 관념화된 역량을 전체 주의를 몰두하게 해주는 개인의 재능이다. 두통진단질문지를 통해 긴장형 두통 환자로 입증된 32명의 참여자들이 무선적으로 네 집단에 할당되었다; 고몰입(바이오피드백 훈련집단, 점진적 이완훈련집단), 저몰입(바이오피드백훈련집단, 점진적 이완훈련 집단). 2회기의 기저선 전두엽 EMG 수준이 2주동안 측정되었다. 바이오피드백 집단은 7주동안(8회기) 청각 피드백을 이용하여 근육활동을 좀 더 낮추라는 지시와 함께 EMG 바이오피드백 훈련을 받았다. 점진적 이완 훈련 집단은 7주동안(8회기) 점진적 근육이완 훈련 절차가 녹음된 테잎을 들었다. 추적회기에서는 2회기의 전두엽 EMG 수준이 2주 동안 측정되었다. 모든 참여자들은 모든 치료 단계동안 두통일지를 기록하도록 요청되었다. 고몰입 집단에서는, EMG바이오피드백 훈련보다 점진적 이완훈련 후에 유의하게 더 두통감소를 보였다. 저몰입 집단은 EMG바이오피드백 훈련 후에 유의하게 더 두통감소를 더 보였다. 처치방법에 따른 이러한 차이의 이유가 논의되었다. 마지막으로 본 연구의 시사점, 제한점 및 앞으로의 연구 제안점들이 논의되었다.
- keywords
- absoription, tension headache patients, EMG biofeedback training, progressive relaxation training, 몰입, 긴장형 두통환자, EMG 바이오피드백 훈련, 점진적 이완 훈련, absoription, tension headache patients, EMG biofeedback training, progressive relaxation training
Abstract
The present study was designed to test the effects of EMG Biofeedback Training and Progressive Muscle Relaxation Training on headache reduction in tension headache patients' absorption capacity. "Absorption" is the ability of a person to immerse his or her awareness and imaginative and ideational capacities into periods of total attention. Thirty-two subjects, proved to be tension headache patients through Diagnosis Questionnaire, were divided randomly into four groups: Biofeedback group in high absorption, and relaxation group in low absorption. Baseline frontalis EMG level of 2 sessions was measured for 2 weeks. Biofeedback groups receive contingent EMG feedback with instruction to lower there muscle activity level using the auditory feedback for 7 weeks(8 sessions). Relaxation training groups were instructed to practice taped progressive muscle relaxation training procedure for 7 weeks(8 sessions). Follow up frontalis EMG level of 2 sessions was measured for 2 weeks. All subjects were required to record their daliy headache level for all treatment stages. Groups in high absorption were significantly reduced after progressive muscle relaxation training than EMG biofeedback training. Groups in low absorption were significantly improved after EMG biofeedback training. Groups in high absorption were significantly reduced following progressive relaxation training than EMG biofeedback training. Reason for these differences in responsiveness to the treatment were discussed. Finally, implications, restrictions and suggestions of the present study were discussed.
- keywords
- absoription, tension headache patients, EMG biofeedback training, progressive relaxation training, 몰입, 긴장형 두통환자, EMG 바이오피드백 훈련, 점진적 이완 훈련, absoription, tension headache patients, EMG biofeedback training, progressive relaxation training
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