{"title":"枕下释放技术对焦虑患者斜方肌激活和疼痛的急性影响。","authors":"Bahriye Baş, Sezen Tezcan, Tamer Çankaya","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Anxiety is an unpleasant emotional and observable response to stressful situations and can adversely affect many systems, including the musculoskeletal system. The study aims to determine the immediate effect of the suboccipital release technique on the trapezius muscle pain threshold, muscle activation, and anxiety level in individuals with anxiety.</p><p><strong>Methods: </strong>Thirty-six participants with symptoms of anxiety and depression were included in this single-blind, randomized sham-controlled study, with 18 assigned to the control group and 18 to the acute intervention group. Anxiety levels, bilateral upper trapezius muscle pain thresholds, and muscle activation were assessed. The experimental group received a single session of the suboccipital release technique, while the control group received a sham suboccipital release. Evaluations were conducted before and immediately after the intervention.</p><p><strong>Results: </strong>The mean age of the experimental group was 21.66 ± 2.40 years, and the mean age of the control group was 22.00 ± 2.08 years. There were no statistically significant differences in baseline demographics or most scores before acute intervention (P > .05), except for cranial rhythmic impulse (P = .000) and surface electromyography right eccentric % maximum voluntary contraction (P = .043). There were also no significant between-group differences in score changes for any outcome measures (all P > .05), except for post-acute intervention cranial rhythmic impulse values (P = .003), favoring the experimental group. Within-group analyses showed significant improvements in trapezius pain thresholds and surface electromyography right concentric % maximum voluntary contraction in both groups (P < .05).</p><p><strong>Conclusion: </strong>The findings suggest that suboccipital release technique can increase the upper trapezius muscle pain threshold and concentric muscle activation after acute intervention in individuals with anxiety. This technique may be considered a potential approach to reduce the pain of individuals who have pain problems in the upper part of the trapezius muscle due to anxiety.</p><p><strong>Keywords: </strong>Anxiety, Trapezius muscle, Muscle Activation, Pain, Surface Electromyography.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Acute Effect of Suboccipital Release Technique on Trapezius Muscle Activation and Pain in Individuals with Anxiety.\",\"authors\":\"Bahriye Baş, Sezen Tezcan, Tamer Çankaya\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Anxiety is an unpleasant emotional and observable response to stressful situations and can adversely affect many systems, including the musculoskeletal system. The study aims to determine the immediate effect of the suboccipital release technique on the trapezius muscle pain threshold, muscle activation, and anxiety level in individuals with anxiety.</p><p><strong>Methods: </strong>Thirty-six participants with symptoms of anxiety and depression were included in this single-blind, randomized sham-controlled study, with 18 assigned to the control group and 18 to the acute intervention group. Anxiety levels, bilateral upper trapezius muscle pain thresholds, and muscle activation were assessed. The experimental group received a single session of the suboccipital release technique, while the control group received a sham suboccipital release. Evaluations were conducted before and immediately after the intervention.</p><p><strong>Results: </strong>The mean age of the experimental group was 21.66 ± 2.40 years, and the mean age of the control group was 22.00 ± 2.08 years. There were no statistically significant differences in baseline demographics or most scores before acute intervention (P > .05), except for cranial rhythmic impulse (P = .000) and surface electromyography right eccentric % maximum voluntary contraction (P = .043). There were also no significant between-group differences in score changes for any outcome measures (all P > .05), except for post-acute intervention cranial rhythmic impulse values (P = .003), favoring the experimental group. Within-group analyses showed significant improvements in trapezius pain thresholds and surface electromyography right concentric % maximum voluntary contraction in both groups (P < .05).</p><p><strong>Conclusion: </strong>The findings suggest that suboccipital release technique can increase the upper trapezius muscle pain threshold and concentric muscle activation after acute intervention in individuals with anxiety. This technique may be considered a potential approach to reduce the pain of individuals who have pain problems in the upper part of the trapezius muscle due to anxiety.</p><p><strong>Keywords: </strong>Anxiety, Trapezius muscle, Muscle Activation, Pain, Surface Electromyography.</p>\",\"PeriodicalId\":7571,\"journal\":{\"name\":\"Alternative therapies in health and medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-07-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alternative therapies in health and medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
The Acute Effect of Suboccipital Release Technique on Trapezius Muscle Activation and Pain in Individuals with Anxiety.
Objective: Anxiety is an unpleasant emotional and observable response to stressful situations and can adversely affect many systems, including the musculoskeletal system. The study aims to determine the immediate effect of the suboccipital release technique on the trapezius muscle pain threshold, muscle activation, and anxiety level in individuals with anxiety.
Methods: Thirty-six participants with symptoms of anxiety and depression were included in this single-blind, randomized sham-controlled study, with 18 assigned to the control group and 18 to the acute intervention group. Anxiety levels, bilateral upper trapezius muscle pain thresholds, and muscle activation were assessed. The experimental group received a single session of the suboccipital release technique, while the control group received a sham suboccipital release. Evaluations were conducted before and immediately after the intervention.
Results: The mean age of the experimental group was 21.66 ± 2.40 years, and the mean age of the control group was 22.00 ± 2.08 years. There were no statistically significant differences in baseline demographics or most scores before acute intervention (P > .05), except for cranial rhythmic impulse (P = .000) and surface electromyography right eccentric % maximum voluntary contraction (P = .043). There were also no significant between-group differences in score changes for any outcome measures (all P > .05), except for post-acute intervention cranial rhythmic impulse values (P = .003), favoring the experimental group. Within-group analyses showed significant improvements in trapezius pain thresholds and surface electromyography right concentric % maximum voluntary contraction in both groups (P < .05).
Conclusion: The findings suggest that suboccipital release technique can increase the upper trapezius muscle pain threshold and concentric muscle activation after acute intervention in individuals with anxiety. This technique may be considered a potential approach to reduce the pain of individuals who have pain problems in the upper part of the trapezius muscle due to anxiety.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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