DOI QR코드

DOI QR Code

The Stimulation Effects of Auricular Acupressure with Magentic Pellets on Stress-related Brain Wave and Heart Rate Variability Changes in University Students

Magnetic Pellets 이압자극이 대학생의 스트레스 관련 뇌파와 심박변이에 미치는 효과

  • Sea-Hyun Bae (Department of Physical Therapy, Dongshin University) ;
  • Kyung-Yoon Kim (Department of Physical Therapy, Dongshin University)
  • 배세현 (동신대학교 물리치료학과) ;
  • 김경윤 (동신대학교 물리치료학과)
  • Received : 2021.09.13
  • Accepted : 2021.10.12
  • Published : 2021.12.31

Abstract

The purpose of this study was to investigate the effects of auricular acupressure with magnetic pellets on stress reduction after induced stress through a virtual reality and cognitive compression tasks for healthy college students. The control group (n=6) was to application auricular acupressure (sham), and the experimental group (n=8) was to application auricular acupressure with magnetic pellets. As a results, it was confirmed that the experimental group was more effective in regressing to baseline value (TO) than the control group in each measurement item (VAS, EEG, HRV). Therefore, auricular acupressure with magnetic pellets is considered to be an intervention method that can be applied easily and conveniently in various stress situations.

본 연구는 건강한 대학생을 대상으로 가상현실과 인지압박 과제를 통해 스트레스를 유발 후 magnetic pellets 이압자극 시 스트레스 감소에 어떠한 영향을 미치는지 알아보고자 하였다. 대조군(n=6)은 이압자극 적용군(sham), 실험군(n=8)은 magnetic pellets 이압자극 적용군으로 하였다. 그 결과, 각 측정항목(시각 아날로그척도, 뇌파, 심박변이 변화)에서 대조군에 비해 실험군이 각 기준값(TO)으로 회귀하는데 더 효과적임을 확인할 수 있었다. 따라서 magnetic pellets 이압자극은 여러 스트레스 상황에서 쉽고 간편하게 적용할 수 있는 중재방안이라고 생각된다.

Keywords

Acknowledgement

본 논문은 동신대학교 학술연구비에 의하여 연구되었음.

References

  1. E-G Lee, S-H Jeong, M-G Kim, Y-R Baek, E-S Ki, H-E You, S-Y Jun and H-C Jeong, 'Effects of sugar on stress index, resistance, fatigue, blood pressure and pulse in induced stress situation' Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities Sociology, Vol.8, No.2, pp.815-824,
  2. D-Y Lee, 'Characteristics of stress response and mental health status of university students', Master's Thesis, Daegu University, 2015. 
  3. Merriam-Webster.com. 2018. https://www.merriam-webster.com. 
  4. S-Y Kim, 'A convergence study of stress caused by the epidemic of COVID-19, quality of life and positive psychological capital. Journal of the Korea Convergence Society, Vol.11, No.6, pp.423-431, 2020.  https://doi.org/10.15207/JKCS.2020.11.6.423
  5. J-W Do, 'An investigation of design constraints in the process of converting face-to-face course into online course', Journal Education & Culture, Vol.26, No.2, pp.153-173, 2020. 
  6. JM. Gorman and RP. Sloan, 'Heart rate variability in depressive and anxiety disorders', American Heart Journal, Vol.140, No.4, pp.77-83, 2000.  https://doi.org/10.1067/mhj.2000.109981
  7. RA. Ross, SL. Foster and DF. Ionescu, 'The role of chronic stress in anxious depression', Chronic Stress, Vol.1, pp.1-10, 2017.  https://doi.org/10.1177/2470547016689472
  8. AK. Kiser and G. Dagnelie, 'Reported effects of non-traditional treatments and complementary and alternative medicine by retinitis pigmentosa patients', Clinical & Experimental Optometry, Vol.91, No.2, pp.166-176, 2008.  https://doi.org/10.1111/j.1444-0938.2007.00224.x
  9. J-A Yu, G-G HO, S-M Kim and M-R Lim, 'A comparative study on influence of thermal auricular therapy and auricular massage upon brain waves', Korean Journal of Aesthetic Society, Vol.8, No.3, pp.91-103, 2010. 
  10. K-B Kim, 'The effect of auricular acupressure therapy on anxiety of cancer patient', Journal of Korean Academy of Nursing, Vol.32, No.6, pp.888-896, 2002.  https://doi.org/10.4040/jkan.2002.32.6.888
  11. S-J Kwon and J-S Park, 'Analysis of korean nursing research on auricular acupuncture and ear acupressure therapy', Keimyung Journal of Nursing Science, Vol.15, No.1, pp.103-114, 2011. 
  12. SY. Kuo, SH. Tsai, SL. Chen and YL. Tzeng, 'Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: A single-blind, randomized controlled study', International Journal of Nursing Studies, Vol.53, pp.17-26, 2016.  https://doi.org/10.1016/j.ijnurstu.2015.10.006
  13. J-O Lee, H-M Jeong, H-S Lee, S-J Kim and J-S Kim, 'Ear reflexology', HyunMoon Publishing Co., pp.12, 2007. 
  14. T. Oleson, 'Auriculotherapy manual-chinese and western systems of ear acupuncture', (4rd ed.), Churchill Livingstone, pp.3-55, 2014. 
  15. S-Y Chun and E-S Lee, 'The effects of the magnetic treated on acupuncture points for recovery from fatigue with before and after exercise', Journal of Oriental Rehabilitation Medicine, Vol.8, No.1, pp.158-170, 1998. 
  16. KH. Chuen, CC. Chang and ML. Yeh, 'Effects of auricular acupressure on sleep quality, anxiety, and depressed mood in RN-BSN students with sleep disturbance', The Journal of Nursing Research, Vol.26, No.1, pp.10-17, 2018.  https://doi.org/10.1097/JNR.0000000000000209
  17. R. Peter, 'Magnetic healing: How to harness the natural power of magnetism', Yongmoon Publishing Co., 2007. 
  18. MK. Li, TF. Lee and KP. Suen, 'Complementary effects of auricular acupressure in relieving constipation symptoms and promting disease-specific health-related quality of life: A ramdomized placebo-controlled trial', Complementary therapies in Medicine, Vol.22, No.2, pp.266-277, 2014.  https://doi.org/10.1016/j.ctim.2014.01.010
  19. A. Puangsricharern and S. Mahasukhon, 'Effectiveness of auricular acupressure in the treatement of nausea and vomiting in early pregnancy', Journal of the Medical Association of Thailand, Vol.91, No.11, pp.1633-1638, 2008. 
  20. L. Rerksuppaphol, 'Efficacy of auricular acupressure combined with transcutaneous electrical acupoint stimulation for weight reduction in obese women', Journal of the Medical Association of Thailand, Vol.12, pp.S32-39, 2012. 
  21. LK. Suen, TK. Wong, JW. Chung and VY. Yip, 'Auriculotherapy on low back pain in the elderly', Complementary Therapies in Nursing & Midwifery, Vol. 13, No.1, pp.63-69, 2007.  https://doi.org/10.1016/j.ctcp.2006.10.005
  22. S-N Lee, 'The effects of auricular acupressure on stress, anxiety and depression of outpatient nurses' Doctorial Thesis, Ewha University, 2019. 
  23. D-R Cho, J-S Ham, J-Y Oh, J-H Park, S-Y Kim, N-K Lee and B-R Lee, 'Detection of stress levels from biosignals measured in virtual reality environments using a kernel-based extreme learning machine', Sensors(Basel), Vol.17, No.10, pp.2435, 2017. 
  24. AH. Bullinger, UM. Hemmeter, O. Stefani, I. Angehrn, F. Mueller-Spahn, E. Bekiaris, BK. Wiederhold, H. Sulzenbacher and R. Mager, 'Stimulation of cortisol during mental task performance in a provocative virtual environment', Applied Psychophysiology and Biofeedback, Vol.30, No.3, pp.205-216, 2005.  https://doi.org/10.1007/s10484-005-6378-y
  25. FX. Lesage, S. Berjot and F. Deschamps, 'Clinical stress assessment using a visual analogue scale', Occupational Medicine, Vol.62, No.8, pp.600-605, 2012.  https://doi.org/10.1093/occmed/kqs140
  26. EG. Peniston, DA. Marrinan, WA. Deming and PJ. Kulkosky, 'EEG alpha-theta brain-wave synchronization in Vietnam theater veteran with combat-related post-traumatic stress disorder and alcohol abuse', Medical Pscychotherapy: An International Journal, Vol.6, pp.37-50, 1993. 
  27. M. Yilmaz, H. Kayancicek and Y. Cekici, 'Heart rate variability: Highlights from hidden signals', Journal of Integrative Cardiology, Vol.4, No.5, pp.1-8, 2018.  https://doi.org/10.15761/JIC.1000258
  28. C. Son, S. Hegde, A. Smith, X. Wang and F. Sasangohar, 'Effects of COVID-19 on college student's mental health in the united state: interview survey study', Journal of Medical Internet Research, Vol.22, No.9, pp.e21279, 2020. 
  29. M. Dahlin, N. Joneborg and B. Runeson, 'Stress and depression among medical students: a cross-sectional study', Medical Education, Vol.39, No.6, pp.594-604, 2005.  https://doi.org/10.1111/j.1365-2929.2005.02176.x
  30. V. Lemay, J. Hoolahan and A. Buchanan, 'Impact of a yoga and mediation intervention on student's stress and anxiety levels', American Journal of Pharmaceutical Education, Vol.83, No.5, pp.7001, 2019. 
  31. H-K Son, W-Y So and M Kim, 'Effects of aromatherapy combined with music therapy on anxiety, stress and fundamental nursing skills in nursing students: A randomized controlled trial', International Journal of Environmental Research and Public Health, Vol.16, No.21, pp.4185, 2019. 
  32. VCH. Chung, X. Wu, P. Lu, EP. Hui, Y. Zhang, AL. Zhang, AYL. Lau, J. Zhao, M. Fan, ETC. Ziea, BFL. Ng, SYS. Wong and JC. Wu, 'Chinese herbal medicine for symptom mangement in cancer palliative care: Systematic review and meta-analysis', Medicine (Baltimore), Vol.95, No.7, pp.e2793, 2016. 
  33. LKP. Suen, TKS. Wong and AWN. Leung, 'Is there a place for auricular therapy in the realm of nursing?', Complementary Therapies in Nursing and Midwifery, Vol.7, No.3, pp.132-139, 2001.  https://doi.org/10.1054/ctnm.2001.0565
  34. L. Gori and F. Firenzuoli, 'Ear acupuncture in european traditional medicine', Evidence-Based Complementary and Alternative Medicine, Vol.4, pp.13-16, 2007.  https://doi.org/10.1093/ecam/nem106
  35. YX. Zhao, W. He, XH, Jing, JL. Liu, PJ. Rong, H. Ben, K. Liu and B. Zhu, 'Transcutaneous auricular vagus nerve stimulation protects endotoxemic rat from lipopolysaccharide-induced inflammation', Evidence-Based Complementary and Alternative Medicine, Vol.2012, pp.1-10, 2012.  https://doi.org/10.1155/2012/627023
  36. YW. Lin and CL. Heish, 'Auricular electroacupuncture reduced inlammation-related epilepsy accompanied by altered TRPA1, pPKCα, pPKCε, and pERk1/2 signaling pathways in kainic acid-treated rats', Mediators of Inflammation, Vol.2014, pp.1-9, 2014.  https://doi.org/10.1155/2014/493480
  37. P. Ekman, RW. Levenson and WV. Friesen, 'Autonomic nervous system activity distinguishes among emotuons', Science, Vol.221, pp.1208-1210, 1983.  https://doi.org/10.1126/science.6612338
  38. GP. Chrousos, 'Stress and disorders of the stress system', Nature Reviews Endocrinology, Vol.5, pp.374-381, 2009.  https://doi.org/10.1038/nrendo.2009.106
  39. M-R Song and S-H Kim, 'The effects of relaxation on stress and blood pressure induced by cognitive distress game among college students', Journal of Korean Biological Nursing Science, Vol.12, Np.1, pp.8-15, 2010. 
  40. A. Kober, T. Scheck, B. Schubert, H. Strasser, B. Gustorff, P. Bertalanffy, SM. Wang, ZN. Kain and K. Hoerauf, 'Auricular acupressure as a treatment for anxiety in prehospital transport setting', Anesthesiology, Vol.98, No.6, pp.1328-1332, 2003.  https://doi.org/10.1097/00000542-200306000-00005
  41. P-H Lee, J-K Song, B-J Sun, H-O Choi, J-S Seo, J-O Na, D-H Kim, J-M Song, D-H Kang, J-J Kim and S-W Park, 'Outcomes of patients with stress-induced cardiomyopathy diagnosed by echocardiography in a tertiary referral hospital', Journal of the American Society of Echocardiography, Vol.23, No.7, pp.766-771, 2010.  https://doi.org/10.1016/j.echo.2010.05.002
  42. Y. Tran, RA. Thuraisingham, N. Wijesuriya, HT. Nguyen and A. Criag, 'Detecting neural changes during stress and fatigue effectively: A comparison of spectral analysis and sample entropy', Proceedings of the 3 rd International IEEE EMBS Conference on Neural Engineering, pp.350-353, 2007. 
  43. M-J Kim, J-E Song, K. Sowndhararajan and S-M Kim, 'Brain wave response to bottle color of herbicides and non-selective herbicides in korea', The Korean Society of Weed Science, Vol.7, No.2, pp.130-139, 2018. 
  44. XY. Gao, L. Wang, I. Gaischek, Y. Michenthaler, B. Zhu and G. Litscher, 'Brain-modulated effects of auricular acupressure on the regulation of autonomic function in healthy volunteers', Evidence-Based Complementary and Alternative Medicine, Vol.2012, pp.1-8, 2012.  https://doi.org/10.1155/2012/714391
  45. J-O Lee, S-J Kim, J-S Kim and H-H Park, 'Auricular acupressure method' Seoul, Korea-Chiese Self-Healing Power Association, 2010. 
  46. N. Bachl, G. Ruoff, B. Wessner and H. Tschan, 'Electromagnetic interventions in musculoskeletal disorders', Clinical in Sports Medicine, Vol.2, No.1, pp.13-19, 2008.  https://doi.org/10.1016/j.csm.2007.10.006
  47. DW. Ramey, 'Magnetic and electromagnetic therapy', Scientific Review of Alternative Medicine, Vol.2, No.1, pp.13-19, 1998. 
  48. J-K Lee and I-L Bae, 'Effects of a healing rhythm based on ECG waveform simulation on stress, EEG, heart rate, and anxiety in university students; A randomized controlled trial', The Korean Society of Stress Medicine, Vol.28, No.4, pp.237-245, 2020. https://doi.org/10.17547/kjsr.2020.28.4.237