• 제목/요약/키워드: Parasympathetic Nerve System

검색결과 70건 처리시간 0.028초

Effects of the Forest Healing Program on Depression, Cognition, and the Autonomic Nervous System in the Elderly with Cognitive Decline

  • Lim, Young-suwn;Kim, Jaeuk;Khil, Taegyu;Yi, Jiyune;Kim, Dong-jun
    • 인간식물환경학회지
    • /
    • 제24권1호
    • /
    • pp.107-117
    • /
    • 2021
  • Background and objective: The purpose of this study is to investigate the effect of a forest healing program in terms of depression, neuropsychological and physiological benefits for the elderly. Methods: For this purpose, we developed a forest therapy program for the elderly who are vulnerable to dementia and conducted a total of 11 sessions of forest therapy activities in a forest once a week. We measured the changes in depression, resting-state Electroencephalography(EEG) and heart rate variability (HRV) before and after the program. There were 60 subjects aged over 65 yesrs old. 30 subjects participated in the forest therapy program, and the other were in the control group. The Geriatric Depression Scale was used to measure the level of depression, neuroNicle FX2 (Laxtha, Korea) was used to measure the resting-state EEG, and photoplethymogram (ubpulse T1, Laxtha, Korea) was used to measure the HRV. Results: The results showed that the depression index of the experimental group improved with statistical significance after the program (experiment group = 3.267 decrease of the mean). In the EEG measurement, the alpha-peak frequency at rest (experimental group = 0.227 Hz increase of the mean) was improved (mean increase = 0.23 in the experimental group, p < .05). The high frequency of HRV, which represents the parasympathetic nerve activity of the body's autonomous response, was also significantly improved (mean increase = 0.396 in the experimental group, p < .05). Conclusion: The results suggest that the forest therapy program can reduce the cognitive, psychological and physical risk factors of dementia for the elderly at risk of cognitive decline. Therefore, forest therapy activities may be suitable for the prevention of dementia in the elderly.

팔체질 진단을 위한 단계별 설문지 개발 연구 (A Study on Stage Classification of Eight Constitution Questionnaire)

  • 이주호;김민용;김희주;신용섭;오환섭;박영배;박영재
    • 대한한의진단학회지
    • /
    • 제16권2호
    • /
    • pp.59-70
    • /
    • 2012
  • Objectives : Pulse diagnosis by Expert is the only way to classify 8 Constitutions so the study to supplement classifying method by the questionnaire has developed and modified and ECM-32 System has designed in 2010. But analyzing with Decision tree had many nodes and 32 important questions omitted while processing the data. So this study was to classify the 8 constitution patients into 2 groups first and analyze its characters in consecutive order. Methods : The participants of this study were 1027 patients who classified into one of the 8 constitutions according to pulse diagnosis and answered 251 questionnaires in 2010. They were divided into sympathetic nerve acceleration constitution and parasympathetic nerve acceleration constitution and analyzed with decision tree. Results : The reponses of the questionnaire were analyzed with 4 methods of 5 scales interval method from 0 to 5, Na, Low(1,2), Medium(3), High(4,5), average value, Y/N dichotomy. Average Value had no significance. 1. From the 5 scale interval method 6 questionnaires with 7 nodes (F5e, B1d, F7f, F2a, F1b, C4L) were significant. The accuracy was 92.5%. 2. From L, M, H method 7 questionnaires with 7 nodes(F5e, B1d, F7f, F1a, B1c, C4L, P3d) were significant. The accuracy was 92.5%. 3. From Y/N dichotomy 9 questionnaires with 9 nodes( F5e, B1d, F7f, F1a, B1c, C4L, B1b, P1i, B2a) were significant. The accuracy was 93.18%. Conclusions : Based on this study, Yes or No dichotomy method was most significant and categorized among the 4 methods. Unlike previous studies which used interval scale method only, Y/N dichotomy method was more statistically significant with the questionnaire to supplement the method of pulse diagnosis. For further study by analyzing decision tree method in consecutive order, the patients can be divided into 8 Constitutions with higher significance with less questionnaires.

복합감각 기능증진 개념의 헬스케어 목욕시스템 개발 (Development of Healthcare Bathing System for Improving the Multisensory Functions)

  • 김형지;유미;진혜련;권대규
    • 감성과학
    • /
    • 제13권2호
    • /
    • pp.309-316
    • /
    • 2010
  • 본 연구에서는 단순 세정의 개념이 아닌 복합감각 증진 개념의 헬스케어 목욕 시스템을 개발하고자 한다. 헬스케어 감성욕조를 디자인하기 위해 우선 타입별 특성을 고찰하였다. 이를 기반으로 복합감각 자극용 전신 욕조를 개발하였고, 이 전신욕조는 감성자극용 전신욕조 월풀, 시청각 감각 자극 기능이 구비된 욕조 커버, 제어용 소형 PC, 터치패널, DMB 패널, 시각 감성 증진을 위한 칼라 가변형 LED 무드 시스템과 스피커로 구성되어 있다. 제작된 복합감각 증진 개념의 헬스케어 욕조시스템의 특성을 고찰하기 위해서 목욕을 하는 동안 인체 자율신경계에 미치는 영향을 분석하였다. 전반적으로 목욕 상태에서의 심박변이율은 실험 중 교감신경에 비해 부교감신경이 계속 증가하는 것으로 나타났고, 목욕을 시작한지 15분이 경과하면 교감신경이 증가하고 부교감신경이 감소하여, 피험자가 목욕을 한지 15분일 때 가장 편안한 상태를 느끼는 것을 알 수 있었다. 또한 목욕 실험 결과 전후의 혈압이 최고 16mmHg까지 떨어진 것으로 나타났으나 맥박은 증가하였다. 이것은 심장으로부터 혈액의 유출량이 많아져 혈류량이 증가하는 것으로 복합감각 증진용 헬스케어 욕조 시스템을 이용한 목욕이 혈액 순환에 긍정적인 영향을 보였다. 본 연구의 결과를 가지고 복합감각 기능증진 헬스케어 목욕시스템의 사용성과 사용자의 생리분석을 통한 기초결과를 통해서 사용자의 생리변화를 분석함으로써 제품의 사용성과 사용자의 생리적 변화 및 감성 간의 관계를 보다 더 명확하게 밝혀낼 수 있으리라 기대한다.

  • PDF

자동차 화상시뮬레이터에서 운전 중 동시과제 수행에 고농도 산소와 향 자극이 미치는 영향 (Effect of Highly Concentrated Oxygen and Stimulus of Odors on the Performance of Secondary Tasks While Driving Using Vehicle Graphic Driving Simulator)

  • 지두환;민철기;류태범;신문수;정순철;강진규;민병찬
    • 산업경영시스템학회지
    • /
    • 제35권4호
    • /
    • pp.55-62
    • /
    • 2012
  • In this study, it was observed through the ability of performing secondary tasks and baseline fetal heart rate how the supply of lavender, peppermint and highly concentrated oxygen (40%) affected distraction due to the performance of secondary tasks in the driving environment. Twelve male university students conducted secondary tasks while driving in the environments (6 in total) mixed and designed with oxygen concentration (21%, 40%) and the condition of odors (Normal, Lavender, Peppermint). The test was proceeded in order of stable state (5mins), driving (5mins), and secondary tasks (1min), and by extracting ECG data from every section by 30secs, the mean value of baseline fetal heart rate was calculated. As a result of analysis, in the ability of performing secondary tasks, a percentage of correct answers showed no difference in oxygen concentration and the condition of odors (p > 0.05). In performance completion time, a percentage of correct answers decreased showing a statistically significant difference in the condition of odors compared with the condition where odors were not provided (p < 0.05). As for baseline fetal heart rate, in the comparison between sections, while performing secondary tasks, it increased showing a significant difference compared with stable state and driving state (p < 0.05). The effect of interaction was observed in oxygen concentration and the condition of odors. When odors were not provided, baseline fetal heart rate decreased in 40% oxygen concentration compared with 21% oxygen concentration (p < 0.05), however, when peppermint was provided, it increased in 40% oxygen concentration compared with 21% oxygen concentration (p < 0.05). In conclusion, the fact that the condition of odors increased the ability of calculation, and when only the highly concentrated oxygen was provided, parasympathetic nerve system was activated, however, when highly concentrated oxygen was provided with peppermint at the same time, sympathetic nervous system (sns) was activated, which had a negative effect on the autonomic nervous system was drawn.

우황청심원이 정상인의 심박변이도에 미치는 영향 (The Effect of Uhwangchungsimwon on Heart Rate Variability of Healthy Subjects)

  • 최창민;선종주;김석민;정재한;이승엽;최원우;홍진우;박성욱;정우상;문상관;박정미;고창남;조기호;김영석;배형섭
    • 대한한방내과학회지
    • /
    • 제28권4호
    • /
    • pp.717-726
    • /
    • 2007
  • Objectives : This study was conducted to assess the effect of Uhwangchungsimwon on the autonomic nervous system. Methods : Eligible subjects were enrolled from healthy people in their 20s-30s. They were divided into two groups, the UC group (n=22) and the control group (n=20). We monitored ECG from 14:00 to 18:00 in both groups. In the UC group, subjects were administered UC at 15:00. HRV analysis was conducted at 14:00, 16:00, and 17:00 for 512 seconds. Results : The degree of LF/HF ratio change was significantly higher in the UC group at 1 hour after administration. Conclusion : We suggest Uhwangchungsimwon may be useful for stabilization of the autonomic nervous system by activating parasympathetic nerve in healthy people.

  • PDF

방광(膀胱)과 위중(委中)의 중추신경로와의 연계성에 관한 연구 (Studies on the Relationship of the Central Neural Pathways to the Urinary Bladder and Wijung($BL_{40}$))

  • 이창현;김호;이광규;정한솔
    • 동의생리병리학회지
    • /
    • 제23권4호
    • /
    • pp.805-817
    • /
    • 2009
  • This study was to investigate central localization of neurons projecting to the urinary bladder and urinary bladder-related acupoints(Wijung, $BL_{40}$) and neurons of immunoreactive to hormones and hormone receptors regulating urinary bladder function by using peudorabies virus(PRV). In this experiment, Bartha's strain of pseudorabies virus was used in rats to trace central localization of urinary bladder-related neurons and urinary bladder-related acupoints($BL_{40}$) which can regulate urinary system. PRV was injected into the urinary bladder and acupoints($BL_{40}$) related urinary system. After six days survival of rats, mainly common labeled neurons projecting to the urinary bladder and urinary bladder-related acupoints were identified in spinal cord, medulla, pons and diencephalon by PRV immunohistochemical staining method. First-order PRV labeled neurons projecting to urinary bladder and urinary bladder-related acupoints were found in the cervical, thoracic, lumbar and sacral spinal cord. Commonly labeled preganglionic neurons were labeled in the lumbosacral spinal cord and thoracic spinal cord. They were found in the lateral horn area(sacral parasympathetic nucleus and intermediolateral nucleus), lamina V-X, intermediomedial nucleus and dorsal column area. The area of sensory neurons projecting to urinary bladder and Wijung($BL_{40}$) was L5-S2 spinal ganglia and T12-L1 spinal ganglia, respectively. In the brainstem, the neurons were labeled most evidently and consistently in the nucleus of tractus solitarius, area postrema, dorsal motor nucleus of vagus nerve, reticular nucleus, raphe nuclei(obscurus, magnus and pallidus), C3 adrenalin cells, parapyramidal area(lateral paragigantocellular nucleus), locus coeruleus, subcoeruleus nucleus, A5 cell group, Barrington's nucleus and periaqueductal gray matter. In the diencephalon, PRV labeled neurons were marked mostly in the paraventricular nucleus and a few ones were in the lateral hypothalamic nucleus, posterior hypothalamic nucleus, ventromedial hypothalamic nucleus, arcuate nucleus, median eminence, perifornical nucleus, periventricular nucleus and suprachiasmatic nucleus. In cerebral cortex, PRV labeled neurons were marked mostly in the frontal cortex, 1,2 area, hind limb area, agranular insular cortex. Immunoreactive neurons to Corticotropin releasiing factor(CRF), Corticotropin releasiing factor-receptor(CRF-R), c-fos and serotonin were a part of labeled areas among the virus-labeled neurons of urinary bladder and Wijung($BL_{40}$). The commonly labeled areas were nucleus tractus solitarius, area postrema, reticular nucleus, raphe nuclei(obscurus, magnus and pallidus), locus coeruleus, A5 cell group, Barrington,s nucleus, arcuate nucleus, paraventricular nucleus, frontal cortex 1, 2 area, hind limb, and perirhinal(agranular insular) cortex. These results suggest that overlapped CNS locations are related with autonomic nuclei which regulate the functions of urinary bladder-relate organs and it was revealed by tracing PRV labeled neurons projecting urinary bladder and urinary bladder-related acupoints. These commonly labeled areas often overlap with the neurons connected with hormones and hormone receptors related to urination.

배뇨장애(排尿障碍)에 대한 침구치료(鍼灸治療)의 연구동향(硏究動向) (Recent study of Acupuncture in Treatment of Urianry Disturbance)

  • 김경태;고영진;김용석;김창환
    • Journal of Acupuncture Research
    • /
    • 제22권3호
    • /
    • pp.123-135
    • /
    • 2005
  • 국내외 학술지중 배뇨장애에 대한 침치료의 연구 동향을 문헌고찰 연구, 생리적 기전 연구, 임상효과 연구로 나누어 분석한 결과 다음과 같은 결과를 얻었다. 1. 23 편의 논문 중 review study가 3편, experimental study 6편, clinical study가 14 편이었다. 다양한 Journal에 발표되고 있었는데, review study는 모두 국내 학술지에 게재 된 논문이었고, 2000년 이후로 점차 연구의 양과 관심이 증대되고 있는 추세였다. 2. 배뇨장애는 하부요로증상의 다양한 증상을 포괄하는 것으로 한의학적인 측면에서는 융폐, 소편부금(小便不禁), 빈요(頻尿), 급박요(急迫尿), 요실금(尿失禁), 림증(淋證), 야뇨(夜尿), 난요(難尿), 점적요(點滴尿), 지연요(遲延尿)등에 해당하는데, 그 대부분의 유발 원인은 신기부족(腎氣不足)등의 하초허한(下焦虛寒)에 기인하는 것으로 판단되며, 간기울결(肝氣鬱結)등의 정서적 자극과 습열(濕熱) 및 어혈(瘀血)등의 원인에 의해서도 발생할 수 있다. 3. 배뇨장애에 대한 침구치료의 생리적 기전을 대략적으로 요약한다면 침자극에 의해 부교감 신경, 대뇌의 수면-각성 체계, 뇌교 및 척추 배뇨 센타, 음부신경/골반신경을 통해 방광에 영향을 주어 방광용량의 확장 또는 배뇨 수축의 억제작용을 하는 한편, 척추 환상 회로 나 신경연접부의 지속성 흥분을 통하여 요도주의 근육에 영향을 주는 것으로 생각되어 진다. 4. 배뇨장애에 대한 침구치료의 임상효과를 요약 한다면, 융폐, 소편부통(小便不通)에 속하는 신경인성 방광(Neurogenic Bladder), 소편부금(小便不禁), 빈요(頻尿), 급박뇨(急迫尿)에 해당하는 요실금(尿失禁)(Incontinence), 림증(淋證)에 해당하는 방광염(Cycitis), 액요(液尿) (Nocturnal Enuresis), 잡요(雜尿), 점적요(點滴尿), 지연요(遲延尿)에 해당하는 전립선염/골반통 증후군 (Prostatitis/Pelvic Pain Syndrom)등의 하부 요로증상에 침구치료는 유의미한 효과가 있다. 이상으로 국내 및 해외 연구는 최근들어 더욱 활발히 연구되고 있는데, 특히 해외연구는 배뇨 장애의 침구치료의 생리적 기전 분야에서 다양 하게 시도되고 있었다. 향후 고령화 사회로 진입 하는등 사회여건상 이와같은 다양한 배뇨장애 환자의 증가는 물론 치료욕구의 증대가 예상되는 바 이러한 생리적 치료기전의 연구 및 다양한 질환에 대한 임상연구를 시도함으로써 표준적인 치료기술의 개발이 필요할 것으로 사료된다.

  • PDF

화상 자동차 시뮬레이터에서 운전 중에 경적음 자극에 대한 후각자극의 마스킹 효과 (The Masking Effect According in Olfactory Stimulus on Horns Stimulus While Driving in Graphic Driving Simulator)

  • 민철기;지두환;고복수;김진수;이동형;류태범;신문수;정순철;민병찬;강진규
    • 산업경영시스템학회지
    • /
    • 제35권4호
    • /
    • pp.227-234
    • /
    • 2012
  • In this study, the masking effect of olfactory stimulus on the awakening state due to sound stimuli while driving using Graphic Driving Simulator was observed through the response of autonomic nervous system. The test was conducted for 11 males in their twenties. The siren of ambulance car was presented to them as auditory stimulus for 30 secs while driving in a situation of high way in the condition of both peppermint and control, respectively, and LF/HF ratio of HRV (Heart Rate Variability), the activity index of sympathetic nerve, and GSR (Galvanic Skin Response) response were examined. The test was proceeded in the order of three stages, that is, sound stimuli (test 1), driving performance, and sound stimuli (test 2), and fragrance stimulus, driving performance, and sound stimuli (test 3), and the physiological signal of GSR, HRV was measured in the whole stages. As a result of test, comparing the results of before and after auditory stimulus test (1) (p < 0.01), test (2) (p < 0.05), and test (3) (p < 0.01), driving performance test (2) (p < 0.01), test (3) (p < 0.01), and olfactory stimulus test (3) (p < 0.05), respectively, GSR response increased, showing significant difference in all the tests. It indicates that when auditory stimulus was presented to the subjects, they were in the awakening state as sympathetic nervous system got activated. As a result of comparing auditory stimulus while driving before and after presenting olfactory stimulus, there was no significant difference in GSR response. The LF/HF ratio of HRV increased, showing a significant difference only in test (2) (p < 0.05), and in driving performance test (2) (p < 0.05) in auditory stimulus, however, it showed no significant difference in olfactory stimulus. As a result of comparing auditory stimulus while driving before and after presenting olfactory stimulus, there was a decrease, showing significant difference (p < 0.05) in LF/HF ratio of HRV. That is, it means that the activation of sympathetic nervous system decreased, and that parasympathetic nervous system got activated. From these results, it was observed that while driving, the awakening level due to auditory stimulus was settled with olfactory stimulus. In conclusion, it was drawn that while driving, olfactory stimulus could have the masking effect on auditory stimulus.

2D 숲동영상 및 Virtual Reality 숲동영상 시청이 성인의 스트레스 감소에 미치는 영향 (Effect of 2D Forest Video Viewing and Virtual Reality Forest Video Viewing on Stress Reduction in Adults)

  • 홍성준;정다워;이정도;김다영;김수진;박범진
    • 한국산림과학회지
    • /
    • 제108권3호
    • /
    • pp.440-453
    • /
    • 2019
  • 본 연구는 평면 숲동영상 및 VR 숲동영상 시청이 성인의 스트레스 감소에 미치는 영향을 밝히기 위해 수행되었다. 실험은 인공기후실에서 진행되었으며, 피험자는 40명이 참가하였다. 피험자의 스트레스를 유발한 후 2D 회색동영상, 2D 숲동영상, VR 숲동영상을 5분 동안 시청하게 하였다. 실험하는 동안 연속적으로 심박변동성을 측정하여 자율신경계 활동을 평가하였으며, 각 실험 후 설문지를 이용하여 심리 상태를 평가하였다. 생리적 측정 결과 2D 숲동영상은 2D 회색동영상보다 스트레스 지수 감소효과가 크고, HF 증가효과가 크며, 심장박동수 감소효과가 크다는 사실을 확인하였다. 또한 VR 숲동영상은 2D 회색동영상 시청보다 스트레스 지수 감소효과가 크고, LF/HF 증가효과가 크며, 심장박동수 감소효과가 크다는 사실을 확인하였다. 심리적 측정 결과 피험자들은 2D 회색동영상보다 2D 숲동영상과 VR 숲동영상을 더 쾌적하고, 자연적이며, 진정된다고 느꼈다는 사실을 확인하였다. 그리고 2D 숲동영상과 VR 숲동영상이 2D 회색동영상보다 긍정적인 정서를 증가시키고 부정적인 정서를 감소시킨다는 사실을 확인하였다. 이상의 결과를 바탕으로 2D 숲동영상과 VR 숲동영상의 시청은 스트레스 상황을 벗어나 2D 회색동영상을 시청하는 것보다 더 스트레스 지수를 감소시키고, 심장박동수를 감소시키는 것으로 판단된다. 또한 2D 숲동영상은 부교감 신경계의 활동을 증가시키고 VR 숲동영상은 교감 신경계의 활동을 증가시키는 차이점이 있는 것으로 판단된다. 마지막으로 VR 숲동영상의 교감 신경계의 활동 증가는 스트레스, 긴장 등의 부정적 교감신경 활성이 아닌 신기함, 호기심 등의 긍정적 교감신경 활성으로 판단된다. 이러한 연구의 결과가 산림치유의 시각적 효과에 대한 기반이 되길 기대하고, 임업분야에서 4차 산업혁명의 기술인 VR의 활용이 넓어지는 기반이 되길 기대한다.

신체 증상 장애 환자의 심박변이도와 증상 심각도의 연관성 (Associations Between Heart Rate Variability and Symptom Severity in Patients With Somatic Symptom Disorder)

  • 김은환;김희선;함진실;김준범;오주영
    • 정신신체의학
    • /
    • 제31권2호
    • /
    • pp.108-117
    • /
    • 2023
  • 연구목적 신체 증상 장애(Somatic Symptom Disorder, SSD)는 다양한 신체 증상의 발현을 특징으로 하며, 현재까지 환자군 내에서 증상 심각도에 따른 자율신경계 활성의 차이에 대해서는 연구된 바가 거의 없다. 이에 본 연구에서는 신체 증상 장애 환자군에서 심박변이도(Heart Rate Variability, HRV) 차이를 검정하여 증상 심각도에 따른 자율신경계 변화를 반영하는 대표적 지표를 분석하였다. 방 법 2020년 9월 18일부터 2021년 10월 29일까지 강남세브란스병원 정신건강의학과에 내원했던 환자 중, DSM-5 진단 기준에 따라 SSD로 진단받은 환자 총 51명의 의무기록을 후향적으로 수집하였다. 이후, 집단 간 인구사회학 및 임상적 선택편의 보정을 위해 역확률 가중치(Inverse Probability Treatment Weighting, IPTW)를 적용하여 HRV 지표 차이 검정을 실시하였다. 결 과 신체 증상 심각도와 LF (nu), HF (nu), LF/HF, 그리고 SD1/SD2, Alpha1/Alpha2는 통계적으로 유의한 상관관계를 보였으며, IPTW 적용 후 비중증군은 27명(53.0%), 중증군은 24명(47.0%)로 보정되었고, 인구사회학적 요인 및 임상적 특성 차이가 유의미하지 않아 동질성이 확보되었다. 본 모형 분석 결과 고위험군일수록 시간 영역의 RMSSD (β=-0.70, p=0.003), pNN20 (β=-1.04, p=0.019), 주파수 영역은 LF (nu) (β=0.29, p<0.001), HF (nu) (β=-0.29, p<0.001), LF/HF (β=1.41, p=0.001), 그리고 비선형 영역에서는 SampEn15 (β=-0.35, p=0.014), SD1/SD2 (β=-0.68, p<0.001), Alpha1/Alpha2 (β=0.43, p=0.001)에서 유의미한 차이가 검정되었다. 결 론 신체 증상 심각도에 따른 HRV 지표의 차이는 시간과 주파수 영역, 그리고 비선형 영역 전반에서 검정되었으며, 신체 증상이 심할수록 교감신경의 과활성화 및 부교감신경의 저하를 시사하는 HRV 지표들이 유의미하게 높은 경향성을 보였다.