Vibroakustická terapie (VAT) využívá sinusoidální, nízkofrekvenční zvukové vlny v kombinaci s hudbou k terapeutickým účelům. Dosavadní výzkum naznačuje efektivitu této terapie na spasticitu dětí s mozkovou obrnou (MO), tyto důkazy však zcela chybí u dospívajících a dospělých osob s MO. Cílem těchto dvou single subject case studies (s designem ABA ́) bylo zjistit vliv VAT U osob s MO na spasticitu a variabilitu srdeční frekvence (HRV). VAT byla aplikována prostřednictvím rehabilitačního vibroakustického lůžka VIBROBED a programu Živly (20 minut, hudební kompozice s biorytmicky dávkovaným nízkofrekvenčním zvukem – amplitudová a frekvenční modulace) u dívky (20 roků) a chlapce (19 roků), oba se spasticitou, motorickými a dalšími problémy. V důsledku aplikace VAT došlo ke zlepšení spasticity u obou případů, a to min. o jeden stupeň na Ashwortově škále po každém setkání. V případě analýzy vlivu VAT na HRV byly v obou případech zjištěny protichůdné trendy vykazovaných hodnot parametrů Mean HR a RMSSD. Zatímco v prvním případě se v důsledku intervence zvyšovala aktivita parasympatiku, v druhém případě způsobila intervence pokles aktivity parasympatiku. Z uvedených měření a následných analýz nelze jednoznačně predikovat, jakým způsobem působí VAT na autonomní nervový systém. Zdá se, že o výsledném trendu působení VAT (ve směru podpory parasympatické či sympatické části ANS) rozhoduje řada vlivů, včetně interindividuálních rozdílů v reaktivitě organismu. Vzhledem k limitům této pilotní studie navrhujeme, aby toto téma bylo předmětem nové studie s upraveným designem měření, která by u této populace prozkoumala interindividuální rozdíly reaktivity na VAT a vlivy dalších působících parametrů.

• Klíčová slova
• vibroakustická terapie,
• MeSH
• akustická stimulace * metody   MeSH
• lidé MeSH
• mladý dospělý MeSH
• mozková obrna * rehabilitace   MeSH
• neurorehabilitace metody   MeSH
• svalová spasticita rehabilitace   MeSH
• určení tepové frekvence MeSH
• Check Tag
• lidé MeSH
• mladý dospělý MeSH
• Publikační typ
• hodnotící studie MeSH
• kazuistiky MeSH

BACKGROUND: Low frequency sound (LFS, combined with music listening) is applied by practitioners in vibroacoustic therapy who report a positive effect of this intervention on acute stress response. However, there is a lack of research on this topic and studies with mainly objective measurements are scarce. MATERIALS AND METHODS: In this pilot double-blinded Randomized Controlled Trial we used a multimodal approach to measurement of acute stress response in 54 international university students attending a university summer school in Olomouc, the Czech Republic who were individually randomized into a group receiving LFS vibration and a control group. In both groups, the acute stress response was measured by heart rate variability (HRV), visual analogue scales (VAS) for stress and muscle relaxation. RESULTS: Differences were found in pre-test post-test measures, however, between groups differences occurred only for HRV, with statistically significant improvement in the experimental group (parameter LF/HF and pNN50). CONCLUSION: Vibroacoustic therapy has the potential to contribute to the stress management of university students. Further research is needed to explore the effect of LFS on stress response, especially when applied without additional music listening.

• Publikační typ
• časopisecké články MeSH

BACKGROUND: Vibroacoustic therapy (VAT) uses low-frequency sound, often combined with listening to music, for therapeutic purposes. However, the impact of low-frequency vibration (LFV) on physiological functions and subjective perception is relatively unknown. METHODS: We conducted a randomized cross-over study with the aim of comparing the effect of constant LFV of 40 Hz, its amplitude modulation, and the placebo condition on heart rate variability (HRV), stress perception (measured by visual analogue scales for stress) and mood (measured by UWIST Mood Adjective Check List). RESULTS: Research experiments with various interventions (constant LFV with sound of nature (river in forest), amplitude modulation of the same LFV with sounds of nature and sounds of nature without LFV) were realised involving 24 participants. It was found there was an effect on HRV, stress perception and mood after the interventions. However, there were only seldomly experienced, and mostly nonsignificant, differences between the intervention conditions, so the effects may be attributed to factors other than LFV. CONCLUSIONS: Large scale experimental studies are needed to verify the preliminary findings and to explore various coinciding factors that may have influenced the results of this study, e.g., type of autonomic nervous system. We propose that the effect of LFV exposure may differ when combined with listening to music, and this hypothesis should be investigated in future studies.

• Publikační typ
• časopisecké články MeSH

Arts therapies (AsTs) are considered a valuable intervention for people with eating disorders, however the range of research studies and the comparison between the types of arts therapies are unknown. The goal of the future scoping review is to explore the therapeutic outcomes addressed by arts therapists in research studies on people with eating disorders and compare the different types of arts-based interventions. This scoping review will be conducted in accordance with the Joanna Briggs Institute methodology. Included will be research studies and sources oriented towards people with eating disorders of all ages and AsTs of any type (art therapy, drama therapy, music therapy, dance/movement therapy, and expressive therapies). There is no language/publication period limitation. The following databases will be searched: CINAHL Plus, EMBASE, MEDLINE (OvidSP), ProQuest Central, PsycINFO, PubMed, Scopus, and Web of Science. Sources of unpublished studies and grey literature will include Google Scholar, MedNar, clinical trials, and current controlled trials. Titles/abstracts and full texts of studies will be assessed against the inclusion criteria, and the data extracted by two independent reviewers. Based on the results, we will compare the types of AsTs according to the research designs, country/settings, intervention methods/materials, adverse effects reported, and therapeutic outcomes related to AsTs.

• Publikační typ
• časopisecké články MeSH
• přehledy MeSH