Purpose： The purpose of this study was to evaluate whether and to what extent the observed effects on self-rated sleep in a previous study using a combined treatment program with physical exercise and sleep education...Purpose： The purpose of this study was to evaluate whether and to what extent the observed effects on self-rated sleep in a previous study using a combined treatment program with physical exercise and sleep education can be attributed by the physical activity （PA） component. Methods： The present study reports supplementary analysis of an already described and published study. Data were provided by a nonclinical sample of 98 normal-active adults with chronic initiating and the maintaining of sleep complaints. The additional analysis included sleep log, exercise log, and daily pedometer data which were collected during a baseline week and 6-week of a combined intervention. Results： The results indicate that the number of steps （p -- 0.02） and the duration of PA （p = 0.01） is significantly related to the improvement in subjective sleep measures and therefore reveal an independent effect within this combined sleep program. Sleep diary data （recuperation of sleep, number of awakenings after sleep onset, and wake time after sleep onset time） improved significant （all p 〈 0.01） over the intervention program. About 50% of the participants stated that the PA had an effect on their improvement. Conclusion： Improvements on subjective sleep quality after a combined intervention cannot be attributed to the cognitive component alone, but PA has an independent effect. Adults with chronic sleep complaints benefit from exercise. Therefore structured PA should be implemented in any sleep management programs.展开更多
Objective： To study the tuina effect on sleep disorder and emotional problems of chronic fatigue syndrome （CFS） cases. Method： Thirty CFS cases were treated in the treatment group, by applying one-thumb pushing, r...Objective： To study the tuina effect on sleep disorder and emotional problems of chronic fatigue syndrome （CFS） cases. Method： Thirty CFS cases were treated in the treatment group, by applying one-thumb pushing, rolling and pressing-kneading manipulations along the Governor Vessel, Bladder and Yangming Meridians. The intended major points include Fengfu （GV 16）, Yaoyangguan （GV 3）, Xinshu （BL 15）, Pishu （BL 20）, Ganshu （BL 18）, Hegu （LI 4） and Taixi （KI 3）. The treatment was done once every other day; 10 times constitute a course of treatment. Another 30 healthy cases were selected in the control group, without any intervention. The sleep quality and mental state in the two groups were evaluated by PSQI, HAMA and HAMD. In addition, the pre-treatment and post-treatment score changes were observed. Results： Before treatment, the total score of PSQI, sleep quality, time of falling asleep, sleep efficiency, sleep disorder, daytime functional impairment, and scores of HAMD and HAMA in treatment group were all substantially higher than the control group （P〈0.01）. After 10 tuina treatments, the total score of PSQI, time of falling asleep, sleep disorder and daytime flmctional impairment as well as scores of HAMD and HAMA in treatment group were significantly changed, compared with before treatment, P〈0.05. Conclusion： Those with CFS may present with sleep disorder and mental or psychological abnormality, tuina can improve their sleep quality and adjust their mental conditions.展开更多
文摘Purpose： The purpose of this study was to evaluate whether and to what extent the observed effects on self-rated sleep in a previous study using a combined treatment program with physical exercise and sleep education can be attributed by the physical activity （PA） component. Methods： The present study reports supplementary analysis of an already described and published study. Data were provided by a nonclinical sample of 98 normal-active adults with chronic initiating and the maintaining of sleep complaints. The additional analysis included sleep log, exercise log, and daily pedometer data which were collected during a baseline week and 6-week of a combined intervention. Results： The results indicate that the number of steps （p -- 0.02） and the duration of PA （p = 0.01） is significantly related to the improvement in subjective sleep measures and therefore reveal an independent effect within this combined sleep program. Sleep diary data （recuperation of sleep, number of awakenings after sleep onset, and wake time after sleep onset time） improved significant （all p 〈 0.01） over the intervention program. About 50% of the participants stated that the PA had an effect on their improvement. Conclusion： Improvements on subjective sleep quality after a combined intervention cannot be attributed to the cognitive component alone, but PA has an independent effect. Adults with chronic sleep complaints benefit from exercise. Therefore structured PA should be implemented in any sleep management programs.
基金Science and Technology Commission of Shanghai Municipality (05XD 14028)Shanghai Leading Academic Discipline Project (S30304)
文摘Objective： To study the tuina effect on sleep disorder and emotional problems of chronic fatigue syndrome （CFS） cases. Method： Thirty CFS cases were treated in the treatment group, by applying one-thumb pushing, rolling and pressing-kneading manipulations along the Governor Vessel, Bladder and Yangming Meridians. The intended major points include Fengfu （GV 16）, Yaoyangguan （GV 3）, Xinshu （BL 15）, Pishu （BL 20）, Ganshu （BL 18）, Hegu （LI 4） and Taixi （KI 3）. The treatment was done once every other day; 10 times constitute a course of treatment. Another 30 healthy cases were selected in the control group, without any intervention. The sleep quality and mental state in the two groups were evaluated by PSQI, HAMA and HAMD. In addition, the pre-treatment and post-treatment score changes were observed. Results： Before treatment, the total score of PSQI, sleep quality, time of falling asleep, sleep efficiency, sleep disorder, daytime functional impairment, and scores of HAMD and HAMA in treatment group were all substantially higher than the control group （P〈0.01）. After 10 tuina treatments, the total score of PSQI, time of falling asleep, sleep disorder and daytime flmctional impairment as well as scores of HAMD and HAMA in treatment group were significantly changed, compared with before treatment, P〈0.05. Conclusion： Those with CFS may present with sleep disorder and mental or psychological abnormality, tuina can improve their sleep quality and adjust their mental conditions.
