Apzinātībā balstīta deju un kustību terapija emociju regulācijas prasmju uzlabošanai pacientiem ar hroniskām muguras lejasdaļas sāpēm
No Thumbnail Available
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pētījuma mērķis: izpētīt, vai apzinātībā balstīta deju un kustību terapija (ABDKT) grupā uzlabo emociju regulācijas prasmes un mazina sāpes pacientiem ar hroniskām muguras lejasdaļas sāpēm (HMLS). HMLS ir viens no vadošajiem iemesliem ilgstošai nespējai pasaulē, arī Latvijā. Rehabilitācijā HMLS pacientiem rekomendē izmantot apzinātībā balstītas metodes un pierādīts, ka apzināta emocionāla pieredze mazina hroniskas sāpes. Apzinātībā balstītas metodes īstermiņa grupas deju un kustību terapijā (DKT) ir uzrādījušas uzlabojumu emociju regulācijas prasmēm pacientiem ar hroniskām sāpēm, tomēr nepieciešami vairāk pierādījumi. ABDKT ir terapeitisks process, kur tiek attīstītas apzinātības prasmes, pašpārvalde un adaptīvās emociju regulācijas prasmes. Pētījuma jautājumi: vai ABDKT grupā uzlabo emociju regulācijas prasmes pacientiem ar HMLS 10 sesiju laikā? Vai ABDKT grupā mazina sāpes pacientiem ar HMLS? Vai emociju regulācijas prasmes korelē ar sāpju stiprumu pacientiem ar HMLS?
Metodes: eksperimentāls dizains, eksperiments. Pētījuma izlase randomizēta (izpētes grupa n = 13, vīrieši n = 1, sievietes n = 12; kontroles n = 21, vīrieši n = 3, sievietes n = 18), vecums no 25 līdz 61 gadiem. Iekļaušanas kritēriji: sāpes vismaz 1 balle (NRS) muguras lejasdaļā ilgāk kā 3 mēnešus; vecums 25 – 65 gadi; ERSQ-27: vidējais rādītājs < 4; diagnozes (SSK – 10): muguras lejasdaļas sāpes (M.54.5); spondiloze (M 47), intervertebrālo disku bojājumi (M 51). Neiekļaušanas kritēriji: sāpes akūti, subakūti; audzējs; centrālās nervu sistēmas bojājums; grūtniecība; DKT kontrindikācijas. Instrumentārijs: sociāldemogrāfisko datu anketa; “Emociju regulācijas prasmju aptauja”, (Emotion-regulation skills questionnaire - ERSQ-27, Berking & Znoj, 2008), adaptāciju latviešu valodā veica Paiča I., Mārtinsone K., 2019; numeriskā analogu skala - NRS (Numeric Rating Scale - NRS, Jensen, Karoly, & Braver, 1986). Procedūra: izpētes grupai 10 ABDKT sesijas 2x nedēļā, kontroles grupa nesaņēma ABDKT. Abām grupām emociju regulācijas prasmes tika mērītas pirms un pēc ABDKT kursa (N = 34), sāpes - 2x nedēļā (N = 26, izpētes n = 12, kontroles n = 14).
Rezultāti un secinājumi: pēc ABDKT izpētes grupai uzlabojās emociju regulācijas prasmes, salīdzinot ar kontroles grupu (U = 55,00, p = 0,003), izpētes grupai mazinājās sāpes (T = - 1,98, p = 0,048), korelācija pastāv ERSQ-27 skalai “tolerance” ar sāpju stiprumu (rs = 0,697, p = 0,012) izpētes grupai. Secināts, ka pastāv tendences emociju regulācijas prasmju uzlabojumam un sāpju mazināšanai, kā arī pastāv korelācija skalai “tolerance” ar sāpju stiprumu pacientiem ar HMLS pēc ABDKT, tomēr nepieciešami papildus pētījumi ar lielāku izlasi. Rezultāti noder speciālistiem praksē ar HMLS pacientiem. Atslēgvārdi: hroniskas muguras lejasdaļas sāpes; apzinātība; deju un kustību terapija; emociju regulācijas prasmes.
Chronic low back pain (CLBP) is a global problem with implementations for mindful–based methods in rehabilitation improving emotion regulation skills and decreasing pain. Mindful–Based Dance and Movement Therapy (MBDMT) is a therapeutic method developed to improve mindfulness, self – regulation and adaptive emotion regulation skills. Objective: to determine if MBDMT improves emotion regulation skills and helps to decrease pain in patients with CLBP. Following questions of the study are: do MBDMT in a group setting helps to improve emotion regulation skills and to decrease pain in patients with CLBP in short term? Is there a correlation between emotion regulation skills and pain in patients with CLBP? Materials and methods: randomized controlled trial. Thirty four patients were randomly assigned to experimental (n = 13, received MBDMT twice a week, 10x) and control (n = 21, didn’t receive MBDMT) groups, aged 25 – 61. Inclusion criteria: low back pain intensity at least 1 (NRS) more than 3 months; age 25 – 65 years; ERSQ-27 total < 4; diagnosed with: low back pain; spondylosis; lumbosacral intervertebral disc disorders. Exclusion criteria: acute or subacute pain; cancer; trauma of central nervous system; pregnancy; DMT contraindications. Instruments: Emotion - Regulation Skills Questionnaire - ERSQ-27, Berking & Znoj, 2008 (adapted in latvian by Paiča I., Mārtinsone K., 2019); Pain Numeric Rating Scale – NRS, Jensen, Karoly, & Braver, 1986. Procedure: for both groups emotion regulation skills where measured before and after MBDMT, pain - twice a week. Results: findings showed improvement of emotion regulation skills in experimental group, compared to control (U = 55,00, p = 0,003), decrease in pain for experimental group (T = - 1,98, p = 0,048) and a correlation between ERSQ-27 scale “tolerance” with pain intensity (rs = 0,697, p = 0,021). Conclusion: there are tendencies for MBDMT to improve emotion regulation skills and to decrease pain intensity and there exists a correlation between emotion tolerance and pain instensity for patients with CLBP, but there is a need for future research with more significant results. Keywords: dance and movement therapy; emotion regulation skills; mindfulness; chronic pain; chronic low back pain.
Chronic low back pain (CLBP) is a global problem with implementations for mindful–based methods in rehabilitation improving emotion regulation skills and decreasing pain. Mindful–Based Dance and Movement Therapy (MBDMT) is a therapeutic method developed to improve mindfulness, self – regulation and adaptive emotion regulation skills. Objective: to determine if MBDMT improves emotion regulation skills and helps to decrease pain in patients with CLBP. Following questions of the study are: do MBDMT in a group setting helps to improve emotion regulation skills and to decrease pain in patients with CLBP in short term? Is there a correlation between emotion regulation skills and pain in patients with CLBP? Materials and methods: randomized controlled trial. Thirty four patients were randomly assigned to experimental (n = 13, received MBDMT twice a week, 10x) and control (n = 21, didn’t receive MBDMT) groups, aged 25 – 61. Inclusion criteria: low back pain intensity at least 1 (NRS) more than 3 months; age 25 – 65 years; ERSQ-27 total < 4; diagnosed with: low back pain; spondylosis; lumbosacral intervertebral disc disorders. Exclusion criteria: acute or subacute pain; cancer; trauma of central nervous system; pregnancy; DMT contraindications. Instruments: Emotion - Regulation Skills Questionnaire - ERSQ-27, Berking & Znoj, 2008 (adapted in latvian by Paiča I., Mārtinsone K., 2019); Pain Numeric Rating Scale – NRS, Jensen, Karoly, & Braver, 1986. Procedure: for both groups emotion regulation skills where measured before and after MBDMT, pain - twice a week. Results: findings showed improvement of emotion regulation skills in experimental group, compared to control (U = 55,00, p = 0,003), decrease in pain for experimental group (T = - 1,98, p = 0,048) and a correlation between ERSQ-27 scale “tolerance” with pain intensity (rs = 0,697, p = 0,021). Conclusion: there are tendencies for MBDMT to improve emotion regulation skills and to decrease pain intensity and there exists a correlation between emotion tolerance and pain instensity for patients with CLBP, but there is a need for future research with more significant results. Keywords: dance and movement therapy; emotion regulation skills; mindfulness; chronic pain; chronic low back pain.
Description
Mākslas terapija
Art Therapy
Veselības aprūpe
Health Care
Art Therapy
Veselības aprūpe
Health Care
Keywords
Atslēgvārdi: hroniskas muguras lejasdaļas sāpes; apzinātība; deju un kustību terapija; emociju regulācijas prasmes., Keywords: dance and movement therapy; emotion regulation skills; mindfulness; chronic pain; chronic low back pain.