Abstract：
Female caregivers of people with disabilities are burdened physically and mentally. To improve these symptoms, an intervention that is easy to apply and has fewer side effects, such as natural healing, has been proposed, but the effect of healing using marine resources is unclear until now. The purpose of this study is to investigate the effect of meditation accompanied with stabilization exercise in the marine region on the improvement of pain, tactile sense, muscle characteristics, muscle strength, balance, quality of life, and depression in female caregivers of people with severe physical disabilities. Twenty-four female family caregivers were recruited and were randomly assigned to the marine therapy group (MTG, n = 12) and the control group (CG, n = 12). Both groups performed the same meditation (35 min) and stabilization exercise (25 min) twice a day for 3 nights and 4 days per session (total 8 sessions). The MTG performed these in the marine region, whereas the CG performed the interventions in the urban region. Pain (pain intensity and pain pressure threshold), tactile sense (tactile spatial acuity), muscle characteristics (stiffness, elasticity), muscle strength (hand and pinch grip strength), balance, quality of life, and depression were measured before and after the intervention and 4 weeks after the intervention. Both groups showed significant improvements in pain intensity (resting pain: f(2) = 72.719, p < 0.001; movement pain: f(2) = 24.952, p < 0.001), muscle strength (right pinch grip: f(2) = 15.265, p < 0.001), and depression (f(2) = 13.312, p < 0.001), while tactile spatial acuity (TSA) (upper part: f(2) = 14.460, p < 0.001; lower part: f(2) = 7.672, p = 0.002), dynamic balance (f(2) = 4.196, p = 0.024), and quality of life (overall quality of life & general health: f(2) = 5.443, p = 0.009; physical health: f(2) = 13.991, p < 0.001; psychological: f(2) = 9.946, p < 0.001; environmental: f(2) = 20.004, p < 0.001; total: f(2) = 11.958, p < 0.001) were significantly improved only in MTG. There was no significant change in pain pressure threshold (upper trapezius (UT): f(2) = 0.765, p = 0.473; levator scapula (LS): f(2) = 0.213, p = 0.809; splenius capitis (SC): f(2) = 0.186, p = 0.831) and muscle characteristics (UT stiffness: f(2) = 1.486, p = 0.241; UT elasticity: f(2) = 0.358, p = 0.702; LS stiffness: f(2) = 2.440, p = 0.102; LS elasticity: f(2) = 0.544, p = 0.585) in both groups. In comparison between groups, the MTG showed a significant difference in sensory function compared to the CG (resting pain: f(2) = 10.487, p = 0.005; lower part: f(2) = 5.341, p = 0.034 in TSA). Our findings suggest that meditation combined with stabilization exercise improved pain, muscle strength, and depression of female caregivers. In particular, greater benefits on tactile sense, balance, and quality of life were found in performing these in the marine region compared to the urban region.
摘要：
残疾人的女性护理人员身心负担沉重。为了改善这些症状，一种易于应用且副作用较少的干预措施，如自然愈合，已经被提议，但是到目前为止，使用海洋资源进行治疗的效果尚不清楚。这项研究的目的是研究在海洋区域进行冥想伴随稳定运动对改善疼痛的影响，触觉,肌肉特征，肌肉力量,balance,生活质量,严重身体残疾的女性照顾者的抑郁症。招募了24名女性家庭护理人员，并随机分配到海洋治疗组(MTG，n=12)和对照组(CG，n=12)。两组每天两次进行相同的冥想（35分钟）和稳定运动（25分钟），每次3晚4天（共8次）。MTG在海洋区域执行了这些操作，而CG在城市地区进行干预。疼痛（疼痛强度和疼痛压力阈值），触觉(触觉空间敏锐度)，肌肉特征(僵硬，弹性)，肌肉力量（手和捏握力），balance,生活质量,分别在干预前后和干预后4周进行抑郁测量。两组均显示疼痛强度显着改善（静息疼痛：f（2）=72.719，p<0.001；运动疼痛：f（2）=24.952，p<0.001），肌肉力量（右握力：f（2）=15.265，p<0.001），和抑郁(f(2)=13.312，p<0.001)，而触觉空间敏锐度（TSA）（上部：f（2）=14.460，p<0.001；下部：f（2）=7.672，p=0.002），动平衡(f(2)=4.196,p=0.024),和生活质量（总体生活质量和总体健康：f（2）=5.443，p=0.009；身体健康：f（2）=13.991，p<0.001；心理：f（2）=9.946，p<0.001；环境：f（2）=20.004，p<0.001；总计：f（2）=11.958，p<0.001）仅在MTG中得到了显着改善。疼痛压力阈值无明显变化（上斜方肌（UT）：f（2）=0.765，p=0.473；提上肩胛骨（LS）：f（2）=0.213，p=0.809；脾性关节炎（SC）：f（2）=0.186，p=0.831）和肌肉特征（UT刚度：f（2）=1.486，p=0.5440）；两组（p=0.组间比较,与CG相比，MTG在感觉功能方面存在显着差异（静息疼痛：f（2）=10.487，p=0.005；下部：f（2）=5.341，p=0.034）。我们的研究结果表明，冥想结合稳定运动可以改善疼痛，肌肉力量,和女性护理人员的抑郁。特别是,对触觉有更大的好处，balance,与城市地区相比，在海洋地区进行这些活动时发现了生活质量。
