Effects of Respiratory Muscle Stretch Gymnastics on Children\u27s Emotional Responses

Respiratory muscle stretch gymnastics (RMSG) are designed to decrease chest wall stiffness, reduce dyspnea at rest and improve the quality of life. The focus of this study was to determine whether a RMSG program affects the psychological state of healthy subjects. A previous study showed that there is a positive correlation between anxiety level and respiratory rate (RR). We hypothesize that RMSG will decrease the RR related to alterations in anxiety or other factors that are associated with the quality of life in healthy children. Forty-four primary school children living in Tokyo participated in the study and were randomly assigned to either gymnastics or control groups. Baseline assessment of both groups included completion of the Questionnaire for Measuring Health-Related Quality of Life in Children (Kid-KINDL) and the State-Trait Anxiety Inventories for Children (STAI-C). RRs were recorded initially and the children in the gymnastics group were instructed on how to perform RMSG. The RR was measured again and the participants completed the state anxiety scale. The gymnastics group was told to perform the gymnastics once a day for one week, whereupon post-testing using the testing protocol used for the baseline measurement was performed again on both groups. RR and anxiety level significantly decreased while Kid-KINDL increased after one week of RMSG in high trait anxiety subjects of the gymnastics group. We suggest that the decrease in RR after RMSG reduces anxiety levels in children, and contributes to an improvement in their Kid-KINDL score

Olfactory Response in Patients with Cerebral Palsy: Investigation of the Possible Use of Olfactory Testing to Evaluate Patients and Reduce Anxiety of Their Parents

Cerebral palsy (CP) is a developmental disorder associated with lifelong motor impairment and disability. Several studies have investigated the effects of CP on sensory responses, but there has been no research on olfactory function in CP. This study had two specific aims. First, by observing respiratory responses which serve as an index for the ability to detect and recognize odors, we aimed to estimate the patients\u27 ability to distinguish pleasant from unpleasant odors. These responses can also indicate the capacity for an emotional response to pleasant or unpleasant stimuli. Second, we aimed to investigate the psychological response in the parents as they observed the respiratory response in their children during the odor test. Parents were assessed with the Spielberger State-Trait Anxiety Inventory (STAI) to measure their state anxiety levels before and after they had observed their children being tested. In patients with CP, respiratory rate (RR) significantly decreased during pleasant odor stimuli (P < 0.05). There was a significant increase in RR during the presentation of the unpleasant odor (P < 0.05). All the CP patients showed respiratory changes in response to both pleasant and unpleasant smells, and we found that the parents\u27 anxiety levels decreased after the test. We intend to develop this olfactory test technique to contribute to the neurological rehabilitation for CP patients and to reduce anxiety of their parents

Effects of Rub and Touch on Emotions and Respiration in Humans

Touch therapy is important in many clinical settings to reduce patient stress and anxiety. However, few studies have examined the effects of touch therapies, particularly those that use specific techniques to ease psychological and physiological distress, on the emotional state of patients. Respiratory rate is correlated with emotional changes. Thus, the aim of the present study was to elucidate the effects of touching and rubbing methods on various respiratory parameters as indices of the emotional state in 11 normal, healthy subjects. Subjects were divided into high and low anxiety groups based on their State-Trait Anxiety Inventory (STAI) score before the experiment. After the application of specific touching and rubbing stimuli, the subjects were asked to evaluate their comfort level on a visual analog scale. The respiratory rate in subjects with high anxiety increased significantly more during rubbing than touching; in contrast, the respiratory rate in subjects with low anxiety did not differ between the two methods. As a whole, the data suggest that touch rather than rub therapy may be more suitable for subjects with high anxiety, and that the therapeutic technique to be used should be chosen with care for subjects with high anxiety