穴位指壓以及瑞典式按摩對女性自律神經系統變化程度比較

近年來因為東方和西方文化背景和地理環境的不同，衍生出不同種類的手法與流派的按摩手技，每種按摩手技各有其特色，但是針對放鬆的效果，是否會因手技的不同而有所變化。本研究目的旨在探討運用穴位指壓以及瑞典式按摩二種按摩手技，對於女性的自律神經系統變化來做放鬆程度的比較。本研究樣本共30人，隨機分組。各分為穴位指壓組15人以及瑞典式按摩組15人二組，以每星期二次，每次15分鐘，為期一個月的實驗。實驗前、後各以攜帶式心律變異頻譜分析器，量測副交感神經活性指標(HF)、交感神經活性指標(LF％)以及低、高頻功率比(LF/HF)等數據，並計算自律神經整體活性指標(TP)等，以進行分析與探討比較。研究結果發現穴位指壓按摩和瑞典式按摩二種按摩手技，對於改善副交感神經活性、交感神經活性、及整體自律神經活性皆有幫助。每次改善效果有持續擴大的情形，表示受試者的自律神經會受到按摩影響使的身體有達到類似疏鬆筋骨的功效，因此達到持續放鬆情形，因此改善情形得以擴大。穴位指壓按摩比瑞典式按摩能夠使交感神經活性比較有效的下降，進而達到放鬆效果。穴位指壓按摩比瑞典式按摩雖在副交感神經活性改善的程度較好但未達到顯著性。研究結果顯示所有受試者其心率變異指標皆回到較差的水準，表示現代人壓力太大，所以心率變異活性容易變差，很容易恢復至原來的緊張情形。因此本研究建議如能持續每天穴位指壓按摩，將能使整體自律神經活性提高，使的緊張情緒得以放鬆，進而改善健康情形。

關鍵字

自律神經系統；瑞典式的按摩；心率變異度；穴位指壓

並列摘要

Due to the differences in cultural backgrounds and geographical environment between Europe and Asia, the massage technology has been derived into several skills which may affect the relaxation results. The purpose of this study is to investigate the relaxation effects on female autonomic nervous system by Acupressure Massage and Swedish Massage. 30 females were randomly separated into two groups with 15 in Acupressure Massage group and the other 15 in Swedish Massage group. Experiments were applied twice a week in a 4-week period, Heart Rate Variability Analyzer were used to record data (HF, LF%, LF/HF, TP, etc.) of the patients before and after massage. Results show that both message skills can enhance the parasympathetic activity, sympathetic activity vs. parasympathetic activity ratio, and autonomic nervous energy. The results also show that the enhancement keeps enlarge with time, which may indicate the relaxation in muscle can be accumulated. The results also show that Acupressure Massage is more effective than Swedish Massage in improving the sympathetic activity vs. parasympathetic activity ratio. However Acupressure Massage is not significant effective than Swedish Massage in improving the parasympathetic activity. This study also find that the HRV level of all patients resumed to lower level even they were greatly improved in HRV in previous treatment. This indicates that the environmental pressure is so large for us so that our HRV level keeps in lower level.