Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2016, Article ID 4943204, 19 pages http://dx.doi.org/10.1155/2016/4943204 Research Article Principle Study of Head Meridian Acupoint Massage to Stress Release via Grey Data Model Analysis Ya-TingLee DepartmentofBeautyScience,NationalTaichungUniversityofScienceandTechnology,No.193,Sec.1,San-MinRoad,Taichung 40343,Taiwan CorrespondenceshouldbeaddressedtoYa-TingLee;[email protected] Received4October2015;Revised19December2015;Accepted22December2015 AcademicEditor:HongcaiShang Copyright©2016Ya-TingLee.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense,which permitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Thispaperpresentsthescientificstudyoftheeffectivenessandactionprincipleofheadmeridianacupointmassagebyapplying thegreydatamodelanalysisapproach.First,theheadmassageprocedureformassagingtheimportantheadmeridianacupuncture pointsincludingTaiyang, Fengfu,Tianzhu,Fengqi,andJianjingisformulatedinastandardmanner. Second,thestatusofthe autonomicnervoussystemofeachsubjectisevaluatedbyusingtheheartratevariabilityanalyzerbeforeandaftertheheadmassage followingfourweeks.Afterward,thephysiologicalfactorsofautonomicnervesarequantitativelyanalyzedbyusingthegreydata modelingtheory.Thegreydataanalysiscanpointoutthatthestatusofautonomicnervoussystemisgreatlyimprovedafterthe massage.Theorderchangeofthegreyrelationshipweightingofphysiologicalfactorsshowstheactionprincipleofthesympathetic andparasympatheticnerveswhenperformingheadmassage.Inotherwords,thegreydatamodelisabletodistinguishthedetailed interactionoftheautonomicnervoussystemandtheheadmeridianacupointmassage.Thus,thestressrelaxingeffectofmassaging headmeridianacupointsisproved,whichislackedinliterature.Theresultscanbeareferenceprincipleformassagehealthcarein practice. 1.Introduction truethatthestressphysicallyandcognitivelyaffectsthebody, wherethephysicalimpactsincludemuscletension,shallow In the last twenty years, the meridian theory is becoming and frequent breathing, tachycardia, high blood pressure, animportanttherapyincomplementarymedicine.Different and the secretion of adrenalin and the cognitive impacts fromtraditionalmedicinaltreatments,themeridiantherapy include difficulty concentrating and memory problems. If takes acupuncture massage to palliate the symptoms of the stress is not coped with appropriately or the body and patients[1–3].ThetraditionalChinesemedicinehaspointed mind are not properly adjusted, then chronic stress will out that the meridian acupuncture massage has a curative induce various physical and psychological responses, for effect to headaches, dizziness, stiff neck, shoulder and back example, diseases of the nervous, endocrine, immune, and pain,stomachache,andsoforth.Asaresult,manyresearches reproductive systems. Although authors in [16, 17] observe wereproposedtounderstandtheeffectsandmechanismsof thestressreleaseafterbodymassage,theevaluationonstress the meridian therapy [4–11]. For worthwhile examples, the change is only according to blood pressure, heart rate, and stresscanberelaxedbythebackmassage[12];dysmenorrheal feeling of the patient. On the other hand, since stress is andlumbarspondylolisthesiscanbepalliatedbymassaging body’s reaction to events, thoughts, or emotions, the heart corresponding acupunctures [13, 14]; the meridian massage rate variability (HRV) [18] can show psychological change canreduceweightandcontrolphysiologicalindexforsimple of the stress even simple deep breathing exercises. There obesity patients [15]; and so on. Among these benefits of are many researches that indicate that the HRV reflects the meridian therapy, the effect of reducing stress has received status of autonomic nervous system (cf. [19]). Accordingly, much attention in the contemporary age because most of the HRV is measured for evaluating the effect of meridian peoplearesubjecttohighstressindailylife[12,16,17].Itis massage therapy in researches [19–22] for more scientific 2 Evidence-BasedComplementaryandAlternativeMedicine and accurate study. However, these works [19–22] cannot LF/HFratio.Totalof45middle-agedwomeninTaiwanjoin findtheinteractionmodelfromincompletedatastatisticsof thisexperimentforfourweeks,whileallthetestsubjectsare the physiological change during the process of the massage withlong-termworkstressandhighPSIbeforethemassage. therapy. Moreover, a lot of experiments are required for Furthermore,thegreyGM(0,𝑁)modelofthedatasystemis accurately studying the effect of the meridian massage. In constructed to find the relationship between the head mas- other words, interaction quantitative analysis is lacked in sageandeachphysiologicalfactorofHRV(i.e.,statusofthe current literature. In addition, although Chinese meridian autonomicnervoussystem).Asaresult,thegreyrelationship theory [1] claims that massaging acupuncture points on weighting points out the characteristic that head meridian headandshouldersarerelatedtoimprovementofthebody massagerelaxesthestressandimprovesautonomicnervous stress, very few works study the related field on the head systemfunction.Thedetailedphysiologicalactionprinciple massage [23]. This is because the meridian acupunctures of the head massage is understood from integrating the on the head are more complex than the human body. Also, statisticandgreymodelinganalysis.Inaddition,theeffective thecharacteristicandquantitativeanalysisofheadmeridian modeloftheheadmeridianmassagecanbeclarifiedwithout acupuncture massage is lacked in literature. No integrated complex mathematic calculation and enormous amount of methodcanofferexplanationoftheimpactandphysiological data. changes due to head acupuncture point massage so far. In this paper, we firstly formulate the study method of The effects in most of massage therapies are still measured head meridian massage in Section2. In Section3, the grey qualitatively through feeling feedback from subjects. Thus, GM(0,𝑁)modelispresentedtodataanalysis.InSection4, more scientific analysis is required for studying the head the analyzed and discussed results are presented. Finally, meridianmassagetherapy. we make some conclusions and suggestions for the further From the pioneering work of Professor Deng [24], grey researchinSection5. system theory has been rigorously utilized in a variety of fieldsincludingengineeringscience[25,26],medicine[27], 2.Method ofHeadMassage dataanalysis[28,29],andgreyrelationalanalysis[30].Since thegreysystemtheorycanminimizetherandomnessofthe To perform the scientific study of the head massage, a dataseriesandtheinterferencefromtherandominformation standardprocedureofmassagingheadmeridianacupuncture by applying the grey generating, the numerical data do not pointsisgiveninthefollowing. need to satisfy classical distribution. In other words, the grey system theory is able to solve the analysis problem of 2.1. Location of Important Meridian Acupuncture Points. incompleteinformationdataandrealizemanysignificantand First, let us introduce five important meridian acupuncture effective applications. In addition, the grey system theory points on the head and the shoulders which belong to the is able to construct the data model of complex systems extra channel, Dumeridian,urinarybladder meridian,and andestimatetherelationshipbetweentheinputandoutput gallbladdermeridian,respectively. factors. Here the characteristic of the data system can be clarified from calculating the relationship weighting of the (i)EX-HN5(Taiyang).Taiyangacupointisanextraordinary grey data model. Moreover, the grey relationship weighting acupuncture point. The EX-HN5 acupoint is in the depres- is obtained from the least square estimation method which sion about one fingerbreadth behind the midpoint of a line is a kind of optimal linear regression approach; that is, the connecting the lateral end of the eyebrow and the outer grey model can emulate the data system in an optimized canthusoftheeye.Theactionandeffectsaredependenton mannereveniflessdatasamplesareconsidered.Incontrast, migraineheadaches,dizziness,andeyeissues. traditionalregressionanalysisorstatisticscommonlyrequire averylargeamountofdatatoobtainacorrectanalyzedresult (ii)UB10(Tianzhu).Tianzhuacupointisonurinarybladder ofsystembehavioraldata.Asaresult,thegreymodeltheory meridianwhichwillbenefitneckissues,stiffness,andoccipi- issuitablyappliedonthecharacteristicanalysisofthehead talheadache.Thispointislocatedabout5cmlateralfromthe meridianacupointmassagewhichaccompaniescomplexand midlineinthedepressiononthelateralaspectofthetrapezius uncertainphysiologicalrelation. muscle.Massagingthispointmayimprovememory. Motivatedbytheabove,thisstudyinvestigatestheeffect of massaging acupuncture points on the head and uses the (iii) Du16 (Fengfu). Du16 is an important point at the Du grey system theory for assistant data analysis. First, the meridian.Thepointislocatedsuperiorlyabout3cmonthe study method of the head meridian acupoint massage is edgeofthethumbjointwhichishorizontallyplacedonthe introduced.Then,sincetheHRVisabletoreflectthestatus hairline at the midline of the nape of the neck; that is, it is of autonomic nervous system [18–22], quantitative features directly below the occipital protuberance on the posterior oftheHRVoftestsubjectsareobservedbeforeandafterthe midlineofthehead.Thisisthemainpointforwind,whether head meridian acupoint massage. Here the power spectral exteriororinterior,particularlyaffectingtheheadandneck. analysisoftheHRVdatain5minutesisperformedtopresent theautonomicnerveactivity[31,32]andtransformedtothe (iv) GB20 (Fengqi). Fengqi acupoint belongs to the gall important physiological factors: physiological stress index bladder meridian which helps digest food and stores bile (PSI),verylowfrequency(VLF)power,lowfrequency(LF) produced by the liver. This point is located laterally to the power, high frequency (HF) power, total power (TP), and sternomastoid and the trapezius muscles in the back below Evidence-BasedComplementaryandAlternativeMedicine 3 theoccipitalboneandonalevelwiththeearlobeandFengfu. rate variability, some important rules should be obeyed as Thepointisindicatedforheadaches,heavinessofthehead, follows: soreness of the eyes and the neck, stiff neck, insomnia, (i)Removeeverymetalobjectfromthebodybeforethe and hangovers. This acupuncture point is usually massaged heartratevariabilityismeasured. togetherwithEX-HN5. (ii)Do notwearnailpolish,which mayaffect measure- (v)GB21(Jianjing).GB21isalsoonthegallbladdermeridian ment. andisthemeetingpointofthefootTaiyangurinarybladder, (iii)Avoid medication or stimulating drinks, such as theDu,andtheYanglinkingmeridians.Thisacupointison coffee,tea,oralcohol,andavoidhungerorovereating. themidwaybetweenthespinousprocessofcervicalvertebra andtheacromionprocessatthehighestpointofthetrapezius (iv)Rest10minutesbeforetesting. muscle. Massaging this point may effectively relieve a stiff (v)Avoidanymovementwhenthemeasurementistaken neck,neckpain,andshoulderandbackpain. toavoidinterferingwiththeaccuracy. Althoughsomeactionsandeffectsoftheseacupuncture points are claimed in Chinese medicine, scientific analysis The autonomic nervous indices are measured by the islackedinrelatedresearches.Thus,themassagingeffectto followingprocedure: autonomic nerve activity will be estimated and analyzed in (i)Hold the sensory clamp on the left index or middle thisstudy. finger. (ii)Sitproperlybyrestingthebackagainstthechairand 2.2. Experimental Method. The scientific experimental pro- closetheeyes. cedureofthemassageanalysisisdescribedinthefollowing. First, each subject takes a rest before the testing. Then, (iii)Placebothhandsonthelapandrelax. the physiological data of the autonomic nervous system is (iv)Wait until the EKG wave has been stabilized on the measuredbeforetheheadmassage.Afterward,themassage screen about 5 minutes and then record the data of of meridian acupuncture points is performed in turn from theautonomicnerveindices. EX-HN5, GB20, UB10, and Du16 to GB21 for the subject. Finally, the physiological data of the autonomic nervous 2.2.3.StepsforHeadMassaging. Thestandardmassagepro- system is measured again after the massage. The same test cedureisperformedbystartingfromtheacupuncturepoint procedurecontinuesforfourweeksforallsubjects.Indetail, EX-HN5toGB20inthenape,toDu16andUB10onthehead, theexperimentalsettingandthemassagemethodaregiven and then to GB21 between the shoulder and the neck. The below. detailedprocessisgiveninthefollowingsteps. 2.2.1. Environmental Setting. In our experiments, a quiet Step 1. First, knead EX-HN5 (Taiyang) acupuncture point. room is chosen as the test site to reduce the environmental The head massage starts from the EX-HN5 acupoint with affection.Theroomtemperatureismaintainedat26degrees thumbsormiddle-fingersoftwohandsasperthedemonstra- Celsius. The test is performed at a specific time from 18:00 tionshowninFigure1.Thegestureisclockwiseiterativelyin to 21:00 in everyday to avoid interference of the heart rate foureight-beats(about1minute). variabilityforthetimedifference. Step 2. Slightly massage the top of the scalp by using the fingertipsofforefinger,middle-finger,ringfinger,andpinky 2.2.2. Measurement of Autonomic Nervous Indices. Since fingeroftwohandsinfoureight-beats.Knockthetopofthe the heart rate variability (HRV) is affected by respiration, scalp by a fixed tempo and a comfortable strength in four blood vessels, endocrine, and emotions, the measurement eight-beats. of heart rate variability can reflect the mutual influence between the sympathetic nerve, the parasympathetic nerve, Step 3. Knead GB20 (Fengqi) acupuncture point on the and the cardiac sinus node. This means that we can clarify nape.TheGB20acupuncturepointismassagedbyusingtwo the balance and the activity of autonomic nerves through thumbsasperthedemonstrationshowninFigure2(a).The measuring and analyzing the heart rate variability [18–22]. massagegestureisclockwiseiterativelyinfoureight-beats. Thus, the heart rate variability is measured by a heart rate variability analyzer, SA-3000P, made by Medicore Co., Ltd. Step4. KneadUB10(Tianzhu)acupuncturepoint.Byusing [33]. This equipment measures the heart rate variability of the two thumbs and placing the little and index finger thesubjectinfiveminutes,whilethequantitativevaluesare aroundthecorneroftheeye,UB10isclockwisemassagedin analyzedbyusingFastFourierTransferandPowerSpectral iterativefoureight-beatsasperthedemonstrationshownin Density techniques. Then, the autonomic nervous indices Figure2(b). The weight of the head is used to press on the areobtainedincludingphysiologicalstressindex(PSI),total thumbtomassageUB10. power(TP),verylowfrequency(VLF)power,lowfrequency (LF) power, high frequency (HF) power, and LF/HF ratio. Step5. KneadDu16(Fengfu)acupuncturepoint.Byusingthe These physiological indices are related to emotion and two thumbs, Du16 is clockwisely massaged in iterative four stress of subjects [8–10]. Before the testing of the heart eight-beatsasperthedemonstrationshowninFigure3(a). 4 Evidence-BasedComplementaryandAlternativeMedicine (a) (b) Figure1:EX-HN5(Taiyang)acupuncturepointson(a)leftsideand(b)rightsideofthehead. (a) (b) Figure2:(a)GB20(Fengqi)acupuncturepointsonthehead;(b)UB10(Tianzhu)acupuncturepointsonthehead. Step6. Relaxtheneck.WekneadtheneckfromFengqitothe taking a rest, the status of the autonomic nervous system shouldersinslightforcestrength.Theactionisiterativefrom isevaluatedbyusingtheheartratevariabilityanalyzer.The toptodownbyusingthetwothumbsinfoureight-beats. same experimental approach as the above is done one time perweekandcontinuedforfourweeks. Step 7. Knead GB21 (Jianjing) acupuncture point on shoul- In this study, total of 45 women with long-term work ders.GrasptheshouldersbythefingersandpresstheJianjing stress are chosen as the test subjects, who are with the acupointbythethumb,whileJianjingisclockwiselymassaged averaged40yearsofage(from25to55yearsold).Allsubjects initerativefoureight-beatsasperthedemonstrationshown arewithoutsymptomsorhistoriesofcardiovascularorother inFigure3(b). diseases.Todemonstratethestressrelaxingeffect,recruited participantssatisfythecriterioneitherusuallyfeelingchronic The massage process is performed by one massagist stress/fatigue or having a large PSI (above 50) before the who has perfect hand skill. The acupuncture points can be massage.Indeed,theaveragedPSIofthesescreenedsubjects correctly located, while the massage strength is properly islargerthan50beforetheheadmeridianacupointmassage controlled.Themassageprocesscostsabout10minutes.After (i.e.,thisfactisshowninSection4).Afteracupuncturepoint Evidence-BasedComplementaryandAlternativeMedicine 5 (a) (b) Figure3:(a)Du16(Fengfu)acupuncturepointonthehead;(b)GB21(Jianjing)acupuncturepointsonshoulders. TP 𝜆 1 + VLF 𝜆 2 + z 1 + AGO−1 PSI LF 𝜆3 + Main factor HP 𝜆4 Relational Grey GM(0, N) model factors Figure4:TheconfigurationofthegreyGM(0,𝑁)modelfordataanalysis. massaging experiments applying the above stated method 3.GreyTheoryofDataAnalysis on all subjects in four weeks, the data obtained from the measurementoftheheartratevariabilityanalyzerisshownin To further quantize the effect of head massage, this section Table1.Table1liststhechangesoftheactivityofautonomic applies the grey model GM(0,𝑁) to analyze the measured nervesbeforeandaftermassageineachweek,whileshowing data of the physiological indices of autonomic nerves. In significantloweringofthePSIaftermassaging. greysystemtheory,themainfunctionofGM(0,𝑁)modelis one of the methods to carry out the relationship weighting Remark. Since the purpose of this study is to analyze the calculationamongthediscretesequencesofmeasureddata. physiologicalchangesoftheautonomicnervoussystemdue To analyze the relationship of the physiological factors of totheacupuncturepointmassage,anypossiblefactorswhich the head acupoint massage, the grey model structure is affect the result should be avoided. Indeed, the subject’s constructedasillustratedinFigure4.Thephysiologicalstress lifestyle, sleeping patterns, and emotions are required to index (PSI) is taken as the major sequence factor, while controlinaregularmanner,whileextravagantconsumption the total power (TP), very low frequency (VLF) power, ofcoffee,tea,food,andmedicationshouldbeavoidedbefore low frequency (LF) power, and high frequency (HF) power the experiment. On the other hand, the massagist does her are taken as the influencing sequence factors. The grey best in localizing the acupuncture points and massaging GM(0,𝑁) model will describe the relationship between the strength,suchthattheresultiscorrect. influencingsequencefactorsandthemajorsequencefactor 6 Evidence-BasedComplementaryandAlternativeMedicine k e e r4thw18.492226.4445.5770.9910.00.8556.001322.7520.8336.6415.30.8122.522479.6799.8440.81239.00.3628.021815.8229.0311.31275.60.2434.902295.0864.0903.5526.51.7234.632192.4731.9644.0816.50.7956.151036.3359.7191.5485.10.39 e ft A k e e w re4th28.392031.1494.8778.4757.31.0377.37610.9305.0189.9116.01.6422.102329.31180.4420.2728.70.5855.921597.9407.7588.2602.00.9823.52402.0132.5146.5120.01.2263.06734.6380.3226.0128.31.7678.76785.5517.5155.0112.91.37 o ef B k e e r3rdw16.362364.6473.1899.41042.10.8682.47520.3166.8127.5226.00.5622.601779.0309.8545.2924.00.5920.641355.5353.9270.1731.40.3773.001178.5346.5336.5596.00.5650.25809.5393.1173.0243.40.7136.221085.4247.4371.0467.10.79 e ft A k e e w assage. 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re2nd26.111758.8466.3783.6508.91.5426.831163.9625.0335.0203.91.6444.97980.1471.2379.1129.82.92102.95182.082.068.032.02.13146.11135.037.022.074.00.30180.87250.098.0110.041.02.6822.473063.0919.01617.0527.03.07 o ef B k e e er1stw27.542463.7819.9902.2741.61.2233.132126.6681.11027.6417.92.4628.672636.7562.51349.9724.31.8627.221775.0767.0491.0517.00.9530.42701.0131.091.0479.00.1944.191332.0636.0427.0269.01.5910.532068.0836.0562.0670.00.84 ft A k e e w ore1st33.871135.9400.4409.6326.01.2643.971470.3509.9663.3297.02.2333.891072.8204.9314.9553.00.5729.951792.0690.0891.0209.04.2635.47550.0177.098.0275.00.3649.931304.0263.0700.0340.02.0612.959216.05636.03178.0402.07.91 ef B FactorPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HF ct e bj Su 08 09 10 11 12 13 14 8 Evidence-BasedComplementaryandAlternativeMedicine k e e w r4th40.571381.9473.1359.8549.00.6681.30617.0298.0220.099.02.2253.491169.5518.5402.0249.01.6155.091411.9695.2356.9359.90.9939.591445.8628.8493.0324.01.5274.35854.0353.1265.5235.41.13 e ft A k e e w re4th52.92949.1315.5292.2341.40.86172.88293.063.093.0137.00.6898.901418.5418.5573.5426.51.3474.881125.6416.1496.7212.92.1761.911981.3596.3813.8571.31.42106.34563.4261.0193.4109.01.77 o ef B k e e er3rdw44.19846.1203.5257.5385.00.67151.82234.023.0179.032.05.5983.183176.51090.01625.0461.53.5267.291450.6238.6630.4581.61.0848.864647.81623.52348.0676.33.47134.66969.6289.8540.5139.43.88 ft A k e e w re3rd56.94861.4398.2201.6261.60.77164.15328.092.0143.093.01.5492.041381.5241.0657.0483.51.36104.201030.3531.1374.4124.73.0055.981981.7315.5914.0752.21.22146.12591.4129.3271.5190.61.42 o ef B d. ek e e u w Contin er2nd48.57771.7220.3318.5232.81.3777.98406.0173.0147.086.01.7155.73717.0245.0218.0254.00.8650.851950.0640.9597.3711.70.8444.61872.5281.0253.5338.00.7572.42483.8191.0164.8128.01.29 1: Aft e l b a T k e e w re2nd57.61707.0353.1265.988.03.02106.19423.0180.0136.0107.01.2773.561112.5362.0310.0441.50.7086.47648.4331.0178.5138.91.2857.241457.8453.0397.0607.80.6598.03595.7225.5179.5190.60.94 o ef B k e e er1stw40.542029.9649.8853.7576.31.48105.77565.0157.0238.0170.01.4064.001663.0542.0652.0469.01.3931.771413.8406.1559.3448.41.2543.122212.0734.5859.0618.51.3995.33839.5253.3341.5244.81.40 ft A k e e w ore1st50.45818.4313.4211.8293.20.72159.07184.068.045.071.00.63102.34723.0301.0121.5300.50.4039.721010.1343.5380.7286.01.3373.97992.5417.5159.8415.30.38144.89318.8126.364.1128.40.50 ef B FactorPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HF ct e bj Su 15 16 17 18 19 20 Evidence-BasedComplementaryandAlternativeMedicine 9 k e e r4thw63.431857.5796.5530.5530.51.0028.332022.0995.0508.0519.00.9850.401731.0832.5559.0339.51.6535.701553.5701.5459.0393.01.17 e ft A k e e w re4th80.62729.5264.7266.2198.51.3940.371732.5567.0814.5351.02.3267.701560.0343.2521.2695.51.1239.941546.5476.5795.5274.52.90 o ef B k e e w r3rd68.20654.5155.0287.0212.51.3518.161078.0244.5358.0475.50.7561.831347.0408.5329.0609.50.5417.261567.5389.5505.0673.00.75 e ft A k e e w re3rd134.09416.5198.5176.042.04.1950.551985.0556.5947.5481.01.97101.182143.01324.0623.5195.53.1952.022242.01299.5725.5217.03.34 o ef B d. ek e e u w Contin er2nd130.79343.567.5127.5148.50.8697.39682.5144.5268.0270.00.9979.26477.5219.5101.5156.50.65123.98432.0202.0100.0130.00.77 1: Aft e l b a T k e e w re2nd163.49192.567.564.560.51.07101.671656.0508.5863.5284.03.04124.53157.559.545.053.00.85141.91215.590.089.036.52.44 o ef B k e e er1stw37.301016.5383.5259.0374.00.6927.361700.0736.0494.5469.51.0528.821238.0449.0291.0498.00.5826.832672.01074.0944.5653.01.45 ft A k e e w re1st42.70926.5220.0399.0307.51.3031.445259.52949.51939.0371.05.2332.711171.0433.5494.5242.02.0434.131635.0343.5548.0743.00.74 o ef B FactorPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HF ct e bj Su 21 22 23 24 10 Evidence-BasedComplementaryandAlternativeMedicine k e e w r4th42.00857.5263.5182.0412.00.4439.331758.0579.8316.1862.10.3784.15767.0426.5182.5158.01.1625.601861.3532.1440.0889.20.4920.041722.3517.1398.9706.30.56 e ft A k e e w re4th99.701886.0581.0845.5459.51.8416.851330.5434.5668.0228.02.93143.54474.0163.7166.2144.01.1338.081484.8554.2572.0358.61.8126.032263.5743.6987.0532.91.85 o ef B k e e w r3rd52.67728.0162.0269.5296.50.9129.651746.2448.8559.9737.40.76132.29334.098.5145.090.51.6021.231911.3328.5710.0872.80.8141.00708.1276.4158.5273.20.58 e ft A k e e w re3rd84.291598.0478.0819.5300.52.7346.31845.8160.1281.3404.40.70173.70323.0157.5108.556.51.9229.621493.0719.3488.5285.21.7161.35961.9356.5350.9254.51.38 o ef B d. ek e e u w Contin er2nd20.471384.5483.5326.5574.50.5740.301253.1292.5379.3581.30.6582.03397.5129.0138.0130.51.0620.192558.9879.5644.31035.10.6226.432058.5940.6650.7517.11.26 1: Aft e l b a T k e e w re2nd24.214883.02906.51638.0338.54.8446.281187.8317.2320.8549.80.58126.15278.0108.579.090.50.8735.231309.0646.7303.4358.90.8535.181666.9389.4805.7471.81.71 o ef B k e e er1stw51.901081.5753.5122.5205.50.6036.701477.3536.6447.6493.00.9168.09633.0144.0164.5324.50.5130.581867.0569.3788.2509.51.5525.312718.8760.61063.4894.91.19 ft A k e e w ore1st73.941658.0566.7787.7303.52.2644.61940.4378.5179.3382.60.4797.27367.0122.571.5173.00.4140.601373.5540.6390.2442.70.8828.83937.2247.9235.4454.00.52 ef B FactorPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HFPSI2TP(ms)2VLF(ms)2LF(ms)2HF(ms)LF/HF ct e bj u 5 6 7 8 9 S 2 2 2 2 2
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