Effects of GPR on Stress and Sleep Quality in Health Sciences

NCT05488015 | Completed

• 1 other identifier: 18/2021
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Stress is a physiological reaction of our organism to situations that are perceived as threats. Of the different types of stress, emotional stress understood as a feeling of tension in difficult and unmanageable situations is increasingly prevalent in the western population and is responsible for a multitude of physical and psychological health disorders. In the same vein, sleep is a process experienced with a circadian (daily) periodicity in which there is a direct detachment from the environment and is necessary to maintain physiological, psychological and/or behavioral activities correctly. Both teachers and students in higher education are examples of populations in which emotional stress and problems related to sleep quality have been described, with women being more sensitive to these problems. The beneficial effects of physical exercise on different cognitive variables have been described, and it has been possible to characterise these effects on the physiological triggers of stress and sleep and, therefore, on alterations in the nervous and hormonal systems. Along these lines, Global Postural Re-education (GPR) is a physical therapy designed to re-establish the coordination of muscle chains and relieve pain. It has been established that GPR is a therapy in which the active participation of the patient is necessary so that it can be framed as physical exercise, with a structured execution protocol. The overall aim of this study is to test whether a self-treatment therapy with RPG, after a learning and familiarisation phase, performed for 8 weeks, can have positive effects on stress reduction and improvement of sleep quality in female teachers and students of health sciences.

Conditions

Stress, Psychological

Keywords

Cortisol; Sleep quality; students; lecturers; self-treatment

Outcome Measures

Primary Outcomes (4)

• Cortisol

  Cortisol concentrations are measured by saliva swab in the study patients.

  Changes along the day from wake-up to time to bed during 8 weeks

• State-Trait Anxiety Inventory Trait (STAI-T)

  Anxiety is one of the most frequent emotional reactions caused by stress. Anxiety has been used to measure stress levels through the State and Trait Anxiety Questionnaire (STAI).The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the STAI-T and STAI-S subscales. STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

  At the beginning of procedure and at the end (8 weeks)

• State-Trait Anxiety Inventory State (STAI-S)

  Anxiety is one of the most frequent emotional reactions caused by stress. Anxiety has been used to measure stress levels through the State and Trait Anxiety Questionnaire (STAI). The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the STAI-T and STAI-S subscales. STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

  At the beginning of procedure and at the end (8 weeks)

• Pittsburgh Sleep Quality Index (PSQI)

  The PSQ1 is a validated questionnaire consisting of 19 self-assessed items plus 5 items assessed by the bed partner or roommate. It provides information on 7 sleep-related aspects: subjective sleep quality, sleep latency, sleep time duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, daytime dysfunction. The first 4 questions are answered concretely, and the following questions can be scored on a 4-point scale (0-3).

  At the beginning of procedure and at the end (8 weeks)

Secondary Outcomes (6)

• Wakefulness After the Onset of Sleep (WASO)

  At the beginning of procedure and at the end (8 weeks)

• Sleep efficiency (SE)

  At the beginning of procedure and at the end (8 weeks)

• Total Sleep Time (TST)

  At the beginning of procedure and at the end (8 weeks)

• Sleep Onset Latency (SOL)

  At the beginning of procedure and at the end (8 weeks)

• Awakenings

  At the beginning of procedure and at the end (8 weeks)

Study Arms (2)

Intervention

EXPERIMENTAL

1 week of familiarisation through videos, audios and information documents, followed by 8 weeks of self-treatment with two GPR postures.

Other: Global Postural Re-education (GPR)

Control

ACTIVE COMPARATOR

No change in lifestyle habits during the 8-week trial.

Other: Lifestyle habits

Interventions

Global Postural Re-education (GPR) OTHER

GPR intervention lasted 8 weeks. Each week the postures had to be performed on 4 or 5 days.

Also known as: GPR

Intervention

Lifestyle habits OTHER

No change in lifestyle habits during the 8-week trial.

Also known as: Normal life

Control

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Female
• Age 18-45 years
• Health sciences students and teachers.

You may not qualify if:

• Rotating work shifts
• Pregnant
• Use of medications (Non-steroidal anti-inflammatory drugs (NSAIDs)
• Acute or subacute back pain
• Musculoskeletal and neurological injuries associated with sleep disorders
• Sleep disorders (sleep apnea, circadian rhythm sleep disorder)
• Tumor, rheumatological, adrenal or pituitary diseases

Sponsors & Collaborators

• Universidad Francisco de Vitoria: lead

Study Sites (1)

David Varillas Delgado

Pozuelo de Alarcón, Madrid, 28224, Spain

Location

Related Publications (1)

• Rodriguez-Aragon M, Varillas-Delgado D, Gordo-Herrera J, Fernandez-Ezequiel A, Moreno-Heredero B, Valle N. Effects of global postural re-education on stress and sleep quality in health sciences female students: a randomized controlled trial pilot study. Front Psychiatry. 2024 Aug 28;15:1404544. doi: 10.3389/fpsyt.2024.1404544. eCollection 2024.

  PMID: 39262580 DERIVED

MeSH Terms

Conditions

Stress, Psychological; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Officials

• David Varillas Delgado, PhD

  Universidad Francisco de Vitoria, crta Pozuelo-Majadahonda km 1.800 PC 28223, Madrid, Spain

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The outcome assessor responsible for collecting the results was blinded, without commenting on the group from which the patient came.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 2, 2022
• First Posted: August 4, 2022
• Study Start: August 10, 2022
• Primary Completion: October 10, 2022
• Study Completion: October 20, 2022
• Last Updated: October 26, 2022

Record last verified: 2022-08

Locations

ES (1)