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Article type: Research Article
Authors: Srinivasan, Vignesha; * | Ruthuvalan, Varalakshmia | Raja, Sakthia | Jayaraj, Vanithaa | Sridhar, Swathia | Kothandaraman, Muthulakshmia | Suganthirababu, Prathapa | Abathsagayam, Kumaresana | Vishnuram, Suryaa | Alagesan, Jagatheesana | Vasanthi, Rajkumar Krishnanb
Affiliations: [a] Saveetha College of Physiotherapy, Saveetha Institute of Medical & Technical Sciences, Chennai, Tamilnadu, India | [b] INTI International University Nilai, Negeri Sembilan, Malaysia
Correspondence: [*] Address for correspondence: Vignesh Srinivasan, Assistant Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical & Technical Sciences, Chennai, Tamilnadu, India-602105. E-mails:vignesh.scpt@saveetha.com, vigneshphysio1989@gmail.com.
Abstract: BACKGROUND: Excessive fear, worry and behavioral disturbances define anxiety, with particular significance attributed to vagal nerve, a crucial transmitter of information to the brain regions governing anxiety. Highlighting the importance of vagal nerve, transcutaneous auricular vagal nerve stimulation (TaVNS) emerges as a tolerable and safe technique. The success of non-invasive vagal nerve stimulation in alleviating anxiety underscores the pivotal role of the vagal nerve. OBJECTIVES: The purpose of this study was to assess the effectiveness of physiotherapy interventions in mitigating anxiety among retired teachers during the COVID-19 pandemic, emphasizing the relevance of targeting the vagal nerve for improved mental well-being. METHODS: 60 retired teachers diagnosed with anxiety were chosen through random allocation. Participants were divided into two groups: Group A (Experimental group) received transcutaneous auricular vagal nerve stimulation (TaVNS), and Group B (Control group) underwent the Jacobson relaxation technique. Intervention period spanned 4 weeks, with four sessions per week, lasting 30 minutes. The outcome measures included Generalized Anxiety Disorder-7 (GAD-7) questionnaire and salivary cortisol levels. RESULTS: Following the 4-week intervention, both groups exhibited a significant reduction in Generalized Anxiety Disorder-7 (GAD-7) scores and salivary cortisol levels (P < 0.001). Notably, Group A demonstrated a significantly higher effectiveness rate compared to Group B. CONCLUSION: The study concludes that transcutaneous auricular vagal nerve stimulation (TaVNS) is effective in reducing anxiety among retired teachers. Transcutaneous auricular vagal nerve stimulation (TaVNS) proves to be a powerful and effective intervention in alleviating anxiety among retired teachers, emphasizing its potential significance in enhancing mental well-being.
Keywords: Anxiety, vagal nerve stimulation, COVID-19 Pandemic, transcutaneous, autonomic nervous system, salivary cortisol, Generalized Anxiety Disorder-7 (GAD-7)
DOI: 10.3233/WOR-230356
Journal: Work, vol. 79, no. 2, pp. 645-652, 2024
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