{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:10:09Z","timestamp":1774527009211,"version":"3.50.1"},"reference-count":30,"publisher":"Walter de Gruyter GmbH","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jcim-2017-0167_s_010_w2aab3b7b4b1b6b1aab1c16b1Aa\">\n                    <jats:title id=\"d4490306e12468_w2aab3b7b4b1b6b1aab1c16b1aAa\">Background<\/jats:title>\n                    <jats:p>Chronic neck pain is frequently found in office workers affecting quality of life; also, stress is one participating factor. Though stretching incorporating deep-slow breathing (DSB) has benefits on health, an effective and suitable technique for office workers to perform in the workplace is a gap in need of fulfilment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jcim-2017-0167_s_011_w2aab3b7b4b1b6b1aab1c16b2Aa\">\n                    <jats:title id=\"d4490306e12477_w2aab3b7b4b1b6b1aab1c16b2aAa\">Methods<\/jats:title>\n                    <jats:p>We explored the effective pattern of stretching with DSB to reduce neck tension and promote relaxation within the shortest time. Thirty-two female participants with neck tension were allocated into two steps totaling five patterns (n=8 for each pattern). Firstly, they performed two patterns; two other patterns were developed and compared with DSB alone. Muscle tension, pain score, and heart rate variability (HRV) were immediately measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jcim-2017-0167_s_012_w2aab3b7b4b1b6b1aab1c16b3Aa\">\n                    <jats:title id=\"d4490306e12486_w2aab3b7b4b1b6b1aab1c16b3aAa\">Results<\/jats:title>\n                    <jats:p>All patterns performed with the eyes closed decreased muscle tension more than those performed with the eyes open; the pain amid all stretching groups subsequently decreased. Only a bout of slow stretching, performed synchronously with the eyes closed along with a period of deep inhalation increased the parasympathetic activity of HRV; an increase in pain was reported after stretching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jcim-2017-0167_s_013_w2aab3b7b4b1b6b1aab1c16b4Aa\">\n                    <jats:title id=\"d4490306e12495_w2aab3b7b4b1b6b1aab1c16b4aAa\">Conclusions<\/jats:title>\n                    <jats:p>A slowed and synchronized pattern between stretching with DSB and eyes closed period, performed at least four times repeatedly rendered benefits in reducing neck pain and tension, in addition to promoting relaxation within a short period; however, the DSB pattern and the feeling of the stretched muscle to promote relaxation were individual differences. Thus, future studies should come up with apposite training methods adjusted to fit individuals; self-awareness toward these aspects ought to be encouraged.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jcim-2017-0167","type":"journal-article","created":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T05:01:58Z","timestamp":1534914118000},"source":"Crossref","is-referenced-by-count":7,"title":["Muscle stretching with deep and slow breathing patterns: a pilot study for therapeutic development"],"prefix":"10.1515","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0154-1402","authenticated-orcid":false,"given":"Kulwarang","family":"Wongwilairat","sequence":"first","affiliation":[{"name":"School of Physical Therapy, Faculty of Associated Medical Sciences , Khon Kaen University , Khon Kaen , Thailand"},{"name":"Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH) , Khon Kaen University , Khon Kaen , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orawan","family":"Buranruk","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, Faculty of Associated Medical Sciences , Khon Kaen University , Khon Kaen , Thailand"},{"name":"Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH) , Khon Kaen University , Khon Kaen , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wichai","family":"Eungpinichpong","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, Faculty of Associated Medical Sciences , Khon Kaen University , Khon Kaen , Thailand"},{"name":"Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH) , Khon Kaen University , Khon Kaen , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rungthip","family":"Puntumetakul","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, Faculty of Associated Medical Sciences , Khon Kaen University , Khon Kaen , Thailand"},{"name":"Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH) , Khon Kaen University , Khon Kaen , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somporn","family":"Kantharadussadee-Triamchaisri","sequence":"additional","affiliation":[{"name":"Department of Occupational Health, Faculty of Public Health , Chalermkanchana University , Si Sa Ket , Thailand"},{"name":"Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH) , Khon Kaen University , Khon Kaen , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2018,8,22]]},"reference":[{"key":"2025121209285160874_j_jcim-2017-0167_ref_001_w2aab3b7b4b1b6b1ab1b6b1Aa","doi-asserted-by":"crossref","unstructured":"C\u00f4t\u00e9 P, Van Der Velde G, Cassidy JD, Carroll LJ, Hogg-Johnson S, Holm LW, et al. The burden and determinants of neck pain in workers: results of the bone and joint decade 2000\u20132010 task force on neck pain and its associated disorders. Spine. 2008;33:S60\u201374.1820440210.1097\/BRS.0b013e3181643ee4","DOI":"10.1097\/BRS.0b013e3181643ee4"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_002_w2aab3b7b4b1b6b1ab1b6b2Aa","doi-asserted-by":"crossref","unstructured":"Svebak S, Hagen K, Zwart J-A. One-year prevalence of chronic musculoskeletal pain in a large adult Norwegian country population: relations with age and gender-the HUNT study. J Musculoskelet Pain. 2006;14:21\u201328.10.1300\/J094v14n01_04","DOI":"10.1300\/J094v14n01_04"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_003_w2aab3b7b4b1b6b1ab1b6b3Aa","doi-asserted-by":"crossref","unstructured":"Curatolo M, Arendt-Nielsen L, Petersen-Felix S. Central hypersensitivity in chronic pain: mechanism and clinical implications. Phys Med Rehabil Clin N Am. 2006;17:287\u2013302.1661626810.1016\/j.pmr.2005.12.010","DOI":"10.1016\/j.pmr.2005.12.010"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_004_w2aab3b7b4b1b6b1ab1b6b4Aa","doi-asserted-by":"crossref","unstructured":"Waersted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. BMC Musculoskelet Disord. 2010;11:79.2042992510.1186\/1471-2474-11-79","DOI":"10.1186\/1471-2474-11-79"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_005_w2aab3b7b4b1b6b1ab1b6b5Aa","doi-asserted-by":"crossref","unstructured":"Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. Clin Psychol Sci Prac. 2003;10:144\u201356.10.1093\/clipsy.bpg016","DOI":"10.1093\/clipsy.bpg016"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_006_w2aab3b7b4b1b6b1ab1b6b6Aa","unstructured":"Braboszcz C, Hahusseau S, Delorme A. Meditation and neuroscience: from basic research to clinical practice. In: RA Carlstedt, editors. Handbook of integrative clinical psychology, psychiatry and behavioral medicine: perspectives, practices and research. New York: Springer Publishing; 2010: 755\u201378."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_007_w2aab3b7b4b1b6b1ab1b6b7Aa","doi-asserted-by":"crossref","unstructured":"Khatib MF, Oku Y, Bruce EN. Contribution of chemical feedback loops to breath-to breath variability of tidal volume. Respir Physiol. 1991;83:115\u201327.190296410.1016\/0034-5687(91)90097-3","DOI":"10.1016\/0034-5687(91)90097-3"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_008_w2aab3b7b4b1b6b1ab1b6b8Aa","doi-asserted-by":"crossref","unstructured":"Sammon MP, Bruce EN. Vagal afferent activity increases dynamical dimension of respiration in rats. J Appl Physiol. 1991;70:1748\u201362.205585410.1152\/jappl.1991.70.4.1748","DOI":"10.1152\/jappl.1991.70.4.1748"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_009_w2aab3b7b4b1b6b1ab1b6b9Aa","doi-asserted-by":"crossref","unstructured":"Mourya M, Mahajan AS, Singh NP, Jain AK. Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension. J Altern Complement Med. 2009;15:711\u201317.1953461610.1089\/acm.2008.0609","DOI":"10.1089\/acm.2008.0609"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_010_w2aab3b7b4b1b6b1ab1b6c10Aa","doi-asserted-by":"crossref","unstructured":"Bernardi L, Porta C, Spicuzza L, Bellwon J, Spadacini G, Frey AW, et al. Slow breathing increases arterial baroreflex sensitivity in patients with chronic heart failure. Circulation. 2002;105:143\u201345.10.1161\/hc0202.10331111790690","DOI":"10.1161\/hc0202.103311"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_011_w2aab3b7b4b1b6b1ab1b6c11Aa","doi-asserted-by":"crossref","unstructured":"Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing \u2013 an experimental study. Pain Med. 2012;13:215\u201328.2193949910.1111\/j.1526-4637.2011.01243.x","DOI":"10.1111\/j.1526-4637.2011.01243.x"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_012_w2aab3b7b4b1b6b1ab1b6c12Aa","unstructured":"Brody LT, Hall CM, editors. Therapeutic exercise: moving toward function, 3rd ed. Philadelphia PA: Lippincott Williams & Wilkins, 2011."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_013_w2aab3b7b4b1b6b1ab1b6c13Aa","doi-asserted-by":"crossref","unstructured":"Kay AD, Blazevich AJ. Effect of acute static stretch on maximal muscle performance: a systematic review. Med Sci Sports Exerc. 2012;44:154\u201364.2165990110.1249\/MSS.0b013e318225cb27","DOI":"10.1249\/MSS.0b013e318225cb27"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_014_w2aab3b7b4b1b6b1ab1b6c14Aa","unstructured":"Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther. 2012;7:109\u201319.22319684"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_015_w2aab3b7b4b1b6b1ab1b6c15Aa","doi-asserted-by":"crossref","unstructured":"Cramer H, Klose P, Brinkhaus B, Michalsen A, Dobos G. Effects of yoga on chronic neck pain: a systematic review and meta-analysis. Clin Rehabil. 2017;31:1457\u201365.2905051010.1177\/0269215517698735","DOI":"10.1177\/0269215517698735"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_016_w2aab3b7b4b1b6b1ab1b6c16Aa","unstructured":"World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization, 1998."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_017_w2aab3b7b4b1b6b1ab1b6c17Aa","unstructured":"Sora AE. Soft tissue, joints and bones: chapter 6 upper extremity pain. In: R Melzack, PD Wall, editors. Handbook of pain management. Edinburgh: Churchill Livingstone, 2003: 77\u201393."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_018_w2aab3b7b4b1b6b1ab1b6c18Aa","doi-asserted-by":"crossref","unstructured":"Jensen MP, Chen C, Brugger AM. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain. 2003;4:407\u201314.1462268310.1016\/S1526-5900(03)00716-8","DOI":"10.1016\/S1526-5900(03)00716-8"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_019_w2aab3b7b4b1b6b1ab1b6c19Aa","doi-asserted-by":"crossref","unstructured":"Edwards J, Knowles N. Superficial dry needling and active stretching in the treatment of myofascial pain \u2013 a randomized controlled trial. Acupunct Med. 2003;21:80\u201386.10.1136\/aim.21.3.80","DOI":"10.1136\/aim.21.3.80"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_020_w2aab3b7b4b1b6b1ab1b6c20Aa","doi-asserted-by":"crossref","unstructured":"Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8:1153\u201357.1173329310.1111\/j.1553-2712.2001.tb01132.x","DOI":"10.1111\/j.1553-2712.2001.tb01132.x"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_021_w2aab3b7b4b1b6b1ab1b6c21Aa","doi-asserted-by":"crossref","unstructured":"Kleiger RE, Stein PK, Bigger JT, Jr. Heart rate variability: measurement and clinical utility. Ann Noninvasive Electrocardiol. 2005;10:88\u2013101.1564924410.1111\/j.1542-474X.2005.10101.x","DOI":"10.1111\/j.1542-474X.2005.10101.x"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_022_w2aab3b7b4b1b6b1ab1b6c22Aa","unstructured":"Hainsworth R. The control and physiological importance of heart rate. In: M Malik, AJ Camm, editors. Heart rate variability. New York: Futura Publishing Company, 1995: 3\u201319."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_023_w2aab3b7b4b1b6b1ab1b6c23Aa","unstructured":"Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 1996;93:1043\u201365. DOI:10.1161\/01.CIR.93.5.10438598068"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_024_w2aab3b7b4b1b6b1ab1b6c24Aa","unstructured":"Squire LR, Berg D, Bloom FE, Du Lac S, Ghosh A, Spitzer NC, editors. Fundamental neuroscience, 4th ed. China: Academic Press, 2013."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_025_w2aab3b7b4b1b6b1ab1b6c25Aa","doi-asserted-by":"crossref","unstructured":"Moore MA, Hutton RS. Electromyographic investigation of muscle stretching techniques. Med Sci Sports Exerc. 1980;12:322\u201329.745350810.1249\/00005768-198025000-00004","DOI":"10.1249\/00005768-198012050-00004"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_026_w2aab3b7b4b1b6b1ab1b6c26Aa","unstructured":"Knudson D. The biomechanics of stretching. J Exerc Sci Physiother. 2006;2:3\u201312."},{"key":"2025121209285160874_j_jcim-2017-0167_ref_027_w2aab3b7b4b1b6b1ab1b6c27Aa","doi-asserted-by":"crossref","unstructured":"Routledge FS, Campbell TS, McFetridge-Durdle JA, Bacon SL. Improvements in heart rate variability with exercise therapy. Can J Cardiol. 2010;26:303\u201312.10.1016\/S0828-282X(10)70395-020548976","DOI":"10.1016\/S0828-282X(10)70395-0"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_028_w2aab3b7b4b1b6b1ab1b6c28Aa","doi-asserted-by":"crossref","unstructured":"Morone NE, Lynch CS, Greco CM, Tindle HA, Weiner DK. I felt like a new person.\u201d the effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries. J Pain. 2008;9:841\u201348.10.1016\/j.jpain.2008.04.003","DOI":"10.1016\/j.jpain.2008.04.003"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_029_w2aab3b7b4b1b6b1ab1b6c29Aa","doi-asserted-by":"crossref","unstructured":"Uusberg H, Uusberg A, Talpsep T, Paaver M. Mechanisms of mindfulness: the dynamics of affective adaptation during open monitoring. Biol Psychol. 2016;118:94\u2013106.2721191310.1016\/j.biopsycho.2016.05.004","DOI":"10.1016\/j.biopsycho.2016.05.004"},{"key":"2025121209285160874_j_jcim-2017-0167_ref_030_w2aab3b7b4b1b6b1ab1b6c30Aa","unstructured":"Plowman SA, Smith DL, editors. Exercise physiology for health, fitness, and performance, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2014."}],"container-title":["Journal of Complementary and Integrative Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.degruyter.com\/view\/j\/jcim.2019.16.issue-2\/jcim-2017-0167\/jcim-2017-0167.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/jcim-2017-0167\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/jcim-2017-0167\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T12:31:07Z","timestamp":1765542667000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/jcim-2017-0167\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,22]]},"references-count":30,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,10,12]]},"published-print":{"date-parts":[[2019,6,26]]}},"alternative-id":["10.1515\/jcim-2017-0167"],"URL":"https:\/\/doi.org\/10.1515\/jcim-2017-0167","relation":{},"ISSN":["1553-3840","2194-6329"],"issn-type":[{"value":"1553-3840","type":"electronic"},{"value":"2194-6329","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8,22]]},"article-number":"20170167"}}