title: Vestibular Stimulation for Stress Management in Students.
abstract: BACKGROUND
  Although several methods are developed to alleviate stress among college students, logistic limitations in adopting them have limited their utility.
  
  
  OBJECTIVE
  Hence, we aimed to test a very practical approach to alleviate stress among college students by achieving vestibular stimulation using swings.
  
  
  METHODS
  In this study 60 male and female participants were randomly assigned into vestibular stimulation or control groups. Depression, anxiety, stress scores, sleep quality, heart rate, blood pressure, Autonomic functions, respiratory, haematological, cognitive function, Quality of life were recorded before and after 1(st), 7(th), 14(th), 21(st), 28(th) days of vestibular stimulation.
  
  
  RESULTS
  STAI S and STAI T scores were significantly improved on day 28(th) following vestibular stimulation. Diastolic and mean arterial blood pressure were significantly decreased and remained within normal limits in vestibular group on day 28(th) following vestibular stimulation. Postural fall in blood pressure was significantly improved on day 14 onwards, following vestibular stimulation. Respiratory rate was significantly improved on day 7 onwards, following vestibular stimulation. PSQI sleep disturbance, PSQI sleep latency, PSQI total score and bleeding time was significantly improved following vestibular stimulation.
  
  
  CONCLUSIONS
  Our study supports the adoption of vestibular stimulation for stress management. Hence, placement of swings in college campuses must be considered, which may be a simple approach to alleviate stress among college students.
authors.affiliation: Assistant Professor, Department of Physiology, Little Flower Institute of Medical sciences and Research , Angamaly, Kerala, India .
authors.forename: Sai Sailesh
authors.initials: SS
authors.lastname: Kumar
authors.affiliation: Professor, Department of Physiology, Saveetha Medical College , Thandalam, Chennai, Tamilnadu, India .
authors.forename: Archana
authors.initials: A
authors.lastname: Rajagopalan
authors.affiliation: Professor and Research Director, Little Flower Medical Research Centre (LFMRC) , Angamaly, Kerala, India .
authors.forename: Joseph Kurien
authors.initials: JK
authors.lastname: Mukkadan
keywords: Anxiety; Depression; Natural vestibular stimulation; Swings