scholarly journals Effects of Heart Rate Variability Biofeedback in Subjects with Stress-Related Chronic Neck Pain: A Pilot Study

2011 ◽  
Vol 36 (2) ◽  
pp. 71-80 ◽  
Author(s):  
David M. Hallman ◽  
Erik M. G. Olsson ◽  
Bo von Schéele ◽  
Lennart Melin ◽  
Eugene Lyskov
2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
David M. Hallman ◽  
Svend Erik Mathiassen ◽  
Eugene Lyskov

Background. We determined the extent to which heart rate variability (HRV) responses to daily physical activity differ between subjects with and without chronic neck pain.Method. Twenty-nine subjects (13 women) with chronic neck pain and 27 age- and gender-matched healthy controls participated. Physical activity (accelerometry), HRV (heart rate monitor), and spatial location (Global Positioning System (GPS)) were recorded for 74 hours. GPS data were combined with a diary to identify periods of work and of leisure at home and elsewhere. Time- and frequency-domain HRV indices were calculated and stratified by period and activity type (lying/sitting, standing, or walking). ANCOVAs with multiple adjustments were used to disclose possible group differences in HRV.Results. The pain group showed a reduced HRV response to physical activity compared with controls (p=.001), according to the sympathetic-baroreceptor HRV index (LF/HF, ratio between low- and high-frequency power), even after adjustment for leisure time physical activity, work stress, sleep quality, mental health, and aerobic capacity (p=.02). The parasympathetic response to physical activity did not differ between groups.Conclusions. Relying on long-term monitoring of physical behavior and heart rate variability, we found an aberrant sympathetic-baroreceptor response to daily physical activity among subjects with chronic neck pain.


2021 ◽  
Vol 11 (6) ◽  
pp. 157-160
Author(s):  
Mayura P. Deshmukh ◽  
Ashwini N. Patil ◽  
Gaurang Baxi

Primal reflex release technique (PRRT) is a paradigm shift in the treatment of pain which follows the principle of rebooting the autonomous nervous system (ANS), by down regulating the upgraded sympathetic component of ANS in a variety of pain syndromes. To check the effect of PRRT on chronic neck pain, a case study was done using Heart Rate Variability (HRV) and Visual Analogue Scale (VAS) as outcome measures. After conducting the one minute nociceptive exam for startle reflex, indication of the upgraded Sympathetic Nervous System (SNS), a single session of PRRT was carried out on a 24 year old female patient with chronic neck pain having a VAS score of 7 on activity and that of 5 on rest. Pre and post treatment HRV analysis was done using frequency domain and time domain parameters. Post PRRT treatment, an improvement in VAS scale with a score of 4 on activity and that of 3 on rest was seen. HRV showed a decrease in HFnu (26.7 vs 24.5), RMSSD (63.553 vs 59.216), SDNN (28.58 vs 34.82) and PNN50 (48.3 vs 42.5) which refers to decreased parasympathetic activity, and increased LFnu (73.3 vs 75.5) which indicates increased sympathetic activity. This was the first study evaluating the effect of PRRT with HRV. Further research needs to be conducted to validate HRV findings in chronic pain patients undergoing PRRT using a large sample size and interval based assessment of HRV. Key words: Neck Pain, Primal reflex release technique, Startle Reflex, Heart Rate Variability.


2015 ◽  
Vol 41 (2) ◽  
pp. 141-150 ◽  
Author(s):  
Inga Dziembowska ◽  
Paweł Izdebski ◽  
Anna Rasmus ◽  
Janina Brudny ◽  
Marta Grzelczak ◽  
...  

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