scholarly journals Comparative Review of the Correlation Between Electroneurography, Electromyography, Hematology Tests, or the Heart Rate Variability Test, with an Improvement in the Severity of Bell’s Palsy Symptoms

2021 ◽  
Vol 38 (3) ◽  
pp. 192-199
Author(s):  
Ji-Min Hwang ◽  
Jun-Yeon Kim ◽  
Ha-Na Kim ◽  
Kyeong-Ju Park ◽  
Min-Gi Jo ◽  
...  

Background: In this retrospective study, we aimed to determine which diagnostic tests were associated with an improvement in Bell’s palsy symptoms. Methods: There were 30 patients who visited Kyung Hee University Korean Medicine Hospital from April 1, 2017 to February 29, 2020, and who received East-West collaboration treatment for Bell’s palsy. The tests included electroneurography (ENoG), electromyography (EMG), hematology, and heart rate variability (HRV) results which were used to determine if any test correlated with improvement of Bell’s palsy symptoms. Results: The initial severity of symptoms did not correlate with the tests performed, with the exception of mean corpuscular hemoglobin concentration (p = 0.013). For both ENoG for oculi degeneration and mean EMG tests, the rate of nerve degeneration showed a significant negative correlation with the improvement of Bell’s palsy symptoms. Amongst the HRV test indicators, the square root of the mean of the sum of the squares of differences between the adjacent normal R-R wave interval, the standard deviation of intervals, total power, very low frequency, and high frequency of the wave was negatively correlated with improvement of Bell’s palsy symptoms. Similarly, glycosylated hemoglobin Type A1c (HbA1c) and erythrocyte sedimentation rate (ESR) showed a negative correlation with improvement of symptoms of Bell’s palsy. With the exception of HbA1c and ESR, the remaining hematology test results showed no significant difference when comparing before and after treatment. Conclusion: ENoG, EMG, HRV test, HbA1c, and ESR negatively correlated with improvements in Bell’s palsy symptoms and may determine the prognosis of Bell’s palsy.

2020 ◽  
Vol 32 (02) ◽  
pp. 2050014
Author(s):  
M. Kumar ◽  
D. Singh ◽  
K. K. Deepak

This study identifies a correlation between low-frequency heart rate variability (LF-HRV) and encephalographic (EEG) complexity to differentiate internally operative attention (INT) and externally operative attention (EXT). Electrophysiological fluctuations in response to Posner’s spatial orienting paradigm were explored in 14 healthy volunteers who participated in 6 alternating sessions of attention tasks. HRV analysis was used to measure heart rate fluctuations, and approximate entropy (ApEn) was used to measure changes in the irregularity of EEG and HRV. Power spectral analysis of HRV revealed that there was found to be a significant difference between INT and EXT for HRV-low frequency (HRV-LF) and LH/HF ratio. ApEn for RR-interval time series increased for both attention tasks as compared to baseline and recovery session. The relationship between HRV-LF and EEG spectral power measured at F4 revealed significant negative correlation during ([Formula: see text], with [Formula: see text]) EXT than ([Formula: see text], with [Formula: see text]) INT. Furthermore, a significant positive correlation, yet of moderate strength was noted between HRV-LF and ApEn of EEG signal measured at POz ([Formula: see text], with [Formula: see text]) during EXT as compared to INT ([Formula: see text], with [Formula: see text]) and, a significant negative correlation was observed between ApEn of RR-interval and ApEn of EEG signal measured at POz ([Formula: see text], with [Formula: see text]) during EXT as compared to INT ([Formula: see text], with [Formula: see text]). Thus, it is evident that EXT leads to more irregularity in parietal regions of the brain than the INT. During EXT, the irregularity over the parietal region linked to increased sympathetic activity as compared to INT and corresponds to decreased heart rate. These results may benefit in designing robust human-computer interfaces and accelerated training paradigm to raise an athlete’s performance.


Author(s):  
Esin Kaplan

The aim of this study is to examine the heart rate variability (HRV) parameters, trait anxiety, and competitive state anxiety levels of active individuals. The research was conducted with a total of 28 men and women aged 18-26 who exercise regularly. Personal information form, trait anxiety inventory, and competitive state anxiety inventory (CSAI-2) were applied to the volunteers. Heart Rate Variability measurement was performed using the Heart Math emWave Pro + device. In the analysis of the data, normal distribution criteria were checked using the Shapiro-Wilk test. T-test was used for variables with normal distribution, and Mann Whitney U test was used for variables that did not show normal distribution. Pearson and Spearman correlation analyzes were conducted to examine the relationship between cognitive anxiety, somatic anxiety, and HRV parameters. According to the findings, a statistically significant difference in favor of women was found between the genders in the LF / HF (log) (p = .011) parameter (p <0.05). According to the correlation analysis, a significant negative correlation was observed between somatic anxiety and the parameters SDNN, RMSSD, LF (Log) (-.457; -.403; -.462 respectively). In conclusion, men and women who exercise regularly have similar anxiety states. It is observed that women have better sympathovagal balance compared to men. The absence of stress parameters that cause impairment in heart rhythm such as anxiety does not cause deterioration in the structure of HRV. In addition, there is a negative correlation between somatic anxiety and some HRV parameters. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0770/a.php" alt="Hit counter" /></p>


2016 ◽  
Vol 54 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Germán Hernández Cruz ◽  
José Naranjo Orellana ◽  
Adrián Rosas Taraco ◽  
Blanca Rangel Colmenero

Abstract The purpose of this study was to analyze cellular immune components and their association with heart rate variability in triathlon athletes. Twelve athletes were included (age 36.41 ± 5.57 years, body mass 81.84 ± 10.97 kg) and blood samples were taken one week before, immediately, at 2 and 48 hours, and one week after competition. Total lymphocytes and their subpopulations, neutrophils, basophils, eosinophils and monocytes were analyzed. At the same time, heart rate variability was recorded for 30 minutes using Polar Team2®. A significant difference between lymphocyte subpopulations and heart rate variability was found in the different study periods. A positive correlation was found between total lymphocytes and rMSSD (r = .736, p <0.05), CD3+ and rMSSD (r = .785, p <0.05), and CD4+ and rMSSD (r = .795, p < 0.05) at the end of the competition. After one week of competition, a negative correlation was found between eosinophils and MRR, SDNN, pNN50, and rMSSD (p <0.01); and basophils and MRR, SDNN, pNN50, and rMSSD (p <0.01); while a positive correlation was found between CD19+ (B cells) and pNN50 (r = .678, p <0.05). Our results suggest that it is possible to predict the effect of training with regard to the athlete's performance.


2003 ◽  
Vol 104 (3) ◽  
pp. 295-302 ◽  
Author(s):  
Mario VAZ ◽  
A.V. BHARATHI ◽  
S. SUCHARITA ◽  
D. NAZARETH

Alterations in autonomic nerve activity in subjects in a chronically undernourished state have been proposed, but have been inadequately documented. The present study evaluated heart rate and systolic blood pressure variability in the frequency domain in two underweight groups, one of which was undernourished and recruited from the lower socio-economic strata [underweight, undernourished (UW/UN); n = 15], while the other was from a high class of socio-economic background [underweight, well nourished (UW/WN); n = 17], as well as in normal-weight controls [normal weight, well nourished (NW/WN); n = 27]. Baroreflex sensitivity, which is a determinant of heart rate variability, was also assessed. The data indicate that total power (0–0.4Hz), low-frequency power (0.04–0.15Hz) and high-frequency power (0.15–0.4Hz) of RR interval variability were significantly lower in the UW/UN subjects (P<0.05) than in the NW/WN controls when expressed in absolute units, but not when the low- and high-frequency components were normalized for total power. Baroreflex sensitivity was similarly lower in the UW/UN group (P<0.05). Heart rate variability parameters in the UW/WN group were generally between those of the UW/UN and NW/WN groups, but were not statistically different from either. The mechanisms that contribute to the observed differences between undernourished and normal-weight groups, and the implications of these differences, remain to be elucidated.


2005 ◽  
Vol 289 (4) ◽  
pp. H1729-H1735 ◽  
Author(s):  
Sophie Motte ◽  
Myrielle Mathieu ◽  
Serge Brimioulle ◽  
Anne Pensis ◽  
Lynn Ray ◽  
...  

Heart failure is associated with autonomic imbalance, and this can be evaluated by a spectral analysis of heart rate variability. However, the time course of low-frequency (LF) and high-frequency (HF) heart rate variability changes, and their functional correlates during progression of the disease are not exactly known. Progressive heart failure was induced in 16 beagle dogs over a 7-wk period by rapid ventricular pacing. Spectral analysis of heart rate variability and respiration, echocardiography, hemodynamic measurements, plasma atrial natriuretic factor, and norepinephrine was obtained at baseline and every week, 30 min after pacing interruption. Progressive heart failure increased heart rate (from 91 ± 4 to 136 ± 5 beats/min; P < 0.001) and decreased absolute and normalized (percentage of total power) HF variability from week 1 and 2, respectively ( P < 0.01). Absolute LF variability did not change during the study until it disappeared in two dogs at week 7 ( P < 0.05). Normalized LF variability increased in moderate heart failure ( P < 0.01), leading to an increased LF-to-HF ratio ( P < 0.05), but decreased in severe heart failure ( P < 0.044; week 7 vs. week 5). Stepwise regression analysis revealed that among heart rate variables, absolute HF variability was closely associated with wedge pressure, right atrial and pulmonary arterial pressure, left ventricular ejection fraction and volume, ratio of maximal velocity of early (E) and atrial (A) mitral flow waves, left atrial diameter, plasma norepinephrine, and atrial natriuretic peptide (0.45 < r < 0.65, all P < 0.001). In tachycardia-induced heart failure, absolute HF heart rate variability is a more reliable indicator of cardiac dysfunction and neurohumoral activation than LF heart rate variability.


2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Reuben Howden ◽  
Eva Gougian ◽  
Marcus Lawrence ◽  
Samantha Cividanes ◽  
Wesley Gladwell ◽  
...  

Nrf2protects the lung from adverse responses to oxidants, including 100% oxygen (hyperoxia) and airborne pollutants like particulate matter (PM) exposure, but the role ofNrf2on heart rate (HR) and heart rate variability (HRV) responses is not known. We hypothesized that genetic disruption ofNrf2would exacerbate murine HR and HRV responses to severe hyperoxia or moderate PM exposures.Nrf2-/-andNrf2+/+mice were instrumented for continuous ECG recording to calculate HR and HRV (low frequency (LF), high frequency (HF), and total power (TP)). Mice were then either exposed to hyperoxia for up to 72 hrs or aspirated with ultrafine PM (UF-PM). Compared to respective controls, UF-PM induced significantly greater effects on HR (P<0.001) and HF HRV (P<0.001) inNrf2-/-mice compared toNrf2+/+mice.Nrf2-/-mice tolerated hyperoxia significantly less thanNrf2+/+mice (~22 hrs;P<0.001). Reductions in HR, LF, HF, and TP HRV were also significantly greater inNrf2-/-compared toNrf2+/+mice (P<0.01). Results demonstrate thatNrf2deletion increases susceptibility to change in HR and HRV responses to environmental stressors and suggest potential therapeutic strategies to prevent cardiovascular alterations.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Amanda C Costa ◽  
Ana Gabriela C Silva ◽  
Cibele T Ribeiro ◽  
Guilherme A Fregonezi ◽  
Fernando A Dias

Background: Stress is one of the risk factors for cardiovascular disease and decreased heart rate variability is associated to increased mortality in some cardiac diseases. The aim of the study was to assess the impact of perceived stress on cardiac autonomic regulation in young healthy volunteers. Methods: 35 young healthy volunteers (19 to 29 years old, 6 men) from a Brazilian population were assessed for perceived stress by the translated and validated Perceived Stress Scale (PSS, 14 questions) and had the R-R intervals recorded at rest on supine position (POLAR RS800CX) and analyzed (5 minutes, Kubius HRV software) by Fast-Fourier Transform for quantification of Heart Rate Variability (HRV). Results: Average data (±SD) for age, heart rate, BMI, waist circumference and percentage of body fat (%BF) were: 21.3±2.7 years; 65.5±7.9 bpm; 22.3±1.9 Kg/m 2 ; 76.0±6.1 cm and 32.1±6.6%; respectively. The mean score for the PSS-14 was 23.5±7.2 and for the HRV parameter as follow: SSDN=54.8±21.2ms; rMSSD=55.9±32.2ms; low-frequency (LF)= 794.8±579.7ms 2 ; High-frequency (HF)= 1508.0±1783.0 ms 2 ; LF(n.u.)= 41.1±16.2; HF(n.u.)= 58.9±16.2; LF/HF=0.89±0.80 and Total power (TP)= 3151±2570ms 2 . Spearman nonparametric correlation was calculated and there was a significant correlation of PSS-14 scores and LF (ms 2 ) (r=−0.343; p= 0.044). Other HRV variables did not shown significant correlation but also had negative values for Spearman r (TP r=−0.265, p=0.124; HF r=−0.158; SSDN r=−0.207; rMSSD r=−0.243, p=0.160). LF/HF and LF(n.u.) did not correlate to PSS-14 having Spearman r very close to zero (LF/HF r=−0.007, p=0.969; LF(n.u.) r=−0.005, p=0.976). No correlation was found for HRV parameters and BMI and there was a trend for statistical correlation of %BF and LF (ms 2 ) (r=−0.309, p=0.071). Conclusions: These data demonstrate a possible association of perceived stress level and HRV at rest. Changes in LF can be a consequence of both sympathetic and parasympathetic activity, however, analyzing the other variables HF, TP, SSDN and rMSSD (all negative Spearman r) and due to the lack of changes in LF/HF ratio and LF(n.u.) we interpret that increased stress may be associated to decrease in overall heart rate variability. These changes were seen in healthy individuals and may point out an important mechanism in cardiovascular disease development.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Meenakshi Chaswal ◽  
Raj Kapoor ◽  
Achla Batra ◽  
Savita Verma ◽  
Bhupendra S. Yadav

Alterations in the autonomic cardiovascular control have been implicated to play an important etiologic role in preeclampsia. The present study was designed to evaluate autonomic functions in preeclamptic pregnant women and compare the values with normotensive pregnant and healthy nonpregnant controls. Assessment of autonomic functions was done by cardiovascular reflex tests and by analysis of heart rate variability (HRV). Cardiovascular reflex tests included deep breathing test (DBT) and lying to standing test (LST). HRV was analyzed in both time and frequency domain for quantifying the tone of autonomic nervous system to the heart. The time domain measures included standard deviation of normal R-R intervals (SDNN) and square root of mean squared differences of successive R-R intervals (RMSSD). In the frequency domain we measured total power (TP), high frequency (HF) power, low frequency (LF) power, and LF/HF ratio. Cardiovascular reflex tests showed a significant parasympathetic deficit in preeclamptic women. Among parameters of HRV, preeclamptic group had lower values of SDNN, RMSSD, TP, HF, and LF (ms2) and higher value of LF in normalised units along with high LF/HF ratio compared to normotensive pregnant and nonpregnant controls. Furthermore, normotensive pregnant women had lower values of SDNN, TP, and LF component in both absolute power and normalised units compared to nonpregnant females. The results confirm that normal pregnancy is associated with autonomic disturbances which get exaggerated in the state of preeclampsia.


2021 ◽  
Vol 38 (5) ◽  
pp. 343-349
Author(s):  
Ananda S. Cardoso ◽  
Guilherme P. Berriel ◽  
Pedro Schons ◽  
Rochelle R. Costa ◽  
Luiz Fernando M. Kruel

The aim of this research was to evaluate the behavior of vertical jumps performance in professional volleyball athletes during matches and training and their relationships with fatigue and recovery through heart rate variability (HRV), ratings of perceived exertion (RPE) and perceived recovery status (PRS). Nine male professional volleyball athletes participated in the study, with mean age: 25.66 ± 5.7 years, mean body mass: 97.81 ± 8.65 Kg and mean height: 200.94 ± 5.19 cm, with experience in national and international competitions. HRV and PRS were evaluated in the morning of matches and in the presentation for the first day of training after matches. RPE was collected immediately after matches and at the end of training days. Jumps performance was monitored during the matches and during the first days of training. The data was grouped by matches and training sessions. Significance level adopted was α ≤ 0.05. There were no alterations in HRV and PRS evaluated after matches and before training sessions, as well as in RPE after training. Jumps height was greater during the matches (p< 0.013) and there were no differences in the number of jumps. There was a positive correlation between the number of jumps during matches and PRS before matches (r= 0.336, p= 0.015) and a negative correlation between the number of jumps during training and pre-training PRS (r= -0.318, p= 0.002). We conclude that the recovery period proposed by the team proved to be sufficient for the athletes to maintain the same condition for returning to training. This information can assist physical trainers to prescribe training loads for the return to training.


2021 ◽  
Vol 21 (1) ◽  
pp. 61-68
Author(s):  
Lyubomyr Vovkanych ◽  
Yuriy Boretsky ◽  
Viktor Sokolovsky ◽  
Dzvenyslava Berhtraum ◽  
Stanislav Kras

The study purpose was estimation of the accuracy of RR time series measurements by SHC “Rytm” and validity of derived heart rate variability (HRV) indexes under physical loads and recovery period. Materials and methods. The participants were 20 healthy male adults aged 19.7 ± 0.23 years. Data was recorded simultaneously with CardioLab CE12, Polar RS800, and SHC “Rytm”. Test protocol included a 2 minute step test (20 steps per minute, platform height – 40 cm) with the next 3 minute recovery period. HRV indexes were calculated by Kubios HRV 2.1. Results. The RR data bias in the case of physical loads was -0.06 ms, it increased to 0.09-0.33 ms during the recovery period. The limits of agreement for RR data ranged from 3.7 ms to 22.8 ms, depending on the period of measurements and pair of compared devices. It is acceptable for the heart rate and HRV estimation. The intraclass correlation coefficients (0.62–1.00) and Spearman correlation coefficient (0.99) were high enough to suggest very high repeatability of the data. We found no significant difference (p > 0.05) and good correlation (r = 0.94-1.00) between the majority of HRV indexes, calculated from data of Polar RS800 and SHC “Rytm” in conditions of physical loads (except for LF/HF ratio) and in the recovery period. The only one index (RMSSD) was different (p < 0.05) in case of Polar RS800 and SHC “Rytm” data, obtained in the recovery period. The largest numbers of different HRV indexes have been found during the comparison of CardioLab CE12 and Polar RS800 – RMSSD, pNN50, and SD1. Correlation between HRV indexes (r = 0.81-1.00) was very high in all pairs of devices in all periods of measurements. Conclusions. The SHC “Rytm” appears to be acceptable for RR intervals registration and the HRV analysis during physical loads and recovery period.


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