Integrated differentiated therapy of patients with relapses of rosacea taking into account heart rate variability indices and psychological status changes

Aim. To study the heart rate variability and characteristics of psychological status in young hockey players in professional sports. Methods. 65 young hockey players of «Salavat Yulaev» children’s youth sports school of Olympic reserve were examined. The mean age was 14.7±0.5 years, sports experience - 8.75±1.5 years. Determination of the vegetative regulation type and spectral analysis of heart rate variability was performed on a hardware-software «Polispektr-8» complex manufactured by «Neurosoft». Vegetative regulation state was determined by the vagosympathetic balance ratio (LF/HF). The following parameters of heart rate variability were measured: TP (total power of spectrum), HF (high-frequency waves power), LF (low-frequency waves power), VLF (very low frequency waves power), heart rate was calculated. A questionnaire survey was performed using five-factor personality questionnaire known as the «Big Five». Results. Parasympathetic type of vegetative tone regulation was identified in 30 (46.1%) of young hockey players, balanced initial vegetative tone - in 28 (43.1%) patients, sympathetic type - in 7 (10.8%) patients. Changing of the vegetative regulation type in athletes with sympathetic regulation demonstrates a shift in autonomic balance towards the predominance of sympathetic influence, which is non-physiological for athletes. Such a state of maladjustment can lead to overwork, overstrain, significant reduction in work efficiency and later - to the development of diseases and injuries. According to psychological testing signs of mental and emotional stress and adaptive processes strain were revealed. Conclusion. The results of the study allow to reasonably implement a differentiated approach to psychological support of the training process taking in account the functioning of the autonomic nervous system.

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Hardware and software method preclinical detection of pathological conditions in persons arriving for medical and psychological rehabilitation in the sanatorium conditions

Russian Journal of Physiotherapy Balneology and Rehabilitation ◽

10.17816/1681-3456-2021-20-1-61-68 ◽

2021 ◽

Vol 20 (1) ◽

pp. 61-68

Author(s):

Nikolay A. Syuris ◽

Sergey M. Razinkin ◽

Artem M. Komlev

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Military Personnel ◽

Objective Assessment ◽

The Body ◽

Diagnostic Methods ◽

Psychological Status ◽

Industrial Complex ◽

Pathological Conditions

BACKGROUND: It is important to identify the risks of developing somatic disorders, for further clarification by laboratory and instrumental diagnostic methods. An objective assessment of the effectiveness of the medical and psychological rehabilitation (MPR) of a serviceman is important. AIMS: The aim of the study is to determine the informative value of the Diamed-MBS hardware and software complex as a method of preclinical detection of pathological conditions by assessing heart rate variability (HRV), electrosomatography, bioelectrography (BEG), as well as the psychosomatic context of complaints and identified deviations. MATERIALS AND METHODS: Along with the methods of the Diamed-MBS agro-industrial complex, the MPR program of military personnel included a regulated scope of measures: examination for UPFT-1/30 "Psychophysiologist" (simple visual-motor reaction and variational cardiointervalometry); registration of the levels of "energy potential" and stress background by gas-discharge visualization on the pulse analyzer "GRV-Express", determination of the compositional composition of the body by bioimpedance measurement on the analyzer "Tanita BC-532". The automated system of assessment in points (APC) allows for differentiated diagnostics of the somatic and psychoemotional profile of military personnel who arrived at the MPR; to personalize the rehabilitation program; to evaluate the effectiveness of the MPR program. The data of a group of 85 military personnel undergoing MPR were processed in the Statistica 10 (StatSoft Inc., USA). RESULTS: In the branches of the Federal State Budgetary Institution SKK "Privolzhsky" of the Ministry of Defense of the Russian Federation ("Volga Clinical Sanatorium", "Chebarkulsky Sanatorium", "Yeltsovka Sanatorium") within the framework of the psychotherapy office (psychologist's office) with the category of MPR, work was carried out on the Diamed-MBS hardware and software complexes for 9 months. This allowed for a short examination time (up to 20 minutes) to conduct an objective assessment of the psychosomatic state of a person: respiratory, digestive, immune, genitourinary, musculoskeletal, cardiovascular, endocrine systems, as well as the general state of the body and psychological status. After the course of MPR, the improvement of the indicators of the condition of military personnel was noted to a greater extent due to the indicators according to the survey data (Questionnaire 1, 2) (p 0.000) (the subjective component of the study), which ultimately reflected the improvement of the integral indicator (Integral 1, 2) (p 0.007). Changes in the psychoemotional (Psychoemotional 1, 2) and somatic state (Soma 1, 2) were not statistically significant (p 0.05). CONCLUSION: The restoration of the psychoemotional background and the necessary training in stress resistance skills requires a revision of the duration of the MPR by military personnel. The advantage of the Diamed agro-industrial complex is the arrangement of three diagnostic complexes in one device: for determining the parameters of heart rate variability, electro-tomography, bioelectrography; in the mode of express diagnostics, the determination of the state of the body in the range "healthy-practically-healthy-weakened-premorbid state-sick-critical condition". The possibility of creating a single information and analytical center for processing the final protocols of the examination of military personnel under the MPR program in the CCM sanatoriums.

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Effect of Stress on Autonomic and Cardiovascular Systems in Military Population: A Systematic Review

Cardiology Research and Practice ◽

10.1155/2020/7986249 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Álvaro Bustamante-Sánchez ◽

José Francisco Tornero-Aguilera ◽

Valentín E. Fernández-Elías ◽

Alberto J. Hormeño-Holgado ◽

Athanasios A. Dalamitros ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Chronic Stress ◽

Multiple Stressors ◽

Psychological Status ◽

Autonomous Nervous System ◽

Military Operations ◽

Military Population ◽

Acute And Chronic Stress ◽

Cardiovascular Systems

Stress is regulated by the autonomous nervous system, increasing the sympathetic modulation when a threat is perceived. A multifactorial response usually leads to significant behavioural modifications and alterations on homeostasis and physical and psychological status. Moreover, stress is an emotional response that can lead to psychosocial and psychophysiological adversity. Regarding military population, military operations and combat exposure are important stressors that influence acute and chronic stress response in soldiers, affecting their performance and health. A bibliographic search was carried out between April and May 2019, focusing on recent studies (2013–2019) that analysed psychophysiological response, stress, stress regulation, heart rate, heart rate variability, and posttraumatic stress disorder in military population. Autonomic and cardiovascular chronic stress seems to be modulated by experience and previous specific training of each military unit. Physical exercise, music embedded with binaural beat technology, bidirectional sensory motor rhythm training, heart rate variability biofeedback, and transcutaneous vagal nerve stimulation are the main techniques applied to balance stress and to recover body homeostasis. Since military population are usually exposed to multiple stressors, knowing previous training and experience, together with developing techniques to balance stress, is the main practical application in this field of study to balance autonomic and cardiovascular systems.

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A neuro-cardiac self-regulation therapy to improve autonomic and neural function after SCI: a randomized controlled trial protocol

BMC Neurology ◽

10.1186/s12883-021-02355-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ashley Craig ◽

Ilaria Pozzato ◽

Mohit Arora ◽

James Middleton ◽

Dianah Rodrigues ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Controlled Trial ◽

Self Regulation ◽

Post Treatment ◽

Cognitive Capacity ◽

Psychological Status ◽

Secondary Conditions ◽

Cord Injury ◽

Secondary Outcomes

Abstract Background Spinal cord injury (SCI) is associated with autonomic imbalance and significant secondary conditions, including cardiac and brain dysfunction that adversely impact health and wellbeing. This study will investigate the effectiveness (intention-to-treat) of a neuro-cardiac self-regulation therapy to improve autonomic and neural/brain activity in adults with SCI living in the community. Methods A two-arm parallel, randomised controlled trial in which adults with SCI living in the community post-rehabilitation will be randomly assigned to a treatment or control group. The treatment group (N = 60) aged 18–70 years with a chronic traumatic or non-traumatic SCI, will receive intervention sessions once per week for 10 weeks, designed to regulate autonomic activity using computer-based feedback of heart rate variability and controlled breathing (called HRV-F). Comprehensive neurophysiological and psychological assessment will occur at baseline, immediate post-treatment, and 6 and 12-months post-treatment. Primary outcome measures include electrocardiography/heart rate variability (to assess autonomic nervous system function) and transcranial doppler sonography (to assess cerebral blood circulation in basal cerebral arteries). Secondary outcomes measures include continuous blood pressure, electroencephalography, functional near-infrared spectroscopy, respiration/breath rate, electrooculography, cognitive capacity, psychological status, pain, fatigue, sleep and quality of life. Controls (N = 60) will receive usual community care, reading material and a brief telephone call once per week for 10 weeks and be similarly assessed over the same time period as the HRV-F group. Linear mixed model analysis with repeated measures will determine effectiveness of HRV-F and latent class mixture modelling used to determine trajectories for primary and selected secondary outcomes of interest. Discussion Treatments for improving autonomic function after SCI are limited. It is therefore important to establish whether a neuro-cardiac self-regulation therapy can result in improved autonomic functioning post-SCI, as well as whether HRV-F is associated with better outcomes for secondary conditions such as cardiovascular health, cognitive capacity and mental health. Trial registration The study has been prospectively registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12621000870853.aspx). Date of Registration: 6th July 2021. Trial Sponsor: The University of Sydney, NSW 2006. Protocol version: 22/07/2021.

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