scholarly journals Effect of manual therapies on cardiac autonomic control: a systematic review

2020 ◽  
Vol 18 ◽  
pp. 1-10
Author(s):  
Kamila Aparecida de Sousa ◽  
Leila Batista Cardoso ◽  
Flavia Maria Pirola ◽  
Luciana Gonzalez Auad ◽  
Adriana Sarmento De Oliveira
Keyword(s):  
Manual Therapy ◽  
Scientific Evidence ◽  
Neuromuscular Diseases ◽  
The Elderly ◽  
Autonomic Control ◽  
Manual Therapies ◽  
Myofascial Trigger Points ◽  
Cardiac Autonomic Control ◽  
Randomized Controlled Studies ◽  
Cardiac Autonomic Dysfunction

Background: Evidences suggest that manual therapies, a physiotherapy specialty widely used in the treatment of musculoskeletal disorders, would be complementary or alternative for the treatment of cardiac autonomic dysfunction present in the elderly, patients with cardiovascular diseases, some neuromuscular diseases and in some pain processes. Objective: Evaluate the available scientific evidence regarding the effect of manual therapy techniques on cardiac autonomic control. Methods: The selected articles were indexed in the databases PubMed/MEDLINE, SCIELO and LILACS. Results: In the initial search, 233 articles were identified in the electronic databases. After initial analysis of the titles, 210 articles were excluded because they did not address the research topic, performed other types of intervention or evaluation or because they were review articles. A second step of evaluating the 23 previously selected articles was carried out and consisted of reading the abstracts of the articles. After reading the abstracts, 11 were selected. According to the analysis of the selected articles, it was possible to observe that most manual therapy techniques improved the cardiac autonomic control of their samples: Fornari, Carnevali and Sgoifo (2017), Girsberger et al. (2014), Valenzuela et al. (2018), Curi et al. (2017), Akbaş et al. (2019), Buttagat et al. (2009),Kunikata et al. (2012), Mantovani et al. (2005) and Giles et al. (2011). Guilherme et al. (2010) was the only study that found no change. Conclusion: Manual therapies have improved cardiac autonomy acutely in healthy young and middle-aged populations or with discomfort, hypertension and back pain associated with the presence of myofascial trigger points. It is emphasized the importance of conducting new randomized controlled studies, with high methodological quality, that address the effect of other manual therapies on cardiac autonomic control.

scholarly journals Cardiac autonomic dysfunction in obese normotensive children and adolescents

2014 ◽  
Vol 32 (2) ◽  
pp. 244-249 ◽  
Author(s):  
Isabelle Magalhães G. Freitas ◽  
Josiane Aparecida Miranda ◽  
Pedro Augusto C. Mira ◽  
Carla Marcia M. Lanna ◽  
Jorge Roberto P. Lima ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Children And Adolescents ◽  
Supine Position ◽  
Cross Sectional Study ◽  
Autonomic Control ◽  
Cross Sectional ◽  
Cardiac Autonomic Control ◽  
Cardiac Autonomic Dysfunction ◽  
The Time Domain

OBJECTIVE:To test the hypothesis that obese normotensive children and adolescents present impaired cardiac autonomic control compared to non-obese normotensive ones.METHODS:For this cross-sectional study, 66 children and adolescents were divided into the following groups: Obese (n=31, 12±3 years old) and Non-Obese (n=35, 13±3 years old). Obesity was defined as body mass index greater than the 95thpercentile for age and gender. Blood pressure was measured by oscillometric method after 15 minutes of rest in supine position. The heart rate was continuously registered during ten minutes in the supine position with spontaneous breathing. The cardiac autonomic control was assessed by heart rate variability, which was calculated from the five-minute minor variance of the signal. The derivations were the index that indicates the proportion of the number of times in which normal adjacent R-R intervals present differences >50 miliseconds (pNN50), for the time domain, and, for the spectral analysis, low (LF) and high frequency (HF) bands, besides the low and high frequencies ratio (LF/HF). The results were expressed as mean±standard deviation and compared by Student's t-test or Mann-Whitney's U-test.RESULTS: Systolic blood pressure (116±14 versus 114±13mmHg, p=0.693) and diastolic blood pressure (59±8 versus 60±11mmHg, p=0.458) were similar between the Obese and Non-Obese groups. The pNN50 index (29±21 versus 43±23, p=0.015) and HF band (54±20 versus 64±14 normalized units - n.u., p=0.023) were lower in the Obese Group. The LF band (46±20 versus 36±14 n.u., p=0.023) and LF/HF ratio (1.3±1.6 versus 0.7±0.4, p=0.044) were higher in Obese Group.CONCLUSIONS: Obese normotensive children and adolescents present impairment of cardiac autonomic control.

Influence of physical activity on cardiac autonomic control in patients with dyslipidaemia

2019 ◽  
Vol 15 (4) ◽  
pp. 233-241
Author(s):  
A. Anand ◽  
P. Bhati ◽  
A. Mujaddadi ◽  
S. Verma ◽  
I.H. Naqvi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Autonomic Dysfunction ◽  
Predictive Ability ◽  
Autonomic Control ◽  
Activity Levels ◽  
High Physical Activity ◽  
Cardiac Autonomic Control ◽  
Activity Group ◽  
Cardiac Autonomic Dysfunction ◽  
Physical Activity Group

The objective of this study was to compare the cardiac autonomic control of dyslipidaemia patients engaged in different levels of physical activity and to determine the predictive ability of physical activity for cardiac autonomic dysfunction in these patients. This study also aimed to compare the cardiac autonomic control of dyslipidaemia patients and healthy adults. 52 patients (age: 49.1±4.53 years) with dyslipidaemia were recruited along with 16 healthy adults. Physical activity levels were assessed by International Physical Activity Questionnaire, and subjects were divided into three categories – low, moderate, and high physical activity. Heart rate variability (HRV) analysis was performed for obtaining time and frequency domain parameters. Presence of cardiac autonomic dysfunction was defined as standard deviation of N-N intervals <44 ms. HRV parameters were compared between 3 groups of dyslipidaemia patients and healthy controls. Predictive ability of physical activity for cardiac autonomic dysfunction in dyslipidaemia was evaluated after adjusting clinical covariates. There was a significant difference between low-frequency power (cardiac sympathetic control), and ratio of low- and high-frequency (HF) power (sympatho-vagal balance) in low versus moderate physical activity group and low versus high physical activity group (P<0.001). Significant differences were also observed for HFnu power (cardiac vagal activity) and total power between the dyslipidaemia groups. Physical activity was found to be a significant (P=0.03), independent predictor of cardiac autonomic dysfunction in dyslipidaemia patients. Findings of the present study suggest that cardiac autonomic profile of dyslipidaemia patients with different physical activity levels varied significantly. Dyslipidaemia patients engaged in moderate and high physical activity demonstrated significantly less sympathetic activity and better sympatho-vagal balance than those engaged in low levels of physical activity; also, vagal cardiac control was significantly greater in high physical activity group. Lower levels of physical activity determined the presence of cardiac autonomic dysfunction in these patients at an optimal cut-off value of ≤1,558 Metabolic Equivalent of Tasks- min/week.

scholarly journals Daily variation of particulate air pollution and poor cardiac autonomic control in the elderly.

1999 ◽  
Vol 107 (7) ◽  
pp. 521-525 ◽  
Author(s):  
D Liao ◽  
J Creason ◽  
C Shy ◽  
R Williams ◽  
R Watts ◽  
...  
Keyword(s):  
Air Pollution ◽  
Daily Variation ◽  
The Elderly ◽  
Autonomic Control ◽  
Cardiac Autonomic Control ◽  
Particulate Air Pollution

Working in the Office and Smart Working Differently Impact on the Cardiac Autonomic Control

2021 ◽  
Author(s):  
Francesca Perego ◽  
Beatrice De Maria ◽  
Giuseppina Cassetti ◽  
Monica Parati ◽  
Vlasta Bari ◽  
...  
Keyword(s):  
Autonomic Control ◽  
Cardiac Autonomic Control ◽  
Smart Working

scholarly journals Cardiac autonomic control in health and disease

2016 ◽  
Vol 594 (14) ◽  
pp. 3851-3852 ◽  
Author(s):  
Kalyanam Shivkumar ◽  
Jeffrey L. Ardell
Keyword(s):  
Autonomic Control ◽  
Cardiac Autonomic Control ◽  
Health And Disease

Effect Of The Combination Of Automated Peripheral Mechanical Stimulation And Physical Exercise On Aerobic Functional Capacity And Cardiac Autonomic Control: A Randomized Clinical Trial Protocol.

2021 ◽  
Author(s):  
Nicolle Aileen Zelada-Astudillo ◽  
Andrea Herrera-Santelices ◽  
Fabio Augusto Barbieri ◽  
Vinicius Christianini Moreno ◽  
Antonio Roberto Zamunér
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Physical Exercise ◽  
Mechanical Stimulation ◽  
Autonomic Control ◽  
Treatment Modalities ◽  
Controlled Clinical Trial ◽  
Cardiac Autonomic Control ◽  
Gait Parameters

Abstract ● Background: Automated peripheral mechanical stimulation (AMPS) has been proposed as a new complementary therapy with potential for improving motor and cardiovascular abnormalities in Parkinson's disease (PD). However, AMPS long-term effects and its combination with physical exercise is unknown. Thus, this study aims to compare the effects of a program of 12 weeks of physical exercise with a 12-week intervention program combining physical exercise and AMPS on the aerobic capacity, cardiac autonomic control and gait parameters in patients with PD.● Methods: A randomized, controlled clinical trial will be conducted. Volunteers will be randomly assigned to one of the two groups studied: 1) Exercise; or 2) AMPS + Exercise. Both groups will undergo an exercise program of 24 sessions, for 12 weeks, performed twice a week. Before exercise sessions, the group AMPS+Exercise will receive a session of active AMPS, while the group Exercise will receive an AMPS sham intervention. Shapiro-wilk’s and Levene’s tests will be used to check for data normality and homogeneity, respectively. In case parametric assumptions are fulfilled, per-protocol and intention-to-treat analyses will be performed using a mixed model analysis of variance to check for Group*Time interaction. Significance level will be set at 5%. ● Discussion: Several non-pharmacological treatment modalities have been proposed for PD, focusing primarily on the reduction of motor and musculoskeletal disorders. Regular exercise and motor training have been shown to be effective in improving quality of life. However, treatment options in general remain limited given the high prevalence and adverse impact of these disorders. So, developing new strategies that can potentiate the improvement of motor disabilities and also improve non-motor symptoms in PD is relevant. It is expected that the participants from both groups will improve their quality of life, gait parameters and their cardiac autonomic control, with greater improvements being observed in the group combining active AMPS and physical exercise.Trial registration: ClinicalTrials.gov, NCT04251728, registered February 05, 2020

scholarly journals Nutritional status of micronutrients as a possible and modifiable risk factor for COVID-19: a UK perspective

2020 ◽  
pp. 1-7 ◽  
Author(s):  
David P. Richardson ◽  
Julie A. Lovegrove
Keyword(s):  
Fruits And Vegetables ◽  
Economic Status ◽  
Scientific Evidence ◽  
Skin Pigmentation ◽  
The Elderly ◽  
Vitamin B ◽  
Immune Functions ◽  
Balanced Diet ◽  
Increased Risk ◽  
Potential Risk Factors

Abstract Recent scientific evidence has indicated that the elderly have increased risk of COVID-19 infections, with over 70s and 80s being hardest hit – especially residents of care homes and in clinical settings, ethnic minorities, people who work indoors and those who are overweight and obese. Other potential risk factors include lack of exposure to sunlight, darker skin pigmentation, co-morbidities, poor diet, certain medications, disadvantaged social and economic status, and lifestyle factors such as smoking and excessive consumption of alcohol. A key question is to understand how and why certain groups of people are more susceptible to COVID-19, whether they have weakened immune systems and what the roles of good nutrition and specific micronutrients are in supporting immune functions. A varied and balanced diet with an abundance of fruits and vegetables and the essential nutrients like vitamin D, vitamin A, B vitamins (folate, vitamin B6 and vitamin B12), vitamin C and the minerals, Fe, Cu, Se and Zn are all known to contribute to the normal functions of the immune system. Avoidance of deficiencies and identification of suboptimal intakes of these micronutrients in targeted groups of patients and in distinct and highly sensitive populations could help to strengthen the resilience of people to the COVID-19 pandemic. It is important to highlight evidence-based public health messages, to prevent false and misleading claims about the benefits of foods and food supplements and to communicate clearly that the extent of knowledge between micronutrients and COVID-19 infection is still being explored and that no diet will prevent or cure COVID-19 infection. Frequent handwashing and social distancing will be critical to reduce transmission.

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