Acute Effects of Heart Rate Variability Biofeedback on H-reflex and Maximal Voluntary Isometric Strength
Abstract Background Heart rate variability biofeedback (HRV BFB) is a visually-guided paced breathing scheme that stimulates resonance in the cardiovascular system. Up to date, the influence of HRV BFB on neuromuscular function remains unknown. The purpose of this study was to investigate the effects of a single-session HRV BFB on Hoffman reflex (H-reflex) of the soleus muscle and maximal voluntary isometric contraction (MVC) of plantar flexors. Methods Eleven male healthy participants (height: 173.6 ± 7.5 cm; weight: 74.5 ± 17.3 kg; age: 24.6 ± 4.8 yrs) volunteered to undergo a randomized-crossover intervention involving a 10-minute HRV BFB and normal breathing (CON), separated by 48-hours. Pre and post indices for H-reflex, and post-only MVC in HRV BFB were evaluated using two-way repeated measures ANOVA and independent T-test respectively. Results No significant differences in H-reflex markers between HRV BFB and CON were found. Both groups posted non-significant difference in MVC. Conclusion An acute HRV BFB was not sufficient in eliciting significant changes in motoneuron excitability of the soleus muscle and maximal muscle strength of plantar flexors.