scholarly journals ESTUDO COMPARATIVO ENTRE OS EFEITOS DA MASSAGEM CLÁSSICA RELAXANTE, MÉTODO IMEDIATT E MASSAGEM YBÁ PARA GESTANTES A PARTIR DO TERCEIRO TRIMESTRE

2019 ◽  
pp. 132-143

Introduction: Gestation is the period of development of a new being. At this stage of a woman's life many hormone-related changes occur. Among these changes are swelling, increased frequency of urination, nausea and sickness, body mass gains, muscle tensions and discomforts. To relieve these discomforts there are different massage techniques on the market. The manual massage for pregnant women, the Imediatt method and the Ybá massage are manual resources that provide a series of benefits to the pregnant woman, each one with its peculiarities. Manual massage provides relief from muscle tensions, decreases anxiety and pain, and produces emotional benefits. The Imediatt massage for pregnant women promotes the improvement of edema and relaxation of the pregnant woman. Ybá massage relaxes the mother and calms the baby through touch, aromatherapy, music therapy and chromotherapy through silk. Objective: To compare the effects of classic relaxing massage, Imediatt method and Ybá massage for pregnant women from the third trimester. Methodology: This comparative and qualitative study consists of applying the three different techniques of massage with data collection (blood pressure, heart rate and perimetry), before and after the procedure, to measure the real benefits of each technique and to compare them . Results: At the end of the massages, heart rate and blood pressure increased, resulting from cardiac output in the gestational period, where it increased (30 to 50%) reaching a maximum value between 20 (twentieth) and 40 (fortieth) week, which makes postural changes more sensitive (due to the fact that the growing uterus compresses the inferior vena cava, decreasing venous return). Conclusion: It was observed after the end of the massages that the methods Relaxing Classical Massage, Ybá Method and Imediatt Method, presented good results in the evaluation for sleep and relief of back pain. In decreasing edema through perimetry the Imediatt Method had better results. In terms of relaxation, the pregnant women reported a better sensation of lightness and connection with the baby, especially for Ybá massage. It was concluded that the pregnant client should receive the massage treatments in this period to promote well-being, relaxation, improve edema and have more connection with the life that is generating.

2021 ◽  
Author(s):  
Kunanya Masodsai ◽  
Sasipa Buranapuntulug ◽  
Parunchaya Jamkrajang ◽  
Pei-Ni Chen ◽  
Rungchai Chaunchaiyakul

Abstract BackgroundPregnant supports have been designed to prevent structural deviations but may impair blood circulation of the lower limbs, in particular during the last trimester. In this study, we evaluate the effect of different pregnant supports on hemodynamics responses during postural changes and daily physical activities.MethodsTwelve last-trimester healthy pregnant women participated in this study. With randomized supports of casual wear (CW), pelvic band (PB), and pregnant pants (PP), subjects performed postural changes (standing and side lying using sitting as control), daily physical activities (climbing up and down stairs, lifting, sit-to-stand, and 10 min walking), and routine pregnant exercises. Hemodynamic responses including heart rate, blood pressure, stroke volume, cardiac output, local blood flow, and perfusion around the ankle were measured at the end of the 1st and 3rd minute after wearing pregnant supports.ResultsStanding position in CW group showed hemodynamic compensations via increasing diastolic blood pressure (DBP, 1st minute) and heart rate (HR, 3rd minute), whereas there were no significant changes in the PB and PP groups. Side lying position lowered cardiac responses in all groups, with higher blood perfusion in CW and PB, but not in PP. Cardiac variables, blood flows, and perfusions showed no significant difference among pregnant supports during daily physical activities, and routine pregnant exercises. The satisfaction evaluation on daily activities and routine exercises showed no difference among pregnant supports but the preferential pregnant support is PB.ConclusionIt can be concluded that PB offers similar hemodynamic adjustments during postural changes as casual wear. PB support is recommended for pregnant women for daily physical activities, as well as routine exercises. Trial registration: The trial is retrospectively registered in http://www.clinicaltrials.in.th (01/02/2021) with trial no: TCTR20210201003.


2018 ◽  
Vol 1 (2) ◽  
pp. 65-69
Author(s):  
Sanjaya Kumar Shrestha ◽  
Anupam Ghimire ◽  
Safiur Rahman Ansari ◽  
Ashok Adhikari

Introduction: Accurate assessment of fluid status in hemodialysis patients presents a significant challenge. Nephrologists have long relied on dry weight estimation based solely on clinical parameters to decide the ultrafiltration volume for patients with end-stage kidney disease on dialysis. However, this method is far from accurate and many patients recurrently suffer from signs and symptoms of fluid overload or circulatory collapse from overaggressive ultrafiltration. Invasive methods such as measurement of central venous pressure cannot be used routinely. We evaluated the usefulness of inferior vena cava (IVC) diameter measured by handheld ultrasound in the estimation of fluid status in patients before and after hemodialysis. Materials and Methods: Clinical assessment included patients’ symptoms, weight, blood pressure, heart rate, and presence of edema before and after dialysis session. Dry weight was assessed based on the above parameters. Each patient underwent measurement of inferior vena cava before and after hemodialysis. The anteroposterior IVC diameter (IVCD) was measured 1.5 cm below the diaphragm in the hepatic segment in supine position during normal inspiration and expiration.Results:  Thirty hemodialysis patients (mean age 51.6±18.03 years) were evaluated in outpatient dialysis unit. Following hemodialysis mean IVCe (IVC diameter in expiration) decreased from 1.40±0.38 to 0.91±0.30 cm (p<0.001). Similarly, mean IVCi (IVC diameter in inspiration) decreased from 0.67±0.34 to 0.35±0.19 cm (p<0.001). Changes in IVCD were significantly correlated with alterations in body weight following dialysis (p<0.0001). The IVC collapsibility index (IVC-CI, per cent of change in IVC diameter in expiration vs. inspiration) increased significantly from 0.53±0.18 to 0.68±0.18 after dialysis (p=0.002). IVC diameter and IVC-CI clearly reflected alterations in fluid status. Regarding the clinical parameters of fluid status, following hemodialysis, mean heart rate increased from 81.17±5.21 beats per minute to 86.50±7.99, (p=0.003), systolic blood pressure increased from 148.67±26.36 mmHg to 155.00±28.50, (p=0.05), and diastolic blood pressure increased from 78.62±12.74 mmHg to 84.83±14.55, (p<0.001).Conclusions:  Our findings support the applicability of IVCD measurement and IVC-CI in the estimation of fluid status in end stage kidney disease patients on hemodialysis. The clinical parameters of fluid status including heart rate, systolic blood pressure, and diastolic blood pressure suggest that significant numbers of patients underwent excess ultrafiltration based on their traditional dry weight calculation. Thus, using IVC parameters before and during hemodialysis might give a better estimation of fluid status of the patient and guide the amount of ultrafiltration to be done. 


2017 ◽  
Vol 27 (4) ◽  
pp. 28050
Author(s):  
Ana Claudia Silva Farche ◽  
Soraia Jurgensen ◽  
Paulo Giusti Rossi ◽  
Anielle Cristhine M. Takahashi ◽  
Audrey Borghi-Silva

AIMS: To compare the responses of the heart rate autonomic modulation in pregnant and non-pregnant women before and after the respiratory sinus arrhythmia maneuver.METHODS: A cross-sectional study was conducted with a sample of 24 women, divided into two groups: pregnant group (independent of gestational age) and control group (non-pregnant). The evaluation consisted of recording the RR intervals using a cardiofrequencimeter, for analysis of linear and nonlinear indices of heart rate variability. The evaluations were made at rest in left lateral decubitus, before and after the maneuver of accentuation of respiratory sinus arrhythmia, consisting of slow breaths five to six cycles per minute. The expiration/inspiration ratio and the difference between inspiration and expiration were evaluated during the maneuver. Results were compared between the two groups (pregnant and non-pregnant), as well as those obtained in each group before and after the maneuver. For the statistical analysis the level of significance considered was p <0.05. RESULTS: Linear indices showed increased baseline sympathetic modulation (low frequency band) in pregnant women when compared to non-pregnant women (pregnant women: 68.9±28.1; non pregnant women: 49.3±11.7; p=0,002). After the respiratory maneuver, the root mean square of successive differences in the RR intervals index increased in the pregnant group (pre-maneuver: 34.5±5.7; post-maneuver: 38.9±5.8; p=0,002) indicating an increase in the parasympathetic system for this population after the maneuver. In addition, there was an increase in the complexity values after the maneuver, suggested by the Shanon entropy for both groups, being the increase higher in the pregnant women. Regarding the indices evaluated during the respiratory sinus arrhythmia maneuver, both groups presented expiration/inspiration ratio values greater than 1, which suggests integrity of the autonomic nervous system.CONCLUSIONS: There was an improvement in the regulation of the autonomic nervous system after the respiratory maneuver for pregnant women, suggesting that the slow and deep breathing pattern may increase vagal modulation and confer a cardioprotective effect, besides causing relaxation and a sense of well-being.


2021 ◽  
Vol 10 (2) ◽  
pp. 79-83
Author(s):  
Ni Wayan Noviani

This study aims to know the effect of pregnancy exercise on the depression level of the third trimester of pregnant woman in the Kecamatan Sukawati. This type of research is analytic with a one group pre-test post-test design without control, the number of samples is 50 pregnant women who meet the inclusion criteria by using purposive sampling technique. The instrument data collection using depression anxiety and stress scale (DASS) questionnaire. Bivariate analysis using Wilcoxon test. The result of the data shows p value of depression level of pregnant women before and after the implementation of pregnancy exercise is 0.102 (>0.05), it can be concluded that there is an no effect of the implementation of pregnancy exercise on the depression level of pregnant women in the third trimester. From the result of research conducted, the effect of the implementation of pregnancy exercise on the depression level of pregnant women before and after of pregnant women in the third trimester.


2001 ◽  
Vol 6 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Harald Walach ◽  
Stefan Schmidt ◽  
Yvonne-Michelle Bihr ◽  
Susanne Wiesch

We studied the effect of experimenter expectations and different instructions in a balanced placebo design. 157 subjects were randomized into a 2 × 4 factorial design. Two experimenters were led to expect placebos either to produce physiological effects or not (pro- vs. antiplacebo). All subjects except a control group received a caffeine placebo. They were either made to expect coffee, no coffee, or were in a double-blind condition. Dependent measures were blood pressure, heart rate, well-being, and a cognitive task. There was one main effect on the instruction factor (p = 0.03) with the group “told no caffeine” reporting significantly better well-being. There was one main effect on the experimenter factor with subjects instructed by experimenter “proplacebo” having higher systolic blood pressure (p = 0.008). There was one interaction with subjects instructed by experimenter “proplacebo” to receive coffee doing worse in the cognitive task than the rest. Subjects instructed by experimenter “antiplacebo” were significantly less likely to believe the experimental instruction, and that mostly if they had been instructed to receive coffee. Contrary to the literature we could not show an effect of instruction, but there was an effect of experimenters. It is likely, however, that these experimenter effects were not due to experimental manipulations, but to the difference in personalities.


1961 ◽  
Vol 201 (1) ◽  
pp. 109-111 ◽  
Author(s):  
Noel M. Bass ◽  
Vincent V. Glaviano

Heart rate, mean blood pressure, adrenal blood flow, and adrenal plasma adrenaline and noradrenaline were compared before and after ligation of the anterior descending coronary artery in dogs anesthetized with chloralose. One group of 12 dogs responded to acute coronary occlusion with a sudden and marked decrease in mean blood pressure (mean, 31%) and heart rate (mean, 18%) followed by an early onset (mean, 227 sec) of ventricular fibrillation. Another group of nine dogs responded with slight decreases in mean blood pressure (mean, 13%) and heart rate (mean, 5%), during which time ventricular fibrillation occurred late (mean, 30 min) or not at all. While the two groups were statistically different in mean blood pressure and heart rate, the minute output of adrenal catecholamines in either group was not found to be related to the early or late occurrence of ventricular fibrillation.


1994 ◽  
Vol 79 (3) ◽  
pp. 1391-1397 ◽  
Author(s):  
Sherman D. Vanderark ◽  
Daniel Ely

Physiological responses associated with the ratings of musical stimuli were investigated. For 101 university music and biology students in the experimental group, heart rate, blood pressure, and finger temperature were measured before and after listening to about 10 min. of music (Venus and Jupiter from Holst's The Planets) in an anechoic chamber. They also served as their own controls by sitting in silence for about 10 min. No significant differences were found on the three measures for the two musical stimuli between the musical or control conditions or between the two majors.


2021 ◽  
Author(s):  
Fatemeh Sarhaddi ◽  
Iman Azimi ◽  
Anna Axelin ◽  
Hannakaisa Niela-Vilen ◽  
Pasi Liljeberg ◽  
...  

BACKGROUND Heart rate variability (HRV) is a non-invasive method reflecting autonomic nervous system (ANS) regulations. Altered HRV is associated with adverse mental or physical health complications. ANS also has a central role in physiological adaption during pregnancy causing normal changes in HRV. OBJECTIVE Assessing trends in heart rate (HR) and HRV parameters as a non-invasive method for remote maternal health monitoring during pregnancy and three months postpartum. METHODS Fifty-eight pregnant women were monitored using an Internet-of-Things (IoT)-based remote monitoring system during pregnancy and 3-months postpartum. Pregnant women were asked to continuously wear Gear sport smartwatch to monitor their HR and HRV. In addition, a cross-platform mobile application was utilized for collecting pregnancy-related information. The trends of HR and HRV parameters were extracted using reliable data. We also analyzed the trends of normalized HRV parameters based on HR to remove the effect of HR changes on HRV trends. Finally, we exploited hierarchical linear mixed models to analyze the trends of HR, HRV, and normalized HRV parameters. RESULTS HR increased significantly during the second trimester (P<.001) and decreased significantly during the third trimester (P<.01). Time-domain HRV parameters, average normal interbeat intervals (AVNN), standard deviation of normal interbeat intervals (SDNN), root mean square of the successive difference of normal interbeat intervals (RMSSD), normalized SDNN (nSDNN), and normalized RMSSD (nRMSSD) decreased significantly during the second trimester (P<.001) then increased significantly during the third trimester (P<.01). Some of the frequency domain parameters, low-frequency power (LF), high-frequency power (HF), and normalized HF (nHF) decreased significantly during the second trimester (P<.01), and HF increased significantly during the third trimester (P<.01). In the postpartum period, nRMSSD decreased (P<.05), and the LF to HF ratio (LF/HF) increased significantly (P<.01). CONCLUSIONS Our study showed that HR increased and HRV parameters decreased as the pregnancy proceeded, and the values returned to normal after the delivery. Moreover, our results show that HR started to decrease while time-domain HRV parameters and HF started to increase during the third trimester. Our results also demonstrate the possibility of continuous HRV monitoring in everyday life settings.


Author(s):  
Arundhati Goley ◽  
A. Mooventhan ◽  
NK. Manjunath

Abstract Background Hydrotherapeutic applications to the head and spine have shown to improve cardiovascular and autonomic functions. There is lack of study reporting the effect of either neutral spinal bath (NSB) or neutral spinal spray (NSS). Hence, the present study was conducted to evaluate and compare the effects of both NSB and NSS in healthy volunteers. Methods Thirty healthy subjects were recruited and randomized into either neutral spinal bath group (NSBG) or neutral spinal spray group (NSSG). A single session of NSB, NSS was given for 15 min to the NSBG and NSSG, respectively. Assessments were taken before and after the interventions. Results Results of this study showed a significant reduction in low-frequency (LF) to high-frequency (HF) (LF/HF) ratio of heart rate variability (HRV) spectrum in NSBG compared with NSSG (p=0.026). Within-group analysis of both NSBG and NSSG showed a significant increase in the mean of the intervals between adjacent QRS complexes or the instantaneous heart rate (HR) (RRI) (p=0.002; p=0.009, respectively), along with a significant reduction in HR (p=0.002; p=0.004, respectively). But, a significant reduction in systolic blood pressure (SBP) (p=0.037) and pulse pressure (PP) (p=0.017) was observed in NSSG, while a significant reduction in diastolic blood pressure (DBP) (p=0.008), mean arterial blood pressure (MAP) (p=0.008) and LF/HF ratio (p=0.041) was observed in NSBG. Conclusion Results of the study suggest that 15 min of both NSB and NSS might be effective in reducing HR and improving HRV. However, NSS is particularly effective in reducing SBP and PP, while NSB is particularly effective in reducing DBP and MAP along with improving sympathovagal balance in healthy volunteers.


2020 ◽  
Vol 9 (8) ◽  
pp. e316985536
Author(s):  
Jaqueline Oliveira Barreto ◽  
Julliana Cariry Palhano Freire ◽  
Arthur Willian de Lima Brasil ◽  
Cristian Statkievicz ◽  
Francisley Ávila Souza ◽  
...  

Objective: To assess dental anxiety in patients undergoing oral surgery, as well as its impact on blood pressure and heart rate. Material and Methods: A total of 233 patients answered a socio-demographic questionnaire and another one based on the Corah dental anxiety scale. Blood pressure and heart rate were assessed at three moments while: patients were in the waiting room, immediately before and after the procedure. Results: This study revealed a prevalence of anxiety of 77.3%. There was a statistically significant difference in mean systolic blood pressure and heart rate at the three moments of the evaluation. Anxiety was prevalent in the sample and was observed from the time in the waiting room until the time when local anesthesia was performed, causing variations in systolic blood pressure and heart rate, anxiety levels decreased after the end of the service. In conclusion, we observed that oral surgery is directly related to increased anxiety, and anxiety is mainly related to the change in heart rate.


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