A Case Report on Heart Rate Variability Biofeedback and Postconcussion Syndrome: Healing the Autonomic Nervous System

Postconcussion syndrome is a devastating condition of the mind, body, and even personality. Mounting research demonstrates that heart rate variability biofeedback can help the concussed individual in three critical ways: (a) eliciting high amplitude oscillations in cardiovascular functions and thereby strengthening self-regulatory control mechanisms; (b) restoring autonomic balance; and (c) increasing the afferent impulse stream from the baroreceptors to restore balance between inhibitory and excitatory processes in the brain.

Rehabilitation program combining physical exercise and heart rate variability biofeedback in hematologic patients: a feasibility study

Purpose Hematologic patients have a poorer health-related quality of life due to the disease and its treatments. Non-pharmacological interventions represent an opportunity in tertiary cancer prevention to manage persistent symptoms and support patients in their return to active daily living. This interventional study aimed to evaluate the feasibility of a program combining physical exercise (PE) and heart rate variability biofeedback (HRVB) in hematologic patients. Method Hematologic patients in remission within 6 months participated in a 12-week rehabilitation program including 24 supervised sessions of PE associated with 10 supervised sessions of HRVB and daily home-based practice of paced breathing. We assessed patient adherence, fatigue, physical function, and heart rate variability. Results Twenty patients were included, 17 completed the protocol and 3 dropped out due to disease progression or time constraints; no adverse events or incidents were reported. Participation rates were 85% for PE and 98% for HRVB-supervised sessions. Significant improvements of physical capacity (6-min walk test, p < 0.001; 50-foot walk test, p < 0.001), muscle strength (grip force test, p < 0.01), and flexibility (toe-touch test, p < 0.001; back scratch test, p < 0.05) were measured. Coherence ratio (p < 0.001) and low-frequency spectral density of HRV signal (p < 0.003) increased significantly, suggesting improved autonomic function. Fatigue, static balance, and other time and frequency indicators of HRV were not improved (all p > 0.05). Conclusion A rehabilitation program combining PE and HRVB is feasible in hematologic patients and effective on physical function. Further research with a larger sample size is needed to investigate effectiveness on patients’ autonomic functions and their impacts on symptomatology.

Stress regulation via self-administered mindfulness and biofeedback interventions in adults: A pre-registered meta-analysis

We conducted a pre-registered meta-analysis to appraise available evidence on two stress regulation strategies: Self-administered mindfulness meditation and heart rate variability biofeedback. We used a combination of keywords to find as many experimental and observational studies as possible, all of which highlighted a link between the two strategies and different components of stress (physiological, affective, and cognitive) and affective consequences of stress. To provide publication bias-corrected estimates, we employed multilevel regression-based methods and permutation-based selection models. We found no evidence for the efficacy of either strategy, which is mostly due to the low quality of the literature, high heterogeneity, high risk of bias, and the lack of Registered Reports. We recommend against relying on these interventions prior to obtaining a more reliable evidence base.