scholarly journals THE DYNAMIC OF HEART RATE VARIABILITY UNDER THE PHYSICAL REHABILITATION PROCESS IN OFFICE WORKERS WITH LOW BACK PAIN

2014 ◽  
Vol 0 (2) ◽  
pp. 89-92
Author(s):  
Volodymyr Kormiltsev
Author(s):  
Shirley Telles ◽  
Sachin Kumar Sharma ◽  
Ram Kumar Gupta ◽  
Abhishek Kumar Bhardwaj ◽  
Acharya Balkrishna

Author(s):  
Sergio Fernando Zavarize ◽  
Mário Augusto Paschoal ◽  
Solange Muglia Wechsler

Introduction: The virtual games when appropriately used can stimulate brain activity and excite the creative energy. Therefore, it is important to assess the implications of their use in pain perception in individuals with low back pain (LBP), a disease that affects about 80% of the world’s population. Objective: was to evaluate the effects of virtual games combined with a physiotherapy program on the pain perception and Heart Rate Variability (HRV) in people with LBP. Method: the participants were 21 adults with clinical diagnosis of LBP, aged 24-61 years, of both sexes, divided into two groups. Five weekly meetings were provided. Group 1 participated in a physical therapy program and group 2 participated in the same physical therapy program plus joint sessions with virtual games. The instruments used were a heart rate monitor; a tablet for games; a shortwave equipment; visual analogue scale (VAS); and McGill’s Pain Questionnaire. The measurements were performed before and after the program. Results: Reduction in pain was observed in both groups, being higher in group 2, the one that used the games. Conclusion: There was a decrease in parasympathetic activity in group 2, which indicates that the distraction factor promoted by the games influenced the pain perception.


Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2175
Author(s):  
Luis Espejo-Antúnez ◽  
Carlos Fernández-Morales ◽  
María de los Ángeles Cardero-Durán ◽  
José Vicente Toledo-Marhuenda ◽  
Juan Antonio Díaz-Mancha ◽  
...  

Interferential current therapy (ICT) is an electrotherapeutic intervention that combines the advantages of high permeability from middle frequency currents and efficient tissue stimulation from low frequency currents, delivering the maximum current with high tissue permeability. The aim was to evaluate the effects of ICT on heart rate variability (HRV) and on pain perception in patients with non-specific chronic low back pain (NSCLBP). In the study, 49 patients with NSCLBP were randomly divided into an experimental (EG) and a sham group (SG). All participants received a single intervention, ICT, or simulated intervention. Outcome measures including baseline (sit-down position) and postintervention (prone position) pain, heart rate (HR), time domain parameter (rMSSD), diameters of the Poincaré plot (SD1, SD2), stress score (SS), and sympathetic/parasympathetic (S/PS) ratio were investigated. In both groups, significant statistical differences were found in perceived pain and in all HRV parameters except in HRmax. Between-group comparisons showed statistically significant differences in all variables except for HRmin and HRmean in favor of the experimental group. These changes reported an increase in parasympathetic activity (rMSSD) (p < 0.05) and a decrease in sympathetic activity (increase in SD2 and decrease in SS) (p < 0.001) and perceived pain (p < 0.001), with a greater size effect (η2 = 0.44) in favor of the experimental group. In conclusion, a single session of ICT can shift the autonomic balance towards increase parasympathetic dominance and decrease the sympathetic dominance and intensity of pain perceived by patients with NSCLBP.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Pamela M. Bandeira ◽  
Felipe J.J. Reis ◽  
Vanessa C.C. Sequeira ◽  
Anna C.S. Chaves ◽  
Orlando Fernandes ◽  
...  

Abstract Objectives Heart rate variability (HRV) is an important physiological measure of the capacity for neurogenic homeostatic regulation, and an indirect measure of emotional processing. We aimed to investigate whether HRV parameters are altered in people with chronic low back pain when compared to healthy controls. Methods We searched on PubMed, Scopus, CINAHL, Web of Science, Cochrane Library, and PsycINFO from inception to January 2018. The inclusion criteria were: patients with non-specific chronic low back pain, absence of radiculopathy, age from 18 to 65 years, and comparison with healthy controls. Data extraction was performed by two independent review authors. The methodological quality of the studies was assessed using the appraisal tool for cross-sectional studies. Results After screening 2,873 potential articles, two studies met the inclusion criteria. Studies were composed of 153 patients with chronic low back pain and 62 healthy controls. An electrocardiogram was used to record HRV and linear methods (time and frequency) were used to analyze the results. The main findings indicate that patients with chronic low back pain have a significant reduction in HRV, with sympathetic predominance compared to healthy controls. Conclusions There is limited evidence suggesting that chronic low back pain patients presented a lower vagal activity evidenced by HRV, when compared to healthy controls. The results of this systematic review should be interpreted with caution due to the restricted number of included studies, small sample sizes and different protocols used to measure HRV. The limited evidence about HRV alterations in low back pain also suggests the need of future studies to investigate if HRV parameters can be a useful measure in chronic pain samples or even if it can be used as an outcome in clinical trials aiming to investigate the effectiveness of interventions based on emotion regulation.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pâmela Martin Bandeira ◽  
Felipe José Jandre Dos Reis ◽  
Fernanda Donato Nóbrega Muniz ◽  
Anna Carolina da Silva Chaves ◽  
Orlando Fernandes Junior ◽  
...  

2020 ◽  
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida

Abstract Background Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear if workplace PA interventions can improve LBP. This study aimed to investigate the effects of workplace interview intervention on increasing PA and improving LBP among office workers. Methods We recruited 37 workers of a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention group (n=20) or control group (n=17). We affixed waist-worn accelerometers to monitor PA in all participants, and provided face-to-face counseling with a physical therapist or nurse once a week for 12 weeks as workplace PA program to reassurance and encourage participants to keep high levels of PA. PA and LBP severity were assessed at baseline, 3 and 6 months. Results Baseline characteristics were similar in both groups, but PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, was PA significantly increased at 3 and 6 months from baseline and LBP severity improved significantly at 6 months from baseline. We calculated the effect size of the interview intervention, and found that workplace interview intervention had a medium to large effect on PA and LBP severity. Conclusions Our data suggests that workplace PA intervention can increase PA and improve LBP among office workers. Trial registration UMIN-CTR Clinical Trial UMIN000038864 (https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044321). Registered 12 December 2019, retrospectively registered.


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