Papel estressor do diagnóstico no controle glicêmico e hemodinâmico em pacientes portadores de doença sistêmica crônica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência do sistema nervoso simpático na periodontite induzida e em glândula salivar de ratos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mapeamento de regiões de ativação cerebral durante tarefas deglutórias por imagens de ressonância magnética funcional

INTRODUÇÃO: A deglutição é um processo fisiológico complexo que acontece por uma sequência motora automática, regulada por um complicado mecanismo neuromotor e neuromuscular que é iniciado de maneira consciente e é resultado da integridade anatômica e funcional de diversas estruturas faciais. É de extrema importância para a nutrição do organismo como um todo. Um dos maiores desafios no campo das ciências é identificar os substratos neurais de comportamentos fisiológicos, incluindo esse processo de deglutição. O desenvolvimento da tecnologia em neuroimagem funcional nos últimos anos está provocando um rápido avanço no conhecimento de funções cerebrais, o que resultou numa explosão de novos achados em neurociência. OBJETIVO: Mapear as regiões de ativação cerebral durante o fenômeno da deglutição por meio do exame de ressonância magnética funcional. MÉTODO: Participaram do estudo quatro indivíduos do sexo feminino, com idade entre 18 e 30 anos, sem alterações neurológicas, estruturais e alimentares. Após a aprovação da Instituição (Clínica Lobo), do Comité de Ética e Pesquisa do Instituto de Ciências da Saúde (ICS) e a aprovação escrita de cada paciente através do termo de consentimento livre e esclarecido, foram submetidos a quatro provas deglutórias, utilizando a técnica de ressonância magnética funcional. RESULTADOS: Foi possível a determinação da ativação dos hemisférios cerebrais e cerebelares e as especificas áreas que os compõem. Mesmo com uma amostragem pequena, os resultados das análises individuais mostraram padrões de acordo com a literatura, conjuntamente com dados novos. DISCUSSÃO: O cerebelo é responsável pela coordenação da ação motora e manutenção da harmonia dos movimentos, posição e equilíbrio do bolo alimentar; o bolbo raquidiano juntamente com o tronco cerebral constitui o centro de atividades reflexas que controla funções ou respostas orgânicas automáticas como a deglutição; o mesencéfalo é a parte do encéfalo que coordena a informação visual; o tálamo encaminha quase todo o tipo de informação sensorial para as zonas específicas do córtex cerebral; o hipotálamo, importante na experimentação das sensações de prazer, regula as funções homeostáticas do corpo, gustação, olfação, salivação, interagindo com o sistema nervoso autônomo e o sistema límbico está ligado ao controle e direção das reações emocionais, sob a ação da amígdala, no processamento de odores e no armazenamento de conteúdos da memória, aqui através do hipocampo. CONCLUSÃO: O ato de deglutir é um processo complexo, ativando muitas áreas cerebrais, dentre elas podemos destacar a gustativa, mental/visual e a olfativa e que é iniciado muito antes dos processos mecânicos envolvidos, conforme demonstrado pelas áreas corticais e subcorticais ativadas. A área olfativa foi a mais notadamente destacada nas imagens colhidas pela Rmf.

Efeitos das catecolaminas sobre a reposição volêmica com solução fisiológica. Repercussão sobre a variabilidade da frequência cardíaca de coelhos submetidos à hemorragia: estudo por análise espectral

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Resposta do transporte mucociliar, função autonômica e força muscular de pacientes com doença pulmonar obstrutiva crônica submetidos a um treinamento resistido

Pós-graduação em Fisioterapia - FCT

The effects of auditory stimulation with music on heart rate variability in healthy women

OBJECTIVES: There are no data in the literature with regard to the acute effects of different styles of music on the geometric indices of heart rate variability. In this study, we evaluated the acute effects of relaxant baroque and excitatory heavy metal music on the geometric indices of heart rate variability in women. METHODS: We conducted this study in 21 healthy women ranging in age from 18 to 35 years. We excluded persons with previous experience with musical instruments and persons who had an affinity for the song styles. We evaluated two groups: Group 1 (n = 21), who were exposed to relaxant classical baroque musical and excitatory heavy metal auditory stimulation; and Group 2 (n = 19), who were exposed to both styles of music and white noise auditory stimulation. Using earphones, the volunteers were exposed to baroque or heavy metal music for five minutes. After the first music exposure to baroque or heavy metal music, they remained at rest for five minutes; subsequently, they were re-exposed to the opposite music (70-80 dB). A different group of women were exposed to the same music styles plus white noise auditory stimulation (90 dB). The sequence of the songs was randomized for each individual. We analyzed the following indices: triangular index, triangular interpolation of RR intervals and Poincaré plot (standard deviation of instantaneous beat-by-beat variability, standard deviation of the long-term RR interval, standard deviation of instantaneous beat-by-beat variability and standard deviation of the long-term RR interval ratio), low frequency, high frequency, low frequency/high frequency ratio, standard deviation of all the normal RR intervals, root-mean square of differences between the adjacent normal RR intervals and the percentage of adjacent RR intervals with a difference of duration greater than 50 ms. Heart rate variability was recorded at rest for 10 minutes. RESULTS: The triangular index and the standard deviation of the long-term RR interval indices were reduced during exposure to both music styles in the first group and tended to decrease in the second group whereas the white noise exposure decreased the high frequency index. We observed no changes regarding the triangular interpolation of RR intervals, standard deviation of instantaneous beat-by-beat variability and standard deviation of instantaneous beat-by-beat variability/standard deviation in the long-term RR interval ratio. CONCLUSION: We suggest that relaxant baroque and excitatory heavy metal music slightly decrease global heart rate variability because of the equivalent sound level.

Auditory stimulation with music influences the geometric indices of heart rate variability in response to the postural change maneuver

It is poor in the literature the behavior of the geometric indices of heart rate variability (HRV) during the musical auditory stimulation. The objective is to investigate the acute effects of classic musical auditory stimulation on the geometric indexes of HRV in women in response to the postural change maneuver (PCM). We evaluated 11 healthy women between 18 and 25 years old. We analyzed the following indices: Triangular index, Triangular interpolation of RR intervals and Poincar plot (standard deviation of the instantaneous variability of the beat-to beat heart rate [SD1], standard deviation of long-term continuous RR interval variability and Ratio between the short - and long-term variations of RR intervals [SD1/SD2] ratio). HRV was recorded at seated rest for 10 min. The women quickly stood up from a seated position in up to 3 s and remained standing still for 15 min. HRV was recorded at the following periods: Rest, 0-5 min, 5-10 min and 10-15 min during standing. In the second protocol, the subject was exposed to auditory musical stimulation (Pachelbel-Canon in D) for 10 min at seated position before standing position. Shapiro-Wilk to verify normality of data and ANOVA for repeated measures followed by the Bonferroni test for parametric variables and Friedmans followed by the Dunns posttest for non-parametric distributions. In the first protocol, all indices were reduced at 10-15 min after the volunteers stood up. In the protocol musical auditory stimulation, the SD1 index was reduced at 5-10 min after the volunteers stood up compared with the music period. The SD1/SD2 ratio was decreased at control and music period compared with 5-10 min after the volunteers stood up. Musical auditory stimulation attenuates the cardiac autonomic responses to the PCM.

Influence of the resistance training on heart rate variability, functional capacity and muscle strength in the chronic obstructive pulmonary disease

Background. The chronic obstructive pulmonary disease (COPD) is associated with the strength and resistance decreasing in addition to the dysfunction on autonomic nervous system (ANS). The aerobic training isolated or in association with the resistance training showed evidence of beneficial effects on an autonomic modulation of COPD; however, there are no studies addressing the effect of isolated resistance training.Aims. This study aims at investigating the influence of resistance training on an autonomic modulation through heart rate variability (HRV), functional capacity and muscle strength in individuals with COPD.Design. Clinical series study.Setting. Outpatients.Population. The study involved 13 individuals with COPD.Methods. The experimental protocol was composed by an initial and final evaluation that consisted in autonomic evaluations (HRV), cardiopulmonary functional capacity evaluation (6-minute walk test) and strength evaluation (dynamometry) in addition by the resistance training performed by 24 sessions lasted 60 minutes each one and on a frequency of three times a week. The intensity was determined initially with 60% of one maximum repetition and was progressively increased in each five sessions until 80%.Results. The HRV temporal and spectral indexes analysis demonstrates improvement of autonomic modulation, with significant statistical increases to sympathetic and parasympathetic components of ANS representing by SDNN, LF and HF. In addition, it was observed significant statistical increases to shoulder abduction and. knee flexion strength and functional capacity.Conclusion. The exclusive resistance training performed was able to positively influence the autonomic modulation; in addition it promoted benefits on cardiorespiratory functional capacity and strength benefits in individuals with COPD.Clinical Rehabilitation Impact. This study could contribute to clinical and professionals researchers that act with COPD, even though the resistance component of pulmonary rehabilitation presents consensual benefits on several healthy indicators parameters. There is no evidence about the effects on HRV before. Moreover, this study showed, on clinical practice, the HRV uses as an ANS activity on sinus node evaluation and highlights further importance on scientific context.

Heart rate variability in children with type 1 diabetes mellitus

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Effects of catecholamines on volemic replacement with saline solution and the impact on heart rate variability in rabbits subjected to hemorrhage. A study by spectral analysis

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Efeitos da Ventilação Mecânica não Invasiva sobre a Modulação Autonômica Cardíaca

This review is intended to gather together recent studies that explore the effects of different types of noninvasive ventilation (NIV) on the autonomic nervous system, assessed through heart rate variability (HRV). A search for papers was conducted in the PubMed, PEDro, SciELO and Lilacs databases with the following descriptors: noninvasive ventilation, CPAP ventilation, intermittent positive pressure breathing and autonomic nervous system, for the period between 2008 and 2012. After eliminating papers not addressing the topic, we selected six studies, of which five applied NIV in CPAP mode and one used biphasic positive airway pressure. In general, the findings suggest that NIV promotes changes in autonomic modulation that are dependent on the conditions of the subjects analyzed and the time when these rates are assessed, meaning acute or long-term effects.

Variabilidade da frequência cardíaca como recurso em fisioterapia: análise de periódicos nacionais

INTRODUCTION: The autonomic nervous system (ANS) could be investigated in a noninvasive way by the heart rate variability analysis (HRV) which has contributed to several health areas such as physiotherapy. OBJECTIVE: To gather information regarding the use of HRV on physiotherapy aims at providing an update of the findings for the area on journals of national circulation. MATERIALS AND METHODS: The journals of national circulation classified as greater than B2 or B2 and with free access and complete texts in some internet sites were searched on 21 area WebQualis resulting on selection of Revista Brasileira de Fisioterapia, Fisioterapia e Pesquisa and Fisioterapia em Movimento using the keywords: autonomic nervous system, sympathetic nervous system, physiotherapy and heart rate variability. RESULTS: The search resulted in 19 articles being 17 clinical trials and two case reports. CONCLUSION: The HRV has been used as a resource of interventions evaluation, as pathological conditions common to clinical practice investigation and to physiological conditions interpretation in physiotherapy. The HRV is principally used to the cardiorespiratory specialty of physiotherapy.

Influência do exercício resistido aplicado de forma aguda sobre a variabilidade da frequência cardíaca em jovens ativos saudáveis: análise por meio de índices geométricos

Introduction: The triangular index and the Poincaré plot (or Lorenz plot) are the best known indexes obtained from geometric methods. The triangular index (TINN, RRtri) represent the global variability of the subject and SD1, which reflects the parasympathetic component, SD2, index of global variability and its relationship (SD1/SD2) are obtained from the Poincaré plot. Despite the literature showing changes in the cardiovascular system during and after the resistance exercise (RE), aspects related to autonomic modulation of heart against these conditions have not been explored yet, so it is important to evaluate this behavior. Objectives: Analyze the acute effects of RE on the cardiac autonomic modulation during recovery (REC) through analysis of geometric indices of heart rate variability (HRV), applied with different intensities and muscle groups in healthy and active young. Methods: Were evaluated 24 young, 22.25 ± 2.4 years and 24.47 ± 3.08 kg/m2, underwent an experimental protocol of five stages, in the first stage was conducted a test of one maximum repetition (1RM) in upper limbs (UL) and lower limb (LL), and the following steps were initiated interventions to 40 (E) and 80% (F) of 1RM. Considered for HRV analysis the periods: baseline and immediately after exercise, both in supine... (Complete abstract click electronic access below)

Dose-resposta da imersão em água fria na recuperação do sistema nervoso autônomo pós-exercício

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeitos de diferentes estímulos auditivos musicais sobre a regulação autonômica cardíaca

Pós-graduação em Fisioterapia - FCT