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

Resposta da função autonômica, transporte mucociliar e potência aeróbia máxima de pacientes com doença pulmonar obstrutiva crônica submetidos a um treinamento aeróbio

Pós-graduação em Fisioterapia - FCT

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.

Influência do treinamento resistido funcional sobre a modulação autonômica cardíaca, força muscular, parâmetros cardiorrespiratórios e qualidade de vida em mulheres jovens saudáveis

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Heart rate variability in children with type 1 diabetes mellitus

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

Integrative aspects of the relationship between stress and heart rate variability

The literature indicates stress as a response of the organism to a stimulation that requires enormous efforts to adapt to the changes in the environment and the body. When an individual is subjected to stress, the autonomic nervous system is triggered, the sympathetic pathway is activated, and the parasympathetic system is suppressed, which exerts several effects on the cardiovascular system and affects heart rate variability. This research aimed to conduct a literature review to find and analyze the studies that address clearly the implications of stress on heart rate variability. The methodology employed was an active search in the databases SciELO, PubMed and Lilacs. The results were five articles, most of which suggest a relationship between stress and heart rate variability. We observed that the majority of the studies indicated a strong association between stress and cardiac autonomic activity. The stress is present in the daily activities of the population, especially in labor. The subject is vast, however, were observed in the references the effects of stress on the body making it vulnerable to diseases. Thus, this information may contribute to the aid of preventive strategies against stress and diseases of the cardiovascular system.

Vocal complaint in physical education teachers and its association with the cardiovascular system

Background: We examined the vocal complaints and evaluated the correlation between the vocal handicap index (VHI) and heart rate variability (HRV) in physical education teachers. We evaluated 46 teachers. Method: The subjects were investigated regarding voice complaint and the VHI was applied. HRV was recorded at seated rest for ten minutes and it was analyzed in the time, frequency domains, geometric indices and fractal exponents. The three domains of the VHI were correlated with the indices of HRV. Results: The physical education teachers presented a VHI score much below the standard of the physiological normality. There was correlation of the organic domain of the VHI with the NN50 and pNN50 and correlation of the functional domain and organic domain of the VHI with the HF index of HRV. Conclusion: The physical education teachers evaluated reported vocal complaints that affected their function and it is suggested to be related with the cardiac autonomic regulation.

Musical auditory stimulation at different intensities and its effects on the geometric indices of heart-rate variability

Introduction: Previous studies have shown that relaxation music increases the heart's parasympathetic modulation as well as reducing its sympathetic activity. However, what is lacking in the literature is information on the acute effects of different intensities of music on cardiac autonomic regulation. We aimed to evaluate the acute effects of baroque and heavy-metal music on cardiac autonomic regulation at different intensities. Method The study was performed in 16 healthy men aged between 18 and 25 years. The main outcomes were the geometric indices of heart-rate variability (HRV) [i.e. triangular index (RRtri); triangular interpolation of RR intervals (TINN) and Poincaré plot: SD1, SD2 and SD1/SD2 ratio]. First, HRV was recorded at rest for 10 min. The volunteers were then exposed to baroque or heavy-metal music for 5 min through an earphone; subjects were exposed to each song at three different sound levels (60–70, 70–80 and 80–90 decibels). After the first song, subjects remained at rest for 5 min before being exposed to the next song. The sequence of songs and sound intensity were randomised for each individual. Results Musical auditory stimulation with baroque music did not influence the geometric indices of HRV. The same was observed with heavy-metal musical auditory stimulation at the three sound-level ranges. Conclusion Musical auditory stimulation at different sound intensities did not influence the geometric indices of HRV in men.

Chronic obstructive pulmonary disease and heart rate variability: a literature update

Background: The literature indicates that chronic obstructive pulmonary disease (COPD) affects cardiac autonomic control. In this study, we conducted a literature review in order to investigate the heart rate variability (HRV) in COPD subjects. Methods: A search was performed in Medline database, using the link between the keywords: “autonomic nervous system”, “cardiovascular system”, “COPD” and “heart rate variability”. Results: The search resulted in a total of 40 references. Amongst these references, the first exclusion resulted in the barring of 29 titles and abstracts, which were not clearly related to the purpose of review. This resulted in a total of 11 articles that were then read and utilized in the review. The selected studies indicated that there is significant reduction of HRV in patients with COPD, characterized by reduction of indices that assess parasympathetic activity in addition to dealing with the global autonomic modulation. We also established that supervised exercise can reduce these harmful effects in COPD patients. Also, it was reported that the use of non-invasive ventilation in these patients may contribute to the improvement of respiratory symptoms, with no impairing, and may even induce positive responses in cardiac autonomic regulation. Conclusion: The studies indicate a need for further investigations to guide future therapies to improve the treatment of cardiovascular system in the respiratory diseases.

Changes in heart period during endodontic treatment

Background: Tooh extraction was demonstrated to increase sympathetic modulation of the heart, however, it is not understood the effects of endodontic treatment on cardiac autonomic regulation. We evaluated heart rate variability (HRV) during endodontic treatment. Method: 50 male and female patients aged between 18 and 40 years old and diagnosed with irreversible pulpitis or pulp necrosis of the lower molars with indication of gender endodontic treatment were analyzed. HRV was analyzed in the time (SDNN, RMSSD, pNN50) and frequency (LF, HF and LF/HF ratio) domains recorded in the first session of root canal treatment. The indices were analyzed in the following periods: T1) ten minutes before the endodontic treatment, T2) ten minutes after the administration of anesthesia before endodontic treatment, T3) during the entire period of endodontic treatment and T4) thirty minutes after the end of the endodontic treatment. Results: The SDNN, RMSSD and pNN50 indices increased at T2 compared to T1, the pNN50 and RMSSD indices increased at T3 and T4 compared to T2. The LF in normalized units increased at T4 compared to T2 and in absolute units it was increased at T4 compared to T1. The HF in normalized units was reduced at T4 compared to T2 and in absolute units was reduced at T1, T3 and T4 compared to T2. The LF/HF ratio was higher at T4 compared to T2. Conclusion: The global modulation of heart increases after local anesthesia and vagal tone reduce during surgery procedures and after the surgical procedures.

An exploration of heart rate response to differing music rhythm and tempos

The aim of this study was to investigate acute cardiac response and heart rate variability (HRV) when listening to differing forms of music. Eleven healthy men aged between 18 and 25 years old were included in the study. HRV was recorded at rest for ten minutes with no music, then were asked to listen to classical baroque or heavy metal music for a period of 20 min. It was noted that heart rate variability did not affect HRV indices for time and frequency. In conclusion, music with different tempos does not influence cardiac autonomic regulation in men. However more studies are suggested to explore this topic in greater detail.

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)

Efeitos de diferentes estímulos auditivos musicais sobre a regulação autonômica cardíaca

Pós-graduação em Fisioterapia - FCT

Recuperação da modulação autonômica cardíaca após sessão de exercícios com a haste oscilatória

Pós-graduação em Fisioterapia - FCT

Associação entre o potencial evocado auditivo de longa latência e os índices lineares da variabilidade da frequência cardíaca em repouso

Pós-graduação em Fonoaudiologia - FFC