Heart rate variability biofeedback enhances cognitive, motor, psychological, and autonomic functions in post-stroke rehabilitation

IF 2.5 3区 心理学 Q3 NEUROSCIENCES
Yu-Lin Wang , Wei-Xuan Wu , Chia-Chen Yang , Shih-Ming Huang , Cheng-Chiang Chang , Chi-Rong Li , Shang-Lin Chiang , Yu-Ju Chen
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引用次数: 0

Abstract

Post-stroke patients often experience psychological distress and autonomic nervous system (ANS) dysregulation, impacting their well-being. This study evaluated the effectiveness of heart rate variability (HRV) biofeedback on cognitive, motor, psychological, and ANS functions in sixty-two ischemic stroke patients (43 males, mean age = 60.1) at a Medical Center in southern Taiwan. To prevent interaction, we allocated patients to the HRV biofeedback or control (usual care) group based on their assigned rehabilitation days, with 31 patients in each group. Assessments conducted at baseline, three, and six months included the Montreal Cognitive Assessment (MoCA), Fugl-Meyer Assessment for Upper Extremities (FMA-UE), Perceived Stress Scale, Hospital Anxiety and Depression Scales (HADS), and HRV indices. Mixed-effect models were used to analyze Group by Time interactions. The results revealed significant interactions across all functions. At 3 months, significant improvements in the HRV biofeedback group were observed only in MoCA, FMA-UE, and HADS-depression scores compared to the control group. By 6 months, all measured outcomes demonstrated significant improvements in the biofeedback group relative to the control group. These results suggest that HRV biofeedback may be an effective complementary intervention in post-stroke rehabilitation, warranting further validation.

心率变异生物反馈可增强中风后康复治疗中的认知、运动、心理和自主神经功能。
中风后患者经常会出现心理困扰和自律神经系统(ANS)失调,影响他们的身心健康。本研究评估了心率变异生物反馈对台湾南部一家医疗中心的 62 名缺血性中风患者(43 名男性,平均年龄 = 60.1 岁)的认知、运动、心理和自律神经系统功能的影响。为防止相互影响,我们根据患者的康复天数将其分配到心率变异生物反馈组或对照组(常规护理),每组 31 人。在基线、三个月和六个月时进行的评估包括蒙特利尔认知评估(MoCA)、Fugl-Meyer 上肢评估(FMA-UE)、知觉压力量表、医院焦虑抑郁量表(HADS)和心率变异指数。混合效应模型用于分析组与时间的交互作用。结果显示,所有功能都存在明显的交互作用。3 个月时,与对照组相比,心率变异生物反馈组仅在 MoCA、FMA-UE 和 HADS 抑郁评分方面有明显改善。到 6 个月时,生物反馈组的所有测量结果均比对照组有明显改善。这些结果表明,心率变异生物反馈可能是中风后康复的有效辅助干预措施,值得进一步验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.40
自引率
10.00%
发文量
177
审稿时长
3-8 weeks
期刊介绍: The International Journal of Psychophysiology is the official journal of the International Organization of Psychophysiology, and provides a respected forum for the publication of high quality original contributions on all aspects of psychophysiology. The journal is interdisciplinary and aims to integrate the neurosciences and behavioral sciences. Empirical, theoretical, and review articles are encouraged in the following areas: • Cerebral psychophysiology: including functional brain mapping and neuroimaging with Event-Related Potentials (ERPs), Positron Emission Tomography (PET), Functional Magnetic Resonance Imaging (fMRI) and Electroencephalographic studies. • Autonomic functions: including bilateral electrodermal activity, pupillometry and blood volume changes. • Cardiovascular Psychophysiology:including studies of blood pressure, cardiac functioning and respiration. • Somatic psychophysiology: including muscle activity, eye movements and eye blinks.
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