Neuromodulating Influence of Two Electroacupuncture Treatments on Heart Rate Variability, Stress, and Vagal Activity.

Kelly Armstrong, Raman Gokal, William Todorsky
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引用次数: 8

Abstract

Introduction: Although the clinical use of electro-acupuncture is widespread, the neuromodulating influence of various applied frequencies is not well established. Objectives: Heart rate variability (HRV), stress and parasympathetic recovery are closely related to health, longevity and vitality in humans. This study was undertaken to determine the influence of different electro-therapy frequencies on various autonomic nervous system markers when applied to a Battlefield Acupuncture Protocol (BFA). Design: A detailed comparison of autonomic nervous system (ANS) response to low frequency (LF) 2.5 Hz electro-acupuncture and mid-frequency (MF) 15 Hz electro-acupuncture applied by point stimulation to acupuncture points was undertaken on 2 groups of 12 patients. Interventions: Both LFEA and MFEA were applied to Battlefield Acupuncture protocol, consisting of five (5) key acupuncture ear (auricular) points that isolate the autonomic nervous system (ANS) and central nervous system's role in the chronic/acute pain cycle. Evaluations entailed an advanced status of autonomic nervous system (ANS) function through Electro-Cardiogram (ECG) baseline markers reflecting: sympathetic stress (SI); parasympathetic vagal tone (high frequency [HF]) and heart rate variability (HRV = total power). All were repeated subsequent to electro-therapy using 2 separate electro-modalities of low-frequency (2.5 Hz) electro-acupuncture (LFEA) and Mid-Frequency (15 Hz) electro-acupuncture (MFEA). All 24 patients received one (1) elector-acupuncture session. Results: The autonomic nervous system response to LFEA (2.5 Hz) reflected a statistically significant pre-post improvement in three of the markers collected: heart rate variability (HRV) improved by 61% [p = 0.002]; sympathetic stress (SI) reduced 42% [p = 0.002]; and parasympathetic vagal tone (HF) increased 56% [p = 0.017]. In contrast, MFEA (15 Hz) showed positive but non-significant changes in outcomes in all nervous system markers. Conclusions: The autonomic nervous system response with LFEA showed a measurable reduction in sympathetic stress with subsequent improvement in vagal tone, and HRV. This positive sympathetic nervous system deactivation from LFEA application shown in this study could have a major impact on other pathologies related to human health and longevity. Further cohort studies are warranted to determine the validity of these outcomes.

两种电针治疗对心率变异性、应激和迷走神经活动的神经调节作用。
导言:虽然电针的临床应用很广泛,但不同频率的应用对神经调节的影响尚未得到很好的证实。目的:心率变异性(HRV)、应激和副交感神经恢复与人类的健康、长寿和活力密切相关。本研究旨在确定不同电治疗频率对战地针灸治疗方案(BFA)中各种自主神经系统标志物的影响。设计:对两组12例患者进行穴位刺激的低频(LF) 2.5 Hz电针和中频(MF) 15 Hz电针自主神经系统(ANS)反应的详细比较。干预措施:LFEA和MFEA均应用于战地针刺方案,包括5个关键针刺耳穴,分离自主神经系统(ANS)和中枢神经系统在慢性/急性疼痛周期中的作用。评估包括自主神经系统(ANS)功能的高级状态,通过心电图(ECG)基线标记反映:交感神经应激(SI);副交感迷走神经张力(高频[HF])和心率变异性(HRV =总功率)。所有患者均在电疗后重复使用两种不同的电模式:低频(2.5 Hz)电针(LFEA)和中频(15 Hz)电针(MFEA)。24例患者均接受1次电针治疗。结果:自主神经系统对LFEA (2.5 Hz)的反应反映了收集的三个指标的统计学显著改善:心率变异性(HRV)改善了61% [p = 0.002];交感神经压力(SI)降低42% [p = 0.002];副交感迷走神经张力增高56% [p = 0.017]。相比之下,MFEA (15 Hz)在所有神经系统指标上显示阳性但无显著变化。结论:LFEA的自主神经系统反应显示交感神经压力明显降低,随后迷走神经张力和HRV改善。本研究显示的LFEA应用导致的积极交感神经系统失活可能对与人类健康和寿命相关的其他病理产生重大影响。需要进一步的队列研究来确定这些结果的有效性。
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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