自发生物反馈训练改善了一名颈部运动性完全脊髓损伤患者的自律神经反应--病例报告。

IF 0.7 Q4 CLINICAL NEUROLOGY
Rachel D Torres, Hani Rashed, Prateek Mathur, Camilo Castillo, Thomas Abell, Daniela G L Terson de Paleville
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引用次数: 0

摘要

研究设计:目标:评估自体反馈训练(AFTE)对自律神经系统反应的影响:自体反馈训练结合了特定的自体运动和多种生理反应的生物反馈。AFTE 最初由美国国家航空航天局(NASA)开发,用于改善宇航员飞行后的直立性不耐受和晕动病。颈椎或上胸椎脊髓损伤(SCI)患者通常会出现与宇航员类似的自主神经功能紊乱症状。我们假设,AFTE 可挑战神经系统的气压反射、胃和血管反应,而这些反应在 SCI 后往往会受损:我们使用修改后的 AFTE 方案,对一名患有颈部运动完全性(C5/6-AIS A)SCI 的低血压女性参与者和一名未受伤的男性对照参与者(NI)进行了训练,并在 AFTE 之前、期间和之后测量了血压(BP)、心率(HR)、胃电活动和微血管血容量。参与者在指导下完成呼吸和想象练习,以帮助放松。随后,他们被要求在唤醒试验中使用压力想象和呼吸练习:结果:两名参与者都完成了 8 次训练,每次约 45 分钟。从刺激周期开始到结束,微血管血容量分别下降了 23%(SCI)和 54%(NI)。SCI 参与者的血压逐渐趋于正常,胃电活动水平也有所提高,而 NI 参与者的心率、胃电活动和血压变化微乎其微:AFTE可能是一种新型的非药物干预方法,可最大程度地减轻SCI患者的自律神经失调症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Autogenic biofeedback training improves autonomic responses in a participant with cervical motor complete spinal cord injury- case report.

Autogenic biofeedback training improves autonomic responses in a participant with cervical motor complete spinal cord injury- case report.

Study design: Single-subject case design OBJECTIVE: To evaluate the Autogenic Feedback Training Exercise (AFTE) on autonomic nervous system responses.

Introduction: AFTE combines specific autogenic exercises with biofeedback of multiple physiological responses. Originally developed by the National Aeronautics and Space Administration (NASA), AFTE is used to improve post-flight orthostatic intolerance and motion sickness in astronauts. Individuals with cervical or upper thoracic spinal cord injury (SCI) often present symptoms of autonomic dysfunction similar to astronauts. We hypothesize that AFTE challenges nervous system baroreflex, gastric and vascular responses often impaired after SCI.

Methods: Using a modified AFTE protocol, we trained a hypotensive female participant with cervical motor complete (C5/6-AIS A) SCI, and a male non-injured control participant (NI) and measured blood pressure (BP), heart rate (HR), gastric electrical activity, and microvascular blood volume before, during and after AFTE. The participants were instructed to complete breathing and imagery exercises to help facilitate relaxation. Subsequently, they were instructed to use stressful imagery and breathing exercises during arousal trials.

Results: Both participants completed 8 sessions of approximately 45 min each. Microvascular blood volume decreased 23% (SCI) and 54% (NI) from the beginning to the end of the stimulation cycles. The participant with SCI became progressively more normotensive and improved levels of gastric electrical activity, while the NI participant's changes in HR, gastric electrical activity, and BP were negligible.

Conclusions: AFTE may offer a novel non-pharmacologic intervention to minimize symptoms of dysautonomia in people with SCI.

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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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