Felipe Castro Ferreira , Michelle Cristina Salabert Vaz Padilha , Pedro Paulo da Silva Soares , Marco Antônio Araujo-Leite , Gabriel Dias Rodrigues
{"title":"吸气肌训练增强帕金森病患者对直立应激的心脏自主神经反应:一项初步研究","authors":"Felipe Castro Ferreira , Michelle Cristina Salabert Vaz Padilha , Pedro Paulo da Silva Soares , Marco Antônio Araujo-Leite , Gabriel Dias Rodrigues","doi":"10.1016/j.autneu.2025.103334","DOIUrl":null,"url":null,"abstract":"<div><div>In this pilot study, eight patients with Parkinson's disease (PD) and eight age-matched healthy controls completed a 5-week home-based inspiratory muscle training (IMT) program. Maximal inspiratory pressure and heart rate variability during sitting (SIT) and orthostatic stress were assessed before and after IMT. Both groups exhibited better maximal inspiratory pressure and vagal modulation of the heart in the SIT position post-IMT. However, only patients with PD showed enhanced cardiac autonomic modulation during orthostatic stress. These findings suggest that IMT may improve the cardiac autonomic response to orthostatic stress in patients with PD, warranting further investigation.</div></div>","PeriodicalId":55410,"journal":{"name":"Autonomic Neuroscience-Basic & Clinical","volume":"261 ","pages":"Article 103334"},"PeriodicalIF":3.3000,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Inspiratory muscle training enhances cardiac autonomic response to orthostatic stress in patients with Parkinson's disease: a preliminary study\",\"authors\":\"Felipe Castro Ferreira , Michelle Cristina Salabert Vaz Padilha , Pedro Paulo da Silva Soares , Marco Antônio Araujo-Leite , Gabriel Dias Rodrigues\",\"doi\":\"10.1016/j.autneu.2025.103334\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>In this pilot study, eight patients with Parkinson's disease (PD) and eight age-matched healthy controls completed a 5-week home-based inspiratory muscle training (IMT) program. Maximal inspiratory pressure and heart rate variability during sitting (SIT) and orthostatic stress were assessed before and after IMT. Both groups exhibited better maximal inspiratory pressure and vagal modulation of the heart in the SIT position post-IMT. However, only patients with PD showed enhanced cardiac autonomic modulation during orthostatic stress. These findings suggest that IMT may improve the cardiac autonomic response to orthostatic stress in patients with PD, warranting further investigation.</div></div>\",\"PeriodicalId\":55410,\"journal\":{\"name\":\"Autonomic Neuroscience-Basic & Clinical\",\"volume\":\"261 \",\"pages\":\"Article 103334\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-07-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Autonomic Neuroscience-Basic & Clinical\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1566070225000967\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Autonomic Neuroscience-Basic & Clinical","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1566070225000967","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
Inspiratory muscle training enhances cardiac autonomic response to orthostatic stress in patients with Parkinson's disease: a preliminary study
In this pilot study, eight patients with Parkinson's disease (PD) and eight age-matched healthy controls completed a 5-week home-based inspiratory muscle training (IMT) program. Maximal inspiratory pressure and heart rate variability during sitting (SIT) and orthostatic stress were assessed before and after IMT. Both groups exhibited better maximal inspiratory pressure and vagal modulation of the heart in the SIT position post-IMT. However, only patients with PD showed enhanced cardiac autonomic modulation during orthostatic stress. These findings suggest that IMT may improve the cardiac autonomic response to orthostatic stress in patients with PD, warranting further investigation.
期刊介绍:
This is an international journal with broad coverage of all aspects of the autonomic nervous system in man and animals. The main areas of interest include the innervation of blood vessels and viscera, autonomic ganglia, efferent and afferent autonomic pathways, and autonomic nuclei and pathways in the central nervous system.
The Editors will consider papers that deal with any aspect of the autonomic nervous system, including structure, physiology, pharmacology, biochemistry, development, evolution, ageing, behavioural aspects, integrative role and influence on emotional and physical states of the body. Interdisciplinary studies will be encouraged. Studies dealing with human pathology will be also welcome.