Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series
Heart rate variability biofeedback (HRV-F) is a neurocardiac self-regulation therapy that aims to regulate cardiac autonomic nervous system activity and improve cardiac balance. Despite benefits in various clinical populations, no study has reported the effects of HRV-F in adults with a spinal cord...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/24/7664 |
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| author | Jacob Schoffl Mohit Arora Ilaria Pozzato Candice McBain Dianah Rodrigues Elham Vafa James Middleton Glen M. Davis Sylvia Maria Gustin John Bourke Annette Kifley Andrei V. Krassioukov Ian D. Cameron Ashley Craig |
| author_facet | Jacob Schoffl Mohit Arora Ilaria Pozzato Candice McBain Dianah Rodrigues Elham Vafa James Middleton Glen M. Davis Sylvia Maria Gustin John Bourke Annette Kifley Andrei V. Krassioukov Ian D. Cameron Ashley Craig |
| author_sort | Jacob Schoffl |
| collection | DOAJ |
| description | Heart rate variability biofeedback (HRV-F) is a neurocardiac self-regulation therapy that aims to regulate cardiac autonomic nervous system activity and improve cardiac balance. Despite benefits in various clinical populations, no study has reported the effects of HRV-F in adults with a spinal cord injury (SCI). This article provides an overview of a neuropsychophysiological laboratory framework and reports the impact of an HRV-F training program on two adults with chronic SCI (T1 AIS A and T3 AIS C) with different degrees of remaining cardiac autonomic function. The HRV-F intervention involved 10 weeks of face-to-face and telehealth sessions with daily HRV-F home practice. Physiological (HRV, blood pressure variability (BPV), baroreflex sensitivity (BRS)), and self-reported assessments (Fatigue Severity Scale, Generalised Anxiety Disorder Scale, Patient Health Questionnaire, Appraisal of Disability and Participation Scale, EuroQol Visual Analogue Scale) were conducted at baseline and 10 weeks. Participants also completed weekly diaries capturing mood, anxiety, pain, sleep quality, fatigue, and adverse events. Results showed some improvement in HRV, BPV, and BRS. Additionally, participants self-reported some improvements in mood, fatigue, pain, quality of life, and self-perception. A 10-week HRV-F intervention was feasible in two participants with chronic SCI, warranting further investigation into its autonomic and psychosocial effects. |
| first_indexed | 2024-03-08T20:38:32Z |
| format | Article |
| id | doaj.art-1950ad5f820f474b99e2e9fadc68a5e8 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T20:38:32Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-1950ad5f820f474b99e2e9fadc68a5e82023-12-22T14:17:22ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224766410.3390/jcm12247664Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case SeriesJacob Schoffl0Mohit Arora1Ilaria Pozzato2Candice McBain3Dianah Rodrigues4Elham Vafa5James Middleton6Glen M. Davis7Sylvia Maria Gustin8John Bourke9Annette Kifley10Andrei V. Krassioukov11Ian D. Cameron12Ashley Craig13John Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, AustraliaNeuroRecovery Research Hub, University of New South Wales, Sydney, NSW 2052, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaICORD, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, CanadaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaJohn Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, AustraliaHeart rate variability biofeedback (HRV-F) is a neurocardiac self-regulation therapy that aims to regulate cardiac autonomic nervous system activity and improve cardiac balance. Despite benefits in various clinical populations, no study has reported the effects of HRV-F in adults with a spinal cord injury (SCI). This article provides an overview of a neuropsychophysiological laboratory framework and reports the impact of an HRV-F training program on two adults with chronic SCI (T1 AIS A and T3 AIS C) with different degrees of remaining cardiac autonomic function. The HRV-F intervention involved 10 weeks of face-to-face and telehealth sessions with daily HRV-F home practice. Physiological (HRV, blood pressure variability (BPV), baroreflex sensitivity (BRS)), and self-reported assessments (Fatigue Severity Scale, Generalised Anxiety Disorder Scale, Patient Health Questionnaire, Appraisal of Disability and Participation Scale, EuroQol Visual Analogue Scale) were conducted at baseline and 10 weeks. Participants also completed weekly diaries capturing mood, anxiety, pain, sleep quality, fatigue, and adverse events. Results showed some improvement in HRV, BPV, and BRS. Additionally, participants self-reported some improvements in mood, fatigue, pain, quality of life, and self-perception. A 10-week HRV-F intervention was feasible in two participants with chronic SCI, warranting further investigation into its autonomic and psychosocial effects.https://www.mdpi.com/2077-0383/12/24/7664autonomic nervous systempsychophysiologybiofeedbackheart ratespinal cord injuriescase reports |
| spellingShingle | Jacob Schoffl Mohit Arora Ilaria Pozzato Candice McBain Dianah Rodrigues Elham Vafa James Middleton Glen M. Davis Sylvia Maria Gustin John Bourke Annette Kifley Andrei V. Krassioukov Ian D. Cameron Ashley Craig Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series Journal of Clinical Medicine autonomic nervous system psychophysiology biofeedback heart rate spinal cord injuries case reports |
| title | Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series |
| title_full | Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series |
| title_fullStr | Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series |
| title_full_unstemmed | Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series |
| title_short | Heart Rate Variability Biofeedback in Adults with a Spinal Cord Injury: A Laboratory Framework and Case Series |
| title_sort | heart rate variability biofeedback in adults with a spinal cord injury a laboratory framework and case series |
| topic | autonomic nervous system psychophysiology biofeedback heart rate spinal cord injuries case reports |
| url | https://www.mdpi.com/2077-0383/12/24/7664 |
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