Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid
Orthostatic intolerance (OI) is common in Long Covid. Physical counterpressure manoeuvres (PCM) may improve OI in other disorders. We characterised the blood pressure-rising effect of PCM using surface electromyography (sEMG) and investigated its association with fatigue in adults with Long Covid. P...
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| Format: | Article |
| Language: | English |
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IEEE
2023-01-01
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| Series: | IEEE Journal of Translational Engineering in Health and Medicine |
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| Online Access: | https://ieeexplore.ieee.org/document/10121061/ |
| _version_ | 1797823448719818752 |
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| author | Eoin Duggan Glenn Jennings Ann Monaghan Lisa Byrne Feng Xue Roman Romero-Ortuno |
| author_facet | Eoin Duggan Glenn Jennings Ann Monaghan Lisa Byrne Feng Xue Roman Romero-Ortuno |
| author_sort | Eoin Duggan |
| collection | DOAJ |
| description | Orthostatic intolerance (OI) is common in Long Covid. Physical counterpressure manoeuvres (PCM) may improve OI in other disorders. We characterised the blood pressure-rising effect of PCM using surface electromyography (sEMG) and investigated its association with fatigue in adults with Long Covid. Participants performed an active stand with beat-to-beat hemodynamic monitoring and sEMG of both thighs, including PCM at 3-minutes post-stand. Multivariable linear regression investigated the association between change in systolic blood pressure (SBP) and change in normalised root mean square (RMS) of sEMG amplitude, controlling for confounders including the Chalder Fatigue Scale (CFQ). In 90 participants (mean age 46), mean SBP rise with PCM was 13.7 (SD 9.0) mmHg. In regression, SBP change was significantly, directly associated with change in RMS sEMG (<inline-formula> <tex-math notation="LaTeX">$\beta =0.25$ </tex-math></inline-formula>, 95% CI 0.07–0.43, P = 0.007); however, CFQ was not significant. PCM measured by sEMG augmented SBP without the influence of fatigue. |
| first_indexed | 2024-03-13T10:24:10Z |
| format | Article |
| id | doaj.art-ce56fee3ec634a03ab10207377a56a65 |
| institution | Directory Open Access Journal |
| issn | 2168-2372 |
| language | English |
| last_indexed | 2024-03-13T10:24:10Z |
| publishDate | 2023-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Journal of Translational Engineering in Health and Medicine |
| spelling | doaj.art-ce56fee3ec634a03ab10207377a56a652023-05-19T23:00:20ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722023-01-011129129510.1109/JTEHM.2023.327391010121061Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long CovidEoin Duggan0https://orcid.org/0000-0001-8490-2076Glenn Jennings1Ann Monaghan2Lisa Byrne3Feng Xue4https://orcid.org/0000-0002-8217-0550Roman Romero-Ortuno5https://orcid.org/0000-0002-3882-7447Discipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin 2, IrelandDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin 2, IrelandDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin 2, IrelandFalls and Syncope Unit, Mercer’s Institute for Successful Ageing, St. James’s Hospital, Dublin 8, IrelandDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin 2, IrelandDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin 2, IrelandOrthostatic intolerance (OI) is common in Long Covid. Physical counterpressure manoeuvres (PCM) may improve OI in other disorders. We characterised the blood pressure-rising effect of PCM using surface electromyography (sEMG) and investigated its association with fatigue in adults with Long Covid. Participants performed an active stand with beat-to-beat hemodynamic monitoring and sEMG of both thighs, including PCM at 3-minutes post-stand. Multivariable linear regression investigated the association between change in systolic blood pressure (SBP) and change in normalised root mean square (RMS) of sEMG amplitude, controlling for confounders including the Chalder Fatigue Scale (CFQ). In 90 participants (mean age 46), mean SBP rise with PCM was 13.7 (SD 9.0) mmHg. In regression, SBP change was significantly, directly associated with change in RMS sEMG (<inline-formula> <tex-math notation="LaTeX">$\beta =0.25$ </tex-math></inline-formula>, 95% CI 0.07–0.43, P = 0.007); however, CFQ was not significant. PCM measured by sEMG augmented SBP without the influence of fatigue.https://ieeexplore.ieee.org/document/10121061/Long covidsurface EMGblood pressurephysical counterpressure manoeuvresfatigue. Clinical and Translational Impact Statement—The blood pressure-rising effect of physical counterpressure manoeuvres after an active stand can be measured by surface electromyography (sEMG). In adults with Long Covidthis was not influenced by fatigue. |
| spellingShingle | Eoin Duggan Glenn Jennings Ann Monaghan Lisa Byrne Feng Xue Roman Romero-Ortuno Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid IEEE Journal of Translational Engineering in Health and Medicine Long covid surface EMG blood pressure physical counterpressure manoeuvres fatigue. Clinical and Translational Impact Statement—The blood pressure-rising effect of physical counterpressure manoeuvres after an active stand can be measured by surface electromyography (sEMG). In adults with Long Covid this was not influenced by fatigue. |
| title | Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid |
| title_full | Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid |
| title_fullStr | Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid |
| title_full_unstemmed | Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid |
| title_short | Characterizing the Blood Pressure Response to Physical Counterpressure Manoeuvres Using Surface Electromyography in Adults With Long Covid |
| title_sort | characterizing the blood pressure response to physical counterpressure manoeuvres using surface electromyography in adults with long covid |
| topic | Long covid surface EMG blood pressure physical counterpressure manoeuvres fatigue. Clinical and Translational Impact Statement—The blood pressure-rising effect of physical counterpressure manoeuvres after an active stand can be measured by surface electromyography (sEMG). In adults with Long Covid this was not influenced by fatigue. |
| url | https://ieeexplore.ieee.org/document/10121061/ |
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