Abstract
The post-stroke is often associated with emotional disorders, among which post-stroke depression (PSD) has a high incidence. We applied Heart Rate Variability (HRV) biofeedback to train PSD patients by a prospective randomized control study. The purpose of this study was to investigate the effectiveness of the HRV biofeedback on stroke patients’ emotional improvement, autonomic nerve function and prognostic implications. In the feedback group, the patients had learned to breathe at the resonant frequency to increase their low frequency (LF) as well as adjust their respiration to synchronize with heart rate fluctuations. Our findings suggest that the HRV biofeedback may be a valid treatment especially on the improvement of depression levels and sleep disturbance in PSD patients.
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References
Ming-ming, Y.: Relationship among Depression, Anxiety and Possible Factors in Post-stroke Patients: 510 Cases Report. Chinese Journal of Rehabilitation Theory and Practice 12(6), 498–500 (2006)
Dai-qun, X., Rong, Y., Rong-mei, L., et al.: Analysis of Post-stroke Anxiety Disorders and the Related Factors. Huaxi Medicine 19(1), 133 (2004)
Karavidas, M.K., Lehrer, P.M., Vaschillo, E.G., Vaschillo, B., Humberton, M., Buyske, S., et al.: Preliminary results of an open label study of heart rate variability biofeedback for the treatment of major depression. Applied Psychophysiology and Biofeedback 32, 19–30 (2007)
Zucker, T.L., Samuelson, K.W., Muench, F., Greenberg, M.A., Gevirtz, R.N.: The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and posttraumatic stress disorder symptoms, A pilot study. Applied Psychophysiology & Biofeedback 34, 135–143 (2009)
National Conference on Cerebrovascular Disease Score Standards in Clinical Neurological Deficit for Stroke Patients. Chinese Journal of Neurology 29(6), 381–383 (1995)
World Health Organization. ICD-10:The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines, Geneva (1992)
Randomized Controlled Trials Table, http://www.randomizer.org/form.htm
Hassett, A.L., Radvanski, D.C., Vaschillo, E.G., et al.: A pilot study of the efficacy of heart rate variability (HRV) biofeedback in patients with fibromyalgia. Applied Psychophysiology and Biofeedback 32, 1–10 (2007)
Karavidas, M.K., Leherer, P.M., Vaschillo, E., et al.: Preliminary results of an open lable study of heart rate variability biofeedback for the treatment of major depression. Applied Psychophysiology and Biofeedback 32, 19–30 (2007)
Lehrer, P., Carr, R., Smetankine, A., Vaschillo, E., Peper, E., Porges, S., et al.: Respiratory sinus arrhythmia versus neck/ trapezius EMG and incentive inspirometry biofeedback for asthma, A pilot study. Applied Psychophysiology & Biofeedback 22, 95–109 (1997)
Lehrer, P., Vaschillo, E., Vaschillo, B., Lu, S., Eckberg, D., Edelberg, R., et al.: Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine 65, 796–805 (2003)
Lehrer, P., Vaschillo, E., Vaschillo, B., Lu, S., Scardella, A., Siddique, M., et al.: Biofeedback treatment for asthma. Chest. 126, 352–361 (2004)
Lehrer, P., Vaschillo, E., Lu, S., Eckberg, D., Vaschillo, B., Scardella, A., et al.: Heart rate variability biofeedback, Effects of age on heart rate variability, baroreflex gain, and asthma. Chest. 129, 278–284 (2006)
Lehrer, P.M.: Applied psychophysiology, Beyond the boundaries of biofeedback (mending a wall, a brief history of our field, and applications to control of the muscles and cardiorespiratory systems). Applied Psychophysiology and Biofeedback 28(4), 291–304 (2003)
Vaschillo, E.G., Lehrer, P.M., Rishe, N., Konstantinov, M.: Heart rate variability biofeedback as a method for assessing baroreflex function, A preliminary study of resonance in the cardiovascular system. Applied Psychophysiology and Biofeedback 27(1), 1–27 (2002)
Maria, K.K., Paul, M.L., Evgeny, V., et al.: Preliminary Results of an Open Label Study of Heart RateVariability Biofeedback for the Treatment of Major Depression. Appl. Psychophysiol Biofeedback 32, 19–30 (2007)
Vaschillo, E.G., Vaschillo, B., Lehrer, P.M.: Characteristics of resonance in heart rate variability stimulated by biofeedback. Applied Psychophysiology and Biofeedback 31(2), 129–142 (2006)
Pawate, S., Shen, Q., Fan, F., et al.: Redox regulation of glial inflammatory response to lipopolysaccharide and interfere on gamma. J. Neurosci. Res. 77(4), 540–551 (2004)
Ya-lin, Z.: Behavior Therapy. Guizhou People’s Publishing House, Guiyang (1990)
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Li, X., Zhang, T., Song, L., Zhang, Y., Xing, C., Chen, H. (2014). A Control Study on the Effects of HRV Biofeedback Therapy in Patients with Post-Stroke Depression. In: Zheng, X., Zeng, D., Chen, H., Zhang, Y., Xing, C., Neill, D.B. (eds) Smart Health. ICSH 2014. Lecture Notes in Computer Science, vol 8549. Springer, Cham. https://doi.org/10.1007/978-3-319-08416-9_23
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DOI: https://doi.org/10.1007/978-3-319-08416-9_23
Publisher Name: Springer, Cham
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