Disautonomia: um conceito emergente na síndrome da fibromialgia

Jacomini, Luiza Cristina Lacerda; Silva, Nílzio Antônio da

doi:10.1590/s0482-50042007000500010

Cited by 11 publications

(9 citation statements)

References 34 publications

(34 reference statements)

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“…The opposite occurs during N-REM sleep, where there is a lower activation of SNS and greater activation of the PNS. (18) In addition, there is a relationship with the results found in this study, where there was a decrease in SNS and a significant increase in Deltas waves, corroborating with the physiological processes already described in the literature. It's reported that sleep is also an important modulator of cardiovascular function, where there is a temporal association between physiological sleep and the occurrence of vascular events, cardiac arrhythmias and sudden death.…”

Section: Discussionsupporting

confidence: 91%

Heart rate variability and respiratory muscle strenght in a stroke patient submitted to neurofeedback: A case report

Silva

Sousa²,

Filho³

et al. 2020

mtprehabjournal

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Background: Stroke is a neurological disease that causes sudden loss of brain functions. One of the most important symptoms is hemiparesis, which due to the weakness of the trunk promotes a decrease in diaphragmatic power and impairs pulmonary function. In addition to the respiratory system, stroke can lead to impairment of the cardiovascular system. This occurs when the Autonomic Nervous System is affected, increasing the risk of the development of Heart Rate Variability due to sympathetic hyperactivity, this condition may predict an unfavorable prognosis after stroke. Case presentation: The aim of this study was to evaluate the variability of heart rate and respiratory muscle strength in a 61-year-old female patient diagnosed with a stroke three months prior to the study submitted to Neurofeedback training. That’s the first report of this kind in the literature. Cardiopulmonary evaluation was performed with a focus on heart rate and respiratory muscle strength before and after an intervention with five brain training sessions using the Neurofeedback BrainLink LITE. Conclusion: After therapy, significant alterations in the Delta wave increase and reduction of the Alpha wave were observed, also changes in the Autonomic Nervous System parameters were observed, with reduction of the sympathetic activity and increase of the parasympathetic activity, along with that, a reduction in the stress index was observed. The intervention was still positive in the improvement of respiratory parameters, with an increase in the overall inspiratory muscle strength index (S-Index) and peak inspiratory flow (PIF). It is suggested that Neurofeedback is efficient in recovering functions related to Autonomic Nervous System and respiratory system.

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Section: Discussionsupporting

confidence: 91%

Heart rate variability and respiratory muscle strenght in a stroke patient submitted to neurofeedback: A case report

Silva

Sousa²,

Filho³

et al. 2020

mtprehabjournal

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“…It is known that autonomic dysfunction is an important participant mechanism in the genesis and maintenance of the symptoms and comorbidities of fibromyalgia. (26) In addition, the aforementioned study cited a limitation that one of the exclusion criteria used consisted of not admitting patients to the sample who used other complementary therapies, and may have approached patients different from the patients we approach in our clinics every day. Regarding craniosacral manipulative therapy, in addition to Guillermo et al (25) , two other studies in this Buttagat et al (2009) TMT provided a greater increase in the high frequency band, systematic review used the technique: Fornari, Carnevali and Sgoifo (15) and Girsberger et al (20) Fornari, Carnevali and Sgoifo (15) , used a sample composed of healthy women with a mean age of 20 ± 3 years.…”

Section: Discussionmentioning

confidence: 99%

Effect of manual therapies on cardiac autonomic control: a systematic review

Sousa¹,

Cardoso²,

Pirola³

et al. 2020

mtprehabjournal

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Background: Evidences suggest that manual therapies, a physiotherapy specialty widely used in the treatment of musculoskeletal disorders, would be complementary or alternative for the treatment of cardiac autonomic dysfunction present in the elderly, patients with cardiovascular diseases, some neuromuscular diseases and in some pain processes. Objective: Evaluate the available scientific evidence regarding the effect of manual therapy techniques on cardiac autonomic control. Methods: The selected articles were indexed in the databases PubMed/MEDLINE, SCIELO and LILACS. Results: In the initial search, 233 articles were identified in the electronic databases. After initial analysis of the titles, 210 articles were excluded because they did not address the research topic, performed other types of intervention or evaluation or because they were review articles. A second step of evaluating the 23 previously selected articles was carried out and consisted of reading the abstracts of the articles. After reading the abstracts, 11 were selected. According to the analysis of the selected articles, it was possible to observe that most manual therapy techniques improved the cardiac autonomic control of their samples: Fornari, Carnevali and Sgoifo (2017), Girsberger et al. (2014), Valenzuela et al. (2018), Curi et al. (2017), Akbaş et al. (2019), Buttagat et al. (2009),Kunikata et al. (2012), Mantovani et al. (2005) and Giles et al. (2011). Guilherme et al. (2010) was the only study that found no change. Conclusion: Manual therapies have improved cardiac autonomy acutely in healthy young and middle-aged populations or with discomfort, hypertension and back pain associated with the presence of myofascial trigger points. It is emphasized the importance of conducting new randomized controlled studies, with high methodological quality, that address the effect of other manual therapies on cardiac autonomic control.

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“…A fibromialgia é uma síndrome reumática complexa caracterizada por sítios dolorosos sensíveis à palpação, conhecidos como Tender Points 5 , bem como dores musculares esqueléticas difusas e crônicas sem evidência reumática e inflamatória [6][7] , estando associada [8][9] a outras sintomatologias decorrentes do envolvimento do sistema nervoso central, endócrino e psicológico. 10 Geralmente os portadores da fibromialgia apresentam sintomas característicos que surgem por volta dos 29 aos 37 anos de idade 11 , como dor difusa e crônica que se inicia no ombro ou coluna lombar e dissemina-se pelo corpo. Apresentam ainda fadiga generalizada, rigidez matinal, formigamento, sensação de edema, diminuição da aptidão cardiorrespiratória, dispnéia, cefaléia (tensional e enxaqueca) 12 , ansiedade, distúrbios do sono 13 , insônia crônica, síndrome do intestino e bexiga irritados 14 , secura nos olhos e boca, hiperalgesia e alodínia, tonturas e disfunções cognitivas 15 , distúrbios de humor e depressão, sendo esta última a mais comum dentre os pacientes.…”

Section: Revisão Da Literaturaunclassified

“…3,16 Para Bennet apud Giu et al 16 a fibromialgia é a associação de microtraumas musculares [5][6] com distúrbios do sono isto porque em decorrência do sono não reparador pode ocorrer um desbalanço no ritmo biológico. [11][12] Em países industrializados a fibromialgia afeta cerca de 3 a 5% de toda população mundial 19 ficando atrás apenas da osteoartrite degenerativa. [14][15] Dentre os pacientes acometidos, 49 a 80% apresentaram agravos ou alterações no quadro psicológico.…”

Section: Revisão Da Literaturaunclassified

Benefícios dos Exercícios Resistidos em Pacientes Portadores de Fibromialgia: Revisão Bibliográfica

Souza¹,

Amorim²

2016

Amazônia Science & Health

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Disautonomia: um conceito emergente na síndrome da fibromialgia

Abstract: Recebido em 30/03/07. Aprovado, após revisão, em 15/08/07. Declaramos a inexistência de conflitos

Cited by 11 publications

References 34 publications

Heart rate variability and respiratory muscle strenght in a stroke patient submitted to neurofeedback: A case report

Heart rate variability and respiratory muscle strenght in a stroke patient submitted to neurofeedback: A case report

Effect of manual therapies on cardiac autonomic control: a systematic review

Benefícios dos Exercícios Resistidos em Pacientes Portadores de Fibromialgia: Revisão Bibliográfica

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