Exercise training-induced modification in autonomic nervous system: An update for cardiac patients

Besnier, Florent; Labrunée, M.; Pathak, Atul; Traon, Anne Pavy-Le; Galès, Céline; Sénard, J M; Guiraud, Thibaut

doi:10.1016/j.rehab.2016.07.002

Cited by 130 publications

(89 citation statements)

References 141 publications

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“…Exercise also seems to positively effect synaptic plasticity and neuronal survival, 89,90 may decrease tumor necrosis factor (TNF) alpha which is correlated with neuronal damage post‐injury, 91 and has been associated with a reduction in free radical production post‐injury 92 . Exercise also positively influences autonomic dysfunction and cerebral blood flow, 93‐95 two factors felt to be disrupted post‐injury.…”

Section: Return To Learn and Return To Play (Rtl/rtp) Post‐mtbimentioning

confidence: 99%

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

2020

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Background.-Headache attributed to mild traumatic injury of the head (aka: mild traumatic brain injury, mTBI), frequently abbreviated to Post-Traumatic Headache (PTH), is one of the most common and disabling symptoms after a head injury. PTH often phenotypes to migraine. Evidence for treating PTH in the pediatric population is limited. Widely accepted guidelines do not exist to aid the clinician and there are currently no placebo-controlled trials for the pharmacologic management of PTH in this age group. Recommendations for when to return a child or adolescent to sport if they develop and/or are being treated for persistent PTH (PPTH) are lacking. The objective of this narrative review is to review the implications of returning an adolescent with PPTH to sport.Methods.-Pediatric neurologists with special qualification in headache collaborated on this narrative review. Literature was searched up until Oct 2019 for articles pertaining to PTH, concussion, mTBI, and the return of a pediatric athlete to sport after mTBI. Article inclusion was at the discretion of the authors. There was author consensus regarding all recommendations made.Conclusion.-The authors recommend that strict adherence to the guidelines that return to sport cannot occur until a child is symptom free at rest, off any medication, may be unreasonable in certain situations. Symptom stability is the proposed new concept for return to sport.Abbreviations: CDC Center for Disease Control, mTBI mild traumatic brain injury, PPTH persistent post-traumatic headache, PTH post-traumatic headache, RTP return to play

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Section: Return To Learn and Return To Play (Rtl/rtp) Post‐mtbimentioning

confidence: 99%

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

2020

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“…The relationship between ANS dysfunction and PE, that we reported in our study, may suggest that treatment options associated with ANS dysfunction can improve PE. Regular exercise training may be quite helpful in improving the ANS dysfunction by increasing vagal modulation and decreasing sympathetic tone (Besnier et al, 2017). In this context, Kilinc et al reported an improvement in premature ejaculation parameters with moderate physical activity (Kilinc, Aydogmus, Yildiz, & Doluoglu, 2018).…”

Section: Discussionmentioning

confidence: 99%

The heart rate recovery is impaired in participants with premature ejaculation

Turan

Gürel

2020

Andrologia

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Premature ejaculation (PE) is one of the most common sexual disorders in men. Excessive activity of the sympathetic nervous system is considered as one of the pathological mechanisms of PE. Heart rate recovery (HRR) is a noninvasive and easily applicable method for evaluating autonomic functions. We aimed to investigate the relationship between PE and HRR. This cross‐sectional study included 42 consecutive patients with lifelong PE and 98 healthy volunteers. All participants underwent stress tests according to age‐dependent target heart rates outlined in the Bruce protocol. When the maximal heart rate was reached in the stress test, intensive exercise was terminated and electrocardiographic records were obtained for 3 min in the cool‐down period. The HRR indices were calculated by subtracting the heart rate at first, second and third minutes from the maximal HR. The two groups were similar in terms of age, body mass index, serum glucose and lipid parameters. HRR indices were significantly lower in the PE group compared with the control group (p < .05 for all). Common factors that affect equilibrium of sympathetic and parasympathetic nervous systems may be involved in the PE and abnormal HRR etiopathogenesis. The cause‐and‐effect relationship can be more clearly demonstrated with large‐scale, prospective studies.

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“…It is known that autonomic disfunction is a striking characteristic in the physiopathologic path of cardiovascular diseases [3][4][5][6] . Because of that, measures that can revert or lessen these alterations deserve to be highlighted, among them is the aerobic training 19 and, as aforementioned, IMT. Indeed, many studies in this review pointed out the improvement of autonomic control with IMT, regardless of prescription or the manner of evaluating the ANS.…”

Section: Discussionmentioning

confidence: 99%

Efeitos do treinamento muscular inspiratório no controle autonômico: revisão sistemática

et al. 2018

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| The autonomic nervous system dysfunction has an important role on the physiopathology of some diseases. A possible option to improve the autonomic control is the inspiratory muscle training (IMT). The aim of this study was to systematically review the available literature about the effects of this training modality on autonomic control. A search was performed for controlled and randomized clinical trials on database MEDLINE, PEDro, SciELO and LILACS by two independent reviewers, who also evaluated the methodologic quality (PEDro scale). 181 articles were found and, after elegibility criteria analysis, four studies were included. The included studies showed good methodological quality and assessed the effect of IMT on the autonomic control of participants with risk factors for cardiovascular disease. The autonomic control was evaluated by heart rate variability (HRV) analysis and by noradrenaline plasma levels. The IMT improved autonomic control in 3 studies,reducing the sympathetic nervous system (noradrenaline plasma levels; LF nu -HRV) and increasing the vagal nervous system (HF un -HRV). It is concluded that IMT may be a therapeutic alternative to improve the autonomic control.

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Exercise training-induced modification in autonomic nervous system: An update for cardiac patients

Cited by 130 publications

References 141 publications

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

The heart rate recovery is impaired in participants with premature ejaculation

Efeitos do treinamento muscular inspiratório no controle autonômico: revisão sistemática

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