• Title/Summary/Keyword: Autonomic nervous system

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The effect of sacroiliac joint manual therapy on heart rate variability in women with primary dysmenorrhea

  • Park, Sun-Geon;Song, Seong-Hyeok;Jung, Ji-Hye;Joo, Young-Lan;Yang, You-Jin;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.252-260
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    • 2020
  • Objective: Disorder of the autonomic nervous system is considered to be the cause of primary dysmenorrhea. The spine has a close relationship with the autonomic nervous system, and the sacrum is mechanically and neurologically connected to the uterus through ligaments. Therefore, this study was conducted to check the effect on the autonomic nervous system through measurement of heart rate variability by applying manual therapy to the sacroiliac joints of subjects with primary dysmenorrhea and to suggest an effective treatment method for dysmenorrhea. Design: Randomized controlled trial. Methods: Thirty females with dysmenorrhea were assigned to either the manual therapy group and sham treatment group according to the random treatment method. The manual therapy was applied to the sacroiliac joints, and the sham treatment was only treated with the hands placed in the same position of the intervention. Heart rate variability and the Visual Analogue Scale (VAS) were measured on the day when menstruation began ±2. Interventions were performed between the groups, followed by a 5-minute break and then re-measurements were made. Results: There were significant differences in autonomic balance and VAS scores in the manual therapy group before and after the intervention between groups (p<0.05). In the sham treatment group, there were significant differences in low frequency, autonomic balance, and VAS scores (p<0.05). There were significant differences in autonomic balance between groups (p<0.05). Conclusions: In females with primary dysmenorrhea, manual therapy applied to the sacroiliac joint was found to be effective for a short time on autonomic activity.

Autonomic instability in severe tetanus: a case report

  • Seo, Seung Won;Lee, Jaewon;Yoo, Bong-Goo;Kim, Jehun;Huh, So-Young
    • Annals of Clinical Neurophysiology
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    • v.23 no.2
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    • pp.117-120
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    • 2021
  • Tetanus is an infectious disease of the nervous system caused by Clostridium tetani, and is characterized by tonic muscle contractions, painful spasms, and autonomic dysfunction. Severe autonomic dysfunction associated with tetanus can be life-threatening. We present a 62-year-old female who experienced lockjaw after an ankle fracture. The patient was diagnosed with tetanus and received tetanus immunoglobulin and a vaccination. The patient subsequently experienced labile hypertension. This case highlights the challenge and importance of managing cardiovascular instability.

A Study on Characters of Heart Rate Variability in Young Overweight and Obese Woman (젊은 비만 여성의 심박변이도 특성에 대한 연구)

  • Lee, Yoon-Jae;Hwang, Deok-Sang;Lee, Chang-Hoon;Lee, Kyung-Sub
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.1
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    • pp.63-70
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    • 2008
  • Objectives Obesity is the major risk factor of the heart disease and the metabolic disease. The autonomic nervous system is a key contributor in the regulation of energy balance, so the blunted activity may contribute to the maintenance of the obese state. So we evaluated the function of the autonomic nervous system in young overweight and obese women with heart rate variability. Methods The subjects were 26 overweight and obese young women(BMI〉$23kg/m^2$) and 25 lean women who visited Kangnam Kyunghee hospital for obesity management from March 2006 to April 2008. Bioimpedance Analysis (BIA), short-term spectral analysis of heart rate variability (HRV) were performed. Results HRV of obese young group was lower than the lean young group, but there is no statistical significance. BMI had significantly a negative correlation with Low Frequency(LF) of HRV. LF power is mediated by sympathetic nervous system activity. These results indicate a decrease of sympathetic modulation in overweight and obese young women. Conclusions Overweight and obese young women have decreased sympathetic nervous system activity. In clinical practice, an assessement of HRV would be noninvasive and sensitive methods for sympathetic nervous system of young overweight and obese women.

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Design of Real-Time Autonomic Nervous System Evaluation System Using Heart Instantaneous Frequency

  • Noh, Yeon-Sik;Park, Sung-Jun;Park, Sung-Bin;Yoon, Hyung-Ro
    • Journal of Electrical Engineering and Technology
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    • v.3 no.4
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    • pp.576-583
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    • 2008
  • In this study, we attempt to design a real-time autonomic nervous system(ANS) evaluation system usable during exercise using heart instantaneous frequency(HIF). Although heart rate variability(HRV) is considered to be a representative signal widely used ANS evaluation system, the R-peak detection process must be included to obtain an HRV signal, which involves a high sampling frequency and interpolation process. In particular, it cannot accurately evaluate the ANS using HRV signals during exercise because it is difficult to detect the R-peak of electrocardiogram(ECG) signals with exposure to many noises during exercise. Therefore, in this study, we develop the ground for a system that can analyze an ANS in real-time by using the HIF signal circumventing the problem of the HRV signal during exercise. First, we compare the HRV and HIF signals in order to prove that the HIF signal is more efficient for ANS analysis than HRV signals during exercise. Further, we performed real-time ANS analysis using HIF and confirmed that the exerciser's ANS variation experiences massive surges at points of acceleration and deceleration of the treadmill(similar to HRV).

Evaluation of the Ambient Temperature Effect for the Autonomic Nervous Activity through the Time Domain Analysis of the Heart Rate Variability (심박변이율 시간영역 분석을 통한 실내온도변화에 따른 자율신경활동 평가)

  • Min, Se Dong;Shin, Hangsik
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.8
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    • pp.1246-1250
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    • 2015
  • The purpose of this paper is to investigate the autonomic nervous system activity in various ambient temperature situation. To evaluate autonomic function, we use the time domain analysis of heart rate variability. Electrocardiogram was recorded to derive heart rate variability in 3 different temperature room which temperature is controlled in 18℃(low), 25℃ (mid) and 38℃(high), respectively. Totally 22 subjects were participated in the experiment. The result shows that the time-domain variables such as AVNN, SDNN, SDSD, RMSSD, NN50, pNN50, NN20 and pNN20 show the significant difference between low and high temperature (p<0.01). However, these variables has no significance (p>0.05) between mid and high except on AVNN, RMSSD and pNN20. AVNN, RMSSD shows the highest significance (p<0.001) according to the various temperature environment.

The Effects of Aromatherapy on Autonomic Nerve System and Physical Resistance of a Stress (아로마 요법이 뇌졸중환자의 자율신경계와 스트레스에 대한 신체 저항도에 미치는 효과)

  • Shin, Yoo-Sun;Cho, Young-Suk;Jung, Yu-Jin
    • Journal of Korean Biological Nursing Science
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    • v.6 no.2
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    • pp.5-17
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    • 2004
  • Purpose: The purpose of this study is to determine effects of aromatherapy on the activity and balance of autonomic nervous system and on physical resistance to stress. Methods: This research is a primitive experimental design which attempts to analyze aromatherapy EKG monitoring on real-time basis. Lavender & Chamomile, each 30 drops, were blended with 100ml Sweet Almond oil. Subjects was laid relaxed, and had insides of his wrists and ankles attached with electrodes for EKG. Right after applied with essential oil onto his philtrum and parotid, started on EKG monitoring. Results: The activities of parasympathetic and sympathetic nerve were changed as time elapsed, with significant differences(p=.000). In multiple comparison, the value was significantly different(p<.05).The balance of autonomic nerve was changed, becoming close to the normal level in accord with applicable international standards(1.5)(p=.011). In multiple comparison, the value showed a significant difference(p<.05). Physical resistance to stress increased with the passage of time, but not statistically significant. Conclusions: This suggests that aromatherapy can be used as a nursing intervention which aims at alleviating symptoms related to the imbalance of autonomic nerve system such as headache, hot flashes, irregular heartbeat, nervousness, depression and anxiety.

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Estimation of the effect on the autonomic nervous system using the return-map (리턴맵을 이용한 자율신경계 영향 평가)

  • Jo, Heung-Kuk;Ye, Soo-Young
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.9
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    • pp.2099-2104
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    • 2010
  • In this paper, HRV signal which was appeared RR intervals from ECG was analyzed using return-map during anesthesia. We intended to estimate the depth of anesthesia observing the change of autonomic nervous activity(ANS) because HRV showed change of cardio-vascular system of the body according to state of ANS. Return-map analysis is to reconstruct time series of HRV to phase space after calculating delay time and embedded time. After approximating the signal distribution which was reconstructed in phase space in elliptic, we calculated the lengths of major and minor axises of the elliptic and the values was used to estimate the depth of anesthesia. Stages of the anesthesia were 7 levels to evaluate the depth of anesthesia. At induction stage of strong external stimulation, the length of major and minor axis were statistically high and at the operation stage of non-external stimulation, the values were statistically low. Conclusively, the stages of anesthesia were discriminated by HRV signal mapped in the phase space during operation.

Effects of Transcutaneous Auricular Vagus Nerve Stimulation on the Activity of Autonomic Nervous System and Postprandial Blood Glucose Levels (경피적 귀 미주신경 자극이 자율신경계의 활동 및 식후 혈당 변화에 미치는 영향)

  • Hana, Lee;Hyun, Kim;Doyong, Kim;Minjoo, Lee;Seungkwan, Cho;Han Sung, Kim
    • Journal of Biomedical Engineering Research
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    • v.44 no.1
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    • pp.33-40
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    • 2023
  • Transcutaneous auricular vagus nerve stimulation (taVNS) is known to be effective in improving symptoms of numerous diseases such as depression and epilepsy by increasing vagus nerve activity through electrical stimulation. The purpose of this study is to investigate the effect of vagus nerve stimulation on the activity of autonomic nervous system and the changes in postprandial blood glucose levels. Seven healthy adults participated in a non-invasive transcutaneous auricular vagus nerve stimulation experiment. taVNS (25 Hz, 200 ㎲, biphasic pulse) was applied to the cymba concha (taVNS group) or the earlobe (Sham-taVNS group) of the left ear. As autonomic nervous system signals, skin conductance level, skin temperature, and heart rate were recorded during the application of taVNS. Postprandial blood glucose changes due to food intake were recorded at 5 min intervals for 25 minutes after taVNS or sham-taVNS. The taVNS showed a significantly lower skin conductance level than the shamtaVNS (p < 0.05). The increase rate of postprandial blood glucose was significantly lower in the taVNS than in the sham-taVNS (p < 0.05). These results showed that taVNS reduced the activity of the sympathetic nerve system and alleviated early rise in postprandial blood glucose. Although further studies in diabetic patients are needed, this study suggest that taVNS has a potential for clinical use to improve postprandial blood glucose.

Development of Data Acquisition System for Quantification of Autonomic Nervous System Activity and It's Clinical Use (자율신경계의 활성도 측정을 위한 Data Acquisition System의 개발 및 임상응용)

  • Shin, Dong-Gu;Park, Jong-Sun;Kim, Young-Jo;Shim, Bong-Sup;Lee, Sang-Hak;Lee, Jun-Ha
    • Journal of Yeungnam Medical Science
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    • v.18 no.1
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    • pp.39-50
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    • 2001
  • Background: Power spectrum analysis method is a powerful noninvasive tool for quantifying autonomic nervous system activity. In this paper, we developed a data acquistion system for estimating the activity of the autonomic nervous system by the analysis of heart rate and respiratory rate variability using power spectrum analysis. Materials and methods: For the detection of QRS peak and measurement of respiratory rate from patient's ECG, we used low-pass filter and impedence method respectively. This system adopt an isolated power for patient's safety. In this system, two output signals can be obtained: R-R interval heart rate) and respiration rate time series. Experimental ranges are 30-240 BPM for ECG and 15-80 BPM for respiration. Results: The system can acquire two signals accurately both in the experimental test using simulator and in real clinical setting. Conclusion: The system developed in this paper is efficient for the acquisition of heart rate and respiration signals. This system will play a role in research area for improving our understanding of the pathophysiologic involvement of the autonomic nervous system in various disease states.

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