Heart Rate Variability Biofeedback for Postconcussion Syndrome: Implications for Treatment

@inproceedings{Lagos2012HeartRV,
  title={Heart Rate Variability Biofeedback for Postconcussion Syndrome: Implications for Treatment},
  author={Leah Lagos and Thomas S. Bottiglieri and Bronya Vaschillo and Evgeny G. Vaschillo},
  year={2012}
}
Heart Rate Variability (HRV) Biofeedback is used to restore balance in the activity of the sympathetic and parasympathetic branches of the autonomic nervous system by increasing or reducing the activity of either. Researchers have postulated that a fundamental cause of refractory postconcussion syndrome (PCS) is physiologic dysfunction that fails to return to normal after concussion. The primary physiologic issues identified have been altered autonomic function and impaired cerebral… 
Heart rate variability interventions for concussion and rehabilitation
TLDR
Interventions with HRV biofeedback (HRV BFB) training are reviewed as a promising and underutilized treatment for sports and military-related concussion and research and promising case studies pertaining to use of HRV B FB for enhancement of cognition and performance are reviewed.
The Effect of Exertion on Heart Rate and Rating of Perceived Exertion in Acutely Concussed Individuals
TLDR
The results suggest that during the acute phase after concussion, acutely concussed patients demonstrated an impaired ability to shift from parasympathetic to sympathetic control over heart rate at the onset of exercise, which may be more complex than previously reported.
Neurophysiological Markers of Stress within a Recovery Period after Acute Complications of Cardiovascular Diseases
TLDR
It was found that patients suffering from complications of pathologies of the cardiovascular system were characterized by a significant increase in the electrodermal conductivity, clearly expressed tachypnea, and some trends toward tachycardia and decrease in the skin temperature.
The Use of Heart Rate Variability Biofeedback and Neurofeedback for Traumatic Brain Injury
TLDR
The authors in the present special issue present a range of clinical approaches applying either HRV biofeedback, neurofeedbacks, or a combination of the two, in patients with TBI.
Neurorehabilitation of persistent sport-related post concussion syndrome.
TLDR
The BioPsychoSocial framework is posited as the best diagnostic framework for understanding the impact of concussions on the person and to generate individualized and personal interventions for neurorehabilitation of Persistent Sport-Related Post-Concussion Syndrome.
Concussion and the autonomic nervous system: An introduction to the field and the results of a systematic review
TLDR
The evidence supports the conclusion that it is likely that concussion causes autonomic nervous system anomalies, and an awareness of this relationship increases understanding of the physical impact of concussion, partially explains the overlap of concussion symptoms with other medical conditions, presents opportunities for further research, and has the potential to powerfully inform treatment decisions.
Neuropsychological and psychological rehabilitation interventions in refractory sport-related post-concussive syndrome
TLDR
Modified approaches for rehabilitation with young children within family and school systems are provided and rehabilitation interventions proven useful with similar injuries or illnesses, particularly non-sports-related mild TBI, are reviewed for applicability.
Characterizing self-reported sleep disturbance after mild traumatic brain injury.
TLDR
A difference in the magnitude and nature of perceived sleep disturbance after mild traumatic brain injury compared with controls is indicated, where persons with mTBI report poorer sleep quality and greater sleep-related impairment.
Different Clinical Expression of Anxiety Disorders in Children and Adolescents: Assessment and Treatment
TLDR
The obtained neuropsychological profile of children with OCD confirmed a clear presence of obsessions and compulsions, average intellectual capacities, but the absence of depressive symptoms, and no correlation was found between personality traits and anxiety except for neuroticism, which is positively correlated with the level of anxiety.
Electrophysiology monitoring

References

SHOWING 1-10 OF 31 REFERENCES
Regulatory and autoregulatory physiological dysfunction as a primary characteristic of post concussion syndrome: implications for treatment.
TLDR
It is proposed that PCS results from ongoing central and systemic physiologic regulatory dysfunction after traumatic brain injury (TBI) and it is suggested that this physiologic dysfunction may be reduced or alleviated by individualized controlled sub-symptom threshold aerobic exercise rehabilitation.
Biofeedback in the treatment of heart failure
TLDR
It is hypothesize that the effects of biofeedback training will extend to remodeling the failing human heart, in addition to improving quality of life.
Heart Rate Variability Biofeedback Increases Baroreflex Gain and Peak Expiratory Flow
TLDR
Heart rate variability biofeedback had strong long-term influences on resting baroreflex gain and pulmonary function and should be examined as a method for treating cardiovascular and pulmonary diseases.
Biofeedback therapy in cardiovascular disease: rationale and research overview.
  • C. Moravec
  • Medicine, Psychology
    Cleveland Clinic journal of medicine
  • 2008
TLDR
Preliminary studies suggest that heart rate variabilityBiofeedback may be useful in improving symptoms and quality of life in patients with cardiac disease, and early studies suggest a possible effect of biofeedback on remodeling of the failing heart.
Resonant Frequency Biofeedback Training to Increase Cardiac Variability: Rationale and Manual for Training
TLDR
It is hypothesize that this type of biofeedback exercises the baroreflexes, and renders them more efficient, and is presented for carrying out this method.
Biofeedback: an overview in the context of heart-brain medicine.
  • M. G. Mckee
  • Medicine, Psychology
    Cleveland Clinic journal of medicine
  • 2008
TLDR
Clinical biofeedback therapy broadly involves either the direct feedback learning model or the therapeutic/stress-management/biofeedback model, which emphasizes the need to understand each patient as an individual.
Heart Rate Variability Biofeedback as a Strategy for Dealing with Competitive Anxiety : A Case Study
Heart rate variability (HRV) biofeedback (BFB) is a relatively new approach for helping athletes to regulate competitive stress. To investigate this phenomenon further, a qualitative case study
Effect of Endurance Exercise on Autonomic Control of Heart Rate
Long-term endurance training significantly influences how the autonomic nervous system controls heart function. Endurance training increases parasympathetic activity and decreases sympathetic
The sympathetic nervous system in heart failure physiology, pathophysiology, and clinical implications.
A Preliminary Study of Subsymptom Threshold Exercise Training for Refractory Post-Concussion Syndrome
TLDR
Treatment with controlled exercise is a safe program that appears to improve PCS symptoms when compared with a no-treatment baseline, and time series analysis showed significant change in rate of symptom reduction for all subjects.
...
1
2
3
4
...