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… 
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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
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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

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