Abstract:
:Paced breathing has shown efficacy in fibromyalgia (FM), but the mechanisms associated with symptom change are largely unknown. We investigated whether changes in respiratory rate (RR) alone resulted in autonomic changes during normal, paced, and mechanically assisted breathing in untrained FM patients and controls. Participants included 20 FM patients and 14 controls matched for age and body mass index. During a single visit, participants completed three 15-minute breathing sessions: 1) normal breathing, 2) slow-paced breathing, and 3) mechanically assisted breathing (continuous positive airway pressure) while supine. Continuous blood pressure and electrocardiogram were recorded, and measures of heart rate variability (HRV) and spontaneous baroreceptor sensitivity (sBRS) were calculated. During normal breathing, FM patients had higher heart rate (HR), but lower HRV and sBRS variables compared to controls with no difference in RR. Compared to the paced breathing condition, FM patients had significantly lower HR with higher HRV and sBRS variables during mechanically assisted breathing, despite no significant change in RR. Mechanically assisted breathing provided greater benefits in autonomic function than paced breathing in untrained FM patients. Future research will be needed to elucidate the central pathways involved in these autonomic changes and whether training in paced breathing can eventually replicate the results seen in mechanically assisted patients.
journal_name
J Pain Resjournal_title
Journal of pain researchauthors
Schmidt JE,O'Brien TG,Hooten WM,Joyner MJ,Johnson BDdoi
10.2147/JPR.S139642subject
Has Abstractpub_date
2017-12-08 00:00:00pages
2761-2768issn
1178-7090pii
jpr-10-2761journal_volume
10pub_type
杂志文章abstract:Background:Acupotomy, which involves the addition of a scalpel function to the conventional acupuncture treatment, has recently been applied as a conservative treatment method for lumbar disc herniation (LDH). This study investigated the effectiveness and safety of acupotomy, compared to manual acupuncture, for the tre...
journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
pub_type: 杂志文章
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更新日期:2017-09-11 00:00:00
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
pub_type: 杂志文章
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journal_title:Journal of pain research
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S47540
更新日期:2013-06-25 00:00:00