Heart Rate Variability as a Possible Biomarker of Cognitive-Motor Integration in Post-Stroke Patients.
Heart Rate Variability (HRV) refers to variation in time intervals between consecutive heartbeats, indicating autonomic nervous system's control over the heart. Time and frequency analysis of HRV could serve as predictors for severity and functional outcome in stroke. Aim of this study is to verify...
| Publicado en: | Advances in Rehabilitation Science & Practice pp. 1 - 11 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
5/5/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184970298&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184970298 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27536351 N7A5 jtl: Advances in Rehabilitation Science & Practice issn: 27536351 maglogo: Y pubinfo: dt: 5/5/2025 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 184970298 184970298 184970298 10.1177/27536351251335133 184970298 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Heart Rate Variability as a Possible Biomarker of Cognitive-Motor Integration in Post-Stroke Patients. aug: au: Penati, Rachele Robustelli, Alessandro Gasperini, Giulio Specchia, Alessandro Paleari, Valeria Guanziroli, Eleonora Molteni, Franco affil: Villa Beretta Rehabilitation Center, Valduce Hospital, Costa Masnaga, Lecco, Italy sug: subj: Cognition Psychomotor Performance Heart Rate Variability Biological Markers Stroke Patients Psychosocial Factors Stroke Rehabilitation Task Performance and Analysis Evaluation Italy Human Male Female Middle Age Aged Cross Sectional Studies Questionnaires Clinical Assessment Tools Descriptive Statistics Data Analysis Software Analysis of Variance Pearson's Correlation Coefficient Post Hoc Analysis Brain Injuries Autonomic Nervous System Cognitive Flexibility Upper Extremity Motor Skills Parasympathetic Nervous System Hemiplegia Ischemic Stroke Hemorrhagic Stroke Electrocardiography Mirror Therapy Brain Hemispheres Heart Rate Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Heart Rate Variability (HRV) refers to variation in time intervals between consecutive heartbeats, indicating autonomic nervous system's control over the heart. Time and frequency analysis of HRV could serve as predictors for severity and functional outcome in stroke. Aim of this study is to verify if HRV, measured during cognitive and sensorimotor upper limb (UL) tasks, can be used as a biomarker of cognitive-motor interaction in post-stroke patients. Forty-six patients with unilateral brain injury following stroke were enrolled: 27 (58.7%) ischemic, 19 hemorrhagic, 24 (52.2%) subacute (<6 months), and 22 chronic. Mean age at evaluation was 61 years. Right side was affected in 16 subjects (34.8%). Each patient underwent HRV recording in the following conditions: (1) Rest (5 minutes); (2) Visuomotor simulation training of the affected upper limb (UL) using Dessintey IVS3 (DE, 5 minutes); (3) Motor Imagery of the affected UL (MI, 5 minutes). UL functional outcome measures were collected for both affected and less affected sides. All patients showed reduced HRV in time and frequency domains and sympathetic tone predominance at rest. During DE and MI, a significant reduction in time domain was observed. In frequency domains, low frequency decreases during DE, with parasympathetic tone predominance. In the subgroup analyses for lesion side, only right hemiparetic patients showed parasympathetic predominance during mental tasks of the upper limb (DE and MI. No correlation was found between HRV parameters and UL functional scales. Different HRV response in time and frequency domains to mental task was observed between right and left hemiparetic subjects. This could be explained by different anatomical-functional substrates between right and left hemisphere and could reflect different behaviors during UL cognitive-motor tasks. HRV parameters were not correlated with clinical functional assessment scales, likely meaning that they possible exploring different domains. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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