ASSESSMENT OF PSYCHOPHYSIOLOGICAL SELF-REGULATION IN CARDIAC REHABILITATION BY MEANS OF HEART RATE VARIABILITY
Keywords:
biofeedback, heart rate variability, coronary artery bypass grafting, comprehensive rehabilitation, inpatient stage, medical rehabilitation, psychophysiological training, cardiac rehabilitation
Abstract
Abstract. The relevance of the work is associated with the search for ways to increase the effectiveness of the comprehensive rehabilitation of patients after coronary artery bypass grafting
based on the formation of psychophysiological self-regulation skills. Aim. The paper aims to assess the indicators of heart rate variability before and after medical rehabilitation based on psychophysiological training in patients after coronary artery bypass grafting. Materials and methods. 38 patients of the rehabilitation cardiology department (Republican Cardiological Center) who underwent coronary artery bypass grafting were examined, of which 21 were males, 17 were females. The average age of the patients was 62,2 ± 6,5 years. Biofeedback technologies were used to acquire the skills of psychophysiological relaxation in the experimental group (19 subjects). Patients were asked to undergo 10 cardiac control sessions, 15 minutes each for two weeks. At the beginning and at the end of rehabilitation, heart rate variability was monitored. Results. The use of psychophysiological training based on biofeedback at the second inpatient stage of medical rehabilitation made it possible to improve the indicators of heart rate variability in patients of the experimental group compared with the control group. Conclusion. Empirical data on heart rate variability confirmed the feasibility of psychophysiological training with biofeedback at the second inpatient stage of medical rehabilitation after coronary artery bypass grafting.
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References
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23. DiFrancesco D., Tromba C. Muscarinic control of the hyperpolarization-activated current (if) in rabbit sinoatrial node myocytes. J Physiol. 1988; 405: 493–510. DOI: 10.1113/jphysiol.1988.sp017344
2. Kazaryan A.V., Sigaev I.Y., Morchadze B.D., Pilipenko I.V. Repeated coronary artery bypass through 19 years after primary surgery cabg. Grudnaya i serdechno-sosudistaya khirurgiya = Russian Journal of Thoracic and Cardiovascular Surgery. 2016; 58 (4): 236–240. (In Russ.). https://elibrary.ru/item.asp?id=26697161
3. Ivashchenko A.S., Iezhov V.V., Severin N.A., Prokopenko N.A. The effectiveness of medical rehabilitation in coronary heart disease as a part of the spa resort treatment. Evraziiskii kardiologicheskii zhurnal = Eurasian heart journal. 2017; 2: 28–32. (in Russ.). https://elibrary.ru/item.asp?id=29111910
4. Aladyshev A.V., Subbotin E. A. Functional biofeedback management a promising infor-mation technology in medicine. Sovremennye naukoemkie tekhnologii = Modern high technologies. 2005; 3: 86–87. (in Russ.). https://elibrary.ru/item.asp?id=11147668
5. Vlasova V.P. Biofeedback technology application specifics in adaptive physical education and rehabilitation of retarded children. Teoriya i practika fizicheskoy kultury = Theory and Practice of Physical Culture. 2016; 8: 32–34. (in Russ.). https://elibrary.ru/item.asp?id=26292898
6. Gimazov R.M. Substantiation of a procedure for correction of the properties of human motor abilities via biofeedback for support reaction. Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kultury = Problems of Balneology, Physiotherapy and Exercise Therapy. 2019; 96 (3): 41–49. (in Russ.). DOI: 10.17116/kurort20199603141
7. Kapilevich L.V., Koshelskaya E.V., Krivoschekov S.G. Physiological basis of the improvement of movement accuracy on the basis of stabilographic training with biological feedback. Fiziologiya cheloveka = Human Physiology. 2015; 41 (4): 73. (in Russ.). DOI: 10.7868/S0131164615040098
8. Golovanov A.I. Functional biofeedback biofeedback in the rehabilitation of patients with dyscirculatory encephalopathy. Izvestiya TRTU = News of TRTU. 2004; 6 (41): 134–138. (in Russ.). https://elibrary.ru/item.asp?id=9304716
9. Berdichevskaya E.M. The use of the biofeedback method in the treatment of children with neurogenic bladder dysfunction. Vestnik Rossiiskogo gosudarstvennogo meditsinskogo universiteta = Bulletin of Russian State Medical University. 2006; 2 (49): 270. (in Russ.). https://elibrary.ru/item.asp?id=9249033
10. Artemyeva E.N. Biological feedback as a method of correction of psychoemotional, behavioral and speech disorders in children of primary school age. Byulleten Severnogo gosudarstvennogo meditsinskogo universiteta = Bulletin of the Northern State Medical University. 2016; 2 (37): 8–9. (in Russ.). https://elibrary.ru/item.asp?id=29729230
11. Saul J., Bernardi L. Heart Rate Variability after Cardiac Transplantation. Malik M., Camm A.J. (eds). Heart Rate Variability. New York. Futura Publishing Company Inc. 1995: P. 479–494.
12. Kuvatov V.A., Mironov V.A., Bavikin M.V., Mironova T.F. Heart rate variability in patients with coronary artery disease at aortocoronary shunting. Vestnik udmurtskogo universiteta. Seriya Biologiya. Nauki o Zemle = Bulletin of Udmurt University. Series Biology. Earth Sciences. 2012; 2: 68–78. (In Russ.). https://elibrary.ru/item.asp?id=17830029
13. Teplyakov A.T., Lukinov A.V., Levshin A.V. et al. The possibility of non-invasive diagnosis of coronary restenosis in assessing the dynamics of heart rate variability indicators. Klinicheskaya meditsina = Clinical Medicine. 2010; 3: 21–26. (in Russ.). https://elibrary.ru/item.asp?id=15138364
14. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation. 1996; 93 (5): 1043–1065. https://pubmed.ncbi.nlm.nih.gov/8598068/
15. Kiseleva I.V., Ryabykina G.V., Sobolev A.V. Agapov A.A., Akchurin R.S. Heart rate variability before and after coronary artery bypass surgery in patients with ischemic heart disease Kardiologiya = Cardiology. 2002; 7: 16–20. (in Russ.). https://elibrary.ru/item.asp?id=14930863
16. Folkow B., Svanborg A. Physiology of cardiovascular aging. Physiol Rev. 1993; 73 (4): 725–764. DOI: 10.1152/physrev.1993.73.4.725.
17. Ragozin A.N. Informativeness of spectral indicators of heart rate variability. Vestnik aritmologii = Journal of Arrhythmology. 2001; 22: 37–40. (In Russ.). https://elibrary.ru/item.asp?id=9166646
18. Mikhaylov V.M., Pokhachevsky A.L., Pokhachevskaya E.V. Quantitative assessment of current functional state under stressful conditions. Patologicheskaya fiziologiya i eksperimentalnaya terapiya = Pathological physiology and experimental therapy. 2006; 2: 19–21. (in Russ.). https://elibrary.ru/item.asp?id=9210823
19. Poskotinova L.V., Ovsyankina M.A., Krivonogova E.V., Melnikova A.V. Reactivity of heart rate autonomous nervous regulation during the course of heart rate variability biofeedback in teachers. Sovremennye problemy nauki i obrazovaniya = Modern problems of science and education. 2015; 1-1. (In Russ.). https://elibrary.ru/item.asp?id=25325603
20. Sergeeva E.G., Ibragimova T.V., Didur M.D. Biofeedback and correction of cardiac rhythm variability in athletes training for endurance. Interaktivnaya nauka = Interactive science. 2018; 4 (26): 32–36. (in Russ.). https://elibrary.ru/item.asp?id=35144934
21. Minakov E.V., Dubachev A.A., Minakova N.E. The characteristic of dynamics of adaptable process at the patients who have transferred aortocoronary shunting (on the basis the estimation of variability the rhythm of heart). Vestnik novykh meditsinskikh tekhnologii = Journal of New Medical Technologies. 2010; 17 (2): 127–131. (In Russ.). https://elibrary.ru/item.asp?id=16459576
22. Akselrod S., Gordon D., Madwed J.B. et al. Hemodynamic regulation: investigation by spectral analysis. Am J Physiol. 1985; 249 (4 Pt 2): H867-75. DOI: 10.1152/ajpheart.1985.249.4.H867.
23. DiFrancesco D., Tromba C. Muscarinic control of the hyperpolarization-activated current (if) in rabbit sinoatrial node myocytes. J Physiol. 1988; 405: 493–510. DOI: 10.1113/jphysiol.1988.sp017344
References on translit
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Published
2021-07-11
How to Cite
Minko, E. (2021). ASSESSMENT OF PSYCHOPHYSIOLOGICAL SELF-REGULATION IN CARDIAC REHABILITATION BY MEANS OF HEART RATE VARIABILITY. Psychology. Psychophysiology, 14(2), 123-132. https://doi.org/10.14529/jpps210212
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Section
Psychophysiology
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