Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Influence of Position Change on Autonomic Nervous System Function

자세변화가 자율신경계에 미치는 영향

  • Kim, In-Bae (Department of Physical Therapy, Graduate School of Catholic University of Pusan) ;
  • Kim, Eun-Kyung (Department of Physical Therapy, Seonam University) ;
  • Kang, Jong-Ho (Department of Physical Therapy, Catholic University of Pusan)
  • 김인배 (부산가톨릭대학교 대학원 물리치료학과) ;
  • 김은경 (서남대학교 물리치료학과) ;
  • 강종호 (부산가톨릭대학교 물리치료학과)
  • Received : 2013.12.16
  • Accepted : 2014.01.10
  • Published : 2014.02.28
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Abstract

PURPOSE: The purpose of this study was to examine the position changes with tilt table on autonomic nervous system using heart rate variability analysis. METHODS: Fourty healthy adult males volunteered in this study. The low frequency, high frequency and low frequency/high frequency ratio and mean heart rate, standard deviation of all normal R-R intervals, root mean square of successive differences, heart rate variability index were measured at the tilt table angle of $0^{\circ}$, $45^{\circ}$ and $90^{\circ}$ with pulsoximeter. Data were analyzed one-way ANOVA and LSD post hoc test. RESULTS: The mean heart rate, low frequency and low frequency/high frequency ratio increased significantly at higher angle of tilt table(p<.05). The root mean square of successive differences, heart rate variability index decreased significantly at lower angle of tilt table(p<.05). The standard deviation of all normal R-R intervals, high frequency decreased at higher angle of tilt table did not show significant difference. CONCLUSION: The symphathetic activity increased significantly at higher angle of tilt table. The parasymphathetic activity decreased at higher angle of tilt table, but the difference were not significant. The autonomic adaptation, balance and heart rate variability decreased significantly at higher angle of tilt table. Based on these results, in the treatment of patients with a change in posture precedence should be carefully treated. Further studies are necessary to determine the most safety and effective methods.

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