Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s00520-020-05629-0 http://hdl.handle.net/11449/199197 |
Resumo: | Introduction: Considering that heart rate (HR) autonomic control is impaired in cancer and subsequent respiratory effort may overload the heart, we aimed to evaluate the effect of a respiratory physical therapy session on HR autonomic regulation in children with leukemia so as to confirm its safety. Methods: We selected children with leukemia (n = 10) and healthy children (n = 11), which were submitted to a session of respiratory physical therapy. We used Spiron Kids (NCS, Brazil), Children’s Voldyne (HUDSON RCI, USA), and Shaker (NCS, Brazil) as respiratory devices. The respiratory exercise protocols were founded on three standardized protocols. HR variability (HRV) was analyzed before, in the first minute and 5 to 10 min after intervention. Results: We recognized no change between rest and recovery from intervention in HRV (rMSSD—square root mean square of the differences between adjacent normal R-R intervals)—Control: p = 0.8111, Leukemia: p = 0.1197, among groups: p = 0.6574; SD1—standard deviation from instantaneous beat-to-beat variability—Control: p = 0.8111, Leukemia: p = 0.131, among groups: p = 0.6556; 0V—with no variation (3 equal symbols, for example (2,2,2)—Control: p = 0.3679, Leukemia: p = 0.3553, among groups: p = 0.7421); 2UV—with two variations to the contrary (the three symbols form a peak or a valley, for instance (3,5,3)—Control: p = 0.3679, Leukemia: p = 0.2359, among groups: p = 0.4007). HF—high frequency component, range 0.15 to 0.4 Hz—decreased 0 to 1 min after intervention in the leukemia group (p = 0.0303) and no change was observed in the control group between rest versus recovery from intervention (p = 0.9761). No significant change was reported in HF between groups (p = 0.8700). Two leukemia subjects treated with vincristine presented different HRV responses to the intervention group. Conclusion: A respiratory physical therapy session did not significantly change autonomic control of HR in children with leukemia. Yet, clinicians should be mindful of subjects undergoing treatment with vincristine. |
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Impact of respiratory physical therapy on heart rate autonomic control in children with leukemiaAutonomic nervous systemCardiovascular systemHeart rateLeukemiaPhysiotherapyIntroduction: Considering that heart rate (HR) autonomic control is impaired in cancer and subsequent respiratory effort may overload the heart, we aimed to evaluate the effect of a respiratory physical therapy session on HR autonomic regulation in children with leukemia so as to confirm its safety. Methods: We selected children with leukemia (n = 10) and healthy children (n = 11), which were submitted to a session of respiratory physical therapy. We used Spiron Kids (NCS, Brazil), Children’s Voldyne (HUDSON RCI, USA), and Shaker (NCS, Brazil) as respiratory devices. The respiratory exercise protocols were founded on three standardized protocols. HR variability (HRV) was analyzed before, in the first minute and 5 to 10 min after intervention. Results: We recognized no change between rest and recovery from intervention in HRV (rMSSD—square root mean square of the differences between adjacent normal R-R intervals)—Control: p = 0.8111, Leukemia: p = 0.1197, among groups: p = 0.6574; SD1—standard deviation from instantaneous beat-to-beat variability—Control: p = 0.8111, Leukemia: p = 0.131, among groups: p = 0.6556; 0V—with no variation (3 equal symbols, for example (2,2,2)—Control: p = 0.3679, Leukemia: p = 0.3553, among groups: p = 0.7421); 2UV—with two variations to the contrary (the three symbols form a peak or a valley, for instance (3,5,3)—Control: p = 0.3679, Leukemia: p = 0.2359, among groups: p = 0.4007). HF—high frequency component, range 0.15 to 0.4 Hz—decreased 0 to 1 min after intervention in the leukemia group (p = 0.0303) and no change was observed in the control group between rest versus recovery from intervention (p = 0.9761). No significant change was reported in HF between groups (p = 0.8700). Two leukemia subjects treated with vincristine presented different HRV responses to the intervention group. Conclusion: A respiratory physical therapy session did not significantly change autonomic control of HR in children with leukemia. Yet, clinicians should be mindful of subjects undergoing treatment with vincristine.Autonomic Nervous System Center Sao Paulo State University UNESP, Av. Hygino Muzzi Filho, 737. Mirante, 17.525-900—MaríliaCardiorespiratory Research Group Department of Biological and Medical Sciences Faculty of Health and Life Sciences Oxford Brookes University, Headington Campus, Gipsy LaneAutonomic Nervous System Center Sao Paulo State University UNESP, Av. Hygino Muzzi Filho, 737. Mirante, 17.525-900—MaríliaUniversidade Estadual Paulista (Unesp)Oxford Brookes UniversityKirizawa, Jociele M. [UNESP]Garner, David M. [UNESP]Valenti, Vitor E. [UNESP]2020-12-12T01:33:21Z2020-12-12T01:33:21Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1007/s00520-020-05629-0Supportive Care in Cancer.1433-73390941-4355http://hdl.handle.net/11449/19919710.1007/s00520-020-05629-02-s2.0-85088875754Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengSupportive Care in Cancerinfo:eu-repo/semantics/openAccess2021-10-23T04:45:21Zoai:repositorio.unesp.br:11449/199197Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T04:45:21Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
title |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
spellingShingle |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia Kirizawa, Jociele M. [UNESP] Autonomic nervous system Cardiovascular system Heart rate Leukemia Physiotherapy |
title_short |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
title_full |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
title_fullStr |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
title_full_unstemmed |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
title_sort |
Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia |
author |
Kirizawa, Jociele M. [UNESP] |
author_facet |
Kirizawa, Jociele M. [UNESP] Garner, David M. [UNESP] Valenti, Vitor E. [UNESP] |
author_role |
author |
author2 |
Garner, David M. [UNESP] Valenti, Vitor E. [UNESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Oxford Brookes University |
dc.contributor.author.fl_str_mv |
Kirizawa, Jociele M. [UNESP] Garner, David M. [UNESP] Valenti, Vitor E. [UNESP] |
dc.subject.por.fl_str_mv |
Autonomic nervous system Cardiovascular system Heart rate Leukemia Physiotherapy |
topic |
Autonomic nervous system Cardiovascular system Heart rate Leukemia Physiotherapy |
description |
Introduction: Considering that heart rate (HR) autonomic control is impaired in cancer and subsequent respiratory effort may overload the heart, we aimed to evaluate the effect of a respiratory physical therapy session on HR autonomic regulation in children with leukemia so as to confirm its safety. Methods: We selected children with leukemia (n = 10) and healthy children (n = 11), which were submitted to a session of respiratory physical therapy. We used Spiron Kids (NCS, Brazil), Children’s Voldyne (HUDSON RCI, USA), and Shaker (NCS, Brazil) as respiratory devices. The respiratory exercise protocols were founded on three standardized protocols. HR variability (HRV) was analyzed before, in the first minute and 5 to 10 min after intervention. Results: We recognized no change between rest and recovery from intervention in HRV (rMSSD—square root mean square of the differences between adjacent normal R-R intervals)—Control: p = 0.8111, Leukemia: p = 0.1197, among groups: p = 0.6574; SD1—standard deviation from instantaneous beat-to-beat variability—Control: p = 0.8111, Leukemia: p = 0.131, among groups: p = 0.6556; 0V—with no variation (3 equal symbols, for example (2,2,2)—Control: p = 0.3679, Leukemia: p = 0.3553, among groups: p = 0.7421); 2UV—with two variations to the contrary (the three symbols form a peak or a valley, for instance (3,5,3)—Control: p = 0.3679, Leukemia: p = 0.2359, among groups: p = 0.4007). HF—high frequency component, range 0.15 to 0.4 Hz—decreased 0 to 1 min after intervention in the leukemia group (p = 0.0303) and no change was observed in the control group between rest versus recovery from intervention (p = 0.9761). No significant change was reported in HF between groups (p = 0.8700). Two leukemia subjects treated with vincristine presented different HRV responses to the intervention group. Conclusion: A respiratory physical therapy session did not significantly change autonomic control of HR in children with leukemia. Yet, clinicians should be mindful of subjects undergoing treatment with vincristine. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T01:33:21Z 2020-12-12T01:33:21Z 2020-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/s00520-020-05629-0 Supportive Care in Cancer. 1433-7339 0941-4355 http://hdl.handle.net/11449/199197 10.1007/s00520-020-05629-0 2-s2.0-85088875754 |
url |
http://dx.doi.org/10.1007/s00520-020-05629-0 http://hdl.handle.net/11449/199197 |
identifier_str_mv |
Supportive Care in Cancer. 1433-7339 0941-4355 10.1007/s00520-020-05629-0 2-s2.0-85088875754 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Supportive Care in Cancer |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964400692494336 |