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Calculating Heart Rate Variability from ECG Data from Youth with Cerebral Palsy During Active Video Game Sessions
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HRV-Guided Training for Elders after Stroke: A Protocol for a Cluster-Randomized Controlled Trial.

María Carrasco-Poyatos1, Antonio Granero-Gallegos1, Ginés D López-García2

  • 1Department of Education, Health and Public Administration Research Center, University of Almeria, 04120 Almeria, Spain.

International Journal of Environmental Research and Public Health
|September 9, 2022
PubMed
Summary

Heart rate variability (HRV)-guided training may offer a safer and more effective approach to cardiac rehabilitation for stroke survivors compared to high-intensity interval training (HIIT). This method optimizes functional performance and adherence in post-stroke patients.

Keywords:
HIITVO2peakadherencecardiac rehabilitationheart rate variabilityprotocolsafety

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Area of Science:

  • Cardiovascular Rehabilitation
  • Neurology
  • Exercise Physiology

Background:

  • Stroke survivors face significant long-term rehabilitation challenges, particularly older adults.
  • High-intensity interval training (HIIT) is effective but requires careful individualization due to variable physiological responses.
  • Heart rate variability (HRV) monitoring offers a personalized approach, reflecting parasympathetic nervous system activity and cardiovascular adaptation.

Purpose of the Study:

  • To compare the effects of HRV-guided training versus traditional HIIT on cardiorespiratory fitness, HRV, functional parameters, body composition, quality of life, inflammatory markers, and cognitive function in post-stroke patients.
  • To assess the feasibility, safety, and adherence of an 8-week cardiac rehabilitation program using these two training modalities.

Main Methods:

  • A cluster-randomized controlled trial comparing an HRV-guided training group (HRV-G) with a HIIT-based training group (HIIT-G).
  • HIIT-G followed a predefined program; HRV-G adjusted training based on daily HRV measurements.
  • Outcomes included peak oxygen uptake (VO2peak), endothelial/work parameters, HRV, functional measures, body composition, quality of life, inflammatory markers, cognitive function, adherence, feasibility, and safety.

Main Results:

  • The study aims to determine if HRV-guided training leads to superior outcomes compared to HIIT.
  • Expected results suggest HRV-guided training will improve functional performance and adherence.
  • It is hypothesized that HRV-guided training will be safer and more feasible for post-stroke patients.

Conclusions:

  • HRV-guided training presents a promising, personalized strategy for optimizing cardiac rehabilitation in stroke survivors.
  • This approach may enhance functional recovery and patient engagement.
  • The findings could lead to improved rehabilitation protocols for post-stroke care.