慢性肌肉骨疼痛的成年人心率变化:一个系统性审查
Érika P Rampazo1, Patrícia Rehder-Santos2, Aparecida M Catai2
1Physiotherapeutic Resources Research Laboratory, Department of Physical Therapy, Federal University of São Carlos (UFSCar), Rod Washington Luiz, km 235, São Carlos, 13565-905, São Paulo, Brazil.
与健康个体相比,患有慢性肌肉骨疼痛的成年人表现出心率变化率 (HRV) 降低. 然而,证据是混合的,需要更多高质量的研究HRV在疼痛条件.
科学领域:
- 身体生理学 身体生理学
- 疼痛研究 疼痛研究
- 心脏病学 心脏病学
背景情况:
- 慢性肌肉骨疼痛影响了成年人口的很大一部分.
- 心率变化 (HRV) 是自主神经系统功能的非侵入性测量.
- 在慢性疼痛状态中怀疑自主功能的改变.
研究的目的:
- 系统地审查和比较慢性肌肉骨疼痛的成年人与健康对照者的静止心率变化 (HRV).
- 综合当前关于慢性疼痛群体自主神经系统调制的证据.
主要方法:
- 通过全面的数据库搜索 (PubMed,Scopus,科学网,CINAHL) 识别的观察性研究的系统审查.
- 包括评估慢性肌肉骨疼痛的成年人休息HRV的研究和健康的比较.
- 使用唐斯和黑名单的方法质量评估.
主要成果:
- 20项质量差至中等的研究符合纳入标准,调查了部疼痛,腰部疼痛和纤维肌痛等疾病.
- 大多数研究使用心电图和时间/频域HRV指数.
- 初步发现表明,慢性肌肉骨疼痛的成年人中,交感调节的增加和寄交感调节的减少.
结论:
- 与对照组相比,患有慢性肌肉骨疼痛的成年人通常表现出降低的HRV.
- 目前的证据是异质的,质量中等,排除了最终的结论.
- 采用标准化HRV测量协议的进一步高质量研究至关重要.
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