DOI QR코드

DOI QR Code

The Effects of Manual Passive Exercise Performed by Physical Therapists on Autonomic Nervous System

물리치료사에 의해서 실시되는 도수수동 운동이 자율신경계에 미치는 영향

  • Kim, In-Bae (Department of Physical Therapy, Graduate School of Catholic University of Pusan) ;
  • Kim, Chung-Yoo (Department of Physical Therapy, Catholic University of Pusan) ;
  • Kim, Eun-Kyung (Department of Physical Therapy, Seonam University) ;
  • Shin, Han-Ki (Department of Physical Therapy, Graduate School of Catholic University of Pusan) ;
  • Kang, Jong-Ho (Department of Physical Therapy, Catholic University of Pusan)
  • 김인배 (부산가톨릭대학교 대학원 물리치료학과) ;
  • 김충유 (부산가톨릭대학교 물리치료학과) ;
  • 김은경 (서남대학교 물리치료학과) ;
  • 신한기 (부산가톨릭대학교 대학원 물리치료학과) ;
  • 강종호 (부산가톨릭대학교 물리치료학과)
  • Received : 2014.10.20
  • Accepted : 2014.11.18
  • Published : 2015.02.28

Abstract

PURPOSE: The purpose of this study was to investigate the effects of ten minutes of manual passive exercise performed by physical therapists on autonomic nervous system. METHODS: Thirty-five healthy adults, both male and female, were chosen as subjects for this study. The autonomic nervous system was measured by heart rate variability (HRV),before and after passive exercise using the following measurements: mean heart rate (mean HRT), low frequency (LF) and high frequency (HF) components, the LF/HF ratio, root mean square of the successive differences (RMSSD), and the HRV index. The exercise was performed on the subjects by a physical therapist with seven years of experience specializing in the nervous system. The exercise was conducted at the mid-range of motion on the upper and lower limbs of the subjects for two minutes and thirty seconds and for a total of ten minutes. RESULTS: There was a significant increase in the LF component. The mean HRT and the LF/HF ratio both increased, but these increases were not significant. The HF component, RMSSD, and HRV index all decreased, but these decreases were not significant. CONCLUSION: In conclusion, mid-range manual passive exercise does not induce stress on the autonomic nervous system. It can safely be performed by a physical therapist.

Keywords

References

  1. Achugbue FS.The effects of therapeutic passive movement on cardiovascular response in stroke patients.Research journal of medical sciences. 2009;3(1):12-5.
  2. Amidei C, Sole ML. Physiological responses to passive exercise in adults receiving mechanical ventilation. Am J Crit Care. 2013;22(4):337-48. https://doi.org/10.4037/ajcc2013284
  3. Gladwell VF, Coote JH. Heart rate at the onset of muscle contraction and during passive muscle stretch in humans: a role for mechanoreceptors. J Physiol. 2002;540( 3):1095-102. https://doi.org/10.1113/jphysiol.2001.013486
  4. Gosselink R, Bott J, Johnson M, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med. 2008;34(7):1188-99. https://doi.org/10.1007/s00134-008-1026-7
  5. Jang YS, Min JW, Yoo BG, et al. Changes of electrocardiogram and cardiac enzymes in acute ischemic stroke. J Korean Neurol Assoc. 2001;19(3):207-12.
  6. Kim IB, Kim EK, Kang JH. The influence of position change on autonomic nervous system function. J koreansocphys med. 2014;9(1):63-8.
  7. Kim JI, Lee JS. Effects of Clinical Training on Stress, Anxiety and Changes in Autonomic Nervous System in Nursing Students. J Korean BiolNurs Sci. 2011;13(2):102-8.
  8. Kleiger RE, Stein PK, Bosner MS, et al. Time domain measurements of heart rate variability.CardiolClin. 1992;10(3):487-98.
  9. Lee TK, Chung WH. Vestibular influences on autonomic regulation. J korean balance soc. 2006;5(2):329-35.
  10. Lynch D, Ferraro M, Krol J, et al. Continuous passive motion improves shoulder joint integrity following stroke. ClinRehabil. 2005;19(6):594-9.
  11. McMahon SE, McWilliam PN. Changes in R-R interval at the start of muscle contraction in the decerebrate cat. J Physiol. 1992;447:549-62. https://doi.org/10.1113/jphysiol.1992.sp019017
  12. Shin YA, Kim MJ, Ahn JH. The comparison of heart rate variability and blood pressure according to posture and exercise type. Exercise science. 2011;20(3):249-60. https://doi.org/10.15857/ksep.2011.20.3.249
  13. Thelandersson A, Volkmann R, Cider A. Blood flow velocity and vascular resistance during passive leg exercise in the critically ill patient. ClinPhysiolFunct Imaging. 2012;32(5):338-42.
  14. Williamson JW. The relevance of central command for the neural cardiovascular control of exercise.Exp Physiol. 2010;95(11):1043-8. https://doi.org/10.1113/expphysiol.2009.051870
  15. Zeppos L, Patman S, Berney S, et al. Physiotherapy in intensive care is safe: an observational study. Aust J Physiother. 2007;53(4):279-83. https://doi.org/10.1016/S0004-9514(07)70009-0

Cited by

  1. Effects of Self-stretching and Joint Mobilization to Upper Thoracic Vertebrae in Craniovertebral Angle and Autonomic System Function in Chronic Cervical Pain vol.13, pp.2, 2018, https://doi.org/10.13066/kspm.2018.13.2.61
  2. 미주신경 자극을 위한 새로운 방법 : 비침습적 TENS 적용에 대한 미주신경 자극의 치료적 효과 vol.4, pp.4, 2015, https://doi.org/10.15268/ksim.2016.4.4.077