Regulation of mental states and biofeedback techniques: effects on breathing pattern

Neurophysiologic Reactions during Heart Rate Variability Biofeedback Session in Adolescents with Different Risk of Internet Addiction

The aim of this study was to determine electroencephalogram (EEG) in a session of heart rate variability biofeedback (HRV BF) in adolescents with different Internet addiction (IA) risks. In total, 100 healthy adolescents aged 16–17 years with minimal risk of IA (Group I, 35%), pronounced risk of IA (Group II, 51%), and stable pattern of IA (Group III, 14%) using the Chen Internet Addiction Scale were examined. HRV and EEG parameters were determined at baseline (5 min), and then during the short-term HRV BF session (5 min), in order to increase the total power (TP, ms²) of the HRV spectrum. Against the background of an increase in the TP and a decrease in sympathetic activity, an increase in alpha EEG was revealed, especially in Groups I and II. The greatest increase in the power of beta₁-activity of EEG in the frontal, central, and temporal brain regionswas found in Groups I and II. In adolescents with a pronounced risk of IA, HRV BF is accompanied by a severe activation of the brain systems, while in persons with a stable type of IA, the least brain reactivity is shown, especially in the beta₁ EEG band.

Development and Effects of Cognitive Behavior-Based Healing Programs Using Mobile Apps

Purpose: There has been a recent surge in interest in mental health and how to improve individuals’ health-related quality of life. Mental health management using mobile apps can be a useful intervention method. The development and application of verified and highly efficient apps for mental health and stress management are needed. We developed healing programs and verified their effectiveness based on apps designed to promote adult mental health. Methods: We conducted a one-group pretest-posttest study in which 85 participants used the app for 12 weeks. We assessed its effects on participants’ stress (perceived stress scale, effort–reward imbalance, and photoplethysmogram (PPG)), anxiety, depression, emotional labor, and well-being. Results: The stress survey results post-intervention increased or stayed the same; however, the PPG results decreased (p = 0.002) after using the app. Depression (p = 0.043) and anxiety (p = 0.003) also decreased; however, emotional labor and well-being remained unchanged. The awareness of, knowledge of, and attitude toward mental health management all increased post-intervention. Discussion: The developed mobile app was an efficient and highly accessible way to promote mental health. However, the app requires modification and supplementation for continual use. Additionally, ongoing research concerning the study, evaluation, and integration of mobile apps is required.

Controversies in Weaning from Mechanical Ventilation

Invasive mechanical ventilation can successfully support the patient with acute respiratory failure, but it is associated with considerable risks. Numerous complications of invasive mechanical ventilation have been identified, and these may contribute to increased mortality. Therefore after clinical improvement has occurred, considerable emphasis is placed on expeditiously freeing the patient from the ventilator. This process of getting a patient off mechanical ventilation has been variably termed weaning, liberation, or discontinuation (terms which may be used interchangeably), and can be further divided into “readiness testing” and “progressive withdrawal.” Over the last decade, new developments in our understanding of the process of weaning have provided investigators with the tools to address a number of key questions: How should readiness for weaning (and trials of spontaneous breathing) be determined? What is the role of weaning parameters in deciding when to initiate the weaning process? What is the best mode for conducting a spontaneous breathing trial and how should the patient be monitored? What are the mechanisms for weaning (and spontaneous breathing trial) failure? What is the best technique to facilitate progressive withdrawal? What other factors can facilitate liberation from mechanical ventilation? What are the risks of extubation failure and how can extubation outcome best be predicted? What is the role for protocols in facilitating weaning from mechanical ventilation?.

The effect of motor-respiratory coordination on the precision of tracking movements: influence of attention, task complexity and training

PURPOSE

We investigated motor-respiratory coordination (MRC) in visually guided forearm tracking movements focusing on two main questions: (1) Does attentional demand, training or complexity of the tracking task have an effect on the degree of MRC? (2) Does MRC impair the precision of those movements? We hypothesized that (1) enhanced attention to the tracking task and training increase the degree of MRC while higher task complexity would reduce it, and (2) MRC impairs tracking precision.

METHODS

Thirty-five volunteers performed eight tracking trials with several conditions: positive (direct) signal-response relation (SRR), negative (inverse) SRR to increase task complexity, specific instruction for enhanced attention to maximize tracking precision ("strict" instruction), and specific instruction that tracking precision would not be evaluated ("relaxed" instruction). The trials with positive and negative SRR were performed three times each to study training effects.

RESULTS

While the degree of MRC remained in the same range throughout all experimental conditions, a switch in phase-coupling pattern was observed. In conditions with positive SRR or with relaxed instruction, we found one preferred phase relationship per period. With higher task complexity (negative SRR) or increased attentional demand (strict instruction), a tighter coupling pattern with two preferred phase relationships per period was adopted. Our main result was that MRC improved tracking precision in all conditions except for that with relaxed instruction. Reduction of amplitude errors mainly contributed to this precision improvement.

CONCLUSION

These results suggest that attention devoted to a precision movement intensifies its phase coupling with breathing and enhances MRC-related improvement of tracking precision.

Coordination of breathing with nonrespiratory activities

Many articles in this section of Comprehensive Physiology are concerned with the development and function of a central pattern generator (CPG) for the control of breathing in vertebrate animals. The action of the respiratory CPG is extensively modified by cortical and other descending influences as well as by feedback from peripheral sensory systems. The central nervous system also incorporates other CPGs, which orchestrate a wide variety of discrete and repetitive, voluntary and involuntary movements. The coordination of breathing with these other activities requires interaction and coordination between the respiratory CPG and those governing the nonrespiratory activities. Most of these interactions are complex and poorly understood. They seem to involve both conventional synaptic crosstalk between groups of neurons and fluid identity of neurons as belonging to one CPG or another: neurons that normally participate in breathing may be temporarily borrowed or hijacked by a competing or interrupting activity. This review explores the control of breathing as it is influenced by many activities that are generally considered to be nonrespiratory. The mechanistic detail varies greatly among topics, reflecting the wide variety of pertinent experiments.

A comparative study of the effects of asan, pranayama and asan-pranayama training on neurological and neuromuscular functions of Pondicherry police trainees

BACKGROUND

Though neurological benefits of yoga training have been reported, lacunae still exists in understanding neurophysiological effects of such training. Hence, the present study was conducted to find the effect of yogasanas and pranayams on neurological and neuromuscular functions in healthy human volunteers and also determined differential effects of training in asan, pranayama and their combination.

MATERIALS AND METHODS

Eighty male trainees from Pondicherry Police Training School were randomly divided into asan, pranayama, and asan-pranayama groups who received a training of 4 days a week for 6 months and a control group. Electroencephalogram (EEG), nerve conduction (NC), electromyogram (EMG), visual evoked potentials (VEP), and auditory reaction time (ART) were recorded before and after the study period. NC, EMG, and VEP data were obtained from 28 subjects; EEG data from 48 subjects; and RT from 67 subjects. Intergroup differences were assessed by AVOVA/Kruskal-Wallis and intragroup differences by Student's t-test.

RESULTS AND DISCUSSION

Police trainees showed beneficial effects of yoga training, although they were undergoing intensive police training and the yoga training was relatively less intense. Alpha, theta, and total power of EEG increased as a result of asan training. A shortening of visual reaction time and a decrease in red-green discriminatory reaction time signifies an improved and faster processing of visual input. They also showed a decrease in resting EMG voltage, signifying better muscular relaxation following pranayama training. Beta, theta and total power of EEG increased. ART and red-green discriminatory reaction times decreased in the trainees, signifying a more alert state as well as improved central neural processing. A combination of asan and pranayama training for 6 months produced an improvement in motor and sensory nerve conduction. Total power of EEG, alpha and theta power as well as delta % increased, while reaction time decreased signifying an alert and yet relaxed state of the neuromuscular system.

SUMMARY AND CONCLUSION

The present study has shown that 6 months training in asan, pranayama as well as their combination is effective in improving physiological functions of police trainees. They showed beneficial effects of yoga training, although they were undergoing intensive police training and the yoga training was relatively less intense. Hence, we recommend that yoga training be introduced in police training curricula.

Lifestyle and the Respiratory Health of Children

This article offers a review of the potential influences of personal lifestyle on respiratory health in children, looking at both healthy individuals and those with respiratory disorders. As with many aspects of health, regular physical activity, an appropriate diet, and avoidance of obesity and cigarette smoke all contribute to optimal development of the healthy child. An active lifestyle is associated with greater static and dynamic lung volumes, greater efficiency of the ventilatory process, and an optimization of breathing patterns. The risk of upper respiratory infections is also reduced in those maintaining a moderate level of physical activity. Maternal smoking during pregnancy, as well as active and passive smoking, all have an adverse influence on lung function in the child, the largest effects being on dynamic lung volumes. The risk of developing asthma seems reduced in children who maintain a normal body mass and are physically active. A program of graded physical activity is of therapeutic value in a number of established respiratory conditions, including asthma, cystic fibrosis, and ventilatory impairment from neuromuscular disorders. Exercise carries a slight risk of fatalities from asthma and anaphylactic reactions. In designing an optimal physical activity program, it is also important to guard against the hazards of deep oronasal breathing, including the precipitation of bronchospasm by the inhalation of cold, dry air and pollens; an increased exposure to atmospheric pollutants (reducing and oxidant smog, fine and ultra-fine particulates, and carbon monoxide); and possible long-term dangers from chlorine derivatives in the atmosphere of indoor swimming pools.

Performance enhancement in swimming: the effect of mental training with biofeedback

In this study, the relationship between mental training with biofeedback and swimmers' performance was investigated. The Wingate five-step approach was used as a mental preparation technique for enhancing the performance among 16-18 year-old pre-elite swimmers. Participants (n = 40) were randomly assigned to one of two conditions: (a) experimental--regular training plus the Wingate 5-step mental training program (adapted for swimming), and (b) control--regular training plus relaxing activities. After a baseline measurement, participants were tested on running and swimming five times during a 10-week period. Results indicated that the experimental group improved its performance over time on both running and swimming, with improvement being most substantial during transformation and realisation (steps 4 and 5). In contrast, the control group remained relatively stable on both dependent measures. Results are discussed in reference to previous work on the 5-step approach, including several methodological and theoretical aspects that are particularly relevant to the use of such interventions with other athletic tasks and populations.

Effect of sonic driving on maximal aerobic performance

The study purpose was to evaluate antecedent binaural stimulation (ABS) on maximal aerobic physical performance. Twenty-two healthy, physically active subjects, 21-34 years, randomly received one of two preparations for each session: 15 min of quiet (BLANK) or percussive sonic driving at 200+ beats per minute (bpm) using a recorded compact disc (FSS, Mill Valley, CA) with headphones (ABS). Baseline HR, blood pressure (BP), and breathing frequency (f(br)) were obtained. During each condition, HR and f(br) were recorded at 3-min intervals. The graded maximal treadmill testing was administered immediately postpreparation session on separate days, with at least 48 h rest between sessions. There were significant differences in the antecedent period means between the two conditions, ABS (HR: 70.2 +/- 10.7 bpm; f(br): 18.5 +/- 3.3 br min(-1); BP: 134.5/87.9 +/- 13.6/9.2 mm Hg) and BLANK (HR: 64.6 +/- 7.9; f(br): 14.3 +/- 2.9; BP: 126.7/80.3 +/- 12.1/8.6). Differences were noted for each 3-min interval and pre- postantecedent period. The maximal graded exercise test (GXT) results showed that there was a small but significant (P < 0.05), increase in maximal VO(2) in the ABS (49.8 +/- 6.8 ml. kg(-1). min(-1)) vs. BLANK (46.7 +/- 8.7) conditions. Related to that finding was a slight increase (0.5 min) in time to exhaustion (P < 0.05). There were no significant differences in HR or RPE (P > 0.05). There may be a latency to ABS related to entrainment or imagery-enhanced warm-up. Am. J. Hum. Biol. 12:558-565, 2000. Copyright 2000 Wiley-Liss, Inc.

Applied forces and associated physiologic responses induced by axial spinal unloading with the LTX 3000 Lumbar Rehabilitation System

OBJECTIVE

To measure forces applied to the body and associated changes in physiologic responses during axial spinal unloading (gravity-dependent traction) using the LTX 3000 Lumbar Rehabilitation System.

DESIGN

Lumbar unloading was induced in 17 healthy subjects. The following parameters were measured: (1) percentage of total body weight unloaded; (2) forces applied onto and below the rib cage and local changes in cutaneous blood flow; (3) alteration of the applied forces to the seat strap associated with lumbar lengthening; and (4) changes in respiratory rates, respiratory minute volumes, heart rate, and blood pressure.

RESULTS

The average pressure applied to the rib cage for thoracic immobilization without unloading was 73 +/- 26mmHg. Lumbar unloading caused these pressures to increase by approximately 30%, causing complete but temporary occlusion of cutaneous blood flow in this region. Significant, but normal, reactive hyperemia occurred upon release of the rib support pads (p < or = .05). Axial spinal unloading using an LTX 3000 induced changes in heart rate, blood pressure, and respiratory rates of magnitudes similar to those reported with the use of other traction devices.

CONCLUSION

The forces applied to the rib cage by the LTX 3000 for proper lumbar unloading caused changes in physiologic responses, but these changes were reversible and can be considered clinically unimportant and thus should not be contraindications to the use of this device by the general population.

Responses of the nervous system to low frequency stimulation and EEG rhythms: clinical implications

The present paper reviews literature data on the role of the non-specific central nervous system response mechanisms on the therapeutic effects of relatively weak external stimulations used in clinical practice. The factors affecting the stimulation efficiency and increased sensitiveness of living things to extra-low-frequency periodic stimulations (in the range of from less than 1 Hz to tens of Hz) are discussed. Among the factors determining such effects, the non-specific response mechanisms of the nervous system, the resonance phenomena in different organism systems, and the interaction of external stimulation with endogenous rhythmic processes are analyzed. Most attention is given to endogenous rhythms of the electrical brain activity reflected in the EEG rhythms. A high resolution EEG processing approach that is used to reveal the intrinsic oscillators in the individual EEG spectrum is described. Synchronization of sensory stimulation parameters with the frequencies of intrinsic EEG oscillators is supposed to be an appropriate way to enhance the therapeutic effects of various sensory stimulation treatments. Specific methods for utilizing resonance therapy via sensory stimulation with intrinsic EEG frequencies, and for automatic modulation of stimulation parameters by endogenous organism rhythms are delineated; some preliminary results are described.