The influence of motor impairment on autonomic heart rate modulation among children with cerebral palsy

被引:26
作者
Zamuner, Antonio Roberto [1 ]
Cunha, Andrea Baraldi [2 ]
da Silva, Ester [1 ,2 ]
Negri, Ana Paola [1 ]
Tudella, Eloisa [2 ]
Moreno, Marlene Aparecida [1 ]
机构
[1] Univ Metodista Piracicaba, Coll Hlth Sci, BR-13400911 Piracicaba, SP, Brazil
[2] Univ Fed Sao Carlos, Neuropediat Sector, Dept Physiotherapy, BR-13560 Sao Carlos, SP, Brazil
关键词
Children; Cerebral palsy; Heart rate; RATE-VARIABILITY; POWER SPECTRUM; WALKING; STROKE; SYSTEM;
D O I
10.1016/j.ridd.2010.09.020
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
The study of heart rate variability is an important tool for a noninvasive evaluation of the neurocardiac integrity. The present study aims to evaluate the autonomic heart rate modulation in supine and standing positions in 12 children diagnosed with cerebral palsy and 16 children with typical motor development (control group), as well as to relate the level of motor impairment in children with cerebral palsy, as classified by to the Gross Motor Function Classification System, to the heart rate variability indices. The heart rate variability was analyzed by linear model in the frequency domain, at low and high frequency bands in normalized units and low and high frequency ratio. The results indicate that children with cerebral palsy present lower heart rate variability indices, indicating sympathovagal imbalance. The decrease of heart rate variability in children with cerebral palsy is related to the motor impairment level. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:217 / 221
页数:5
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