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Mechanical somatosensory stimulation decreases blood pressure in patients with Parkinson's disease.
Zamunér, Antonio R; Shiffer, Dana; Barbic, Franca; Minonzio, Maura; Andrade, Carolina P; Corato, Manuel; Lalli, Stefania; Dipaola, Franca; Cairo, Beatrice; Albanese, Alberto; Porta, Alberto; Furlan, Raffaello.
Afiliação
  • Zamunér AR; Universidad Católica del Maule, Departamento de Kinesiología, Talca, Maule, Chile.
  • Shiffer D; Internal Medicine, Syncope Unit, Humanitas Clinical and Research Center- IRCCS.
  • Barbic F; Internal Medicine, Syncope Unit, Humanitas Clinical and Research Center- IRCCS.
  • Minonzio M; Department of Biomedical Sciences, Humanitas University, Rozzano, Milan, Italy.
  • Andrade CP; Internal Medicine, Syncope Unit, Humanitas Clinical and Research Center- IRCCS.
  • Corato M; Secretaria municipal de Saúde, Guarí, SP, Brazil.
  • Lalli S; Department of Neurology, Humanitas Research Hospital, Rozzano.
  • Dipaola F; Department of Neurology, Humanitas Research Hospital, Rozzano.
  • Cairo B; Internal Medicine, Syncope Unit, Humanitas Clinical and Research Center- IRCCS.
  • Albanese A; Department of Biomedical Sciences, Humanitas University, Rozzano, Milan, Italy.
  • Porta A; Department of Biomedical Sciences for Health, University of Milan.
  • Furlan R; Department of Neurology, Humanitas Research Hospital, Rozzano.
J Hypertens ; 37(8): 1714-1721, 2019 08.
Article em En | MEDLINE | ID: mdl-31107357
OBJECTIVE: The current study aimed to assess the effects of five cycles of automated mechanical somatosensory stimulation (AMSS) of the fore-feet on blood pressure (BP) and cardiovascular autonomic control in Parkinson's Disease patients. METHODS: Out of 23 patients, 16 underwent an AMSS session every 72 h, for a total of five sessions per patient. Electrocardiogram, noninvasive beat-to-beat blood pressure and respiratory activity were recorded for 20 min in supine position at baseline and after the AMSS sessions. Main outcomes were the changes in SBP and DBP, in the spectral indices of cardiac sympathetic (LFRRn.u.) and vagal (HFRR) modulatory activities, cardiac sympathovagal relationship (LF/HF), vascular sympathetic modulation (LFSAP) and arterial baroreflex sensitivity (sequence technique). Symbolic analysis of heart rate variability provided additional indices of cardiac sympathetic (0V%) and vagal (2UV%) modulation to the sinoatrial node. RESULTS: After five AMSS trials a reduction in SBP (baseline: 131.2 ±â€Š15.5 mmHg; post-AMSS: 122.4 ±â€Š16.2 mmHg; P = 0.0004) and DBP (baseline: 73.2 ±â€Š6.1 mmHg; post-AMSS: 68.9 ±â€Š6.2 mmHg; P = 0.008) was observed. Post-AMSS, spectral and symbolic indices of cardiovascular sympathetic control decreased and arterial baroreflex sensitivity increased (baseline: 5.7 ±â€Š1.3 ms/mmHg; post-AMSS: 11.27 ±â€Š2.7 ms/mmHg). CONCLUSION: AMSS sessions were effective in reducing BP, increasing baroreflex sensitivity and decreasing cardiovascular sympathetic modulation in Parkinson's disease patients. AMSS might be useful to control supine hypertension in Parkinson's disease.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Estimulação Física / Pressão Sanguínea / Barorreflexo / Hipertensão Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Hypertens Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Chile País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Estimulação Física / Pressão Sanguínea / Barorreflexo / Hipertensão Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Hypertens Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Chile País de publicação: Holanda