Key result
Cardiorespiratory biofeedback training is a promising non-pharmacological intervention that may improve autonomic regulation, sleep, and emotional regulation in stroke survivors.
Why the study?
The potential role, implementation, and long-term effects of cardiorespiratory biofeedback as an adjunct non-pharmacological intervention for patients with neurological diseases, particularly stroke survivors, require further investigation.
Cardiorespiratory biofeedback represents a promising non-pharmacological adjunct therapy for stroke survivors to improve autonomic regulation, sleep, and emotional regulation, though further clinical trials are needed.
Should not yet change stroke rehab practice; leaves open need for RCTs to confirm benefits.
The interaction between cardiovascular and respiratory systems is a reciprocal one mediated by mechanical factors, autonomic nervous system, and baroreflex regulation and manifested in the changes in heart rate, blood pressure and ventilation. These changes can be rather easily registered and measured, which opens the opportunity for clinical use (both in diagnostics and therapy). In the paper we briefly review the potential role and implementation of cardiorespiratory biofeedback in treating patients with neurological diseases, in particular, stroke survivors. The available evidence suggests that this method based on the existing cardiorespiratory coupling mechanisms may prove its efficacy in treating a range of medical conditions including cerebrovascular disorders. The prospects of cardiorespiratory biofeedback application in improving a stroke patient’s quality of life (including physical, emotional, and cognitive levels) and clinical status require further investigation. The topicality of determining the long-term effect of novel non-pharmacological interventions as an adjunct to conventional therapies is defined by their limitations and significant pharmacological load.
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Kemstach et al. (2020) conducted a review in Stroke. Cardiorespiratory feedback training (Heart rate variability biofeedback) was evaluated. Cardiorespiratory biofeedback training is a promising non-pharmacological intervention that may improve autonomic regulation, sleep, and emotional regulation in stroke survivors.
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