Heart Rate Variability Biofeedback to Treat Fibromyalgia: An Integrative Literature Review

Reneau, Marcelaine

doi:10.1016/j.pmn.2019.08.001

Cited by 35 publications

(16 citation statements)

References 36 publications

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“…As shown by several meta-analyses and systematic reviews, SPB coupled to HRV biofeedback interventions typically involving a series of sessions with a practitioner spread over a couple of weeks, and often completed with home practice, lead to improvements regarding stress and anxiety symptoms (Goessl et al, 2017), depressive symptoms (Pizzoli et al, 2021), fibromyalgia (Reneau, 2020), controlling substance craving (Alayan et al, 2018), enhancing executive functions (Tinello et al, 2021), and improving sports performance (Pagaduan, Chen, Fell, & Xuan Wu, 2020;Pagaduan, Chen, Fell, & Xuan Wu, 2021). However, despite the growing use of HRV biofeedback interventions, questions remain regarding the underlying mechanisms of this technique.…”

Section: Introductionmentioning

confidence: 99%

Psychophysiological effects of slow‐paced breathing at six cycles per minute with or without heart rate variability biofeedback

et al. 2021

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Section: Introductionmentioning

confidence: 99%

Psychophysiological effects of slow‐paced breathing at six cycles per minute with or without heart rate variability biofeedback

et al. 2021

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“…Moreover, an abnormally low HRV was detected in a group of individuals with Chronic Fatigue Syndrome, indicating that they might have weaker parasympathetic modulation of their heart rate [39]. In other chronic pain syndromes like fibromyalgia, a reduced HRV was thought to reflect weaker emotional adaptability and resistance to stress [40].…”

Section: Discussionmentioning

confidence: 99%

A controlled thermoalgesic stimulation device to identify novel pain perception biomarkers

Rivero

Camino

Diez

et al. 2020

Preprint

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AbstractObjectiveTo develop a new device that will help identify physiological markers of pain perception by reading the brain’s electrical activity and the bodies hemodynamic interactions while applying thermoalgesic stimulation. Methods: We designed a compact prototype that generates well-controlled thermal stimuli using a computer driven Peltier cell while simultaneously capturing electroencephalography (EEG) and photoplethysmography (PPG) signals as the stimuli are varied. The study was performed on 35 healthy subjects (mean age 30.46 years, SD 4.93 years; 20 males, 15 females) and to account for the inter-subject variability in the tolerance to thermal pain, we first determined the heat pain threshold (HPT) for each subject, defined as the maximum temperature that the subject can withstand when the Peltier cell gradually increases the temperature. Subsequently, we defined the pain parameters associated with a stimulation temperature equivalent to 90% of the HPT, comparing this to the no-pain state (control) in the absence of thermoalgesic stimulation. Results: Both the one-dimensional and the two-dimensional spectral entropy (SE) obtained from both the EEG and PPG signals could differentiate the condition of pain. In particular, the PPG SE was significantly reduced in association with pain, while the SE for EEG increased slightly. Moreover, significant discrimination occurred within a specific range of frequencies, 26-30 Hz for EEG and about 5-10 Hz for PPG. Conclusion: Hemodynamics, brain dynamics and their interactions can discriminate thermal pain perception. Significance: The possibility of monitoring on-line variations in thermal pain perception using a similar device and algorithms may be of interest to study different pathologies that affect the peripheral nervous system, such as small fiber neuropathies, fibromyalgia or painful diabetic neuropathy.

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“…1997) and biofeedback therapy (Chapin, Bagarinao, and Mackey 2012). Indeed, a review of multiple studies of heart‐rate variability biofeedback (HRVB) therapy for people with fibromyalgia, a condition defined by the central sensitization of pain, suggests that HRVB can redirect patient cognitive attention, leading to a higher quality of life, greater adaptability to stress, and some evidence of lower pain (Reneau 2020). Combined, these studies suggest that therapies that target one's attention and cognition may be able to disentangle the sensation of pain from the distress and “unpleasantness” associated with it, and so downregulate sensitization to it overall.…”

Section: The Acc: a Case Study In Neuroplastic Embodimentmentioning

confidence: 99%

Chronic Pain and the Arcs of Suffering and Well‐Being: A Systems Model of/for Living with Psoriatic Arthritis

Singstock¹,

Hay²,

Hyland³

2022

Ethos

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Chronic pain is a phenomenon in which the biological sensations of pain interact synergistically with an individual's cultural world. Considerable anthropological work has been done on the senses and on the anthropology of chronic pain. Less attention has been given to the sensations of chronic pain, how they can escalate to suffering, and how they may be managed in daily life to enable well-being. To develop an integrated understanding of chronic pain processes, we worked as a collaborative research team that included a patient coauthor. Together we synthesized a model that outlines the biological pathways of pain while taking into account the cultural factors that can magnify pain into arcs of suffering or temper pain toward arcs of well-being.Drawing on scholarly literature, long-term ethnographic research, and personal experience with autoimmune disease, we propose a dynamic model of the moment-to-moment arcs that maintain, magnify, or temper pain.[pain, suffering, well-being, autoimmune disease, and systems model] Spanish abstract: El dolor crónico es un fenómeno en el que las sensaciones biológicas del dolor son sinérgicamente interactivas con el mundo cultural del individuo. Ha sido mucho trabajo antropológico en los sentidos y la antropología del dolor crónico. Menos atención ha prestado a las sensaciones del dolor crónico, su crecimiento a sufrimiento y cómo estas sensaciones pueden ser manejadas en la vida cotidiana para facilitar el bienestar. El desarrollo de un entendimiento integrativo de los procesos del dolor crónico exigió un equipo de investigación integrativo y colaborativo, lo que incluyó un paciente como coautor. Juntos, resumimos un modelo que esboza las vías biológicas del dolor mientras abarcando los factores culturales que amplifican el dolor a ciclos de retroalimentación de sufrimiento o, alternativamente, templan el dolor a ciclos de retroalimentación de bienestar. Con el apoyo de literatura académica, investigaciones en etnografía prolongadas y experiencia personal de enfermedades autoinmunitarias, propongamos un modelo dinámico de ciclos de retroalimentación instantáneos que mantienen, magnifican otemplan el dolor. [dolor, sufrimiento, bienestar, enfermedad autoinmune, modelo sistemático] On good days, Kerby's pain and related physical limitations are manageable. On bad days, getting out of bed and putting on clothes is profoundly difficult, if not impossible. For Kerby and many others with autoimmune-related chronic pain, pain itself is an unreliable warning sign, like a smoke alarm that is always ringing. Kerby has learned to recognize the contours of his pain sensations as a more reliable indicator of his current condition, and the sensations he will likely feel in the immediate future. For Kerby, pain has been a regular companion since his childhood in the 1960s. He has learned to mitigate the pain through practices including

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Heart Rate Variability Biofeedback to Treat Fibromyalgia: An Integrative Literature Review

Cited by 35 publications

References 36 publications

Psychophysiological effects of slow‐paced breathing at six cycles per minute with or without heart rate variability biofeedback

Psychophysiological effects of slow‐paced breathing at six cycles per minute with or without heart rate variability biofeedback

A controlled thermoalgesic stimulation device to identify novel pain perception biomarkers

Chronic Pain and the Arcs of Suffering and Well‐Being: A Systems Model of/for Living with Psoriatic Arthritis

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