de Castro Bianca C R, Guida Heraldo L, Roque Adriano L, de Abreu Luiz Carlos, Ferreira Celso, Marcomini Renata S, Monteiro Carlos B M, Adami Fernando, Ribeiro Viviane F, Fonseca Fernando L A, Santos Vilma N S, Valenti Vitor E
Centro de Estudos do Sistema Nervoso Autônomo, Departamento de Fonoaudiologia, Faculdade de Filosofia e Ciências, UNESP, Marília, Brasil.
Noise Health. 2014 Jan-Feb;16(68):57-62. doi: 10.4103/1463-1741.127857.
It is poor in the literature the behavior of the geometric indices of heart rate variability (HRV) during the musical auditory stimulation. The objective is to investigate the acute effects of classic musical auditory stimulation on the geometric indexes of HRV in women in response to the postural change maneuver (PCM). We evaluated 11 healthy women between 18 and 25 years old. We analyzed the following indices: Triangular index, Triangular interpolation of RR intervals and Poincarι plot (standard deviation of the instantaneous variability of the beat-to beat heart rate [SD1], standard deviation of long-term continuous RR interval variability and Ratio between the short - and long-term variations of RR intervals [SD1/SD2] ratio). HRV was recorded at seated rest for 10 min. The women quickly stood up from a seated position in up to 3 s and remained standing still for 15 min. HRV was recorded at the following periods: Rest, 0-5 min, 5-10 min and 10-15 min during standing. In the second protocol, the subject was exposed to auditory musical stimulation (Pachelbel-Canon in D) for 10 min at seated position before standing position. Shapiro-Wilk to verify normality of data and ANOVA for repeated measures followed by the Bonferroni test for parametric variables and Friedman's followed by the Dunn's posttest for non-parametric distributions. In the first protocol, all indices were reduced at 10-15 min after the volunteers stood up. In the protocol musical auditory stimulation, the SD1 index was reduced at 5-10 min after the volunteers stood up compared with the music period. The SD1/SD2 ratio was decreased at control and music period compared with 5-10 min after the volunteers stood up. Musical auditory stimulation attenuates the cardiac autonomic responses to the PCM.
关于音乐听觉刺激期间心率变异性(HRV)几何指标的行为,文献报道较少。目的是研究经典音乐听觉刺激对女性HRV几何指标的急性影响,以应对姿势变化动作(PCM)。我们评估了11名年龄在18至25岁之间的健康女性。我们分析了以下指标:三角指数、RR间期的三角插值法和庞加莱图(逐搏心率瞬时变异性的标准差[SD1]、长期连续RR间期变异性的标准差以及RR间期短期与长期变化的比值[SD1/SD2])。在静息坐位时记录HRV 10分钟。女性在3秒内从坐位迅速站立,并保持站立静止15分钟。在以下时间段记录HRV:静息时、站立时的0 - 5分钟、5 - 10分钟和10 - 15分钟。在第二个方案中,受试者在站立前坐位时接受10分钟的音乐听觉刺激(帕赫贝尔《D大调卡农》)。采用夏皮罗 - 威尔克检验验证数据的正态性,对于参数变量采用重复测量方差分析,随后进行邦费罗尼检验,对于非参数分布采用弗里德曼检验,随后进行邓恩事后检验。在第一个方案中,志愿者站立后10 - 15分钟时所有指标均降低。在音乐听觉刺激方案中,与音乐时段相比,志愿者站立后5 - 10分钟时SD1指标降低。与志愿者站立后5 - 10分钟相比,在对照和音乐时段SD1/SD2比值降低。音乐听觉刺激减弱了心脏对PCM的自主反应。