The effects of warm water immersion on blood pressure, heart rate and heart rate variability in people with chronic fatigue syndrome
South African Journal of Physiotherapy
| Field | Value | |
| Title | The effects of warm water immersion on blood pressure, heart rate and heart rate variability in people with chronic fatigue syndrome | |
| Creator | Parker, Romy Higgins, Zeenath Mlombile, Zandiswa N.P. Mohr, Michaela J. Wagner, Tarryn L. | |
| Description | Background: Chronic fatigue syndrome (CFS) is a central sensitisation syndrome with abnormalities in autonomic regulation of blood pressure (BP), heart rate (HR) and heart rate variability (HRV). Prior to exploring the effects of hydrotherapy as a treatment for this population, changes in BP, HR and HRV during warm water immersion need to be established.Objectives: The study aimed to determine the effects of warm water immersion on BP, HR and HRV in adults with CFS compared to matched-pair healthy adults.Method: A quasi-experimental, single-blinded study design was used with nine CFS participants and nine matched controls. Participants’ BP, HR and HRV were measured before, after 5 minutes and post warm water immersion at the depth of the fourth intercostal space, using the Ithlete® System and Dräger BP monitor.Results: There was a significant difference between groups in HRV prior to immersion (control group: 73 [55–74] vs. chronic fatigue syndrome group: 63 [50–70]; p = 0.04). There was no difference in HRV post-immersion. A significant difference in HR after immersion was recorded with the control group having a lower HR than those with CFS (78 [60–86] vs. 86 [65–112]; p = 0.03). The low HRV present in the CFS group prior to immersion suggests autonomic dysregulation. Individuals with CFS may have reduced vagal nerve activation post-immersion. During immersion, HRV of the CFS participants improved similar to that of the healthy controls.Conclusion: Prior to immersion, differences were present in the HRV of the participants with CFS compared to healthy controls. These differences were no longer present post-immersion.Clinical implications: Warm water immersion appears safe and may be beneficial in the management of individuals with CFS. | |
| Publisher | AOSIS | |
| Date | 2018-08-28 | |
| Identifier | 10.4102/sajp.v74i1.442 | |
| Source | South African Journal of Physiotherapy; Vol 74, No 1 (2018); 7 pages 2410-8219 0379-6175 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.co.za/index.php/sajp/article/view/442/692
https://sajp.co.za/index.php/sajp/article/view/442/691
https://sajp.co.za/index.php/sajp/article/view/442/693
https://sajp.co.za/index.php/sajp/article/view/442/687
https://sajp.co.za/index.php/sajp/article/downloadSuppFile/442/344
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