Autonomic heart rate modulation in children and youths with cerebral palsy

Authors

  • Vivian Aguiar Reis Ferreira UNAMA
  • Daniel da Costa Torres UNAMA
  • Paulo Eduardo Santos Ávila UFPA
  • Andrezza Sousa Assunção Silva Clí­nica Corpo e Saúde
  • Raphael do Nascimento Pereira UNAMA

DOI:

https://doi.org/10.33233/fb.v21i6.4076

Keywords:

autonomic nervous system, heart rate, cerebral palsy

Abstract

Introduction: Cerebral Palsy (CP) is a disease that causes neuromuscular disorders, cardiovascular diseases (CVDs), in addition to disorders autonomic and homeostatic. Objective: To measure the cardiac autonomic modulation of children and young people with CP. Methods: Quantitative cross-sectional and observational study. The electrocardiogram R-R intervals (IRR) were collected from 5 volunteers in wheelchairs, aged 6 to 18 years with CP through the cardiofrequencimeter Polar model V800â. Results: The average age is 12.4 years, both genders, body mass of 35.1 kg, height of 1.39 m and body mass index of 16.8 kg/m2 equivalent to malnutrition. The data show cardiac autonomic modulation in the time domain, the standard deviation variables of all normal RR intervals 60.0 ms, square root of the mean of the sum of squares of the differences between normal IRR 60.3 ms, percentage of adjacent IRR greater than 50 ms 16.1% and in the frequency domain, low heart rate (un) 55.7, high heart rate (un) 44.2, the ratio of discharge to low heart rate 2,3. Conclusion: Children and adolescents with CP have a low heart rate variability, with a greater probability of developing CVDs, due to sedentary lifestyle.

Author Biographies

Vivian Aguiar Reis Ferreira, UNAMA

Graduação em Bacharelado em Fisioterapia da Universidade da Amazônia, Belém, PA, Brasil

Daniel da Costa Torres, UNAMA

M.Sc., Docente do Curso de Graduação em Fisioterapia da Universidade da Amazônia, Belém, PA, Brasil

Paulo Eduardo Santos Ávila, UFPA

Docente do Curso de Graduação em Fisioterapia da Universidade Federal do Pará, Belém, PA, Brasil

Andrezza Sousa Assunção Silva, Clí­nica Corpo e Saúde

Fisioterapeuta da Clí­nica Corpo e Saúde, Belém, PA, Brasil

Raphael do Nascimento Pereira, UNAMA

D.Sc., Docente do Curso de Graduação em Fisioterapia da Universidade da Amazônia, Belém, PA, Brasil

References

Duran I, Shulze J, Martakis K, Stark C, Shoenau E. Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy. Dev Med Child Neurol 2018;60(7):680-6. doi: 10.1111/dmcn.13714

McPhee PG, Claridge EA, Noorduyn SG, Gorter JW. Cardiovascular disease and related risk factors in adults with cerebral palsy: a systematic review. Dev Med Child Neurol 2018;61(8):915-12. doi: 10.1016/j.rehab.2018.05.747

Silverthorn DU. Fisiologia Humana: uma abordagem integrada. 7ª ed. Porto Alegre: Artmed; 2017.

Guyton AC, Hall JE: Tratado de Fisiologia Médica. 11ª ed. Rio de Janeiro: Elsevier; 2017.

Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996;93(5):1043-65.

Santos PO, Borges GF. Modulação autonômica cardí­aca em crianças obesas e eutróficas: revisão sistemática e metanálise. Rev Bras Cineantropom Desempenho Hum 2018;20(3):352-62. doi: 10.5007/1980-0037.2018v20n3p352

Barreto GSC, Vanderlei FM, Vanderlei LCM, Leite AJM. Impact of malnutrition on cardiac autonomic modulation in children. J Pediatria, 2016;92(6):638-44. doi: 10.1016/j.jped.2016.03.005

Freitas IMG, Miranda JA, Mira PAC, Lanna CMM, Lima JRP, Laterza MC. Cardiac autonomic dysfunction in obese normotensive children and adolescents. Rev Paul Pediatr 2014;32(2):244-9. doi: 10.1590/0103-0582201432210213

Froio JL. Variabilidade da frequência cardí­aca de crianças obesas na condição de repouso e após mudança postural ativa [Dissertação]. Universidade Estadual Paulista, Instituto de Biociências de Rio Claro 2017;1-47. Disponível em: https://repositorio.unesp.br/handle/11449/151760

Nascimento RD, Viana A, Sartori M, Zaffalon Junior JR, Dias DS, Monzani JOB, et al. Sedentary lifestyle in adolescents in associated with impairment in autonomic cardiovascular modulation. Rev Bras Med Esporte 2019;25(3):191-95. doi: 10.1590/1517-869220192503189328

Published

2021-01-06