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척수손상 환자에서의 심박변동 분석에 의한 자율신경기능 평가

Other Titles
 Assessment of Autonomic Nervous Function with Power Spectral Analysis of Heart Rate Variability in Spinal Cord Injured Patients 
Authors
 박창일  ;  전중선  ;  신지철  ;  김덕용  ;  조성래 
Citation
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지), Vol.24(1) : 35-41, 2000 
Journal Title
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지) 
ISSN
 1225-584X 
Issue Date
2000
Keywords
Autonomic nervous function ; Heart rate variability ; Spinal cord injury
Abstract
Objective To investigate the autonomic activities in spinal cord injured patients, and to compare their activities according to the level and completeness of spinal cord lesions. Method Thirty-five spinal cord injured patients and thirty healthy adults participated in this study. The ECG signals were recorded at the tilt angle of 0o and 70o for 5 minutes, and power spectral analysis of Heart Rate Variability (HRV) was done at each angle. Results The data reveals two major components such as a low-frequency (LF) component (0.05∼0.15 Hz) reflecting primarily sympathetic activities with orthostatic stress, and a high- frequency (HF) component (0.2∼0.3 Hz) reflecting parasympathetic activity. In supine position, all frequency components were not significantly different regardless the level and completeness of spinal cord lesion. At 70o head-up tilt position, the LF power and heart rate didn't increase in complete tetraplegia but significantly increased in paraplegia and healthy adults (p<0.05). However, the HF power didn't reveal any differences in four groups by decreasing significantly in all groups. Conclusion We concluded that there is an abnormal control of autonomic activities especially the sympathetic function in complete tetraiplegia, compared with paraplegia and healthy adults.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
Park, Chang Il(박창일)
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
Cho, Sung-Rae(조성래) ORCID logo https://orcid.org/0000-0003-1429-2684
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172319
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