Local alternating heat and cold stimulation affects hemodynamics and oxygenation in fatigued muscle tissue and autonomic nervous activity
A Single-Arm Interventional Study
Bibliographic Data
| ID | 5222690 |
|---|---|
| Authors | Tomonori Sawada (0000-0001-9750-8828, Keio University), Hiroki Okawara (0000-0002-4211-1759, Keio University), Douglas Nakashima (0000-0003-1105-2669, Keio University, corresponding author), Kentaro Aoki (0000-0003-4148-6070, Keio University), Mira Namba (0000-0002-4376-5500, Keio University), Shuhei Iwabuchi (0000-0003-4865-1833, Keio University), Yoshinori Katsumata (0000-0001-5576-5789, Keio University), Masaya Nakamura (0000-0001-7916-5497, Keio University), Takeo Nagura (0000-0003-1059-8862, Keio University) |
| Year | 2024 |
| Volume | 43 |
| Issue | 1 |
| Pages | 11-11 |
| Publication date | 2024-03-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of PHYSIOLOGICAL ANTHROPOLOGY (JOURNAL) |
| Journal identifiers | ISSN: 1880-6791 • E-ISSN: 1880-6805 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s40101-024-00358-3 |
| PMID | 38528599 |
| OpenAlex | W4393145588 |
| Language | EN |
| References cited | 52 |
Background Local alternating heat and cold stimulation as an alternative to contrast bath may cause intermittent vasoconstriction and vasodilation, inducing a vascular pumping effect and consequently promoting increased tissue blood flow and oxygenation. This study aimed to examine the effects of local alternating heat and cold stimulation, using a wearable thermal device, on the hemodynamics of fatigued muscle tissue and autonomic nervous activity. Methods Twenty healthy individuals experienced fatigue in the periarticular muscles of the shoulder joint due to a typing task. Local alternating heat and cold stimulations were then applied to the upper trapezius muscle. Muscle hardness was measured using a muscle hardness meter, and muscle tissue hemodynamics and oxygenation were evaluated using near-infrared spectroscopy before and after the stimulation. Autonomic nervous activity was also evaluated using heart rate variability. Results Alternating heat and cold stimulation decreased muscle hardness of the fatigued trapezius muscle from 1.38 ± 0.15 to 1.31 ± 0.14 N (P < 0.01). The concentration of total hemoglobin in the trapezius muscle tissue increased from − 0.21 ± 1.36 to 2.29 ± 3.42 μmol/l (P < 0.01), and the tissue hemoglobin oxygen saturation also increased from 70.1 ± 5.4 to 71.1 ± 6.0% (P < 0.05). Additionally, the heart rate variability parameter, which is an index of sympathetic nervous activity, increased from 3.82 ± 2.96 to 6.86 ± 3.49 (P < 0.01). A correlation was found between increased tissue hemoglobin oxygen saturation and increased parameters of sympathetic nervous activity (r = 0.50, P < 0.05). Conclusions Local alternating heat and cold stimulation affected the hemodynamic response in fatigued muscle tissue and autonomic nervous activity. This stimulation is more efficient than conventional contrast baths in terms of mobility and temperature control and has potential as a new versatile therapeutic intervention for muscle fatigue. Trial registration UMIN-CTR (UMIN000040087: registered on April 7, 2020, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045710. UMIN000040620: registered on June 1, 2020, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046359
Anesthesia · Autonomic nervous system · Blood flow · Blood pressure · Cardiology · Heart rate · Hemodynamics · Hemoglobin · Oxygenation · Stimulation · Sympathetic nervous system · Vasoconstriction · Vasodilation · Heart Rate Variability and Autonomic Control · Infrared Thermography in Medicine · Medicine · Thermoregulation and physiological responses · Anatomy · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |