Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone

Abstract By enhancing vagal activity, auricle transcutaneous electric nerve stimulation (TENS) is developed as a non-invasive therapy for heart failure. Nevertheless, though shoulder TENS used for treating adhesive capsulitis could affect vagal tone, its potential impact on heart functions remains u...

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Autores principales:	Chun-Ming Hsieh, Wan-Chen Lin, Hsien-Yu Peng, Huang-Chung Chen, Yu-Cheng Ho, Chi-Jui Li, Xi-Guan Wu, Jen-Yi Chung, Shin-Da Lee, Tzer-Bin Lin
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8091ce2f3adf4ae4b6c3175c6ea7cdc9
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spelling	oai:doaj.org-article:8091ce2f3adf4ae4b6c3175c6ea7cdc92021-12-02T17:37:40ZShoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone10.1038/s41598-021-98690-62045-2322https://doaj.org/article/8091ce2f3adf4ae4b6c3175c6ea7cdc92021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98690-6https://doaj.org/toc/2045-2322Abstract By enhancing vagal activity, auricle transcutaneous electric nerve stimulation (TENS) is developed as a non-invasive therapy for heart failure. Nevertheless, though shoulder TENS used for treating adhesive capsulitis could affect vagal tone, its potential impact on heart functions remains unclear. In this study, electrocardiogram (ECG) and heart rate (HR) of subjects in response to sham, right-sided, or left-sided shoulder TENS (TENS-S, TENS-R, and TENS-L, respectively; 5 min) were recorded and analyzed. During the stimulation period, TENS-R constantly and TENS-L transiently decreased the HR of subjects; both TENS-R and TENS-L increased powers of the low- and high-frequency spectra. While TENS-R exhibiting no effect, TENS-L increased the ratio of low/high-frequency power spectrum indicating TENS-R decreased the HR through potentiating cardiac vagal tone. Collectively, these results suggest TENS could be an early and non-invasive therapy for heart failure patients before considering implant devices or devices are not feasible; moreover, therapists/physicians need to carefully monitor the potential adverse events during treatment for patient safety. Trial registration: The study protocol was registered in ClinicalTrials.gov (NCT03982472; 11/06/2019).Chun-Ming HsiehWan-Chen LinHsien-Yu PengHuang-Chung ChenYu-Cheng HoChi-Jui LiXi-Guan WuJen-Yi ChungShin-Da LeeTzer-Bin LinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chun-Ming Hsieh Wan-Chen Lin Hsien-Yu Peng Huang-Chung Chen Yu-Cheng Ho Chi-Jui Li Xi-Guan Wu Jen-Yi Chung Shin-Da Lee Tzer-Bin Lin Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
description	Abstract By enhancing vagal activity, auricle transcutaneous electric nerve stimulation (TENS) is developed as a non-invasive therapy for heart failure. Nevertheless, though shoulder TENS used for treating adhesive capsulitis could affect vagal tone, its potential impact on heart functions remains unclear. In this study, electrocardiogram (ECG) and heart rate (HR) of subjects in response to sham, right-sided, or left-sided shoulder TENS (TENS-S, TENS-R, and TENS-L, respectively; 5 min) were recorded and analyzed. During the stimulation period, TENS-R constantly and TENS-L transiently decreased the HR of subjects; both TENS-R and TENS-L increased powers of the low- and high-frequency spectra. While TENS-R exhibiting no effect, TENS-L increased the ratio of low/high-frequency power spectrum indicating TENS-R decreased the HR through potentiating cardiac vagal tone. Collectively, these results suggest TENS could be an early and non-invasive therapy for heart failure patients before considering implant devices or devices are not feasible; moreover, therapists/physicians need to carefully monitor the potential adverse events during treatment for patient safety. Trial registration: The study protocol was registered in ClinicalTrials.gov (NCT03982472; 11/06/2019).
format	article
author	Chun-Ming Hsieh Wan-Chen Lin Hsien-Yu Peng Huang-Chung Chen Yu-Cheng Ho Chi-Jui Li Xi-Guan Wu Jen-Yi Chung Shin-Da Lee Tzer-Bin Lin
author_facet	Chun-Ming Hsieh Wan-Chen Lin Hsien-Yu Peng Huang-Chung Chen Yu-Cheng Ho Chi-Jui Li Xi-Guan Wu Jen-Yi Chung Shin-Da Lee Tzer-Bin Lin
author_sort	Chun-Ming Hsieh
title	Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
title_short	Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
title_full	Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
title_fullStr	Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
title_full_unstemmed	Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
title_sort	shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8091ce2f3adf4ae4b6c3175c6ea7cdc9
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Shoulder transcutaneous electric nerve stimulation decreases heart rate via potentiating vagal tone

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