The Effect of Deep Breathing and Transcutaneus Electrical Nerve Stimulation on Heart Rate Variability
NCT05157334 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2021-12-15
Summary
This interventional study aims to investigate the effect of deep breathing (DB) and transcutaneous electrical vagus nerve stimulation (tVNS) on heart rate variability (HRV) in healthy participants and patients with rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). HRV is used as a surrogate measure of vagal nerve tone.
The study consists of three sub-projects:
Sub-project 1: To compare the effect of one session of DB and one session of non-invasive auricular tVNS on vagal nerve tone measured by HRV in healthy participants and in patients with RA and SLE. The hypotheses is that DB has a similar effect on HRV as non-invasive electrical tVNS.
Sub-project 2: A dose-response study in healthy participants comparing the effect of 5, 15 and 30 minutes of DB on HRV. The hypothesis was that HRV increases as a function of the number of minutes the DB is performed in healthy participants.
Sub-project 3: To investigate the effect of the optimal dose found in sub-project 2 in patients with RA and SLE measured by HRV, and to investigate its reproducibility by doing it twice.The hypothesis was that HRV increases after DB in patients with RA and SLE, and the effect is reproducible.
In all three sub-projects the washout period will be investigated by measuring HRV three times after the intervention. We hypothesise that the effect of DB and tVNS on HRV decreases over time.
Conditions
- Rheumatoid Arthritis
- Systemic Lupus Erythematosus
- Healthy Participants
Interventions
- DEVICE
-
Non-invasive auricular electrical transcutaneous vagus nerve stimulation
A NEMOS ® stimulator (Cerbomed, Erlangen, Germany) is used for transcutaneous auricular vagus nerve stimulation. This is a handheld battery driven stimulator which stimulates conca in the outer ear. It stimulates in a serie of small electrical impulses with a pulse width at 250 us and a frequency at 25 Hz for 30 minutes in a cycle for 30 seconds "on" and 30 seconds "off" to avoid habituation. It is previously indicated that a stimulation intensity at 0,5 mA, 1 mA or 1,5 mA does not cause a significant chance in HRV, thus 0,5 mA is used in this study.
- OTHER
-
Deep breathing
The participant is first verbally introduced to the breathing exercises, and then to the visually cue (animation), which the participant have to follow throughout the session.
Sponsors & Collaborators
-
Aalborg University
collaborator OTHER -
Aalborg University Hospital
lead OTHER
Principal Investigators
-
Salome Kristensen, MD, PhD · Aalborg University Hospital
Study Design
- Allocation
- NA
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-09-01
- Primary Completion
- 2022-09-30
- Completion
- 2022-09-30
Countries
- Denmark
Study Locations
More Related Trials
-
Body Versus Machine: Deep Breathing Versus Vagus Stimulation for the Treatment of Fibromyalgia
NCT03180554 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Modulation of Autonomic Cardiac Nervous System
NCT04057508 ·Status: UNKNOWN ·Phase: NA
-
Pilot Study - Auricular Vagus Nerve Stimulation Effects on Cardiovascular Parameters
NCT02139293 ·Status: UNKNOWN ·Phase: NA
-
Breathing Exercises and Auricular Vagus Nerve Stimulation
NCT06531954 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of the Acute Effects of Auricular Vagus Nerve Stimulation and Deep Breathing Exercise
NCT06740032 ·Status: COMPLETED ·Phase: NA
-
Transcutaneous Vagus Nerve Stimulation (tVNS) for Improved Recovery After Exertion.
NCT06510985 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Treatment With Auricular Vagus Nerve Stimulation in Rheumatoid Arthritis - the TRAVAGA Study
NCT06779123 ·Status: RECRUITING ·Phase: NA
-
Sustained Auricular Nerve Stimulation for PVC Suppression
NCT07093034 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
TRAnscutaneous vaGUS Nerve Stimulation in Patients With Chronic Heart Failure
NCT06355388 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effects of Trigeminal Neurostimulation on Heart Rate Variability: Comparing Tragus and Tongue Stimulation.
NCT06549205 ·Status: COMPLETED ·Phase: NA
-
Effects of Auricular Vagus Nerve Stimulation on the Pro-inflammatory Cytokine Response in Healthy Adults
NCT01569789 ·Status: COMPLETED ·Phase: PHASE1
-
Long Term Extension of Safety and Efficacy of Vagus Nerve Stimulator in Patients With Rheumatoid Arthritis (RA)
NCT04862117 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Auricular Vagus Stimulation and Heart Rate Variability
NCT05680337 ·Status: RECRUITING ·Phase: NA
-
Enhancing the Vagal Tone in Prediabetes Individuals
NCT03616275 ·Status: COMPLETED ·Phase: NA
-
Effects of Transvenous Vagus Nerve Stimulation on Immune Response: a Pilot Study
NCT01944228 ·Status: COMPLETED ·Phase: PHASE1
-
Study of the Effects of Transcutaneous Auricular Vagus Nerve Stimulation Combined with Slow Breathing on Insomnia
NCT06614803 ·Status: COMPLETED ·Phase: NA
-
Transauricular Vagal Nerve Stimulation, Pressure Pain and Interoception
NCT06240026 ·Status: COMPLETED ·Phase: NA
-
The Effect of Different Low-Level Tragus Stimulation Parameters On Autonomic Nervous System Function
NCT04682704 ·Status: RECRUITING ·Phase: NA
-
Non-invasive Vagus Nerve Stimulation in Patients Undergoing Electrophysiological Study
NCT05350150 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Safety and Efficacy Vagal Nerve Stimulation in Patients With Rheumatoid Arthritis
NCT01552941 ·Status: COMPLETED ·Phase: NA
-
Clinical Outcome of Electrical Transcutaneous Auricular Vagal Stimulation in Patients With Stable Symptomatic Chronic Heart Failure
NCT06950320 ·Status: COMPLETED ·Phase: NA
-
Transcutaneous Autonomic Modulation in Thoracic Surgery
NCT02783157 ·Status: TERMINATED ·Phase: NA
-
Heart Rate Variability During Auricular Acupressure at Zero Point on the Left Ear in Healthy Volunteers
NCT05586698 ·Status: COMPLETED ·Phase: NA
-
Vagus Nerve Stimulation in Treatment of Postural Orthostatic Tachycardia Syndrome
NCT03930914 ·Status: COMPLETED ·Phase: NA
-
How Does the Type of Waveform Affect Tolerability With Transcutaneous Auricular Vagus Nerve Stimulation?
NCT06614933 ·Status: COMPLETED ·Phase: NA