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Heart rate variability behavior in athletes after a sports concussion: A systematic review

dc.contributor.authorFlores, Gonçalo
dc.contributor.authorMonteiro, Diogo
dc.contributor.authorSilva, Fernanda
dc.contributor.authorDuarte-Mendes, Pedro
dc.date.accessioned2023-05-29T10:21:29Z
dc.date.available2023-05-29T10:21:29Z
dc.date.issued2023-05-29
dc.description.abstractObjective This systematic review aims to investigate the adaptations of the autonomic nervous system (ANS) after a concussion by measuring HRV in athletes over the age of 16 after injury. Methods This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Web of Science, Pubmed, SCOPUS, and Sport Discus were searched using predefined search terms to identify relevant original cross-sectional, longitudinal, and cohort epidemiological studies published before December 2021. Results After screening 1737 potential articles, four studies met the inclusion criteria. Studies included participants with concussion (n = 63) and healthy control athletes (n = 140) who practised different sports. Two studies describe a decrease in HRV following a sports concussion, and one proposed that the resolution of symptoms does not necessarily reflect ANS recovery. Lastly, one study concluded that submaximal exercise induces alteration in ANS, not seen in rest after an injury. Conclusions In the frequency domain, a decrease in high frequency power and an increase of low frequency/high frequency ratio is expected, as the activity of the sympathetic nervous system increases, and the parasympathetic nervous system decreases after injury. In the frequency domain, heart rate variability (HRV) may help monitor the activity of ANS evaluating signals of somatic tissue distress and early identification of other types of musculoskeletal injuries. Further research should investigate the relationship between HRV and other musculoskeletal injuries.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFlores, G, Monteiro, D, Silva, F, Duarte-Mendes, P. Heart rate variability behavior in athletes after a sports concussion: A systematic review. Scand J Med Sci Sports. 2023; 00: 1- 9. doi:10.1111/sms.14409pt_PT
dc.identifier.doi10.1111/sms.14409pt_PT
dc.identifier.issn1600-0838
dc.identifier.urihttp://hdl.handle.net/10400.8/8528
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/sms.14409pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAthlete (MeSH term)pt_PT
dc.subjectAutonomic nervous systempt_PT
dc.subjectSympathetic nervous systempt_PT
dc.titleHeart rate variability behavior in athletes after a sports concussion: A systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleScandinavian Journal of Medicine & Science in Sportspt_PT
person.familyNameMonteiro
person.givenNameDiogo
person.identifierF-1202-2015
person.identifier.ciencia-idED1F-6228-E26F
person.identifier.orcid0000-0002-7179-6814
person.identifier.scopus-author-id56437945500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication79dcae83-d54a-4acc-a9a1-8268c7776ab9
relation.isAuthorOfPublication.latestForDiscovery79dcae83-d54a-4acc-a9a1-8268c7776ab9

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