Glauber Heinz

Universidade Nove de Julho

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Fernanda Ishida Corrêa

Universidade Nove de Julho

João Carlos Ferrari Corrêa

Universidade Nove de Julho

Ariane Viana

Universidade Nove de Julho

Kátia De Angelis

Universidade Federal de São Paulo

Simone Dal Corso

Monash University

Ruthe Rodrigues Nemesio

Universidade Nove de Julho

Cristina Sayuri Miyamura

Universidade Nove de Julho

Solange Zilli Lo Presti Heinz

Universidade Nove de Julho

Rafael Alves de Oliveira

Universidade Nove de Julho

Claudia Gabriella Ribolli Bacalhau

Universidade Nove de Julho

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Universidade Nove de Julho

Universidade de São Paulo

Universidade São Judas Tadeu

Universidade Federal de São Paulo

Union des Industries Ferroviaires Européennes

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Instituto do Coração

Alliance of Health Organizations

Universidade Estadual Paulista (Unesp)

Weatherford College

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Effect of Transcranial Direct Current Stimulation associated with aerobic exercise on the autonomic modulation of hemiparetic individuals due to stroke: a study protocol for a double-blind randomized controlled trial

F1000Research (2021)

Solange Zilli Lo Presti Heinz Kátia De Angelis Glauber Heinz Ariane Viana Fernanda Marciano Consolim‐Colombo

Background: Individuals after a stroke have an imbalance in the autonomic nervous system, which increases the risk of death or recurrent episodes of stroke. Transcranial Direct Current Stimulation (tDCS) combined with aerobic exercise has shown an effect on the modulation of this system. Objective: The Heart Rate Variability (HRV) and the distance traveled on the exercise bike will be assessed to verify the additional impact of tDCS combined with aerobic exercise on individuals with chronic stroke sequelae. Methods: The 34 adult individuals with diagnoses of chronic stroke will be randomized into two aerobic exercise intervention groups: G1 (with active tDCS) and G2 (with sham tDCS), three times a week, for 12 weeks. Procedures: tDCS will be implemented during the aerobic exercise with the anodal electrode positioned over the lateral dorsal prefrontal left cortex, and the cathodal electrode over the contralateral supraorbital region, with 2mA, for 20 minutes. Assessments will be carried out pre, immediately after the intervention, and on the 12th, 24th, 36th interventions, and 30 days later. The HRV data that are pulse interval (PI), square root of the mean of the squares of the differences between adjacent normal RR intervals (rMSSD), absolute high frequency (HF), absolute low frequency (LF), high and low frequency ratio (LF / HF) will be collected using a cardio frequency meter. The analysis of the distance traveled on the exercise bike before and after interventions will be analyzed in meters. Discussion: The autonomic control via brain networks after a stroke can be altered and can promote an increase in sympathetic tone, and a higher risk of sudden death or relapse of stroke. It is crucial to demonstrate the effectiveness of available treatments to improve the autonomic function. Trial registration: The study is registered as a BRAZILIAN CLINICAL TEST RECORD (ReBEC): U1111-1222-4588 on the 2018/10/16

Aerobic Exercise

Stroke

Transcranial Direct Current Stimulation

10.12688/f1000research.36394.1

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Citations (0)

[Day clinic intensive care treatment. A new method in the rehabilitation of mentally ill offenders].

PubMed (1988)

Glauber Heinz J Mayrl

Mentally ill

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Citations (1)

F1000Research (2021)

Solange Zilli Lo Presti Heinz Kátia De Angelis Glauber Heinz Ariane Viana Fernanda Marciano Consolim‐Colombo

Background:Individuals after a stroke have an imbalance in the autonomic nervous system, which increases the risk of death or recurrent episodes of stroke. Transcranial Direct Current Stimulation (tDCS) combined with aerobic exercise has shown an effect on the modulation of this system.Objective:The Heart Rate Variability (HRV) and the distance traveled on the exercise bike will be assessed to verify the additional impact of tDCS combined with aerobic exercise on individuals with chronic stroke sequelae.Methods:The 34 adult individuals with diagnoses of chronic stroke will be randomized into two aerobic exercise intervention groups: G1 (with active tDCS) and G2 (with sham tDCS), three times a week, for 12 weeks.Procedures:tDCS will be implemented during the aerobic exercise with the anodal electrode positioned over the lateral dorsal prefrontal left cortex, and the cathodal electrode over the contralateral supraorbital region, with 2mA, for 20 minutes. Assessments will be carried out pre, immediately after the intervention, and on the 12th, 24th, 36th interventions, and 30 days later.The HRV data that are pulse interval (PI), square root of the mean of the squares of the differences between adjacent normal RR intervals (rMSSD), absolute high frequency (HF), absolute low frequency (LF), high and low frequency ratio (LF / HF) will be collected using a cardio frequency meter. The analysis of the distance traveled on the exercise bike before and after interventions will be analyzed in meters.Discussion:The autonomic control via brain networks after a stroke can be altered and can promote an increase in sympathetic tone, and a higher risk of sudden death or relapse of stroke. It is crucial to demonstrate the effectiveness of available treatments to improve the autonomic function.Trial registration:The study is registered as aBRAZILIAN CLINICAL TEST RECORD(ReBEC): U1111-1222-4588 on the 2018/10/16

Transcranial Direct Current Stimulation

Aerobic Exercise

Stroke

Brain stimulation

10.12688/f1000research.36394.2

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Citations (1)

Validation and reliability of the test of daily Activities-GLITTRE (GLITTRE-ADL TEST) to evaluate functional capacity in older adults

ABCS Health Sciences (2023)

Bianca Tiriba Gomes Simone Dal Corso André Issao Kunitake Glauber Heinz Ingrid Pereira Sousa

Introduction: The decline in functional capacity (FC) interferes with the functional independence of older adults, so it is important to assess the FC and use appropriate instruments for this. Objective: To investigate the Glittre Activities of Daily Living (ADL) test’s validity and reliability for assessing functional capacity in older adults. Methods: Cross-sectional study with a sample of 100 elderly (68 ± 5.16 years). To assess the convergent validity, the Six-Minute Walk Test (6MWT) and the Timed Up and Go Test (TUG) were performed. The intra-examiner test-retest of the Glittre-ADL test was performed on the same day with a 30-minute interval between repetitions and inter-examiner reliability with an interval of seven days. Results: There was a strong correlation between the Glittre-ADL test and the 6MWT (r= -0.75; p<0.001) and the TUG (r=0.77; p<0.001). The intra-examiner and inter-examiner reliability was excellent (ICC)=0.91 and 95% CI=0.14-0.97; p<0.001 and ICC=0.91; 95% CI: 0.86-0.94; p<0.001, respectively). Conclusion: The Glittre-ADL test demonstrated that it is valid and that its reliability is adequate to assess functional capacity in older adults.

10.7322/abcshs.2021266.2232

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Citations (2)

Effects of Transcranial Direct Current Stimulation (tDCS) and Exercises Treadmill on Autonomic Modulation of Hemiparetic Patients Due To Stroke—Clinic Test, Controlled, Randomized, Double-Blind

Frontiers in Neurology (2020)

Glauber Heinz Kátia De Angelis Simone Dal Corso Maria Helena Gomes de Sousa Ariane Viana

Background: After a Stroke, there is an autonomic nervous system (ANS) changes. Transcranial Direct Current Stimulation (tDCS) can promote the reorganization of the affected circuits. Objective: To evaluate the effects of tDCS applied before a session of physical activity on the treadmill, in the modulation of the autonomic nervous system of post-stroke patients. Methodology: Cross-over study, were randomized 12 adult hemiparetic subjects in 2 groups, Group 1 (active tDCS before exercise on the treadmill) and Group 2 (sham tDCS before exercise on the treadmill). Stimulation times were 20 minutes; treadmill time was 20 minutes. The heart rate variability (HRV) and Variability of Systolic Blood Pressure (VSBP) were evaluated for 15 minutes, in 3 periods (pre and post tDCS and during exercise recovery on the treadmill). Results: There was no difference in the VSBP and the HRV between the groups, compared with the baseline data; however, in the intragroup analysis, the parasympathetic modulation after active tDCS increased by 18% over baseline by the RMSSD with IC 95% (-7.85 - -0.34). In group 1, the post-tDCS active and post-exercise periods presented a value of variance above baseline, indicating a better prognosis. In group 2, there was a significant reduction of 38% of Variance values (p = 0.003) after tDCS sham. Conclusion: tDCS does not generate immediate effects on HRV and APV, except for intragroup comparison, which has greater participation in parasympathetic tone in the group receiving active tDCS.

Transcranial Direct Current Stimulation

Treadmill

Stroke

10.3389/fneur.2019.01402

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Citations (20)

[Mental disorder and "mental fitness" in men liable for military service].

PubMed (1972)

C. Biermann Glauber Heinz

Military psychiatry

Service member

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