Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Assessment of Heart Rate Variability in Fibromyalgia after Micro-physiotherapy

Pereira, Adriano Pinto; Carvalho, Eluciene Maria dos Santos; Kerppers, Ivo Ilvan; Furmann, Meirielly; Pires, Juliana Aparecida W.; Ribeiro, Larissa Gulogurski; Rolão, Marcos Paulo P.; Salgado, Afonso Shiguemi I.

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Introduction: Fibromyalgia syndrome is characterized by musculo-skeletal pain. Heart rate variability (HRV) is a versatile and promising non-invasive marker of the autonomous nervous system. Micro-physiotherapy involves manual physiotherapy that seeks to identify the primary cause of a disease or symptom and to stimulate self-healing, in which the body recognizes the aggressor (antigen) and begins the elimination process, through cellular and tissue reprogramming. Method: The sample was composed by 15 individuals, aged between 35 and 40 years, with fibromyalgia. The Nerve Express method was used to assess the variability of the heart rate. Two sessions of micro-physiotherapy were conducted using global methods, with an interval of 45 days between sessions. Results: Based on the HRV results, the high frequency band was confirmed at p=0.203, with the low frequency recording a statistically significant value of p=0.001, thereby demonstrating sympathetic activity. Upon comparison of the mean heartbeat before and after treatment, a value of p=0.0006 was obtained. A value of p=0.049 was recorded in the analysis of the median R-R interval values. Conclusion: The use of micro-physiotherapy as a treatment method for fibromyalgia effectively improved the lives of patients by promoting sympathicotonia.


Fibromyalgia, micro-physiotherapy, heart rate variability



1. Provenza JR, Pollak DF, Martinez JE, Paiva ES, Helfenstein M, Heymann R, et al. Fibromialgia(*)Rev. Bras. Reumatol. 2004; 44(6).

2. Wolfe F. The relation between tender points and fibromyalgia symptom variables: evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis. 1997; 56:268-71.

3. Francis DP, Willson K, Georgiadou P, Wensel R, Davies LC, Coats A, et al. Physilogical basis of fractal complexity properties of heart rate variability in man. J Physiol. 2002; 542:619-29.

4. Scott AC, Francis DP, Davies LC, Ponikowski P, Coats AJS, Piepoli MF. Contribution of skeketal muscle ‘ergoreceptors’ in th human leg to respiratory control in chronic heart failure. J Physiol. 2000; 529:863-70.

5. Friedman BH, Thayer JF. Anxiety and autonomic flexibility: a cardiovascular approach. Biol Psychol. 1998; 49:303- 23.

6. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Eur Heart J. 1996; 17:354-81.

7. Menezes J. Inteligência quântica aplicções da teoria quântica na transformação humana. Besourobox, 2006.

8. Moreno JA. Medicina Energética. 4ed. Editora Hipocrática/Hahnemanniana, 2007.

9. Gorsjean D, Benini P. Lamicropalpation base de La microkinesiotherapie. France:CFM, 1990.

10. Marães VRFS. Frequencia cardíaca e sua Variabilidade: Análises e aplicações. Rev Andal Med Deporte. 2010; 3(1):33-42.

11. Appelhans BM, Luecken LJ. Heart rate variability as an index of regulated emotional responding. Rev. Gen. Psychol. 2006; 10:229–240.


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