2 Comments

I’m a PT who’s a member of Persistent Pain Treatment Program. I’m intrigued with the idea of using HRV in that population. The program has a strong behavior approach vs direct intervention. We know that individuals with persistent pain tend to be in a high sympathetic drive state ( fight or flight/ high fear anxiety )and a number of the strategies they’re introduced to are trying to shift them into more of a parasympathetic state ( rest and digest ).

The use of HRV would be challenging in the sense that if they saw theirs was poor, it may escalate their fear state. Your articles have been very informative as they explain what HRV is, how it’s measured and most importantly how accurately it’s measured. This article outlining of how to use and interpret the data has been helpful as well as integrating it with feel. The challenge in the persistent pain world is the fact most things regarding how they feel isn’t very positive.

Expand full comment