HRV Biofeedback for Chiropractors (Helping Patients from the Inside Out) PDF Free Download
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HRV Biofeedback for Chiropractors
(Helping Patients from the Inside Out)
With Dr. David Hopper
May 21, 2024, 12:00 pm - 1:00 pm CT
Approved for 1 CE Hour for DC
Welcome!
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Our Speaker Today
Dr. David Hopper
Without Further Ado...
Dr.$David$Hopper$is$a$practicing$chiropractor.$He$is$the$
professor$of$Head$and$Neck$anatomy$&$physiology$at$the$
National$University$of$Health$Sciences$(NUHS),$he$is$a$
speaker$at$health$conferences$and$part$owner$of$a$heart$
rate$variability$technology$company.$Dr.$Hopper$holds$two$
US$patents$in$health$&$ergonomics.$In$practice,$Dr.$Hopper$
focuses$care$on$breathing$and$sleep$related$concerns$as$
well$as$temporomandibular$joint$dysfunction.$Dr.$Hopper$is$
beyond$passionate$about$his$life!s$mission$to$help$as$many$
people$as$possible$realize$their$health$potential$using$
simple,$natural$means.
David Hopper, DC, OMT
Biofeedback in Chiropractic
•Father & Husband"
•Practicing Chiropractor"
•Professor at National University
of Health Sciences (NUHS)"
•Published Researcher & Author"
•National Speaker on HRV, Health
and Wellness
David Hopper, DC
Conflict of Interest
Dr David Hopper is part owner of Optimal HRV, a HRV and
Biofeedback smartphone application
•Heart Rate Variability (HRV)"
•Review"
•HRV Biofeedback"
•Define and learn"
•Proper Breathing "
•Sample Session"
•HRV Biofeedback
SESSION OVERVIEW
Review
Heart Rate Variability (HRV)
Like Peanut butter & Jelly
•Chiropractic stimulates ANS"
•HRV measures ANS function"
•HRV monitors chiropractic care
progress and overall health"
•HRV guides lifestyle as well
HRV & CHIRO
Heart Rate Variability (HRV) is the variation in time
intervals between successive heart beats over a
given period of time.
BASICS OF HRV
•Heart Rate of 60 BPM ≠ 1
heart beat per second"
•Rather, 60 beats over a
minute"
•Each beat was at an uneven
interval
BASICS OF HRV
Metrics
•Time domain measures
•RMSSD
•SDNN"
•Frequency domain measure
•High Frequency (HF)"
•Low Frequency (LF)"
•Very Low Frequency (VLF)
BASICS OF HRV
Interpretation
•Higher is better"
•Better health"
•Better outcomes"
•Better physical, mental,
and emotional
performance and
regulation"
•CV of HRV
BASICS OF HRV
Interpretation
•Trends"
•Predict"
•Illness"
•Injury"
•Performance"
•All aspects"
•Health outcomes
BASICS OF HRV
Chiropractic Practice
•Care Planning"
•Low HRV = Longer
plans"
•Slower
response"
•Care Outcomes"
•Self Responsibility"
•Opens the door to new
conversations
BASICS OF HRV
•ANS FUNCTON ASSESSMENT "
•How much gas is in the
tank"
•Brake pedal (parasympathetics) "
•Conserve & Rebuild"
•Gas Pedal (sympathetics)"
•Burn, Defend & Achieve
BASICS OF HRV
HRV is our guide
•Avoid"
•Injury"
•Illness"
•Poor Mental
Performance"
•Poor Physical
Performance "
•Poor Emotional
Regulation "
•OVERLOAD
BASICS OF HRV
HRV BIOFEEDBACK
A way to help people develop
greater awareness and ability
to influence their physiological
and mental functions by using
signals from their own bodies
(measured by precise
instruments and “fed back”) for
the purpose of improving their
health and performance
BIOFEEDBACK
Definitions
•Respiratory Sinus Arrhythmia
(RSA)"
•Natural Increasing &
Decreasing of HR with
respiratory cycle"
•HR max-min"
•The peak and trough of HR
during the respiratory cycle
HRV BIOFEEDBACK
Definitions
•Low Frequency"
•Baroreceptor Range (blood
pressure regulation)"
•High during HRVB, Low with
normal breathing"
•Increasing sensitivity "
•Resonance Frequency (RF)"
•The unique breath pace that
most stimulates YOUR HRV
HRV BIOFEEDBACK
•How to find YOUR Resonance
Frequency (RF) rate"
•Example"
•DEMONSTRATION"
•Looking for:"
•Highest LF and HR Max-Min
HRV BIOFEEDBACK
Tools Needed
•Sensor & Reader
HRV BIOFEEDBACK
•Easy to use apps and software
make this simple"
•No guesswork if at proper rate
HRV BIOFEEDBACK
In the session
•Uses moment to moment
changes in HRV metrics as a the
feedback marker"
•Low Frequency"
•Increased during
session"
•HR Max - HR Min"
•Increased during
session"
•All other metrics decrease
HRV BIOFEEDBACK
•After the session:"
•Increases in High
Frequency "
•Increases in RMSSD &
SDNN"
•Decrease LF & HR max-
min
HRV BIOFEEDBACK
Benefits
•Stress reduction"
•Anxiety & Depression"
•Cardiovascular health "
•Cognitive function"
•Performance enhancement "
•Sleep quality"
•Chronic pain"
•Resilience improvements
HRV BIOFEEDBACK
•Like weight lifting"
•Not something to do
all the time"
•Body needs recovery
& adaptation
HRV BIOFEEDBACK
Frequency of Sessions
•Research shows best results:"
•20 minutes twice per day"
•Start slow and build up"
•First week"
•5-minutes twice per
day"
•Second week"
•10-minutes twice
per day, etc
HRV BIOFEEDBACK
Breathing
•Proper Breathing"
•Mouth closed, tongue up"
•Nose open"
•ALLOW the diaphragm to
work"
•DEMONSTRATION
HRV BIOFEEDBACK
Compliments Chiropractic
•All of the benefits slide, PLUS:"
•ANS Regulation"
•Wellness promotion"
•Patient education "
•Patient empowerment
HRV BIOFEEDBACK
SAMPLE SESSION
6 breaths per minute
HRV Biofeedback Training
•Select YOUR resonance
frequency (RF) breathing rate"
•Select how long you want to
train for
Sample Session
Sample Session
Sample Session
Results:
•Low Frequency (LF)"
•Want it High during training "
•Max-Min"
•Higher is better"
•Larger HR swings
with each breath"
•More variability!
•Heart Rate Variability (HRV)"
•Review"
•HRV Biofeedback"
•Define and learn"
•Proper Breathing "
•Chiropractic Connection"
•Sample Session"
•HRV Biofeedback
SESSION RECAP
Thank you!
For survey and/or other questions/
concerns...
Contact WCA Staff
608-292-1801 or 1802
