Les études cliniques sur la cohérence cardiaque

La pratique du biofeedback de cohérence cardiaque rencontre aujourd'hui un grand succès auprès d'un large public de professionnels. D'abord appliquée dans la prévention des maladies cardio-vasculaires, elle est de plus en plus utilisée dans les programmes de gestion du stress et de l’anxiété ainsi que dans la régulation de la réponse émotionnelle.

Le principe du biofeedback de cohérence cardiaque est basé sur l'hypothèse que la stimulation du tonus vagal, se traduisant par l'augmentation de la variabilité de la fréquence cardiaque, peut permettre, par un entraînement régulier, d’améliorer l'état de santé ou les performances.

En renforçant l'adaptabilité du système physiologique d’autorégulation, en particulier face aux sollicitations stressantes de la vie quotidienne, le biofeedback de cohérence cardiaque va en assurer une plus grande flexibilité pour lutter contre les pathologies somatiques et psychologiques et va permettre à l'organisme de maintenir un meilleur équilibre cardio-respiratoire et cérébral.

Plusieurs équipes dans le monde ont récemment mené des travaux cliniques sur l’intérêt de renforcer le tonus vagal par l’entraînement au biofeedback de cohérence cardiaque. La bibliographie scientifique nous démontre largement tous les bénéfices comme vous le constaterez en déployant les onglets ci-dessous.

  •    Pathologies
  •    Psychopathologies
  •   Douleur
  •   Performance
  •   Santé globale
  •   Processus
   Pathologies

Troubles cardiaques et cohérence cardiaque

2002

Luskin et al

A Controlled Pilot Study of Stress Management Training of Elderly Patients With Congestive Heart Failure

2004

Del Pozo et al

Biofeedback treatment increases heart rate variability in patients with known coronary artery disease

Kranitz, Lehrer

Biofeedback Applications in the Treatment of Cardiovascular Diseases

2005

Nolan et al

Heart rate variability biofeedback as a behavioral neurocardiac intervention to enhance vagal heart rate control

2008

Moravec

Biofeedback therapy in cardiovascular disease: Rationale and research overview

Nolan et al

Effects of drug, biobehavioral and exercise therapies on heart rate variability in coronary artery disease: a systematic review

2009

Swanson et al

The Effect of Biofeedback on Function in Patients with Heart Failure

2011

Cowan et al

Psychosocial therapy reduced the risk of cardiovascular death at 2 years after “out of hospital” sudden cardiac arrest

Moravec, McKee

Biofeedback in the treatment of heart disease

2012

Xhyheri et al

Heart Rate Variability Today

2013

Gevirtz

The Nerve of That Disease: The Vagus Nerve and Cardiac Rehabilitation

McKee, Moravec

Biofeedback in the treatment of heart failure

2018

Yu et al

One-Year Cardiovascular Prognosis of the Randomized, Controlled, Short-Term Heart Rate Variability Biofeedback Among Patient with Coronary Artery Disease

Troubles respiratoires et cohérence cardiaque

2000

Lehrer, Smetankin, Potapova

Respiratory Sinus Arrhythmia Biofeedback Therapy for Asthma: A Report of 20 Unmedicated Pediatric Cases Using the Smetankin Method

2004

Giardino, Chan, Borson

Combined Heart Rate Variability and Pulse Oximetry Biofeedback for Chronic Obstructive Pulmonary Disease: Preliminary Findings

Lehrer, Vaschillo et al

Biofeedback Treatment for Asthma

2006

Lehrer, Vaschillo et al

Heart Rate Variability Biofeedback: Effects of Age on Heart Rate Variability, Baroreflex Gain, and Asthma

2013

Hurs, Purdom, Hogan

Use of Paced Respiration to Alleviate Intractable Hiccups (Singultus): A Case Report

2018

Lehrer et al

Heart Rate Variability Biofeedback Does Not Substitute for Asthma Steroid Controller Medication

2019

Taghizadeha, Eslaminejadb, Raoufya

Protective effect of heart rate variability biofeedback on stress-induced lung function impairment in asthma

Hypertension et cohérence cardiaque

2001

Schein et al

Treating hypertension with a device that slows and regularises breathing: a randomised, double-blind controlled study

2003

Viskoper et al

Nonpharmacologic Treatment of Resistant Hypertensives By Device-Guided Slow Breathing Exercises

2004

Elliott et al

Graded Blood Pressure Reduction in Hypertensive Outpatients Associated With Use of a Device to Assist With Slow Breathing

2007

Tsai et al

Blood Pressure Biofeedback Exerts Intermediate-Term Effects on Blood Pressure and Pressure Reactivity in Individuals with Mild Hypertension: A Randomized Controlled Study

2010

Nolan et al

Behavioral Neurocardiac Training in Hypertension A Randomized, Controlled Trial

2011

Palomba et al

Behavioral Neurocardiac Training in Hypertension A Randomized, Controlled Trial Neurocardiac Training in Hypertension A Randomized, Controlled Trial

2012

Lin et al

Behavioral Neurocardiac Training in Hypertension : A Randomized, Controlled Trial

2013

Poskotinova et al

The Success of Heart Rate Variability Biofeedback Parameters in Persons with Different Levels of Blood Pressure

Lésions cérébrales et cohérence cardiaque

2012

Lagos, Thompson, Vaschillo

A Preliminary Study: Heart Rate Variability Biofeedback for Treatment of Postconcussion Syndrome

2014

Conder,Conder

Heart rate variability interventions for concussion and rehabilitation

2015

Francis et al

Reduced heart rate variability in chronic severe taumatic brain injury : association with impair emotional and social functioning, and potential for treatment using biofeedback

2019

Li et al

Heart Rate Variability (HRV) Biofeedback After Stroke Improves Self-regulation of Autonomic Nervous System During Cognitive Stress

2020

Chang et al

Effects of Heart Rate Variability Biofeedback in Patients With Acute Ischemic Stroke: A Randomized Controlled Trial

Cancers et cohérence cardiaque

2019

Hunokova et al

Cardiovagal regulation and transcutaneous pO2 in breast cancer patients – a pilot study

2020

Burch et al

Symptom Management Among Cancer Survivors: Randomized Pilot Intervention Trial of Heart Rate Variability Biofeedback

Makvand-Hosseini, Nazemi, Hoseini

Biofeedback-Assisted Relaxation Therapy on Women with Breast Cancer after Mastectomy: Effects of EMG-HRV Biofeedback on Psychological Symptoms

Fournier et al

Adapted physical activity and cardiac coherence in hematologic patients (APACCHE): study protocol for a randomized controlled trial

Autres pathologies

2011

Slutsker, Konichezky, Gothelf

Breaking the cycle: Cognitive behavioral therapy and biofeedback training in a case of cyclic vomiting syndrome

2019

Stanton et al

Heart rate variability biofeedback increases sexual arousal among women with female sexual arousal disorder: Results from a randomized-controlled trial

   Psychopathologies

Stress, anxiété et cohérence cardiaque

2008

Reiner

Integrating a Portable Biofeedback Device into Clinical Practice for Patients with Anxiety Disorders: Results of a Pilot Study

2009

Sherlin et al

Effects of Respiratory Sinus Arrhythmia Biofeedback Versus Passive Biofeedback Control

McCraty et al

New Hope for Correctional Officers: An Innovative Programfor Reducing Stress and Health Risks

2010

Bradely et al

Emotion Self-Regulation, Psychophysiological Coherence,and Test Anxiety: Results from an Experiment Using Electrophysiological Measures

Sherlin et al

Respiratory Sinus Arrhythmia Feedback in a Stressed Population Exposed to a Brief Stressor Demonstrated by Quantitative EEG and sLORETA

2011

Knox et al

EGame-based biofeedback for paediatric anxiety and depression

Tarrant et al

The Effects of Heart Rate Variability Biofeedback on College Student Anxiety, Stress and Coping:A Preliminary Examination

2012

Ratanasiripong et al

Biofeedback Intervention for Stress and Anxiety among Nursing Students: A Randomized Controlled Trial

2013

Cullins et al

An Exploratory Analysis of the Utility of Adding Cardiorespiratory Biofeedback in the Standard Care of Pregnancy-Induced Hypertensionion

Prinsloo et al

The Effect of a Single Session of Short Duration Heart RateVariability Biofeedback on EEG: A Pilot Study

2014

Kudo, Shinohara, Hideya

Heart Rate Variability Biofeedback Intervention for Reduction of Psychological Stress During the Early Postpartum Period

Siepmann et al

The Effects of Heart Rate Variability Biofeedback in Patients with Preterm Labour

2015

Lee, Kim, Wachholtz

The benefit of heart rate variability biofeedback and relaxation training in reducing trait anxiety

Zauszniewski, Musil, Variath

Biofeedback in Grandmothers Raising Grandchildren: Correlations Between Subjective and Objective Measures

2017

Goessl, Curtiss., Hofmann

The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis

2018

McAusland, Hotchkiss

Biofeedback to Treat Anxiety in Young People at Clinical High Risk for Developing Psychosis

Narita, Shinohara, Kodama

Resting Heart Rate Variability and the Effects of Biofeedback Intervention in Women with Low-Risk Pregnancy and Prenatal Childbirth Fear

2019

Van der Zwan et al

The Effect of Heart Rate Variability Biofeedback Training on Mental Health of Pregnant and Non-Pregnant Women: A Randomized Controlled Trial

De Witte, Buyck, Van Daele1

Combining Biofeedback with Stress Management Interventions: A Systematic Review of Physiological and Psychological Effects

2020

Wang, Li, Wu

Effects of medical biofeedback trainings on acute stress by hybridizing heart rate variability and brain imaging

Dépression et cohérence cardiaque

2007

Karavidas, Lehrer, Vaschillo et al

Preliminary Results of an Open Label Study of Heart RateVariability Biofeedback for the Treatment of Major Depression

2008

Karavidas et al

Heart Rate Variability Biofeedback for Major Depression

Siepmann et al

A Pilot Study on the Effects of Heart Rate Variability Biofeedbackin Patients with Depression and in Healthy Subjects

2012

Patron et al

Biofeedback Assisted Control of Respiratory Sinus Arrhythmia as a Biobehavioral Intervention for Depressive Symptoms in Patients After Cardiac Surgery: A Preliminary Study

2013

Beckham et al

A pilot study of heart rate variability biofeedback therapy in the treatment of perinatal depression on a specialized perinatal psychiatry inpatient unit

2014

Li et al

A Control Study on the Effects of HRV Biofeedback Therapy in Patients with Post-Stroke Depression

2016

Blase et al

Efficacy of HRV-biofeedback as additional treatment of depression and PTSD

2018

Caldwell, Steffen

Adding HRV biofeedback to psychotherapy increases heart rate variability and improves the treatment of major depressive disorder

2019

Pinter at al

Cardiac dysautonomia in depression – heart rate variability biofeedback as a potential add-on therapy

Lin et al

Biofeedback Increased Autonomic Activation and Improved Symptoms of Depression and Insomnia among Patients with Major Depression Disorder

2020

Tatschl, Hochfellner, Schwerdtfeger

Implementing Mobile HRV Biofeedback as Adjunctive Therapy During Inpatient Psychiatric Rehabilitation Facilitates Recovery of Depressive Symptoms and Enhances Autonomic Functioning Short-Term: A 1-Year Pre–Post-intervention Follow-Up Pilot Study

Economides et al

Psychiatric Rehabilitation Facilitates Recovery of Depressive Symptoms and Enhances Autonomic Functioning Short-Term: A 1-Year Pre–Post-intervention Follow-Up Pilot StudyFeasibility and Efficacy of the Addition of Heart Rate Variability

Stress post traumatique et cohérence cardiaque

2008

Gevirtz et al

Heart Rate Variability Biofeedback in theTreatment of Trauma Symptoms

2009

Zucker et al

The Effects of Respiratory Sinus Arrhythmia Biofeedback on Heart Rate Variability and Posttraumatic Stress Disorder Symptoms: A Pilot Study

2010

Tan et al

Heart Rate Variability (HRV) and Posttraumatic StressDisorder (PTSD): A Pilot Study

Ginsberg et al

Cardiac Coherence and Posttraumatic Stress Disorder in Combat Veterans

2015

Lewis et al

Relaxation training assisted by heart rate variability biofeedback: Implication for a military predeployment stress inoculation protocol

Rosaura Polak et al

Breathing Biofeedback as an Adjunct to Exposure in Cognitive Behavioral Therapy Hastens the Reduction of PTSD Symptoms: A Pilot Study

2017

Petta

Resonance Frequency Breathing Biofeedback to Reduce Symptoms of Subthreshold PTSD with an Air Force Special Tactics Operator: A Case Studyardiac Coherence and Posttraumatic Stress Disorder in Combat Veterans

Phobies et cohérence cardiaque

2018

Eddie et al

Assessing heart rate variability biofeedback as an adjunct to college recovery housing programs

Schäfer1 et al

Effects of heart rate variability biofeedback during exposure to fear-provoking stimuli within spider-fearful individuals: study protocol for a randomized controlled trial

Dépendances, addictions et cohérence cardiaque

2015

Penzlin et al

Heart rate variability biofeedback in patients with alcohol dependence: a randomized controlled study

2017

Penzlin et al

Effect of short-term heart rate variability biofeedback on long-term abstinence in alcohol dependent patients – a one-year follow-up

2019

Leyro, Buckman, Bates

Theoretical implications and clinical support for heart rate variability biofeedback for substance use disorders

Teeravisutkul et al

Stress and craving reduction under treatment with heart rate variability biofeedback and the Phramongkutklao model among patients with alcohol use disorder

Troubles du sommeil et cohérence cardiaque

2009

Ebben, Kurbatov, Pollak

Moderating Laboratory Adaptation with the Use of a Heart-rate Variability Biofeedback Device

McLay, Spira

A Use of a Portable Biofeedback Device to Improve Insomnia in a Combat Zone, a Case Report

Troubles alimentaires et cohérence cardiaque

2012

Meule et al

Heart Rate Variability Biofeedback Reduces Food Cravings in High Food Cravers

2012

Scolnick, Mostofsky, Keane

A Pilot study employing heart rate variability biofeedback training to decrease anxiety in patients with eating disorders

Divers

2009

Servant et al

La variabilité de la fréquence cardiaque. Intérêts en psychiatrie

2014

Schoenberg, David

Biofeedback for Psychiatric Disorders: A Systematic Review

2016

Clamor et al

A randomized-controlled trial of heart rate variability biofeedback for psychotic symptoms

2019

Groeneveld

Z‑Score Neurofeedback and Heart Rate Variability Training for Adults and Children with Symptoms of Attention‑Deficit/Hyperactivity Disorder: A Retrospective Study

  Douleur

Douleur

2005

Crider, Glaros, Gevirtz

Efficacy of Biofeedback-Based Treatments for Temporomandibular Disorders

2007

Hasset et al

A Pilot Study of the Efficacy of Heart Rate Variability (HRV) Biofeedback in Patients with Fibromyalgia

2009

Chalaye et al

Respiratory Effects on Experimental Heat Pain andCardiac Activity

2010

Sowder, Gevirtz, Shapiro

Restoration of Vagal Tone: A Possible Mechanism for Functional Abdominal Pain

2011

Hallman et al

Effects of Heart Rate Variability Biofeedback in Subjects with Stress-related Chronic Neck Pain: a Pilot study

2013

Schmidt et all

Cardiac Autonomic Function Associated with Treatment Adherence After a Brief Intervention in Patients with Chronic Pain

2014

Stern, Guiles, Gevirtz

HRV Biofeedback for Pediatric Irritable Bowel Syndrome and Functional Abdominal Pain: A Clinical Replication Series

2015

Weeks et al

Pilot Randomized Trial Comparing Intersession Scheduling of Biofeedback Results to Individuals with Chronic Pain

2017

Wilson

Heart Rate Variability Biofeedback Training as an Intervention for Chronic Pain

2019

Berger et al

Personal perception and body awareness of dysmenorrhea and the effects of rhythmical massage therapy and heart rate variability biofeedback - A qualitative study in the context of a randomized controlled trail

  Performance

Cognitive

2011

Prinsloo et al

The Effect of Short Duration Heart Rate Variability (HRV) Biofeedback on Cognitive Performance During Laboratory Induced Cognitive Stress

2014

Sutarto, Wahab, Zin

Effect of biofeedback training on operator’s cognitive performance

2017

Aritzeta et a

Reducing Anxiety and Improving Academic Performance Through a Biofeedback Relaxation Training Program

2018

Kim, Rath et al

Problem Solving, Biofeedback, and Severe Brain Injury: The Moderating Role of Positive Affect

2019

Kennedy, Parker

Biofeedback as a stress management tool: a systematic review

Professionnelle

2009

McCraty, Atkinson, Lipsenthal

New Hope for Correctional Officers: An Innovative Program for Reducing Stress and Health Risks

2010

Sutarto, Wahab, Zin

Heart Rate Variability (HRV) biofeedback: A new training approach for operator’s performance enhancement

2016

Munafo, Patron, Palomba

Improving Managers’ Psychophysical Well-Being: Effectiveness of Respiratory Sinus Arrhythmia Biofeedback

Sportive

2005

Raymond et al

Biofeedback and Dance Performance: A Preliminary Investigation

2010

Lagos, Vaschillo, Lehrer

Heart Rate Variability Biofeedback as a Strategy for Dealing with Competitive Anxiety (in golf): A Case Study

2011

Lagos, Vaschillo, Lehrer

Virtual Reality–Assisted Heart Rate Variability Biofeedback as a Strategy to Improve Golf Performance: A Case Study study

Paul, Garg, Sandhu

Role of Biofeedback in Optimizing Psychomotor Performance in Sports (Basketball)

2012

Paul, Garg

The Effect of Heart Rate Variability Biofeedback on Performance Psychology of Basketball Players

2014

Prinsloo et al

A Brief Review and Clinical Application of Heart Rate Variability Biofeedback in Sport, Exercice and Rehabilitation Medecine

2016

Dziembowska et al

Effects of Heart Rate Variability Biofeedback on EEG Alpha Asymmetry and Anxiety Symptoms in Male Athletes: A Pilot Study

Gross et al

Abbreviated Resonant Frequency Training to Augment Heart Rate Variability and Enhance On-Demand Emotional Regulation in Elite Sport Support Staff

Rijken et al

Increasing Performance of Professional Soccer Players and Elite Track and Field Athletes with Peak Performance Training and Biofeedback: A Pilot Study

2017

Jiménez Morgan, Molina Mora

Effect of Heart Rate Variability Biofeedback on Sport Performance, a Systematic Review

  Santé globale

Sensibilité baroréflexe et cohérence cardiaque

2002

Vaschillo, Lehrer et al

Heart Rate Variability Biofeedback as a Method for Assessing Baroreflex Function: A Preliminary Study of Resonance in the Cardiovascular System

2003

Lehrer, Vaschillo et al

Heart Rate Variability Biofeedback Increases Baroreflex Gain and Peak Expiratory Flow

2006

Vaschillo, Lehrer et al

Characteristics of Resonance in Heart Rate VariabilityStimulated by Biofeedback

2009

Tzeng et al

Respiratory modulation of cardiovagal baroreflex sensitivity

Réponse inflammatoire et cohérence cardiaque

2010

Lehrer, Karavidas et al

Voluntarily Produced Increases in Heart Rate Variability Modulate Autonomic Effects of Endotoxin Induced Systemic Inflammation: An Exploratory Study

Réponse hémodynamique et cohérence cardiaque

2001

Goodie, Larkin

Changes in Hemodynamic Response to Mental Stress With Heart Rate Feedback Training

Capacité cardio-respiratoire et cohérence cardiaque

2013

Sakakibara et al

Heart Rate Variability Biofeedback Improves Cardiorespiratory Resting Function During Sleep

2013

Abtahi

Development and Preliminary Evaluation of an Android Based Heart Rate Variability Biofeedback System

Divers

2012

Gauchet et al

Applications cliniques en psychologie de la santé

2018

Hasuo et al

Self-Care System for Family Caregivers of Cancer Patients Using Resonant Breathing with a Portable Home Device: A Randomized Open-Label Study

Huang et al

Investigation of Vagal Afferent Functioning using the Heartbeat Event Related Potential

2019

Schumann et al

Effect of an eight-week smartphone-guided HRV-biofeedback intervention on autonomic function and impulsivity in healthy control

  Processus

Processus techniques et/ou physiologiques

2000

Lehrer, Vaschillo

Resonant Frequency Biofeedback Training to Increase Cardiac Variability: Rationale and Manual for Training

2003

Lehrer

Applied Psychophysiology: Beyond the Boundaries of Biofeedback (Mending a Wall, a Brief History of Our Field, and Applications to Control of the Muscles and Cardiorespiratory Systems

2004

Moss

Heart Rate Variability (HRV) Biofeedback

Reyes del Paso, Gonzalez

Modification of Baroreceptor Cardiac Reflex Function by Biofeedback

2008

Jovanov

Real-time Monitoring of Spontaneous Resonance in Heart Rate Variability

2010

Vaschillo et al

The Investigation and Clinical Significance of Resonance in the Heart Rate and Vascular Tone Baroreflexes

2013

Gevirtz

The Promise of Heart Rate Variability Biofeedback: Evidence-Based Applications

Lehrer

How Does Heart Rate Variability Biofeedback Work? Resonance, the Baroreflex, and Other Mechanisms

Lehrer, Eddie

Dynamic Processes in Regulation and Some Implications for Biofeedback and Biobehavioral Interventions

Lin, Tai, Fan

Breathing at a rate of 5.5 breaths per minute with equal inhalation-to-exhalation ratio increases heart rate variability

2014

Uratani, Yoshino, Ohsuga

Basic Study on the Most Relaxing Respiration Period in Children to Aid the Development of a Respiration-Leading Stuffed Toy

2019

Jerčić, Sundstedt

Practicing emotion-regulation through biofeedback on the decision-making performance in the context of serious games: A systematic review

2020

Lin et all

A Single Session of Heart Rate Variability Biofeedback Produced Greater Increases in Heart Rate Variability Than Autogenic Training