Jack Ginsberg on HRV part 2

Heart Rate Variability (HRV): Jack Ginsberg

Integrative Management of Sensitized Chronic Pain using Autonomic Self-Regulation:

Clinical and Research Aspects

Autonomic Self-Regulation (ASR) incorporates paced resonant frequency breathing of Heart Rate Variability (HRV) Biofeedback, Mindful focused attention, and positive emotional cognitions such as acceptance, compassion, or gratitude. ASR is an integrative health care technique that empowers patients with centrally sensitized chronic pain and normalizes sympathetic over-arousal of the autonomic nervous system safely and comfortably. This 2-part oral presentation will provide attendees with an understanding of how ASR reduces centrally sensitized chronic pain. The autonomic and central nervous systems pathways of HRV that are in common with the neural pathways of centrally sensitized chronic pain will be presented. ASR rehabilitates the ANS in a safe and measurable way and provides a technique for self-management of centrally sensitized chronic pain. Through didactic instruction, clinical techniques, and illustrations with research data, attendees will develop familiarity with the advancing technologies and therapies that make ASR a simple, powerful, and effective tool in the pain clinic.



Autonomic nervous system (ANS) dysregulation is a component of centrally sensitized chronic pain conditions such as Fibromyalgia, Irritable Bowel Syndrome, Chronic Fatigue Syndrome, as well as pain hypersensitivity associated with osteoarthritis, musculoskeletal pain, headache, temporomandibular joint disorder, dental pain, neuropathic pain, and visceral and postsurgical pain. Catastrophizing and unremitting fear rumination provoke sympathetic over-arousal and amplify pain and are core aspects of pain sensitization. Heart rate variability (HRV) is an accepted index of ANS function and a sensitive marker of ANS health and dysfunction. ASR harnesses systemic physiological response using resonant frequency breathing through HRVB, attentional focus, and emotional self-control to restore normal ANS function on demand using affordable equipment that is widely available. ASR is easy to learn, well-tolerated. and addresses both the physiological dysregulation and psychological needs of the patient. This webinar will present the science of HRV, techniques of ASR, and methods of HRV measurement.

Biography:
Dr. Ginsberg has appointments as a Licensed Clinical Psychologist/Neuropsychologist and Research Health Scientist at theDorn VA Medical Center, and as Basic Science Research Assistant Professor at the USC School of Medicine, in Columbia, SC. He is an advocate for integrative management of pain and PTSD using Autonomic Self-Regulation as a mind-body treatment. He has authored or co-authored more than 30 peer-reviewed publications and served as a scientist reviewer of research grant proposals to NIH, VA, and DoD. He has edited and reviewed numerous published scientific articles. Dr. Ginsberg has been a Principal Investigator and Co-Investigator on research grants funded by DoD, NIH, and the VA, and currently is Co-Principal Investigator on a VA-funded study of HRV Biofeedback treatment of chronic pain in Veterans being conducted at Dorn VAMC and a study of HRVB effects on pain and fatigue in cancer survivors at Greenville Hospital.