Method of Evaluation of the State of ANS using the Nerve-Express
A proper evaluation requires measurements of a patient under at least two different conditions. The method used here is to examine a patient both at rest and during ANS activity. This can be accomplished by having a patient engage in some activity where the general response of a healthy person is known. Based on the patient's reaction, a more accurate assessment of the ANS is possible.
Nerve-Express uses very popular method of ANS provocation - the Orthostatic Test, which is simply a transition from supine to standing position. Any dysfunction of the organism will be exhibited as an inadequate reaction of ANS response during this test.
Nerve-Express graphs the ANS State and its reaction using SNS and PSNS activities as the coordinate system.
Fig. 4
IMPORTANT NOTE. The most fundamentally important group of points among the 74 recognizable possibilities is the group along the line bisecting the [0,0] coordinates as shown in Fig. 4. This line contains 9 points (including [0,0] ) with numerically equal coordinates. Formally these points may be considered points of Autonomic Balance due to their characteristic equality of the PSNS and SNS activity. Thus the point [0,0] may be interpreted as an average balance in the general activity of PSNS and SNS which correlates with the accepted notion of the "vegetative homeostasis". It is important to realize that a slight increase [1, 1] or a slight decrease [-1.-1] still reflects a normal average level of the traditional notion of the" vegetative homeostasis", but any deviation outside of these parameters, though mathematically still balanced, must not be interpreted as a clinical homeostasis. Children, however, will typically show a moderately to sharply increased balance.
The general approach is to balance the ANS or restore it to homeostasis. However, you can and should develop your own methods, based on the needs of specific cases. The Orthostatic Test takes approximately 7-9 minutes to administer.
The Rhythmographic Strip (Fig. 7) correlates to number 1-192 in the supine position and to 256-448 in the upright. The R-R intervals from 192-256 are dedicated to the transition between the supine and upright states.
Medical
