<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8748</journal-id>
<journal-title><![CDATA[Acta Neurológica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Neurol Colomb.]]></abbrev-journal-title>
<issn>0120-8748</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87482025000100002</article-id>
<article-id pub-id-type="doi">10.22379/anc.v41i1.1857</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la respuesta electroencefalográfica en la actividad física aeróbica y las técnicas de relajación en pacientes con epilepsia]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of electroencephalographc response in aerobic physical activity and relaxation techniques in patients with epilepsy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pino Salgado]]></surname>
<given-names><![CDATA[Stephanie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urban]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mattiozzi D&#8217;Arcangelo]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viñoles Britos]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pagés González]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Paola Soares de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Azziz]]></surname>
<given-names><![CDATA[Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87482025000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87482025000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87482025000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El impacto de la actividad física en las crisis epilépticas y las descargas epileptiformes interictales (DEI) es controvertido. En este artículo se propuso evaluar la eventual modulación de DEI en pacientes con epilepsia durante diferentes tipos de actividad física (ejercicio aeróbico no extenuante y técnicas de relajación).  Materiales y métodos: Estudio cuasiexperimental con medidas repetidas, en adultos con epilepsia activa, con un protocolo de cinco períodos de 15 minutos bajo electroencefalograma (EEG): reposo, ejercicio aeróbico (EA) con test de Ruffier-Dickson modificado, posejercicio (PEA), técnicas de relajación activa (RA) con prueba de Jacobson, biofeedback y pos-RA. Se contabilizaron las DEI en ventanas de tres minutos, realizando una comparación intraindividual entre períodos (prueba de Anova) y con respecto al basal (IC 95 % de la diferencia). Se analizó la variación de la frecuencia cardíaca en EA y la coherencia cardíaca en biofeedback.  Resultados: Se incluyó a 20 pacientes (11 hombres, 9 mujeres), 30 ± 7 años, 18 con epilepsia focal y donde 11/20 eran farmacorresistentes. De 13 pacientes con DEI, 8 presentaron modulación con el ejercicio. De estos hubo variación significativa en las DEI comparado con el reposo en 5 casos y modulación entre las etapas del protocolo de actividad física en 6, sea mostrando inhibición o activación. Se observaron tres inhibiciones significativas en EA y una pos-RA, así como una activación en RA y dos pos-RA, en comparación con reposo. En la comparación intraindividual, cinco pacientes activaron pos-EA vs. EA y dos inhibieron pos-RA vs. RA. Finalmente, tres pacientes con insuficiente coherencia cardíaca en biofeedback presentaron una baja variación de frecuencia cardíaca en EA.  Discusión: La disminución de DEI durante el EA es acorde a otros trabajos, en tanto el aumento de DEI pos-ejercicio puede relacionarse con las crisis del período de relajación vespertino frecuente en la clínica. Este protocolo de relajación activa raramente modificó las DEI.  Conclusiones: El presente trabajo aporta un marco metodológico para el estudio de la respuesta electroencefalográfica a la actividad física en pacientes con epilepsia, proporcionando evidencia de inhibición de descargas interictales durante la actividad física aeróbica no extenuante, en torno al 20 % de los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The impact of physical activity on the frequency of seizures and interictal epileptiform discharges (IEDs) remains controversial. We aimed to evaluate the modulation of IEDs in patients with epilepsy during different types of physical activity (non-strenuous aerobic exercise, relaxation techniques).  Matherials and Methods: Quasi experimental, repeated measures study, in adults with active epilepsy. A standardized protocol under EEG monitoring was applied, including 5 periods of 15 minutes: rest; aerobic exercise (AE) -modified Ruffier-Dickson; post-exercise (PAE); active relaxation technique (AR): Jacobson and Biofeedback; post AR. IEDs were counted in 3-minutes time windows exploring significant differences between periods (ANOVA), and between rest and each period (95% CI of the difference), for each patient. Heart rate variation during AE vs rest, and cardiac coherence in biofeedback were analyzed.  Results: We included 20 patients (M11/F9), age 30+7 years old (17-45), 18 with focal epilepsy; 11/20 with drug-resistant epilepsy. Among 13 patients with IEDs, 8 showed modulation: 5 compared to rest and 6 in the intraindividual analysis between periods, showing either activation or inhibition. Compared to rest, significant inhibition was seen in 3 during AE and in 1 post-AR; activation occurred during AR (1) and postAR (1). In the interindividual comparison, 5 activated post-EA, 2 inhibited post-AR vs AR. Three patients with insufficient cardiac coherence presented low heart rate variation during AE.  Discussion: IEDs inhibition during AE is supported by literature. Increase in IEDs immediately after the AE may be related with seizure occurrence during relaxation periods, frequently described in the outpatient setting. IEDs were rarely modified during this AR protocol.  Conclusions: The present study provides a methodological frame to evaluate the electroencephalographic response to physical activity in epilepsy patients, supplying new evidence of inhibition of interictal discharges during non-strenuous physical activity in around 20% of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[epilepsia]]></kwd>
<kwd lng="es"><![CDATA[ejercicio físico]]></kwd>
<kwd lng="es"><![CDATA[relajación]]></kwd>
<kwd lng="es"><![CDATA[electroencefalografía]]></kwd>
<kwd lng="es"><![CDATA[estilo de vida]]></kwd>
<kwd lng="es"><![CDATA[psicología del deporte]]></kwd>
<kwd lng="en"><![CDATA[Epilepsy]]></kwd>
<kwd lng="en"><![CDATA[Physical exertion]]></kwd>
<kwd lng="en"><![CDATA[Relaxation]]></kwd>
<kwd lng="en"><![CDATA[Electroencephalography]]></kwd>
<kwd lng="en"><![CDATA[Lifestyle]]></kwd>
<kwd lng="en"><![CDATA[Psychology-Sports]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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