One-Week Home-Based HRV Biofeedback with Supervised Sessions Versus Passive Relaxation: Effects on Autonomic, Sensorimotor Functions and Kata Performance in Eastern Martial Arts Athletes

TL;DR

A week of HRV biofeedback training with slow breathing improved martial arts athletes' movement control and performance compared to passive relaxation.

Contribution

A novel hybrid HRV biofeedback program combining lab sessions and home practice was tested for its impact on martial arts performance.

Findings

BFB group showed significantly lower movement oscillation frequency after training.

BFB group demonstrated improved blood volume pulse and a tendency for faster reaction time.

Expert-rated kata performance scores increased significantly in the BFB group but not in the control group.

Abstract

Heart Rate Variability (HRV) biofeedback could be considered as a tool to help athletes to optimize their performance. This study aimed to examine the effects of a one-week HRV biofeedback (HRV-BFB) program on physiological indices, sensorimotor functions, and kata performance in Eastern martial arts athletes. Forty high-level martial arts athletes (karate, wushu, taekwondo, kyokushinkai) aged 17–27 years were divided into two groups: a control group (n = 20) and a biofeedback group (BFB, n = 20). Athletes from both groups underwent assessment of sensorimotor functions and the technical quality of their kata routines. The primary outcome was the expert-rated kata performance score. All routines were video-recorded and independently rated by three certified judges. The BFB group completed a hybrid HRV-BFB program consisting of supervised resonance-frequency breathing sessions in the laboratory and one week of home-based practice. During supervised sessions, athletes performed slow abdominal-paced breathing (6 breaths/min). At home, they practiced the same breathing pattern twice daily for one week (5 min per session, smartphone-guided). Nonparametric tests were used because several variables deviated from normality, and the sample size per group was limited (n = 20). After completing the HRV-BFB training, movement oscillation frequency improved significantly, reflected by lower movement oscillation frequency (p = 0.0009, r = 0.79), faster choice reaction time at a tendency level (p = 0.0793, r = 0.39), and an increase in blood volume pulse (BVP) (p = 0.037, r = 0.48) in BFB group compared to control group. Following BFB training, the judges’ scores did not change in the control group, while a significant increase was observed in the BFB group (p = 0.038, r = 0.44), indicating a positive effect of BFB training on kata performance. Regular HRV-BFB training emphasizing slow-paced abdominal breathing may enhance autonomic regulation, fine motor control, and improve the technical execution of kata routines in athletes.

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