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19 May 2026 : Clinical Research  

Association of Novel Oral Appliance Use With Heart Rate Variability in Adolescent Athletes

Jui-Kun Chiang ORCID logo ACDG 1, Yen-Chang Lin ORCID logo ABD 2, Hsueh-Hsin Kao D 3, Tzu-Ying Hung ORCID logo E 2, Weir-Chiang You DE 3,4*, Yee-Hsin Kao ORCID logo DEF 5

DOI: 10.12659/MSM.952561

Med Sci Monit 2026; 32:e952561

Table 4 Post hoc tests with Bonferroni correction, presented as mean difference (adjusted P value).

VariablesTest 1Test 2Test 3
RMSSD, milliseconds
 Test 23.5±18.5 (1.000)
 Test 35.6±16.6 (0.204)2.1±20.2 (1.000)
 Test 412.2±22.9 (0.007)8.8±24.1 (0.130)6.7±19.5 (0.184)
p.NN50, %
 Test 20.7±12.7 (1.000)
 Test 35.2±10.8 (0.018)4.4±12.9 (0.174)
 Test 48.1±14.1 (0.003)7.4±16.2 (0.027)3.0±11.2 (0.533)
SDSD, milliseconds
 Test 23.5±18.5 (1.000)
 Test 35.6±16.6 (0.204)2.1±20.3 (1.000)
 Test 412.2±23.0 (0.007)8.8±24.1 (0.128)6.7±19.6 (0.181)
LF/HF ratio
 Test 2−0.003±4.1 (1.000)
 Test 3−0.8±4.4 (1.000)−0.8±1.9 (0.033)
 Test 4−0.5±2.0 (0.720)−0.5±3.3 (1.000)0.4±3.0 (1.000)
LF power
 Test 2130.2±514.6 (0.628)
 Test 3−72.8±471.3 (1.000)−203.0±389.1 (0.008)
 Test 473.2±612.6 (1.000)−57.0±688.0 (1.000)146.0±566.5 (0.591)
HF power
 Test 25.4±364.5 (1.000)
 Test 3−3.5±503.4 (1.000)−8.9±366.9 (1.000)
 Test 450.0±549.9 (1.000)44.6±441.5 (1.000)53.5±340.2 (1.000)
Timing of tests: test 1, before wearing the LOA; test 2, while wearing the LOA; test 3, immediately after removing the LOA; test 4, 10 to 20 minutes after removing the LOA. HF – absolute power of the high-frequency band; LF – absolute power of the low-frequency band; LOA – Lin Oral Appliance; p.NN50 – NN50 count divided by the total number of NN intervals; RMSSD – root mean square of successive heartbeat interval differences; SDSD – standard deviation of differences between adjacent RR intervals.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750