{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:01:50Z","timestamp":1780038110778,"version":"3.53.1"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>\n                    VibroIntegra\u00e7\u00e3o BioMolecular\u00ae (VIB) is a structured, low-cost multimodal protocol designed to support autonomic regulation in community healthcare settings. Organized into four sequential stages\u2014guided muscle relaxation, resonance frequency breathing, multisensory interoceptive integration, and psychoeducation in a regulated state\u2014the protocol aims to facilitate cardiorespiratory synchronization and self-regulation skills. This descriptive case series describes the implementation of VIB in primary care and community-based programs in southern Brazil (\n                    <jats:italic>n\u202f=<\/jats:italic>\n                    \u202f38; 21 in primary care and 17 in palliative care settings). Physiological monitoring included heart rate variability (HRV)-based coherence monitoring, heart rate trends, respiratory rate, and subjective markers assessed longitudinally across sessions. Representative intra-individual changes included an increase in high-coherence from 0 to 53% and a reduction in low-coherence from 80 to 16% in a cardiovascular case. Similar directional patterns were observed across the four monitored cases. No adverse events were recorded, and the protocol was implemented without modification of prescribed medical treatments. While the study design does not allow causal inference, the findings suggest that the structured sequential organization of relaxation and resonance breathing may facilitate short-term autonomic modulation in real-world community environments. These preliminary results support the feasibility, safety, and reproducibility of the VIB protocol and provide a foundation for future controlled investigations.\n                  <\/jats:p>","DOI":"10.3389\/fpubh.2026.1770221","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:03:37Z","timestamp":1780034617000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["VibroIntegra\u00e7\u00e3o BioMolecular: a structured multimodal protocol for autonomic regulation in community healthcare"],"prefix":"10.3389","volume":"14","author":[{"given":"Evadison Soares","family":"Braga","sequence":"first","affiliation":[{"name":"NEUROPHYS Research Group, Federal University of Pelotas (UFPel)","place":["Pelotas, Rio Grande do Sul, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"de Souza Teixeira","sequence":"additional","affiliation":[{"name":"NEUROPHYS Research Group, Superior School of Physical Education and Physiotherapy, Federal University of Pelotas","place":["Pelotas, Rio Grande do Sul, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"ref1","volume-title":"WHO Traditional Medicine Strategy 2014\u20132023","year":"2013"},{"key":"ref2","volume-title":"The Gujarat Declaration on Traditional, Complementary and Integrative Medicine","year":"2023"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"258","DOI":"10.3389\/fpubh.2017.00258","article-title":"An overview of heart rate variability metrics and norms","volume":"5","author":"Shaffer","year":"2017","journal-title":"Front Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.neubiorev.2008.08.004","article-title":"Claude Bernard and the heart\u2013brain connection: further elaboration of a model of neurovisceral integration","volume":"33","author":"Thayer","year":"2009","journal-title":"Neurosci Biobehav Rev"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1161\/01.CIR.93.5.1043","article-title":"Heart rate variability: standards of measurement, physiological interpretation and clinical use","volume":"93","year":"1996","journal-title":"Circulation"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1038\/nrn2555","article-title":"How do you feel\u2014now? 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