Vol. 30-31/2021-2022 Nr 60
okładka czasopisma Child Neurology
powiększenie okładki
Informacje o Pismie

NEUROLOGIA DZIECIĘCA

Pismo Polskiego Towarzystwa Neurologów Dziecięcych

PL ISSN 1230-3690
e-ISSN 2451-1897
DOI 10.20966
Półrocznik


Powrót

Neurofeedback as an aid in the treatment and rehabilitation of selected neurological disorders


Neurofeedback – metoda wspomagająca w leczeniu i rehabilitacji wybranych zaburzeń neurologicznych




1Department of Pediatric Neurology and Rehabilitation, Medical University of Białystok, Białystok, Poland
2 ADD Centre and Biofeedback Institute, Mississauga, Ontario, Canada
3 Department of Pediatrics, Pediatric Gastroenterology and Allergology, Medical University of Bialystok, Białystok, Poland

Neurol Dziec 2014; 23, 47: 41-50
Pełen tekst artykułu PDF Neurofeedback as an aid in the treatment and rehabilitation of selected neurological disorders



ABSTRACT
Neurofeedback (NFB) jest odmianą terapii biofeedback, w której wykorzystywana jest analiza sygnałów EEG. W tej technice uczenia pacjentowi przekazywane są informacje zwrotne o tym, jak działa jego mózg. Celem terapii NFB jest redukcja zaburzeń psychicznych i neurologicznych, poprawa zdrowia i wydajności pacjenta. Metoda ta zakłada, że czynność bioelektryczna mózgu odzwierciedla poziom aktywacji i wzbudzenia procesów psychicznych pacjenta i może być trenowana. NFB jest stosowany na całym świecie od ponad 40 lat. Celem tego artykułu jest przedstawienie istoty terapii NFB, przegląd aktualnych doniesień naukowych dotyczących skuteczności, potencjalnych skutków ubocznych, jak również omówienie wymogów prawnych. Autorzy przedstawiają powszechnie stosowane procedury diagnostyki i późniejszego leczenia. Jednostki chorobowe, w których NFB ma zastosowanie to m.in. zespół deficytów uwagi z nadpobudliwością (ADHD), padaczka, stany lękowe, depresja, autyzm i zespół Aspergera, migrena i bóle głowy typu napięciowego oraz urazy czaszkowo-mózgowe.

Key words: biofeedback, neurofeedback, neuroterapia, rehabilitacja, QEEG, zastosowanie, skuteczność


STRESZCZENIE
Neurofeedback (NFB) is a form of a biofeedback in which the analysis of EEG signals is used. It is also called Brain-Computer Interface (BCI) training. This learning technique provides feedback to the patient about how the brain works in order to reduce neurological and psychic symptoms, improve patients’ health and performance. This method assumes that the electrical activity of the brain reflects the mental state of the patient and can be trained. Neurofeedback has been used worldwide for over 40 years. The goal of this paper is to present the essence of this therapy and a condensed review of current reports regarding efficacy, potential adverse effects, as well as legal requirements for practitioners. The authors outline the commonly used assessment procedures and subsequent course of treatment. Disorders that respond to neurofeedback include attention-deficit/hyperactivity disorder (ADHD), epilepsy, anxiety, depression, autism and Asperger’s syndrome, migraine and tension type headache and traumatic brain injury (TBI).

Słowa kluczowe: biofeedback, neurofeedback, neurotherapy, rehabilitation, QEEG, application, efficacy


BIBLIOGRAPHY
[1] 
Thompson M., Thompson L.: The Neurofeedback Book: An Introduction to Basic Concepts in Applied Psychophysiology: Association for Applied Psychophysiology and Biofeedback. 2003.
[2] 
Hammond D.C.: What is Neurofeedback: an update. J Neurotherapy 2011; 15: 305-336.
[3] 
Heinrich H., Gevensleben H., Strehl U.: Annotation: neurofeedback - train your brain to train behaviour. J Child Psychol Psychiatry 2007; 48: 3-16.
[4] 
Kaiser D.: Basic Principles of Quantitative EEG. J Adult Development 2005; 12: 99-104.
[5] 
FDA permits marketing of first brain wave test to help assess children and teens for ADHD. 2013; U.S. Food and Drug Administration]. Address: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm360811.htm.
[6] 
Kulak W., Sobaniec W.: History of EEG discovery. Neurol Dziec 2006; 15: 53-56.
[7] 
Berger H.: Über das Elektrenkephalogramm des Menschen. Archiv für Psychiatrie und Nervenkrankheiten 1929; 87: 527-570.
[8] 
Adrian E.D., Matthews B.H.C.: The Berger rhythm: potential changes from the occipital lobes in man. Brain 1934; 57: 355-385.
[9] 
Sterman M.B., Wyrwicka W., Howe R.: Behavioral and neurophysiological studies of the sensorimotor rhythm in the cat. Electroencephalogr Clin Neurophysiol 1969; 27: 678-679.
[10] 
Sterman M.B., Friar L.: Suppression of seizures in an epileptic following sensorimotor EEG feedback training. Electroencephalogr Clin Neurophysiol 1972; 33: 89-95.
[11] 
Lubar J.F., Shouse M.N.: EEG and behavioral changes in a hyperkinetic child concurrent with training of the sensorimotor rhythm (SMR): a preliminary report. Biofeedback Self Regul 1976; 1: 293-306.
[12] 
Sobaniec W., Bobrowski R., Otapowicz D., et al.: The effect of Biofeedback on the EEG recording and cognitive functions in infantile cerebral palsy children. Neurol Dziec 2005; 14: 25-32.
[13] 
Bobrowski R., Sobaniec W., Kulak W., et al.: Application of EEG Biofeedback method for therapy and neurorehabilitation in a patient following craniocerebral injury. Fizjoterapia 2004; 12: 5-11.
[14] 
Bobrowski R., Otapowicz D., Sobaniec P., et al.: The effect of Biofeedback on the clinical statement and the EEG recording in infantile cerebral palsy children. Child Neurol 2007; 16: 83.
[15] 
Pawlow I.P.: New Researches on Conditioned Reflexes. Science 1923; 58: 359-361.
[16] 
Gani C., Birbaumer N., Strehl U.: Long term effects after feedback of slow cortical potentials and of theta-beta amplitudes in children with attention-deficit/hyperactivity disorder (ADHD). Int J Bioelectromagnetism 2008; 10: 209-232.
[17] 
Hammond D.C.: The need for individualization in neurofeedback: heterogeneity in QEEG patterns associated with diagnoses and symptoms. Appl Psychophysiol Biofeedback 2010; 35: 31-36.
[18] 
Artemowicz B., Sobaniec P.: EEG investigation in neuropediatrics. Neurol Dziec 2011; 20: 89-95.
[19] 
Sterman M.B., Mann C.A.: Concepts and applications of EEG analysis in aviation performance evaluation. Biol Psychol 1995; 40: 115-130.
[20] 
Jasper H.: Report of the committee on methods of clinical examination in electroencephalography. EEG and Clinical Neurophysiology 1958; 10: 374-375.
[21] 
Matusevich D., Ruiz M., Vairo M.C.: [QEEG and brain mapping. Historial develoment, clinical practices and epistemological issues]. Vertex 2002; 13: 198-204.
[22] 
Daly I., Pichiorri F., Faller J., et al.: What does clean EEG look like? Conf Proc IEEE Eng Med Biol Soc 2012; 3963-3966.
[23] 
Prichep L.S.: Use of normative databases and statistical methods in demonstrating clinical utility of QEEG: importance and cautions. Clin EEG Neurosci 2005; 36: 82-87.
[24] 
Nuwer M.R.: Clinical use of QEEG. Clin Neurophysiol 2003; 114: 2225.
[25] 
Walker J.E.: Using QEEG-guided neurofeedback for epilepsy versus standardized protocols: enhanced effectiveness? Appl Psychophysiol Biofeedback 2010; 35: 29-30.
[26] 
Collura T.F.: Conclusion: QEEG-guided neurofeedback in context and in practice. Appl Psychophysiol Biofeedback 2010; 35: 37-38.
[27] 
Hammond D.C.: The need for individualization in neurofeedback: heterogeneity in QEEG patterns associated with diagnoses and symptoms. Appl Psychophysiol Biofeedback 2010; 35: 31-36.
[28] 
Walker J.E.: QEEG-guided neurofeedback for recurrent migraine headaches. Clin EEG Neurosci 2011; 42: 59-61.
[29] 
Hammond D.C., Kirk L.: Negative effects and the need for standards of practice in neurofeedback. Biofeedback 2007; 35: 139-145.
[30] 
Kropotov J.D.: Quantitative EEG, Event-Related Potentials and Neurotherapy: Academic Press. Elsevier, San Diego 2009.
[31] 
Thompson L., Thompson M.: Neurofeedback combined with training in metacognitive strategies: effectiveness in students with ADD. Appl Psychophysiol Biofeedback 1998; 23: 243-263.
[32] 
Yucha C., Montgomery D.: Evidence-based practice in biofeedback and neurofeedback: Association for Applied Psychophysiology and Biofeedback. Wheat Ridge, CO 2008.
[33] 
Legarda S.B., McMahon D., Othmer S.: Clinical neurofeedback: case studies, proposed mechanism, and implications for pediatric neurology practice. J Child Neurol 2011; 26: 1045-1051.
[34] 
Arns M., de Ridder S., Strehl U., et al.: Efficacy of neurofeedback treatment in ADHD: the effects on inattention, impulsivity and hyperactivity: a meta-analysis. Clin EEG Neurosci 2009; 40: 180-189.
[35] 
Sterman M.B.: Biofeedback in the treatment of epilepsy. Cleve Clin J Med; 77 Suppl 3: S60-67.
[36] 
Lofthouse N., Arnold L.E., Hersch S., et al.: A review of neurofeedback treatment for pediatric ADHD. J Atten Disord 2012; 16: 351-372.
[37] 
Logemann H.N., Lansbergen M.M., Van Os T.W., et al.: The effectiveness of EEG-feedback on attention, impulsivity and EEG: a sham feedback controlled study. Neurosci Lett 479: 49-53.
[38] 
Lansbergen M.M., van Dongen-Boomsma M., Buitelaar J.K., et al.: ADHD and EEG-neurofeedback: a double-blind randomized placebo-controlled feasibility study. J Neural Transm 118: 275-284.
[39] 
Lofthouse N., Arnold L.E., Hurt E.: Current status of neurofeedback for attention-deficit/hyperactivity disorder. Curr Psychiatry Rep 2012; 14: 536-542.
[40] 
The International Society for Neurofeedback & Research (ISNR). Address: http://www.isnr.org.
[41] 
The Association for Applied Psychophysiology and Biofeedback (AAPB). Address: http://www.aapb.org.
[42] 
La Vaque T.J., Hammond D.C., Trudeau D., et al.: Template for developing guidelines for the evaluation of the clinical efficacy of psychophysiological evaluations. Applied Psychophysiology and Biofeedback 2002; 27: 273-281.
[43] 
Markovska-Simoska S., Pop-Jordanova N., Georgiev D.: Simultaneous EEG and EMG biofeedback for peak performance in musicians. Prilozi 2008; 29: 239-252.
[44] 
Thompson T., Steffert T., Ros T., et al.: EEG applications for sport and performance. Methods 2008; 45: 279-288.
[45] 
Vernon D.J.: Can neurofeedback training enhance performance? An evaluation of the evidence with implications for future research. Appl Psychophysiol Biofeedback 2005; 30: 347-364.
[46] 
Gruzelier J., Egner T., Vernon D.: Validating the efficacy of neurofeedback for optimising performance. Prog Brain Res 2006; 159: 421-431.
[47] 
Gruzelier J.: A theory of alpha/theta neurofeedback, creative performance enhancement, long distance functional connectivity and psychological integration. Cogn Process 2009; 10 Suppl 1: S101-109.
[48] 
Tan G., Thornby J., Hammond D.C., et al.: Meta-analysis of EEG biofeedback in treating epilepsy. Clin EEG Neurosci 2009; 40: 173-179.
[49] 
Monastra V.J., Lynn S., Linden M., et al.: Electroencephalographic biofeedback in the treatment of attention-deficit/hyperactivity disorder. Appl Psychophysiol Biofeedback, 2005; 30: 95-114.
[50] 
Greenhill L.L., Halperin J.M., Abikoff H.: Stimulant medications. J Am Acad Child Adolesc Psychiatry 1999; 38: 503-512.
[51] 
Fuchs T., Birbaumer N., Lutzenberger W., et al.: Neurofeedback treatment for attention-deficit/hyperactivity disorder in children: a comparison with methylphenidate. Appl Psychophysiol Biofeedback, 2003; 28: 1-12.
[52] 
Monastra V.J.: Overcoming the barriers to effective treatment for attention-deficit/hyperactivity disorder: a neuro-educational approach. Int J Psychophysiol 2005; 58: 71-80.
[53] 
Monastra V.J.: Electroencephalographic biofeedback (neurotherapy) as a treatment for attention deficit hyperactivity disorder: rationale and empirical foundation. Child Adolesc Psychiatr Clin N Am 2005; 14: 55-82, vi.
[54] 
Monastra V.J., Monastra D.M., George S.: The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/hyperactivity disorder. Appl Psychophysiol Biofeedback 2002; 27: 231-249.
[55] 
Evidence-based child and adolescent psychosocial interventions. Address: http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Mental-Health/Documents/CRPsychosocialInterventions.pdf.
[56] 
Sobaniec W., Kulak W., Bielewicz B., et al.: Annual variations of quantitative EEG in patients with chronic epilepsy. Adv Med Sci 2008; 53: 321-325.
[57] 
Lubar J.F.: Electroencephalographic biofeedback methodology and the management of epilepsy. Integr Physiol Behav Sci 1998; 33: 176-207.
[58] 
Sterman M.B., Macdonald L.R., Stone R.K.: Biofeedback training of the sensorimotor electroencephalogram rhythm in man: effects on epilepsy. Epilepsia, 1974; 15: 395-416.
[59] 
Sterman M.B.: Effects of brain surgery and EEG operant conditioning on seizure latency following monomethylhydrazine intoxication in the cat. Exp Neurol, 1976; 50: 757-765.
[60] 
Wyrwicka W., Sterman M.B., Clemente C.D.: Conditioning of induced electroencephalographic sleep patterns in the cat. Science, 1962; 137: 616-618.
[61] 
Sterman M.B., Egner T.: Foundation and practice of neurofeedback for the treatment of epilepsy. Appl Psychophysiol Biofeedback 2006; 31: 21-35.
[62] 
Egner T., Sterman M.B.: Neurofeedback treatment of epilepsy: from basic rationale to practical application. Expert Rev Neurother 2006; 6: 247-257.
[63] 
Sterman M.B.: Biofeedback in the treatment of epilepsy. Cleve Clin J Med 2010; 77 Suppl 3: 60-67.
[64] 
Sterman M.B.: Basic concepts and clinical findings in the treatment of seizure disorders with EEG operant conditioning. Clin Electroencephalogr 2000; 31: 45-55.
[65] 
Gruzelier J., Inoue A., Smart R., et al.: Acting performance and flow state enhanced with sensory-motor rhythm neurofeedback comparing ecologically valid immersive VR and training screen scenarios. Neurosci Lett 2010; 480: 112-116.
[66] 
Woodbury-Smith M.R., Volkmar F.R.: Asperger syndrome. Eur Child Adolesc Psychiatry 2009; 18: 2-11.
[67] 
Wasilewska J., Jarocka-Cyrta E. Kaczmarski M.: Gastrointestinal abnormalities in children with autism. Pol Merkur Lekarski 2009; 27: 40-43.
[68] 
Belmonte M.K., Allen G., Beckel-Mitchener A., et al.: Autism and abnormal development of brain connectivity. J Neurosci 2004; 24: 9228-9231.
[69] 
Courchesne E.: Abnormal early brain development in autism. Mol Psychiatry 2002; 7 Suppl 2: S21-23.
[70] 
White S.W., Ollendick T., Scahill L., et al.: Preliminary efficacy of a cognitive-behavioral treatment program for anxious youth with autism spectrum disorders. J Autism Dev Disord 2009; 39: 1652-1662.
[71] 
Cubala-Kucharska M.: The review of most frequently occurring medical disorders related to aetiology of autism and the methods of treatment. Acta Neurobiol Exp (Wars) 2010; 70: 141-146.
[72] 
Holtmann M., Steiner S., Hohmann S., et al.: Neurofeedback in autism spectrum disorders. Dev Med Child Neurol 2011; 53: 986-993.
[73] 
Jarusiewicz B.: Efficacy of neurofeedback for children in the autistic spectrum: A pilot study. J Neurotherapy 2002; 6: 39-49.
[74] 
Coben R., Myers T.E.: The relative efficacy of connectivity guided and symptom based EEG biofeedback for autistic disorders. Appl Psychophysiol Biofeedback 2010; 35: 13-23.
[75] 
Kouijzer M.E., van Schie H.T., Gerrits B.J., et al.: Is EEG-biofeedback an effective treatment in autism spectrum disorders? A randomized controlled trial. Appl Psychophysiol Biofeedback 2013; 38: 17-28.
[76] 
Ryburn B., Anderson V., Wales R.: Asperger syndrome: how does it relate to non-verbal learning disability? J Neuropsychol 2009; 3: 107-123.
[77] 
Yamada S.: [Pharmacologic treatment of Asperger syndrome]. Nihon Rinsho 2007; 65: 522-526.
[78] 
Pineda J.A., Juavinett A., Datko M.: Self-regulation of brain oscillations as a treatment for aberrant brain connections in children with autism. Med Hypotheses 2012; 79: 790-798.
[79] 
Thompson L., Thompson M., Reid A.: Functional neuroanatomy and the rationale for using EEG biofeedback for clients with Asperger’s syndrome. Appl Psychophysiol Biofeedback 2010; 35: 39-61.
[80] 
Nestoriuc Y., Martin A., Rief W., et al.: Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback 2008; 33: 125-140.
[81] 
Hermann C., Blanchard E.B.: Biofeedback in the treatment of headache and other childhood pain. Appl Psychophysiol Biofeedback 2002; 27: 143-162.
[82] 
Stokes D.A., Lappin M.S.: Neurofeedback and biofeedback with 37 migraineurs: a clinical outcome study. Behav Brain Funct 2010; 6: 9.
[83] 
Kirk C., Nagiub G., Abu-Arafeh I.: Chronic post-traumatic headache after head injury in children and adolescents. Dev Med Child Neurol 2008; 50: 422-425.
[84] 
Leach K., Kinsella G., Jackson M., et al.: Recovery of components of memory in post-traumatic amnesia. Brain Inj 2006; 20: 1241-1249.
[85] 
Thompson J., Hagedorn D.: Multimodal Analysis: New Approaches to the Concussion Conundrum. J Clin Sport Psychology 2012; 6: 22-46.
[86] 
Thornton K.E., Carmody D.P.: Traumatic brain injury rehabilitation: QEEG biofeedback treatment protocols. Appl Psychophysiol Biofeedback 2009; 34: 59-68.
[87] 
Thornton K.E., Carmody D.P.: Efficacy of traumatic brain injury rehabilitation: interventions of QEEG-guided biofeedback, computers, strategies, and medications. Appl Psychophysiol Biofeedback 2008; 33: 101-124.
[88] 
Tinius T.P., Tinius K.A.: Changes after EEG biofeedback and cognitive retraining in adults with mild traumatic brain injury and attention deficit hyperactivity disorder. J Neurotherapy, 2000; 4: 27-44.
[89] 
Stephens J.: The effectiveness of EEG biofeedback and cognitive rehabilitation as treatments for moderate to severe traumatic brain injury. 2006, Victoria University: Wellington, New Zealand.
[90] 
Keller I.: Neurofeedback therapy of attention deficits in patients with traumatic brain injury. J Neurotherapy 2001; 5: 19-33.
[91] 
Bobrowski R., Sobaniec W., Kulak W., et al.: Application of EEG Biofeedback method for therapy and neurorehabilitation in a patient following craniocerebral injury. Fizjoterapia 2004; 12: 5-11.
[92] 
Polish Society of Clinical Neurophysiology. Address: http://www.ptnk.pl/.
[93] 
The Biofeedback Certification International Alliance (BCIA). Address: http://www.bcia.org.
[94] 
The Biofeedback Federation of Europe (BFE). Address: http://www.bfe.org/.
Powrót
 

Najczęsciej pobierane
Semiologiczna i psychiatryczna charakterystyka dzieci z psychogennymi napadami rzekomopadaczkowymi
Neurol Dziec 2018; 27, 55: 11-14
Autyzm dziecięcy – współczesne spojrzenie
Neurol Dziec 2010; 19, 38: 75-78
Obraz bólów głowy w literaturze pięknej i poezji na podstawie wybranych utworów
Neurol Dziec 2016; 25, 50: 9-17

Narzędzia artykułu
Manager cytowań
Format:

Scholar Google
Artykuły aut.:Sobaniec P
Artykuły aut.:Thompson L
Artykuły aut.:Thompson M
Artykuły aut.:Żochowska M
Artykuły aut.:Boćkowski L
Artykuły aut.:Sendrowski K

PubMed
Artykuły aut.:Sobaniec P
Artykuły aut.:Thompson L
Artykuły aut.:Thompson M
Artykuły aut.:Żochowska M
Artykuły aut.:Boćkowski L
Artykuły aut.:Sendrowski K


Copyright © 2017 by Polskie Towarzystwo Neurologów Dziecięcych