Dec 182009
 

February 2006 Issue:

Train Your Brain – Mental exercises with neurofeedback may ease symptoms of attention-deficit disorder, epilepsy and depression–and even boost cognition in healthy brains.

By Ulrich Kraft

At first the computer game looks awfully easy for an eight-year-old–like something out of the Stone Age of arcades in the 1980s. A red triangle “arrow” appears on the monitor’s blue screen, and then the nose of a cartoon airplane glides into view from the left. If the arrow points upward, Ben must make the plane climb. When he succeeds, a spiky yellow sun beams.
     

A second glance shows that all is not as it seems. For one thing, Ben has no joystick. Instead several electrodes glued to the boy’s face and to the skin under his hair let him pilot the plane by thought alone. Such “mind reading” offers many possible applications. It has, for instance, enabled “locked-in” patients–who cannot speak or gesture–to communicate with caregivers [see “Thinking Out Loud,” by Nicola Neumann and Niels Birbaumer; Scientific American Mind, Premier Issue, Vol. 14, No. 5, 2004].

By controlling their brain waves, the patients manipulate letters and words on a computer screen. Practice with neurofeedback may also benefit those who suffer from epilepsy, attention deficits, depression and other debilitating mental disorders. The experimental therapy, also called EEG biofeedback, may even help rev up healthy brains, improving cognitive performance….

Read the full article here: http://www.neurofeedback.org/images/Scientific_American_Mind_Train_Your_Brain_02_06.doc

 Posted by at 10:55 pm
Dec 012009
 

Bicycling Magazine recently ran a few interesting articles on how exercise can help improve symptoms of ADHD, Depression, and Anxiety, as well as boosting memory. While everyone knows that keeping fit and active is one of the keys to staying physically healthy, it is interesting to see how this is finally being recognized and quantified in the field of mental health as well. The first article is not particularly detailed, but offers a good, high level, overview: http://bicycling.com/article/0,6610,s1-3-12-21052-1,00.html

Additionally, one of the articles went into a surprising amount of detail about the power of the pharmaceutical industry and how they direct the public focus at drug treatments, at the expense of public awareness of alternatives. Bicycling points out that the first studies of exercise as an ADHD treatment were done 30-years ago, yet few people are aware that there are equally effective alternatives to drugs. They suggest that this may be due to the large pharmaceutical industry contributions to the various advocacy organizations, although the general sentiment is that, over the last few years, organizations like CHADD (Children and Adults with ADHD) have made a concerted effort to also share information on alternative therapies for ADHD: http://bicycling.com/article/0,6610,s1-3-12-21051-1,00.html

Nov 212009
 

Applied Psychophysiology Biofeedback. 2002 Dec;27(4):231-49.
Monastra VJ, Monastra DM, George S. FPI Attention Disorders Clinic, Endicott, New York USA

 

NOTE THAT MANY ADDICTS HAVE ADD OR ADHD.

One hundred children, ages 6-19, who were diagnosed with attention-deficit/hyperactivity disorder (ADHD), either inattentive or combined types, participated in a study examining the effects of Ritalin, EEG biofeedback, and parenting style on the primary symptoms of ADHD. All of the patients participated in a 1-year, multimodal, outpatient program that included Ritalin, parent counseling, and academic support at school (either a 504 Plan or an IEP). Fifty-one of the participants also received EEG biofeedback therapy. Post treatment assessments were conducted both with and without stimulant therapy.

Significant improvement was noted on the Test of Variables of Attention (TOVA; L. M. Greenberg, 1996) and the Attention Deficit Disorders Evaluation Scale (ADDES; S. B. McCarney, 1995) when participants were tested while using Ritalin. However, only those who had received EEG biofeedback sustained these gains when tested without Ritalin.

The results of a Quantitative Electroencephalographic Scanning Process (QEEG-Scan; V. J. Monastra et al., 1999) revealed significant reduction in cortical slowing only in patients who had received EEG biofeedback. Behavioral measures indicated that parenting style exerted a significant moderating effect on the expression of behavioral symptoms at home but not at school.

Nov 202009
 
Applied Psychophysiology Biofeedback. 2003 Mar;28(1):1-12.
Fuchs T, Birbaumer N, Lutzenberger W, Gruzelier JH, Kaiser J. Institute of Medical Psychology and Behavioral Neurobiology, Eberhard- Karls-University, Gartenstr. 29, 72074 Tubingen, Germany.

Clinical trials have suggested that neurofeedback may be efficient in treating attention-deficit/hyperactivity disorder (ADHD). We compared the effects of a 3-month electroencephalographic feedback program providing reinforcement contingent on the production of cortical sensorimotor rhythm (12-15 Hz) and betal activity (15-18 Hz) with stimulant medication. Participants were N = 34 children aged 8-12 years, 22 of which were assigned to the neurofeedback group and 12 to the methylphenidate group according to their parents’ preference.

 

Both neurofeedback and methylphenidate were associated with improvements on all subscales of the Test of Variables of Attention, and on the speed and accuracy measures of the d2 Attention Endurance Test. Furthermore, behaviors related to the disorder were rated as significantly reduced in both groups by both teachers and parents on the IOWA-Conners Behavior Rating Scale. These findings suggest that neurofeedback was efficient in improving some of the behavioral concomitants of ADHD in children whose parents favored a nonpharmacological treatment.

Full article available here: http://neurofeedback-colombia.com/neurofeedback-methylphenidate.pdf

Nov 202009
 

Aerobics For The BrainChicago Tribune Article, edited; November 2007

After 20 years of anti-depressant drugs and therapy, Lisa Ferguson still struggled with anxiety, poor sleep and panic attacks. Then she met a doctor who suggested neurofeedback. Ferguson gave it a month, saw improvement and stuck with it. “My sleep is incredibly better,” she said. “I can function during the
day without ruminating, without worrying. It’s been wonderful.”

A recent article in the Chicago Tribune recounted similar impressive clinical data for patients with a host of cognitive disorders using neurofeedback therapy. Aerobics for the brain, neurofeedback is a mental exercise designed to optimize brain function by altering dysfunctional brain-wave patterns.

Dr. Kyle R.Bonesteel, assistant professor of neurology at Loyola University Medical
Center says that neurofeedback, used as part of a multifaceted treatment plan, improves a variety of specific cognitive impairments besides depression, ADD and ADHD. In his clinic, he helps people with insomnia, traumatic brain injury,
post-traumatic stress, chronic fatigue, mild autism and epilepsy — often without medication. Research indicates that neurofeedback produces some of the same brain-wave changes as drugs used to treat ADD and ADHD.

You can chemically condition the brain with pills or do it with neurofeedback,” Bonesteel said. But neurofeedback trains more specifically than pills, without the side effects. It also changes the brain for the better in an ongoing way.”

Julie Hancher’s 8-year-old son, Nathan, who experienced many problems at school, was diagnosed with ADHD. “He was having trouble focusing and being attentive to the teacher,” said Hancher, who lives in the northwest suburbs. “He was getting angry and having trouble completing his assignments.”

Taking large doses of Concerta, a timed-release variation of the same ingredient in Ritalin, “was making him too lethargic and sleepy,” so she and her husband were desperate for an alternative. They located a neurofeedback clinic where their son used a video-game interface, such that controlling brain waves takes the form of slowing or speeding up a rocket ship or race car.

“I just play the game, it’s fun,” Nathan said. He goes once a week for an hour. “We saw gradual improvement,” Hancher said. “He’s more attentive, with improved coping skills and less anxiety. He takes less medication, and he’s totally focused in therapy.

Neurofeedback is based on a kind of brain mapping called quantitative electroencephalography, or QEEG. It involves measuring brain-wave frequency
that correlates to mental states. Cognitive disorders, such as attention-deficit disorder (ADD) or anxiety, show up as aberrant brain waves. The objective is to normalize brain waves.

Depending on the condition and its severity, neurofeedback treatment might take 20 to 40 or more one-hour sessions. But positive results seem to stick.

Dr. Elsa Baehr, director of NeurQuest Ltd. in Skokie, has treated people with neurofeedback therapy for 15 years. We have data on patients 5 years, 10 years, 13 years after treatment,” she said. The condition is holding. They’re not depressed. It’s been a very effective treatment.”

Full article available here: http://archives.chicagotribune.com/2007/nov/11/health/chi-1111_health1_rq_dnov11

Oct 282009
 

Applied Psychophysiology and Biofeedback, Vol. 23, No. 4,1998, L. Thompson, and M. Thompson

A review of records was carried out to examine the results obtained when people with Attention Deficit Disorder (ADD) received 40 sessions of training that combined neurofeedback with the teaching of metacognitive strategies. While not a controlled scientific study, the results, including pre- and post-measures, are consistent with previously published research concerning the use of neurofeedback with children. A significant addition is that a description of procedures is included. The 111 subjects, 98 children (age 5 to 17) and 13 adults (ages 18 to 63), attended forty 50-min sessions, usually twice a week.

Feedback was contingent on decreasing slow wave activity (usually 4—7 Hz, occasionally 9-11 Hz) and increasing fast wave activity (15-18 Hz for most subjects but initially 13-15 Hz for subjects with impulsivity and hyperactivity). Metacognitive strategies related to academic tasks were taught when the feedback indicated the client was focused. Some clients also received temperature and/or EDR biofeedback during some sessions. Initially, 30 percent of the children were taking stimulant medications (Ritalin), whereas 6 percent were on stimulant medications after 40 sessions. All charts were included where pre- and post-testing results were available for one or more of the following: the Test of Variables of Attention (TOVA,n = 16), Wechsler Intelligence Scales (WISC-R, WISC-111, or WA1S-R, n = 68), Wide Range Achievement Test (WRAT 3, n = 99), and the electroencephalogram assessment (QEEG) providing a ratio of theta (4-8 Hz) to beta (16-20 Hz) activity (n = 66).

Significant improvements (p < .001) were found in ADD symptoms (inattention, impulsivity, and variability of response times on the TOVA), in both the ACID pattern and the full-scale scores of the Wechsler Intelligence Scales, and in academic performance on the WRAT 3.

The average gain for the full scale IQ equivalent score was 12 points. A decrease in the EEG ratio of theta/beta was also observed. These data are important because they provide an extension of results from earlier studies (Lubar, Swartwood, Swartwood, & O’Donnell, 1995; Linden, Habib, & Radojevic, 1996). They also demonstrate that systematic data collection in a private educational setting produces helpful information that can be used to monitor students’ progress and improve programs. Because this clinical work is not a controlled scientific study, the efficacious treatment components cannot be determined.

Nevertheless, the positive outcomes of decreased ADD symptoms plus improved academic and intellectual functioning suggest that the use of neurofeedback plus training in metacognitive strategies is a useful combined intervention for students with ADD. Further controlled research is warranted.

Full article available here: http://www.littlepsych.com/pdf/Thompsons.pdf

 Posted by at 7:32 pm  Tagged with:
Oct 182009
 

by Arns M, de Ridder S, Strehl U, Breteler M and Coenen A
Journal of Clinical EEG & Neuroscience, July, 2009

Since the first reports of neurofeedback treatment in Attention Deficit Hyperactivity Disorder (ADHD) in 1976, many studies have investigated the effects of neurofeedback on different symptoms of ADHD such as inattention, impulsivity and hyperactivity. This technique is also used by many practitioners, but the question as to the evidence-based level of this treatment is still unclear. In this study selected research on neurofeedback treatment for ADHD was collected and a meta-analysis was performed.

Both prospective controlled studies and studies employing a pre- and post-design found large effect sizes (ES) for neurofeedback on impulsivity and inattention and a medium ES for hyperactivity. Randomized studies demonstrated a lower ES for hyperactivity suggesting that hyperactivity is probably most sensitive to nonspecific treatment factors.

Due to the inclusion of some very recent and sound methodological studies in this meta-analysis, potential confounding factors such as small studies, lack of randomization in previous studies and a lack of adequate control groups have been addressed, and the clinical effects of neurofeedback in the treatment of ADHD can be regarded as clinically meaningful. Three randomized studies have employed a semi-active control group which can be regarded as a credible sham control providing an equal level of cognitive training and client-therapist interaction.

Therefore, in line with the AAPB and ISNR guidelines for rating clinical efficacy, we conclude that neurofeedback treatment for ADHD can be considered “Efficacious and Specific” (Level 5) with a large ES for inattention and impulsivity and a medium ES for hyperactivity.

 Posted by at 7:59 pm
Oct 182009
 

Applied Psychophysiology and Biofeedback, Vol. 29, No. 4, December 2004 (C 2004) DOI: 10.1007/s10484-004-0383-4 Thomas Rossiter

This study replicated T. R. Rossiter and T. J. La Vaque (1995) with a larger sample, expanded age range, and improved statistical analysis.

Thirty-one AD/HD patients who chose stimulant drug (MED) treatment were matched with 31 patients who chose a neurofeedback (EEG) treatment program. EEG patients received either office (n = 14) or home (n = 17) neurofeedback. Stimulants for MED patients were titrated using the Test of Variables of Attention (TOVA).

EEG (effect size [ES] = 1.01–1.71) and MED (ES = 0.80–1.80)
groups showed statistically and clinically significant improvement on TOVA measures of attention, impulse control, processing speed, and variability in attention.

The EEG group demonstrated statistically and clinically significant improvement on behavioral measures (Behavior Assessment System for Children, ES = 1.16–1.78, and Brown Attention Deficit Disorder Scales, ES = 1.59).

TOVA gain scores for the EEG and MED groups were not
significantly different.
More importantly, confidence interval and nonequivalence null hypothesis testing confirmed that the neurofeedback program produced patient outcomes equivalent to those obtained with stimulant drugs. An effectiveness research design places some limitations on the conclusions that can be drawn.

Full article available here: http://www.littlepsych.com/pdf/Rossiter.pdf

 Posted by at 7:41 pm
Oct 082009
 

Neuroscience Letters. 2006 Feb 20;394(3):216-21. Epub 2005 Dec 15.

Lévesque J, Beauregard M, Mensour B. Centre de Recherche en Neuropsychologie Expérimentale et Cognition (CERNEC), Département de psychologie, Université de Montréal, Canada.

Attention Deficit Hyperactivity Disorder (AD/HD) is a neurodevelopmental disorder mainly characterized by impairments in cognitive functions. Functional neuroimaging studies carried out in individuals with AD/HD have shown abnormal functioning of the anterior cingulate cortex (ACC) during tasks involving selective attention.

In other respects, there is mounting evidence that neurofeedback training (NFT) can significantly improve cognitive functioning in AD/HD children. In this context, the present functional magnetic resonance imaging (fMRI) study was conducted to measure the effect of NFT on the neural substrates of selective attention in children with AD/HD.

Twenty AD/HD children–not taking any psychostimulant and without co-morbidity-participated to the study. Fifteen children were randomly assigned to the Experimental (EXP) group (NFT), whereas the other five children were assigned to the Control (CON) group (no NFT). Subjects from both groups were scanned 1 week before the beginning of the NFT (Time 1) and 1 week after the end of this training (Time 2), while they performed a Counting Stroop task.

At Time 1, for both groups, the Counting Stroop task was associated with significant loci of activation in the left superior parietal lobule. No activation was noted in the ACC.

At Time 2, for both groups, the Counting Stroop task was still associated with significant activation of the left superior parietal lobule. This time, however, for the EXP group only there was a significant activation of the right ACC. These results suggest that in AD/HD children, NFT has the capacity to normalize the functioning of the ACC, the key neural substrate of selective attention.

Full article available here: http://www.littlepsych.com/pdf/Levesque.pdf

 Posted by at 7:07 pm
Oct 062009
 

From the World Cup to youth tennis, a training fad
emerges; the science of finding the zone

By RUSSELL ADAMS The Wall Street Journal July 29, 2006

Members of Italy’s World Cup-winning soccer team have done it. A starting quarterback in the NFL has tried it out. And so has Jordan Kreuter, an 18-year-old golfer in North Carolina.

The thing they have in common: They’ve all turned to neurofeedback, a technique that promises to help athletes reprogram their brains so they can reach a zone of relaxed concentration during clutch situations.

Long used to treat medical conditions such as attention deficit hyperactivity disorder, epilepsy and dementia, it is beginning to emerge as a tool for pro and amateur athletes alike — with neurofeedback machines even starting to show up at some local public golf courses.

Mind Games: Several members of Italy’s World Cup-winning team, including Andrea Pirlo, second from lower left, did extensive neurofeedback in the runup to the tournament…

Read the full article here: http://www.neurofeedback.org/images/Biofeedback_devices_are_all_the_rage_for_keeping_calm2.doc

 Posted by at 10:48 pm