The Effect of Alpha Binaural Beats Auditory Stimulation on Quantitative Electroencephalography (QEEG) and Pain Intensity among Tension-Type Headache Patients

Ananda Asmara, A. D. Wuysang, Hasmawaty Basir, Rina Masadah, N. Maricar, Mochammad Erwin Rachman
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Abstract

Tension-type headaches, the most prevalent primary headaches affecting 2-5% of the population, significantly impact sufferers' well-being. These headaches present a persistent health challenge, constituting a considerable portion of neurologist outpatient visits. Effectively managing tension-type headaches remains challenging and can lead to notable morbidity if untreated. Treatment typically involves prophylactic pharmacological therapy alongside non-pharmacological interventions. Among non-medication therapies, brainwave entrainment using binaural beats emerges as a promising option for chronic headaches. This experimental research employed a pre-test and post-test design over a 5-day period (30 minutes daily) to assess Alpha Binaural Beats Auditory stimulation's impact on the QEEG pattern and pain intensity reduction in tension-type headache patients. The study, involving 32 participants, revealed a statistically significant increase in relative alpha wave power (p-value of 0.000) and a significant decrease in relative beta wave power (p-value of 0.045) after exposure to alpha binaural beats. Additionally, the Numerical Rating Scale (NRS) recorded a statistically significant decrease in pain intensity (p-value of 0.000). These findings suggest that Alpha binaural beats contribute to increased alpha wave activity, decreased beta wave activity in the QEEG pattern, and a substantial reduction in pain intensity associated with tension-type headaches. However, further research is needed to explore cumulative effects and long-term sustainability in tension-type headache patients, advancing our understanding and application of this therapy.
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阿尔法双耳节拍听觉刺激对紧张型头痛患者定量脑电图(QEEG)和疼痛强度的影响
紧张型头痛是最常见的原发性头痛,占总人口的 2-5%,严重影响患者的身心健康。这些头痛是一项持久的健康挑战,在神经科门诊中占相当大的比例。有效控制紧张型头痛仍然具有挑战性,如果不加以治疗,可能会导致显著的发病率。治疗通常包括预防性药物治疗和非药物干预。在非药物疗法中,使用双耳节拍的脑波诱导疗法是治疗慢性头痛的一种很有前景的选择。这项实验研究采用了为期 5 天(每天 30 分钟)的前测和后测设计,以评估阿尔法双耳节拍听觉刺激对紧张型头痛患者 QEEG 模式和疼痛强度降低的影响。这项由 32 名参与者参与的研究显示,在接触阿尔法双耳节拍后,相对阿尔法波功率有了统计学意义上的显著提高(p 值为 0.000),相对贝塔波功率则有了显著降低(p 值为 0.045)。此外,根据数字评定量表(NRS)的记录,疼痛强度在统计学上有显著下降(p 值为 0.000)。这些研究结果表明,阿尔法双耳节拍有助于增加α波活动,减少 QEEG 模式中的β波活动,并大幅降低与紧张型头痛相关的疼痛强度。然而,我们还需要进一步的研究来探索这种疗法对紧张型头痛患者的累积效应和长期可持续性,从而加深我们对这种疗法的理解和应用。
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