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Influence of Autonomous Sensory Meridian Response on Relaxation States: An Experimental Study 自主感觉经络反应对放松状态影响的实验研究
Q3 Medicine Pub Date : 2021-12-31 DOI: 10.15540/nr.8.4.184
Fathima Yusaira, C. Bennett
Multiple studies have stated that autonomous sensory meridian response (ASMR) induces relaxation. ASMR is defined as a static tingling-like sensation across the scalp and back of the head, experienced by some people in response to specific audio and visual triggers like tapping, whispering, and slow hand movements. This study explores the relaxation states and the stress states on which ASMR videos have the highest impact. Data from 60 college students with a mean age of 22 years and a standard deviation of 1.12 were collected for this study, among which 30 were assigned to an experimental group and 30 were assigned to a control group single blindly. The relaxation states and stress states were measured using Smith Relaxation Scale Inventory (SRSI) for the pretest and Smith Relaxation Posttest Inventory (SRPI) for the posttest. The experimental group watched an ASMR video, and the control group watched a neutral video between the pretest and posttest. SPSS version 16 was used for data analysis. The result suggested a significant increase in sleepiness after watching the ASMR video (significant difference).
多项研究表明,自主感觉经络反应(ASMR)可诱导放松。ASMR被定义为头皮和后脑勺的一种静态刺痛感,一些人会对特定的音频和视觉触发因素(如敲击、窃窃私语和缓慢的手部动作)做出反应。本研究探讨了ASMR视频影响最大的放松状态和应力状态。本研究收集了60名平均年龄为22岁、标准差为1.12的大学生的数据,其中30人被分配到实验组,30人被单盲分配到对照组。使用Smith松弛量表(SRSI)进行前测,使用Smith松弛后测量表(SRPI)进行后测,测量松弛状态和应力状态。实验组观看ASMR视频,对照组在前测和后测之间观看中性视频。数据分析采用SPSS 16版软件。结果表明,观看ASMR视频后,嗜睡程度显著增加(显著差异)。
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引用次数: 3
Neurofeedback Rehabilitation Reduces Anxiety in Methamphetamine Abusers 神经反馈康复减少甲基苯丙胺滥用者的焦虑
Q3 Medicine Pub Date : 2021-09-30 DOI: 10.15540/nr.8.3.128
Roghieh Nooripour, S. Sikström, N. Ghanbari, S. Hosseinian, Peyman Hassani-Abharian, Hossein Ilanloo
Addictive disorders are characterized by cognitive, behavioral, and neurological impairments caused by dysregulations of brain structure that can extend well beyond early withdrawal in the months and years of recovery. The present study aimed to examine the efficacy of neurofeedback rehabilitation on anxiety in methamphetamine abusers. The sample consisted of 14 male methamphetamine drug addicts who were randomly assigned to an experimental group (n = 7) and a control group (n = 7). Participants were assessed for Axis I disorders (SCID) and the Beck Anxiety Inventory (BAI). Mixed repeated ANOVA, independent t-tests, and chi-square were used for data analysis. The experimental group received 18 sessions of neurofeedback rehabilitation and standard psychological interventions treatment as usual, while the control group received only standard interventions. Results showed that neurofeedback significantly reduced anxiety in methamphetamine abusers at posttreatment and during a one-month follow-up. Along with other psychological interventions, neurofeedback rehabilitation is recommended for methamphetamine abusers.
成瘾性疾病的特点是由大脑结构失调引起的认知、行为和神经损伤,这种损伤可以在恢复后的几个月或几年的早期戒断后继续存在。本研究旨在探讨神经反馈康复对甲基苯丙胺滥用者焦虑的影响。样本由14名男性甲基苯丙胺吸毒者组成,他们被随机分为实验组(n = 7)和对照组(n = 7)。参与者被评估了轴I障碍(SCID)和贝克焦虑量表(BAI)。数据分析采用混合重复方差分析、独立t检验和卡方检验。实验组照常接受18次神经反馈康复和标准心理干预治疗,对照组只接受标准干预治疗。结果显示,在治疗后和一个月的随访期间,神经反馈显著减少了甲基苯丙胺滥用者的焦虑。除其他心理干预外,建议对甲基苯丙胺滥用者进行神经反馈康复。
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引用次数: 0
Intensive Neurofeedback-based Training to Improve Impaired Attention and Executive Functions Secondary to Resection of Tuberculum Sellae Meningioma: A Case Study 强化神经反馈训练以改善鞍结节脑膜瘤切除术后继发的注意力和执行功能受损:一个案例研究
Q3 Medicine Pub Date : 2021-09-30 DOI: 10.15540/nr.8.3.149
Gianvito Lagravinese, R. Sardone, S. D. Trane, Fabiana Montenegro, E. Losavio, P. Fiore, P. Battista
Introduction. The present study aimed to evaluate the effectiveness of neurofeedback (NFB) for the treatment of acquired cognitive impairment after brain tumor surgery. Methods. The patient was a 49-year-old bilingual African woman who underwent surgical craniotomy after a tuberculum sellae meningioma was diagnosed. Cognitive deficits were evident following post-surgical recovery, and therefore intensive NFB training consisting of 15 sessions was carried out over a period of three weeks. Full neuropsychological testing and quantitative EEG analysis were performed before and after the training for outcome measurements. Results. The treatment resulted in improved attention and executive functions; specifically sustained, focused, and divided attentional abilities; cognitive flexibility, access to the lexical vocabulary, and a better processing speed. Analysis of the qEEG revealed an increased alpha peak frequency value and reduced delta/alpha ratio in frontal areas. The EEG examination revealed interhemispheric asymmetry after treatment. Conclusion. These findings suggest that a delta/alpha decrease might account for some clinical effects on cognitive abilities seen in a brain tumor resection survivor, reducing cognitive symptoms that can have a significant impact on daily life functions. Future studies on larger patients’ samples should clarify the feasibility of NFB protocols for patients with brain tumors. have associated with positive cognitive outcomes (e.g., control and shifting, attention, executive functions, abstract reasoning, nonverbal intelligence). Alpha activity is linked to
介绍。本研究旨在评估神经反馈(NFB)治疗脑肿瘤术后获得性认知障碍的有效性。方法。患者是一名49岁的双语非洲妇女,在诊断出鞍结节脑膜瘤后接受了外科开颅手术。术后恢复后认知缺陷明显,因此在三周内进行了15次强化NFB训练。在训练前后进行全面的神经心理测试和定量脑电图分析,以测量结果。结果。治疗结果改善了注意力和执行功能;特别指持续、集中和分散注意力的能力;认知灵活性强,获取词汇量大,处理速度快。qEEG分析显示,额叶区α峰值频率值增加,δ / α比值降低。治疗后脑电图显示脑半球不对称。结论。这些发现表明,δ / α减少可能解释了脑肿瘤切除幸存者对认知能力的一些临床影响,减少了对日常生活功能有重大影响的认知症状。未来对更大患者样本的研究应阐明NFB方案对脑肿瘤患者的可行性。与积极的认知结果相关(例如,控制和转移、注意力、执行功能、抽象推理、非语言智力)。α活动与
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引用次数: 1
Vagally Mediated Heart Rate Variability: A Risk Factor for Hypertension 迷走神经介导的心率变异性:高血压的一个危险因素
Q3 Medicine Pub Date : 2021-09-30 DOI: 10.15540/nr.8.3.173
Spyros Christou-Champi
Hypertension is among the leading causes of mortality and an important contributor toward disability-adjusted life years worldwide. Several factors contribute toward individuals’ risk to develop hypertension. Stress is considered an important pathogenic component affecting blood pressure regulation. However, systematic reviews examining the effect of psychosocial stressors and anxiety on hypertension produced spurious results. The observed heterogeneity in the operationalization of stress and subsequent reactivity hindered the characterization of the evidence for the association between exposure, physiological reactivity, and risk for hypertension. This is of paramount importance as physiological reactivity constitutes a biological interface mechanism through which stressors affect blood pressure regulation. The neural substrates of vagally mediated heart rate variability (VM-HRV) indicate that it is able to assimilate such an interfacing mechanism. Large-scale epidemiological studies provided substantial evidence linking decreases in VM-HRV with the development and progression of hypertension, indicating that individuals’ reactivity to stressors, as measured via VM-HRV, increases individuals’ risk for the development and progression of hypertension. As such, VM-HRV can reinforce current screening initiatives and support treatment-related prognosis. Self-regulation techniques, like heart rate variability biofeedback (HRVB), and neuromodulation techniques, like cranial electrotherapy stimulation (CES), are able to enhance VM-HRV and the associated parasympathetic modulation of cardiovascular outcomes, and thus address autonomic imbalances associated with hypertension.
高血压是导致死亡的主要原因之一,也是全球残疾调整寿命的重要因素。有几个因素会导致个体患高血压的风险。压力被认为是影响血压调节的重要致病因素。然而,研究心理社会压力源和焦虑对高血压影响的系统综述产生了虚假的结果。观察到的压力操作和随后反应的异质性阻碍了暴露、生理反应和高血压风险之间关联的证据的表征。这一点至关重要,因为生理反应性构成了一种生物界面机制,压力源通过该机制影响血压调节。迷走神经介导的心率变异性(VM-HRV)的神经基质表明它能够吸收这种接口机制。大规模流行病学研究提供了大量证据,将VM-HRV的降低与高血压的发展和进展联系起来,表明通过VM-HRV测量的个体对压力源的反应性增加了个体发展和进展高血压的风险。因此,VM-HRV可以加强当前的筛查举措,并支持与治疗相关的预后。自我调节技术,如心率变异性生物反馈(HRVB)和神经调控技术,如颅骨电疗刺激(CES),能够增强VM-HRV和心血管结果的相关副交感神经调节,从而解决与高血压相关的自主神经失衡。
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引用次数: 0
The Effect of Infra-Slow Fluctuation Neurofeedback Training on a Cohort of Insomnia Participants 次慢波动神经反馈训练对失眠症患者的影响
Q3 Medicine Pub Date : 2021-09-30 DOI: 10.15540/nr.8.3.137
Melissa Bekker, Karlien Balt, P. Bipath, J. Jordaan, P. D. Toit
Neurofeedback has gained great interest as a noninvasive treatment for various disorders. However, there is still a lack in literature regarding the effects of infra-slow fluctuation (ISF) neurofeedback training. ISF neurofeedback training is aimed at the lowest brainwave oscillations and attempts to balance dysregulated brainwave activity by inducing shifts in the parasympathetic and sympathetic response. The aim of this study was to determine whether ISF neurofeedback training has a significant effect in participants with insomnia by using quantitative electroencephalography (qEEG), Central Nervous System Vital Signs (CNS VS), and by measuring the changes of physiological vitals. The intervention consisted of 10 sessions for 40 participants separated equally into two groups. Significant results were achieved with improved core temperature ( p = .002), finger temperature ( p < .001), lower heart rate ( p = .002), systolic ( p = .003) and diastolic blood pressure ( p = .001). The qEEG components significantly improved within standard ranges. An improved neurocognitive state was achieved in terms of CNS VS, with a decrease in depression ( p = .003), anxiety ( p < .001), and stress ( p < .001). This study demonstrated that ISF neurofeedback training should be considered as a viable alternative that can be used concurrently with other insomnia treatment
神经反馈作为一种无创治疗各种疾病的方法已经引起了人们的极大兴趣。然而,关于次慢波动(ISF)神经反馈训练的效果,目前还缺乏相关文献。ISF神经反馈训练的目标是最低的脑波振荡,并试图通过诱导副交感神经和交感神经反应的变化来平衡失调的脑波活动。本研究的目的是通过定量脑电图(qEEG)、中枢神经系统生命体征(CNS VS)和测量生理生命体征的变化来确定ISF神经反馈训练对失眠症患者是否有显著影响。干预包括10个疗程,40名参与者平均分为两组。在改善核心温度(p = 0.002)、手指温度(p < 0.001)、降低心率(p = 0.002)、收缩压(p = 0.003)和舒张压(p = 0.001)方面取得了显著的结果。在标准范围内,qEEG成分显著改善。在CNS VS方面,神经认知状态得到改善,抑郁(p = 0.003),焦虑(p < 0.001)和压力(p < 0.001)减少。本研究表明,ISF神经反馈训练应被视为一种可行的替代方法,可以与其他失眠治疗同时使用
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引用次数: 2
fMRI-EEG Fingerprint Regression Model for Motor Cortex 运动皮层的fMRI脑电指纹回归模型
Q3 Medicine Pub Date : 2021-09-30 DOI: 10.15540/nr.8.3.162
Vitaly Rudnev, M. Mel’nikov, A. Savelov, M. Shtark, E. Sokhadze
The combination of modern machine learning and traditional statistical methods allows the construction of individual regression models for predicting the blood oxygenation level dependent (BOLD) signal of a selected region-of-interest within the brain using EEG signal. Among the many different models for motor cortex, we chose the EEG Fingerprint one-electrode approach, based on rigid regression model with Stockwell EEG signal transformation, used before only for the amygdala. In this study we demonstrate the way of finding suitable model parameters for the cases of BOLD signal reconstruction for five individuals: three of them were healthy, and two were after a hemorrhagic stroke with varying degrees of damage according to Medical Research Council (MRC) Weakness Scale. The principal possibility of BOLD restoring using regressor model was demonstrated for all the cases considered above. The results of direct and indirect comparisons of BOLD signal reconstruction at the motor region for healthy participants and for patients who suffered from a stroke are presented.
现代机器学习和传统统计方法的结合允许构建个体回归模型,用于使用EEG信号预测大脑内选定感兴趣区域的血氧水平依赖性(BOLD)信号。在许多不同的运动皮层模型中,我们选择了EEG指纹单电极方法,该方法基于Stockwell EEG信号转换的刚性回归模型,以前仅用于杏仁核。在这项研究中,我们展示了为五个人的BOLD信号重建病例寻找合适的模型参数的方法:根据医学研究委员会(MRC)虚弱量表,其中三人是健康的,两人是在出血性中风后,有不同程度的损伤。对于上述所有情况,证明了使用回归模型恢复BOLD的主要可能性。给出了健康参与者和中风患者运动区域BOLD信号重建的直接和间接比较结果。
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引用次数: 3
Central Autonomic Network Disturbance in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Pilot Study 肌痛性脑脊髓炎/慢性疲劳综合征的中枢自主神经网络紊乱:一项初步研究
Q3 Medicine Pub Date : 2021-06-30 DOI: 10.15540/nr.8.2.73
Mark A. Zinn, Marcie L. Zinn, L. Jason
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating disease of the central nervous system known to be associated with multiple behavioral symptoms (fatigue, low stamina, dizziness, etc.) combined with autonomic nervous system (ANS) dysfunction, thus implicating the central autonomic network (CAN). Postexertional malaise (PEM) is a core feature of ME/CFS, characterized by a pathological reduction in stamina in response to performing minor physical or mental tasks, often lasting at least 24 hours. Exact low-resolution electromagnetic tomography (eLORETA) allows noninvasive investigation of cortical regions of interest that may contribute to better understanding of the role of the brain disturbances in behavioral manifestations of PEM. This pilot study therefore aimed to use eLORETA to characterize changes in current density in cortical structures related to the CAN following submaximal isometric handgrip exercise in seven patients with ME/CFS and six neurotypical healthy controls (HCs). Resting EEG was recorded at pre- and posthandgrip, and 24 hours later. Findings showed that significant differences occurred immediately posttest, which were most pronounced after 24 hours, particularly in the low alpha (8–10 Hz) and low beta (13–18 Hz) frequency subbands. Together, the present findings offer support for EEG source localization techniques to investigate PEM. If confirmed, this study could provide a useful instrument for aiding functional diagnosis and evaluation of treatment outcomes.
肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)是一种中枢神经系统衰弱性疾病,已知与多种行为症状(疲劳、耐力低下、头晕等)结合自主神经系统(ANS)功能障碍有关,从而涉及中枢自主神经网络(CAN)。运动后不适(PEM)是脑脊髓炎/慢性疲劳综合征的一个核心特征,其特征是在执行轻微的体力或脑力任务时耐力出现病理性下降,通常持续至少24小时。精确低分辨率电磁断层扫描(eLORETA)允许对感兴趣的皮层区域进行非侵入性研究,这可能有助于更好地理解大脑障碍在PEM行为表现中的作用。因此,这项试点研究旨在使用eLORETA来表征7名脑脊髓炎/慢性疲劳综合征患者和6名神经正常健康对照(HC)在亚最大等长握力运动后与CAN相关的皮层结构中电流密度的变化。在抓握前和抓握后以及24小时后记录静息脑电图。研究结果表明,显著差异在测试后立即出现,24小时后最为明显,尤其是在低α(8-10 Hz)和低β(13-18 Hz)频率子带。总之,目前的发现为EEG源定位技术研究PEM提供了支持。如果得到证实,这项研究可以为帮助功能诊断和评估治疗结果提供有用的工具。
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引用次数: 1
A Meta-Analysis of the Effect of Neurofeedback on Depression 神经反馈对抑郁症影响的Meta分析
Q3 Medicine Pub Date : 2021-06-30 DOI: 10.15540/nr.8.2.104
Demir Barlas
This meta-analytical study examined the effect of neurofeedback (NF) on decreasing depression. The main finding of the meta-analysis was that NF resulted in a large ( g = −0.91) decrease in depression. This finding can be explained through the various roles of brainwave oscillations in terms of both the formation and persistence of depression and the development of oscillatory patterns less compatible with depressive states. One plausible mechanism for NF’s depression-reduction effect is that of the approach-withdrawal model as related to not only the asymmetrical activation of the frontal regions but also the hypoactivity of the amygdala. Future research might uncover other possible explanations for NF’s observed efficacy as a means of reducing depression. The findings of the study provide some support for the utilization of NF as either a complement to the pharmaceutical treatment of depression or, given its effect size, a standalone therapy. However, because NF research base is immature in comparison to the research base on pharmaceutical antidepressants, additional analysis remains necessary.
这项荟萃分析研究检验了神经反馈(NF)在减少抑郁方面的作用。荟萃分析的主要发现是,NF导致抑郁症大幅下降(g=-0.91)。这一发现可以通过脑电波振荡在抑郁症的形成和持续以及与抑郁状态不太兼容的振荡模式的发展方面的各种作用来解释。NF减少抑郁效应的一个可能机制是接近-戒断模型,它不仅与额叶区域的不对称激活有关,还与杏仁核的低活动有关。未来的研究可能会发现NF作为减少抑郁的一种手段的疗效的其他可能解释。这项研究的结果为利用NF作为抑郁症药物治疗的补充,或者考虑到其疗效,作为一种独立的治疗提供了一些支持。然而,由于NF的研究基础与药物抗抑郁药的研究基础相比尚不成熟,因此仍有必要进行额外的分析。
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引用次数: 0
Language Rehabilitation of Traumatic Brain Injury Patient by LORETA Z-Score Neurofeedback: A Single-Case Study LORETA Z-Score神经反馈对颅脑损伤患者语言康复的单例研究
Q3 Medicine Pub Date : 2021-06-30 DOI: 10.15540/nr.8.2.121
Farnaz Faridi, H. Ameri, Masoud Nosratabadi, Seyed Majid Akhavan Hejazi, R. Thatcher
Traumatic brain injury (TBI) creates a variety of sequelae such as aphasia that can be highly challenging for clinicians when developing rehabilitation interventions. Therefore, the present study aimed to investigate the effectiveness of LORETA z -score neurofeedback (LZNFB) on language performance for a 21-year-old male suffering from aphasia following TBI. To this end, LZNFB was applied while focusing on the language network for 15 sessions. The study used an experimental design with a pre–post comparison. Baseline and posttreatment comparisons were made on qEEG/LORETA metrics, aphasia symptoms, working memory, and attention. The results indicated clinical improvements in language, working memory, and attention performances after 15 sessions of LZNFB. Our findings suggest that LZNFB may have the potential to aid language performance among those with TBI.
创伤性脑损伤(TBI)会产生各种后遗症,如失语症,这对临床医生在制定康复干预措施时具有很大的挑战性。因此,本研究旨在研究LORETA z评分神经反馈(LZNFB)对一名21岁男性TBI后失语症患者语言表现的有效性。为此,LZNFB被应用,同时专注于15个会话的语言网络。该研究采用了前后比较的实验设计。对qEEG/LORETA指标、失语症症状、工作记忆和注意力进行基线和治疗后比较。结果表明,经过15次LZNFB治疗后,语言、工作记忆和注意力表现得到了临床改善。我们的研究结果表明,LZNFB可能有助于TBI患者的语言表现。
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引用次数: 1
Effect of Transcutaneous Spinal Direct Current Stimulation (TsDCS) Combined with Other Therapies on Walking Capacity in Patients with Neurological Disorders: A Systematic Review 经皮脊髓直流电刺激(TsDCS)联合其他治疗对神经系统疾病患者行走能力的影响:系统综述
Q3 Medicine Pub Date : 2021-06-30 DOI: 10.15540/nr.8.2.112
Rukhsar Jabbar, Zain Khan, A. Saif, A. Parveen
Introduction: Neuromodulation has been used for walking difficulty as a therapeutic approach and, as transcutaneous spinal direct current stimulation (TsDCS) is emerging as a novel tool for patients with neurological disorders when combined with transcutaneous direct current stimulation (tDCS) and/or gait training, it seems to have a promising effect; therefore, a systematic review may provide a better insight into the efficacy of the results. This systematic review aims to assess the effects of TsDCS when applied in combination with different therapies in neurological disorder patients . Methods : Databases (Pubmed, CENTRAL, and Web of Science) were used for searching studies since inception. With the guidance of reviewers, one author extracted data. Two independent reviewers assessed qualities of the randomized controlled trials (RCTs). Results : Five studies from an initial yield of 256 studies met the inclusion criteria. TsDCS might improve walking capacity when combined with tDCS and/or gait training in stroke (TsDCS with gait training and tDCS), cerebral palsy (tDCS with gait training), and cerebellar ataxia (TsDCS with tDCS). Conclusion: The result suggests that more studies are needed for concluding the therapeutic potential. Future studies should emphasize standard stimulation protocol and determining its efficacy in other outcome parameters of gait and in patients with different neurological disorders.
导读:神经调节已被用于治疗行走困难,并且经皮脊髓直流电刺激(TsDCS)正在成为神经系统疾病患者的一种新工具,当与经皮直流电刺激(tDCS)和/或步态训练相结合时,它似乎具有很好的效果;因此,系统的回顾可以更好地了解结果的有效性。本系统综述旨在评估TsDCS与不同疗法联合应用于神经系统疾病患者的效果。方法:数据库(Pubmed, CENTRAL和Web of Science)自成立以来一直用于检索研究。在审稿人的指导下,一位作者提取数据。两名独立审稿人评估了随机对照试验(rct)的质量。结果:256项研究中有5项研究符合纳入标准。在卒中(TsDCS联合步态训练和tDCS)、脑瘫(tDCS联合步态训练)和小脑性共济失调(TsDCS联合tDCS)患者中,TsDCS联合tDCS和/或步态训练可以改善行走能力。结论:还需要进一步的研究来确定其治疗潜力。未来的研究应强调标准刺激方案,并确定其在步态和不同神经系统疾病患者的其他结局参数中的疗效。
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引用次数: 0
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NeuroRegulation
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