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Resonance Frequency Assessment: The Impact and Implications of Inaccurate Assessment in the Clinical Use of Heart Rate Variability Biofeedback 共振频率评估:不准确评估在心率变异性生物反馈临床应用中的影响和意义
Pub Date : 2021-06-01 DOI: 10.5298/1081-5937-49.2.01
S. Kohlenberg
While many researchers and clinicians see assessing resonance frequency (RF) as an important step in heart rate variability biofeedback (HRVB), some practitioners providing HRVB acknowledge that they do not pay that much attention to RF. What if RF is not easily measured accurately or is not even particularly relevant to HRVB as it is practiced in the field? There is modest evidence suggesting that intertester reliability for RF may be relatively weak. Further study may be warranted to determine the accuracy and reliability of RF determinations in clinical settings and, perhaps, to what extent RF calculations are necessary at all. If RF is not really being used in the field, then there are a number of questions to be answered concerning the clinical practice of HRVB, such as if reliably determining RF is possible, and even whether HRVB as it is used clinically is biofeedback.
虽然许多研究人员和临床医生认为评估共振频率(RF)是心率变异性生物反馈(HRVB)的重要步骤,但一些提供HRVB的从业者承认,他们并没有对RF给予太多关注。如果射频不容易准确测量,或者在现场实践时甚至与HRVB不特别相关,该怎么办?有适度的证据表明,射频测试仪之间的可靠性可能相对较弱。进一步的研究可能是有必要的,以确定临床环境中射频测定的准确性和可靠性,以及射频计算在多大程度上是必要的。如果射频并没有真正应用于该领域,那么关于HRVB的临床实践就有许多问题需要回答,例如是否有可能可靠地确定射频,甚至临床使用的HRVB是否是生物反馈。
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引用次数: 1
Psychophysiological Therapy from a Distance: The Art of Sharing 远距离心理生理治疗:分享的艺术
Pub Date : 2021-03-01 DOI: 10.5298/1081-5937-49.1.03
Arnon Rolnick, Yossi Ehrenreich, Adam Leighton
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引用次数: 0
SEMG Biofeedback Reeducation and Rehabilitation: The Sella Protocol SEMG生物反馈再教育和康复:Sella协议
Pub Date : 2020-06-01 DOI: 10.5298/1081-5937-48.1.3
G. Sella, Honorary Fellow Aapb
Surface electromyography (SEMG) dynamic protocols were developed to facilitate the assessment of SEMG resting and activity amplitude potentials and to guide muscular reeducation and rehabilitation. The author created a database that identifies the average and standard deviation of muscular amplitude potentials during rest and activity through the pertinent joint ranges of motion (ROM). This enables researchers, clinicians, and ergonomists to obtain numerical results within the range of the values in the database and obtain more effective and efficient values of muscular energy consumption. The database is also paramount to the normalization of dysfunctional muscular activity patterns during activity and rest.
开发了表面肌电图(SEMG)动态协议,以方便评估表面肌电图静息和活动振幅电位,并指导肌肉再教育和康复。作者创建了一个数据库,通过相关的关节活动范围(ROM)识别休息和活动期间肌肉振幅电位的平均值和标准差。这使研究人员、临床医生和人体工程学专家能够在数据库中的数值范围内获得数值结果,并获得更有效和高效的肌肉能量消耗值。该数据库对于运动和休息期间功能失调的肌肉活动模式的正常化也是至关重要的。
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引用次数: 1
Special Issue: Empirically Supported Protocols in Biofeedback Practice II 特刊:生物反馈实践中的经验支持协议2
Pub Date : 2020-06-01 DOI: 10.5298/1081-5937-48.2.03
P. Steffen, D. Moss, F. Shaffer
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引用次数: 1
A Path Forward: APA Approves Recognition of Biofeedback and Applied Psychophysiology 前进之路:美国心理学会认可生物反馈和应用心理生理学
Pub Date : 2019-12-01 DOI: 10.5298/1081-5937-47.4.03
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引用次数: 0
Special Issue: Integrating Mindfulness Training with Clinical Biofeedback: Practical Applications 特刊:整合正念训练与临床生物反馈:实际应用
Pub Date : 2019-11-01 DOI: 10.5298/1081-5937-47.3.03
D. Moss, I. Khazan
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引用次数: 0
A Case Study in the Use of Mindfulness-Based Biofeedback for Anxiety Reduction in a Chronic Pain Patient with a Spinal Cord Injury Preparing for Decannulation 使用正念为基础的生物反馈焦虑减轻慢性疼痛患者脊髓损伤准备脱管的案例研究
Pub Date : 2019-11-01 DOI: 10.5298/1081-5937-47.3.04
Urszula Klich
A clinical approach centered on teaching self-regulation and compassion can assist patients dealing with pain and anxiety to feel more control over their environment. Compassion, found to be a critical variable in the therapeutic benefit of mindfulness-based techniques, can be combined with biofeedback to maximize the advantageous psychological and physical changes that are seen with both. This article will present treatment considerations in a case in which compassion-based strategies within mindfulness-based biofeedback treatment were used with a patient experiencing anxiety related to pain and fear of undergoing a medical procedure for decannulation.
以自我调节和同情心为中心的临床方法可以帮助患者处理疼痛和焦虑,从而更好地控制他们的环境。同情心,被认为是基于正念技术的治疗效果的一个关键变量,可以与生物反馈相结合,以最大限度地发挥两者所带来的有利的心理和身体变化。本文将在一个案例中提出治疗考虑,在基于正念的生物反馈治疗中,以同情为基础的策略被用于患者经历与疼痛相关的焦虑和对进行医疗程序的恐惧。
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引用次数: 0
Mindfulness Training Has Elements Common to Other Techniques 正念训练与其他技巧有共同的元素
Pub Date : 2019-11-01 DOI: 10.5298/1081-5937-47.3.02
E. Peper, Richard Harvey, I. Lin
This article presents the argument that mindfulness-based meditation (MM) techniques are beneficial and share many of the same outcomes as similar mind-centered practices such as transcendental meditation, prayer, imagery, and visualization and body-centered practices such as progressive muscle relaxation (PMR), autogenic training (AT), and yoga. For example, many standardized mind-body techniques such as mindfulness-based stress reduction and mindfulness-based cognitive therapy (a) are associated with a reduction in symptoms of anxiety and depression, (b) can be mastered in relatively brief time frames, and (c) are relatively cost-effective. Functional magnetic resonance imaging studies suggest that MM, along with other mind-body techniques, can influence brain centers that regulate stress reactions (e.g., eliciting increased activity in cerebral areas related to attention and emotion regulation). Furthermore, MM and other mind-body techniques may provide benefit by mediating breathing processes that in turn regulate gamma aminobutyric acid, a major inhibitory neurotransmitter, which can quiet the overactivation of the sympathetic nervous system. This article compares the efficacy of mindfulness-based techniques to that of other self-regulation techniques and identifies components shared between mindfulness-based techniques and several previous self-regulation techniques, including PMR, AT, and transcendental meditation. The authors conclude that most of the commonly used self-regulation strategies have comparable efficacy and share many elements. The authors propose that additional research is needed to explore shared mechanisms among the self-regulation techniques and to identify any factors that might favor using one technique over another.
本文提出的论点是,基于正念的冥想(MM)技术是有益的,并且与类似的以思维为中心的练习(如超觉冥想、祈祷、想象和可视化)和以身体为中心的练习(如渐进式肌肉放松(PMR)、自体训练(AT)和瑜伽)有许多相同的结果。例如,许多标准化的身心技术,如以正念为基础的减压和以正念为基础的认知疗法(a)与减轻焦虑和抑郁症状有关,(b)可以在相对较短的时间内掌握,(c)相对具有成本效益。功能性磁共振成像研究表明,MM与其他身心技术一起,可以影响调节压力反应的大脑中心(例如,引发与注意力和情绪调节相关的大脑区域的活动增加)。此外,MM和其他身心技术可能通过调节呼吸过程来提供益处,从而调节γ氨基丁酸,一种主要的抑制性神经递质,可以使交感神经系统的过度激活平静下来。本文比较了基于正念的技术与其他自我调节技术的效果,并确定了基于正念的技术与之前的几种自我调节技术(包括PMR、AT和超越冥想)之间的共同成分。作者得出结论,大多数常用的自我调节策略具有相当的功效,并且具有许多共同的要素。作者提出,需要进一步的研究来探索自我调节技术之间的共同机制,并确定可能倾向于使用一种技术而不是另一种技术的任何因素。
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引用次数: 4
Observe and Accept: A Pathways Approach to Multiple Sclerosis 观察和接受:多发性硬化症的路径方法
Pub Date : 2019-11-01 DOI: 10.5298/1081-5937-46.2.02
D. Moss
Multiple sclerosis (MS) is a chronic disease, marked by demyelination of the central nervous system and a wide variety of symptoms, including blurred vision, muscle weakness, and impaired motor control, most of which occur in a remitting and relapsing pattern. In many cases the illness is progressive with severe disability. Current treatments combine interventions to manage the current episode and disease-modifying agents to reduce the risk of further episodes. The treatments for MS are only partially effective, and patients often face a confusing and frightening progression of their illness, despite treatment. Many patients utilize complementary therapies, especially dietary changes, nutritional supplements, and relaxation skills. This article presents the case narrative of a 36-year-old woman who was referred for depression and anxiety accompanying a 3-year period of recurring MS episodes. She combined many complementary therapies along with the medical management of her illness, and benefitted especially from mindfulness skills and biofeedback training.
多发性硬化症(MS)是一种慢性疾病,以中枢神经系统脱髓鞘和各种各样的症状为特征,包括视力模糊、肌肉无力和运动控制受损,其中大多数以缓解和复发的模式发生。在许多情况下,这种疾病是进行性的,并伴有严重的残疾。目前的治疗方法结合干预措施来控制当前的发作和疾病调节剂来降低进一步发作的风险。对多发性硬化症的治疗只是部分有效,尽管接受了治疗,但患者往往面临着令人困惑和可怕的疾病进展。许多患者使用辅助疗法,特别是饮食改变、营养补充和放松技巧。这篇文章提出了一个36岁的妇女谁是抑郁症和焦虑症伴随3年复发期多发性硬化症的情况叙述。她结合了许多补充疗法以及对她的疾病的医疗管理,并从正念技能和生物反馈培训中受益尤甚。
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引用次数: 2
Mindful Adaptations for Young Patients and Adults with Mild Cognitive Disabilities 有轻度认知障碍的年轻患者和成人的正念适应
Pub Date : 2019-11-01 DOI: 10.5298/1081-5937-47.3.01
J. Sikorski, Olivia Hernandez-Gonzalez
Young patients often encounter behavioral and communication challenges when interacting with adults. Adults with intellectual disabilities (ID) experience similar difficulties. There is a need to develop strategies that teach young patients and adults with intellectual disabilities practical and applicable mindfulness skills to either augment or support other behavioral or medical interventions. Biofeedback is a useful tool to teach these populations ways to increase their internal awareness of how emotions influence physiological sensations, while mindfulness helps them to focus on the present moment to control their emotions. This article presents the cases of Max and Robin to illustrate how mindfulness and biofeedback interventions can be adapted for younger patients and adults with ID in clinical settings. Clinicians used tangible visuals and overemphasized gestures to facilitate the understanding of our patients. Following these strategies, patients were able to understand changes in their physiological and emotional responses using biofeedback and mindfulness.
年轻患者在与成年人互动时经常遇到行为和沟通方面的挑战。智力残疾(ID)的成年人也经历着类似的困难。有必要制定战略,向有智力残疾的年轻患者和成年人传授实用和适用的正念技能,以增强或支持其他行为或医疗干预措施。生物反馈是一个有用的工具,可以教会这些人如何提高他们对情绪如何影响生理感觉的内在意识,而正念可以帮助他们专注于当下来控制自己的情绪。本文介绍了Max和Robin的案例,以说明正念和生物反馈干预如何适用于临床环境中的年轻患者和成年ID患者。临床医生使用有形的视觉和过度强调的手势来促进对患者的理解。遵循这些策略,患者能够通过生物反馈和正念来理解他们生理和情绪反应的变化。
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引用次数: 0
期刊
Biofeedback and self-regulation
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