阿斯伯格症的神经反馈(NFB)训练

Chua Bee Seok
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引用次数: 2

摘要

自闭症谱系障碍(ASD)的患病率在全球范围内呈上升趋势。由于全球报道的高发病率,ASD应被视为紧急公共卫生事件,需要立即关注筛查、诊断和干预过程。这是一个初步的案例研究,旨在测试神经反馈技术在帮助阿斯伯格儿童减轻其病理症状(例如,社交能力、感觉/认知意识、沟通/言语/语言和身体行为)方面的功效。神经反馈是一种基于操作性条件反射概念的大脑训练,通过听觉或视觉反馈(实时)自愿调节脑电波活动。在本研究中,我们对一名确诊为亚斯伯格症的8岁男孩进行神经反馈训练,目的是增强感觉运动节律(SMR)波(12 ~ 15 Hz),同时抑制右运动区C4的θ波(4 ~ 8 Hz)和高β波(22 ~ 36hz),参比电极放置在A2,接地电极放置在A1。对男孩进行了20次神经反馈训练,目的是改善他的行为和情感表达,语言理解。经20次神经反馈训练后,被试在自闭症治疗评估表(ATEC)的社交能力、言语/语言或沟通量表及家长报告方面均有明显改善。这项研究为神经反馈训练可以用于改善儿童的阿斯伯格症状提供了重要的证据。
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Neurofeedback (NFB) Training in Aspergers
The prevalence of Autism Spectrum Disorder (ASD) is increasing globally. Due to its high incidence rate reported globally, ASD should be considered as a public health emergency that requires immediate attention to the process of screening, diagnosis, and intervention. This is a preliminary case study to test the efficacy of the neurofeedback technique in helping an Asperger’s child to reduce his pathological symptoms (e.g., sociability, sensory/cognitive awareness, communication/ speech/ language, and physical behaviour). Neurofeedback is brain training based on the operant conditioning concept to regulate brainwave activities voluntarily using audio or visual feedback (real-time). In this study, we conducted neurofeedback training on an eight-year-old boy diagnosed with Aspergers aimed to enhance Sensorimotor Rhythm (SMR) wave (12 to 15 Hz) and at the same time inhibiting theta wave (4-8 Hz) and high beta wave (22-36Hz) at C4 over the right motor area, with the reference electrode placed on A2 and ground electrode placed on A1. Twenty (20) sessions of neurofeedback training were conducted on the boy’s aims to improve his behaviour and emotional expression, language comprehension. The participant showed observable improvement after 20 sessions of neurofeedback training in sociability and speech/ language or communication subscale of the Autism Treatment Evaluation Checklist (ATEC), and parent’s report. This study provided important evidence that neurofeedback training can be employed to improve the child’s Asperger’s symptoms.
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