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About Neurofeedback
Neurofeedback (or EEG Biofeedback) is an experimental method that uses feedback of the electrical activity of the brain (the EEG) in order to retrain and recondition brainwave patterns.  The EEG activity can be observed in several frequency bands whose activity correlate with states of attention, alertness, drowsiness and sleep. Many studies are suggesting that by training the brainwave activity directly, the level of attention or mental states such as relaxation and anxiety can be changed or positively conditioned.

Neurofeedback is based on the so called "operant conditioning" which involves immediate reward of desirable behavior or states and discouragement of undesirable behavior or states. Essentially therefore it is an active learning process where the EEG is used to optimize 'states' and 'attention'. Neurofeedback is not a 'therapy' in the classical 'passive' sense.

How does it work?
Neurofeedback is traditionally based on feedback of brainwave activity in the Theta (4-8), Alpha (8-12), SMR (12-15) and Beta (16-30) frequency bands. A number of electrodes are placed on the head (using standardized locations) and the amplitude or power of these frequency bands are fed back with a graphical display or auditory feedback. Slow brainwave activity may indicate a state of inattention or drowsiness. If that is undesirable, the slow wave activity may trained 'down' and 'faster' brainwave activity is rewarded.

Slow Cortical Potentials
Most of our equipment is also able to do neurofeedback with ultra slow brainwave activity or slow cortical potentials. (SCP's) Recent European research has indicated that by training the SCP it is possible to improve attention and reduce seizure frequency.

Wideband Neurofeedback
For EEG, the NeXus series of products support a wide frequency band from DC (0Hz) to 100Hz or even higher. Because NeXus requires no notch filters (50/60Hz) its means the entire frequency band, including real gamma (35-45 Hz) is available.

Biofeedback: The human Autonomic Nervous System

Real-time feedback of the electrical state of the brain. NeXus supports both the regular EEG as well as slow cortical potentials. (DC-EEG)

 

Biofeedback: The human Autonomic Nervous System

An example of EEG feedback using fractal graphics projected with an LCD beamer.

Clinical Applications
Neurofeedback has been tried for many types of applications but only for a few applications one could say that Neurofeedback may be efficacious. (2008) These applications include:
  • Attention disorders & Learning Disabilities
  • Epilepsy and seizure disorders

There are indications that Neurofeedback (NFB) may also be useful for treatment of anxiety, stress, depression, drug abuse and sleep disorders, but we believe these areas require more research before anything more definitive can be said. For some of these applications, Biofeedback rather than Neurofeedback may actually be a better choice.

What is QEEG?
Quantitative EEG is based on a statistical and numerical analysis of the digital EEG. Usually a large number of EEG channels are recorded (typically 16-32) by using an EEG cap. After recording the digital EEG data is then de-artifacted and exported to special QEEG database analysis software. This software performs a digital analysis of the EEG and compares the statistical results against a large database of children and adult EEGs in order to assess any deviations. The results are displayed numerically and in the form of topographical EEG maps.

QEEG is used as a neurometric method of assessing variations in the brain function. It is complementary to Neurofeedback training. We advise that only well trained experts use QEEG. The NeXus-32 system supports QEEG recordings of up to 24 or 32 EEG channels.

 Biofeedback: The human Autonomic Nervous System

A screenshot from the Biotrace+ (NeXus-10) software displaying EEG spectral analysis

Biofeedback: The human Autonomic Nervous System

An example of 24 channel QEEG data acquisition (using NeXus-32 shielded electrodes)

Should I use Neurofeedback?
We advise any clinician or health professional who is interested in neurofeedback, to first study this field, read the literature and go through several workshops before considering offering it to clients/patients. We strongly advise that only health professionals who have suffficient training or a medical background (for instance neuro-psychologists, neurologists psychiatrists or pediatricians) apply this technique.

Some words of caution: when you actually use the equipment on patients, only use equipment that has medical certification and thus proven to be safe and reliable. Mind Media (founded 1992) has over 16 years of experience in the Neurofeedback field. Our conclusion is that Neurofeedback is promising for some applications, but we always tell people not to expect miracles. It is an experimental method and not a panacea (cure for everything).

Biofeedback: The human Autonomic Nervous System

Multiple bands (Theta, Alpha, Beta) can be used for feedback. Frequency band settings can be changed on the fly.

Neurofeedback for Children
Our systems can be used for neurofeedback training with adults or children. For children we have developed custom design computer games (used inside BioTrace+) that respond to EEG activity and the level of attention observed in the EEG signals.

Biofeedback: The human Autonomic Nervous System

BioTrace+ offers real-time Neurofeedback using computer games and DVD multimedia.

Useful Web Links
Apart from our own workshops and trainings there are many other organizations that offer good information or workshops. Here are some web links with useful information:

Society of Applied Neuroscience

International Society for Neuronal Regulation (ISNR)

Association for Applied Psychophysiology and Biofeedback (AAPB)

Deutsche Biofeedback Gesellschaft e.V.

Federation of European Neuroscience Societies

Stens Neurofeedback Training (USA)

more links...

 




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