DOI: Thu, Oct 3, [ Archive ]. Remember me Create Account Reset Password.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. Session duration of 21 minutes for the first 20 sessions to 30 minutes for the last 20 sessions. Positive visual and auditory feedback when brainwaves are within the desired range.
Studies are encouraging, but not conclusive. Neurofeedback training is an alternative therapy that uses real-time EEG data to help patients train their brains to improve focus, impulse control, and executive function. Since the s, patients with ADHD and other neurological disorders have used neurofeedback in hopes of training their brains.
Neurofeedback typically involves computer-based exercises, which provide feedback regarding attention levels to enable behavioural training. This gives immediate feedback to patients on their level of attention during a task. Beta waves are associated with attention and thinking, whilst theta waves are associated with drowsiness or daydreaming. Meta-analysis of 13 randomised controlled trials of neurofeedback in children and adolescents aged 3 to 18 years with ADHD showed that in most-proximal assessments, neurofeedback had a small to moderate significant effect on inattention standardised mean difference [SMD] 0.
The evidence base for this therapy is weak, although a well-designed study addresses some concerns. Neurofeedback is an investigational therapy being tested and marketed for a variety of psychiatric and substance abuse disorders. Most of the research on neurofeedback has evaluated its use for attention deficit hyperactivity disorder ADHD.
This study protocol is designed to investigate the effect of slow cortical potential SCP feedback and a new form of neurofeedback using near-infrared spectroscopy NIRS on symptomatology and neurophysiological parameters in an adult ADHD population. The outcome of both neurofeedback techniques will be assessed over 30 treatment sessions and after a 6-month follow-up period, and then will be compared to a nonspecific biofeedback treatment. Furthermore, to investigate if treatment effects in this proof-of-principle study can be predicted by specific neurophysiological baseline parameters, regression models will be applied.
However, each meta-analysis published in the past decade has contradicted the methods and results from the previous one, thus making it difficult to determine a consensus of opinion on the effectiveness of NFB. This works brings continuity to the field by extending and discussing the last and much controversial meta-analysis by Cortese et al. The extension comprises an update of that work including the latest control trials, which have since been published and, most importantly, offers a novel methodology.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. However, randomized double-blind trials that include a sham-neurofeedback control group are lacking, as well as studies examining the efficacy of NFT in adult ADHD populations. The inclusion of a sham-neurofeedback group is crucial to monitor and exclude unspecific effects.