Arena J G, Hannah S L, Bruno G M, Meador K J
Biofeedback and Psychophysiological Disorders Clinic, Veterans Affairs Medical Center, Augusta, Georgia 30910.
Biofeedback Self Regul. 1991 Dec;16(4):379-90. doi: 10.1007/BF00999991.
This study evaluated the effects of a 12-session frontal electromyographic biofeedback training regimen on the headache activity of eight tension headache sufferers aged 62 and older. The biofeedback sessions were slightly modified for a geriatric population, essentially to increase comprehension and retention of rationale and instructions. Post-treatment assessment at three months revealed significant decreases in overall headache activity (50% or greater) in 50% of the subjects, and moderate improvement (35%-45%) in three of the remaining four subjects. Significant clinical and/or statistical pre-post differences were also found for the number of headache-free days, peak headache activity, and medication index. This is the first prospective study of biofeedback training for tension headache in an elderly population and, unlike previous retrospective studies, suggests that such therapy may be an effective intervention in the treatment of tension headaches in the elderly.
本研究评估了为期12节的额肌肌电图生物反馈训练方案对8名62岁及以上紧张性头痛患者头痛活动的影响。针对老年人群对生物反馈训练课程进行了微调，主要是为了提高对原理和指导的理解与记忆。三个月后的治疗后评估显示，50%的受试者总体头痛活动显著减少（50%或更多），其余四名受试者中的三名有中度改善（35%-45%）。在无头痛天数、头痛活动峰值和药物指数方面也发现了显著的临床和/或统计学前后差异。这是第一项针对老年人群紧张性头痛进行生物反馈训练的前瞻性研究，与以往的回顾性研究不同，表明这种疗法可能是治疗老年人紧张性头痛的有效干预措施。
