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[神经反馈与个人发展]

[Neurofeedback and personal development].

作者信息

Kubik Alicja

机构信息

Instytut Neuromedica, Kraków.

出版信息

Przegl Lek. 2010;67(9):716-20.

Abstract

BACKGROUND

Development of neurofeedback was preceded by development of classical and quantitative EEG, construction of computer devices, programmes and individual medical protocols.

METHODS

The basic rule of this method is to achieve effective change of rhythm and power of brain bioelectric activity based on knowledge of normal activity and identification of abnormalities of present activity. Various types of disturbed activity occur in many syndromes and brain development disorders. Training process is characterized by repetitive local activation of chosen brain structures as well as by general activation. Moreover, this method enables monitoring of emotional and social development. In accordance with disorders pathogenesis consecutive technical modules of this method are being introduced.

RESULTS

Neurofeedback has been used in the treatment of post traumatic stress disorder, sequels of stroke and head trauma, emotional, anxiety disorders and depression. Good results of this neurotherapy have been also found in children with ADHD/ ADD, developmental dyslexia, tics and Tourette syndrome, learning difficulties and development disturbances and acquired speech disorders. It has been also used with a success in treatment of headaches, epilepsy and chosen disturbances in cerebral palsy.

SUMMARY

Neurofeedback as a method of instrumental therapy of CSN is now undergoing thorough evaluation. New requirements that place further demands on the quantitative bioelectric activity estimation when qualification for the treatment is performed and on the elaboration of therapy results as a material for future meta analysis.

摘要

背景

神经反馈的发展是在经典脑电图和定量脑电图发展、计算机设备、程序以及个体医疗方案构建之后出现的。

方法

该方法的基本规则是基于对正常活动的了解以及对当前活动异常的识别,实现大脑生物电活动节律和功率的有效改变。许多综合征和脑发育障碍中会出现各种类型的异常活动。训练过程的特点是对选定的脑结构进行重复性局部激活以及全身性激活。此外,该方法能够监测情绪和社交发展。根据疾病的发病机制,正在引入该方法的连续技术模块。

结果

神经反馈已用于治疗创伤后应激障碍、中风和头部创伤后遗症、情绪障碍、焦虑症和抑郁症。在患有注意力缺陷多动障碍/注意力缺陷障碍、发育性阅读障碍、抽动秽语综合征、学习困难和发育障碍以及获得性言语障碍的儿童中,也发现了这种神经疗法的良好效果。它还成功用于治疗头痛、癫痫以及脑瘫中的某些障碍。

总结

神经反馈作为一种中枢神经系统的仪器治疗方法目前正在接受全面评估。新的要求对治疗资格认定时的定量生物电活动评估以及作为未来荟萃分析材料的治疗结果阐述提出了进一步的要求。

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