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生物反馈和神经反馈在偏头痛治疗中的应用。

Biofeedback and neurofeedback application in the treatment of migraine.

作者信息

Martic-Biocina Sanja, Zivoder Ivana, Kozina Goran

机构信息

Psychiatric Clinic Vrapce, Bolnicka 32, Zagreb, Croatia,

出版信息

Psychiatr Danub. 2017 Sep;29(Suppl 3):575-577.

Abstract

INTRODUCTION

Biofeedback is a non-invasive method of measurement of physiological functions. Precise instruments measure the slightest changes of different body functions-which are then in a clear and understandable manner shown in the form of feedback. Person gets an insight into what is going on inside the body and thus learns to change the patterns of behavior to improve health and performance. Any changes that are wanted are rewarded, which leads to learning of the new patterns of behavior. Neurofeedback is a type of biofeedback which uses electrical activity in the brain. Certain disorders are associated with specific patterns of brain activity, and through neurofeedback it is possible to reduce or even remove symptoms of some disorders. In the treatment of migraine different biofeedback methods- such as breathing, training of vasoconstriction/vasodilatation and neurofeedback, may be applied.

METHODS

This paper will describe the successful treatment of 25 years old girl who suffered for many years from painful migraine. She had in total 25 treatments during which listed biofeedback methods were used. The first part of the treatment was neurofeedback training on the central sensorimotor area, followed by respiration training and at the end by biofeedback training of vasoconstriction/vasodilatation.

RESULTS AND CONCLUSION

The final result of the treatment was significant reduce in the frequency of migraine attacks and the pain reduction. Further study, have to be done with more patients and with placebo group to scientifically prove the effectiveness of the method.

摘要

引言

生物反馈是一种测量生理功能的非侵入性方法。精密仪器可测量身体不同功能的细微变化,然后以清晰易懂的反馈形式呈现出来。人们能够深入了解身体内部的情况,从而学会改变行为模式以改善健康状况和提高身体机能。任何期望的变化都会得到奖励,这有助于学习新的行为模式。神经反馈是生物反馈的一种类型,它利用大脑中的电活动。某些疾病与特定的脑电活动模式相关,通过神经反馈有可能减轻甚至消除某些疾病的症状。在偏头痛的治疗中,可以应用不同的生物反馈方法,如呼吸训练、血管收缩/舒张训练和神经反馈。

方法

本文将描述一位25岁长期遭受偏头痛折磨的女孩的成功治疗案例。她总共接受了25次治疗,期间使用了上述生物反馈方法。治疗的第一部分是在中央感觉运动区进行神经反馈训练,接着是呼吸训练,最后是血管收缩/舒张的生物反馈训练。

结果与结论

治疗的最终结果是偏头痛发作频率显著降低,疼痛减轻。还需要对更多患者并设置安慰剂组进行进一步研究,以科学地证明该方法的有效性。

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