Islamic Azad University, Tehran, Iran.
Clin EEG Neurosci. 2021 Nov;52(6):414-421. doi: 10.1177/15500594211033435. Epub 2021 Aug 2.
Recent research has shown that electroencephalography (EEG) theta/beta ratio (TBR) in cases with attention deficit hyperactivity disorder (ADHD) has thus far been reported lower than that in healthy individuals. Accordingly, utilizing EEG-TBR as a biomarker to diagnose ADHD has been called into question. Besides, employing known protocol to reduce EEG-TBR in the vertex (Cz) channel to treat ADHD via neurofeedback (NFB) has been doubted. The present study was to propose a new NFB treatment protocol to manage ADHD using EEG signals from 30 healthy controls and 30 children with ADHD through an attention-based task and to calculate relative power in their different frequency bands. Then, the most significant distinguishing features of EEG signals from both groups were determined via a genetic algorithm (GA). The results revealed that EEG-TBR values in children with ADHD were lower compared with those in healthy peers; however, such a difference was not statistically significant. Likewise, inhibiting alpha band activity and enhancing delta one in F7 or T5 channels was proposed as a new NFB treatment protocol for ADHD. No significant increase in EEG-TBR in the Cz channel among children with ADHD casts doubt on the effectiveness of using EEG-TBR inhibitory protocols in the Cz channel. Consequently, it was proposed to apply the new protocol along with reinforced beta-band activity to treat or reduce ADHD symptoms.
最近的研究表明,在注意力缺陷多动障碍(ADHD)患者中,脑电图(EEG)θ/β比值(TBR)迄今为止的报告值低于健康个体。因此,利用 EEG-TBR 作为诊断 ADHD 的生物标志物受到了质疑。此外,通过神经反馈(NFB)利用已知的方案降低顶点(Cz)通道中的 EEG-TBR 来治疗 ADHD 也受到了怀疑。本研究旨在提出一种新的 NFB 治疗方案,通过基于注意力的任务利用 30 名健康对照者和 30 名 ADHD 儿童的 EEG 信号来管理 ADHD,并计算其不同频带的相对功率。然后,通过遗传算法(GA)确定两组 EEG 信号的最显著特征。结果表明,与健康同龄人相比,ADHD 儿童的 EEG-TBR 值较低;然而,这种差异没有统计学意义。同样,提出抑制 F7 或 T5 通道中的α波段活动并增强δ波段 1 的方法作为治疗 ADHD 的新 NFB 治疗方案。ADHD 儿童 Cz 通道中 EEG-TBR 没有显著增加,这对 Cz 通道中使用 EEG-TBR 抑制方案的有效性提出了质疑。因此,建议应用新方案并增强β波段活动来治疗或减轻 ADHD 症状。