使用个体β节律对多动症儿童进行神经反馈训练。
Neurofeedback training for children with ADHD using individual beta rhythm.
作者信息
Hao Zhang, He Chen, Ziqian Yuan, Haotian Liao, Xiaoli Li
机构信息
The State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100875 China.
School of Systems Science, Beijing Normal University, Beijing, 100875 China.
出版信息
Cogn Neurodyn. 2022 Dec;16(6):1323-1333. doi: 10.1007/s11571-022-09798-y. Epub 2022 Apr 1.
Neurofeedback training (NFT) is a noninvasive neuromodulation method for children with attention-deficit/hyperactivity disorder (ADHD). Brain rhythms, the unique pattern in electroencephalogram (EEG), are widely used as the training target. Most of current studies used a fixed frequency division of brain rhythms, which ignores the individual developmental difference of each child. In this study, we validated the feasibility of NFT using individual beta rhythm. A total of 55 children with ADHD were divided into two groups using the relative power of individual or fixed beta rhythms as the training index. ADHD rating scale (ADHD-RS) was completed before and after NFT, and the EEG and behavioral features were extracted during the training process. After intervention, the attention ability of both groups was significantly improved, showing a significant increase in beta power, a decrease in scores of ADHD-RS and an improvement in behavioral and other EEG features. The training effect was significantly better with individualized beta training, showing more improvement in ADHD-RS scores. Furthermore, the distribution of brain rhythms moved towards high frequency after intervention. This study demonstrates the effectiveness of NFT based on individual beta rhythm for the intervention of children with ADHD. When designing a NFT protocol and the corresponding data analysis process, an individualized brain rhythm division should be applied to reflect the actual brain state and to accurately evaluate the effect of NFT.
神经反馈训练(NFT)是一种针对注意力缺陷多动障碍(ADHD)儿童的非侵入性神经调节方法。脑节律作为脑电图(EEG)中的独特模式,被广泛用作训练目标。目前大多数研究采用固定的脑节律频率划分,这忽略了每个孩子的个体发育差异。在本研究中,我们验证了使用个体β节律进行NFT的可行性。总共55名ADHD儿童被分为两组,分别使用个体或固定β节律的相对功率作为训练指标。在NFT前后完成ADHD评定量表(ADHD-RS),并在训练过程中提取脑电图和行为特征。干预后,两组的注意力能力均显著提高,表现为β功率显著增加、ADHD-RS评分降低以及行为和其他脑电图特征改善。个体化β训练的训练效果显著更好,ADHD-RS评分改善更多。此外,干预后脑节律分布向高频移动。本研究证明了基于个体β节律的NFT对ADHD儿童干预的有效性。在设计NFT方案和相应的数据分析过程时,应采用个体化的脑节律划分,以反映实际脑状态并准确评估NFT的效果。