Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Department of Occupational Therapy, College of Health Professions, University of Texas Rio Grande Valley, Edinburg, Texas, USA.
Child Care Health Dev. 2024 Mar;50(2):e13231. doi: 10.1111/cch.13231.
Limited research exists regarding the effectiveness of electroencephalogram (EEG) neurofeedback training for children with cerebral palsy (CP) and co-occurring attention deficits (ADs), despite the increasing prevalence of these dual conditions. This study aimed to fill this gap by examining the impact of neurofeedback training on the attention levels of children with CP and AD.
Nineteen children with both CP and co-occurring ADs were randomly assigned to either a neurofeedback or control group. The neurofeedback group received 20 sessions of training, lasting approximately 1 h per day, twice a week. Theta/beta ratios of the quantitative electroencephalography (QEEG) recordings were measured pre-training and post-training in the resting state. The Continuous Performance Test (CPT), the Test of Visual Perceptual Skills-3rd Version (TVPS-3) and the Conners' Parent Rating Scale (CPRS) were measured at pre- and post-training.
The neurofeedback group showed both decreased theta/beta ratios compared with control group (p = 0.04) at post-training and a within-group improvement during training (p = 0.02). Additionally, the neurofeedback group had a trend of decreased omission rates of the CPT (p = 0.08) and the visual sequential memory and the visual closure subscores in the TVPS-3, compared with the control group (p = 0.02 and p = 0.01, respectively).
The results suggested that children with CP and co-occurring AD may benefit from neurofeedback training in their attention level. Further research is needed to explore long-term effects and expand its application in this population.
尽管脑瘫（CP）和注意力缺陷（AD）同时存在的情况越来越普遍，但关于脑电图（EEG）神经反馈训练对患有 CP 和并发 AD 的儿童的有效性的研究还很有限。本研究旨在通过检查神经反馈训练对 CP 和并发 AD 儿童注意力水平的影响来填补这一空白。
19 名同时患有 CP 和并发 AD 的儿童被随机分配到神经反馈组或对照组。神经反馈组接受 20 次训练，每天大约 1 小时，每周两次。在静息状态下测量训练前和训练后的定量脑电图（QEEG）记录的θ/β 比值。在训练前和训练后测量连续性能测试（CPT）、视觉感知技能测试-第 3 版（TVPS-3）和康纳斯父母评定量表（CPRS）。
与对照组相比，神经反馈组在训练后θ/β 比值均降低（p=0.04），且在训练过程中存在组内改善（p=0.02）。此外，与对照组相比，神经反馈组的 CPT 遗漏率（p=0.08）和 TVPS-3 的视觉连续记忆和视觉闭合子评分呈下降趋势（p=0.02 和 p=0.01）。
结果表明，患有 CP 和并发 AD 的儿童可能受益于神经反馈训练来提高注意力水平。需要进一步研究来探索长期效果，并扩大其在该人群中的应用。
