Rozelle G R, Budzynski T H
Center for Behavioral Medicine, University of West Florida, Pensacola, USA.
Biofeedback Self Regul. 1995 Sep;20(3):211-28. doi: 10.1007/BF01474514.
A 55-year-old male subject was treated with a two-tiered neurotherapy approach for a period of six months beginning approximately one year after a left-side CVA. Medical evaluation revealed left posterior temporal/parietal infarctions secondary to occlusion of the left internal carotid artery. The patient complained of hesitant speech with word finding difficulty and paraphasia, difficulty focusing his right eye, lack of balance and coordination, poor short-term memory, poor concentration, anxiety, depression, and tinnitus. A quantitative electroencephalograph (QEEG) analysis revealed increased left-side 4-7-Hz activity and alpha persistence on eye opening. Two neurotherapy approaches were used beginning with electroencephalographic entrainment feedback (EEF). This was followed by neurofeedback to inhibit 4-7 Hz and increase 15-21 Hz over sensorimotor and speech areas. At the conclusion of treatment there were significant reductions in slow-wave activity. Improvement was evident in speech fluency, word finding, balance and coordination, attention, and concentration. Depression, anxiety, and tinnitus were greatly reduced.
一名55岁男性患者在左侧脑血管意外（CVA）约一年后开始接受为期六个月的两级神经疗法治疗。医学评估显示，继发于左颈内动脉闭塞的左后颞叶/顶叶梗死。患者主诉言语迟疑、找词困难、言语错乱、右眼聚焦困难、缺乏平衡和协调性、短期记忆力差、注意力不集中、焦虑、抑郁和耳鸣。定量脑电图（QEEG）分析显示，睁眼时左侧4-7赫兹活动增加且α波持续存在。从脑电图夹带反馈（EEF）开始，采用了两种神经疗法。随后进行神经反馈，以抑制感觉运动和言语区域的4-7赫兹活动并增加15-21赫兹活动。治疗结束时，慢波活动显著减少。言语流畅性、找词能力、平衡和协调性、注意力和专注力均有明显改善。抑郁、焦虑和耳鸣也大大减轻。
