Fowler J E, Budzynski T H, VandenBergh R L
Biofeedback Self Regul. 1976 Mar;1(1):105-12. doi: 10.1007/BF00998693.
It was hypothesized that EMG biofeedback relaxation training, applied to a diabetic patient, would result in a decreased level of insulin with fewer episodes of ketoacidosis. A 20-year-old female, diabetic since age nine, kept daily records of insulin doses and rated herself on an emotionality and a diabetic scale. A full-semester baseline was taken. This was followed by a semester-long training program during which the patient practiced relaxing her frontalis muscle with a portable EMG feedback unit which produced a geiger-counter-like click feedback. A cassette-tape series was used along with the portable EMG. The patient was encouraged to practice twice each day and to attempt to maintain a relaxed state even when not in the practice situation. The daily use of the portable unit was terminated at the end of the semester. In addition, the patient ceased practicing twice daily with the cassette tape. Daily insulin averaged 85 units for the six-week baseline and 59 for the final six weeks of the training period. Moreover, at the end of the training period the average dose had reached 43 units. During the training period the patient rated herself as decreasing in emotionality and in diabetic fluctuations.
据推测，将肌电图生物反馈放松训练应用于糖尿病患者，会使胰岛素水平降低，同时酮酸中毒发作次数减少。一名20岁女性，自9岁起患糖尿病，她每天记录胰岛素剂量，并在情绪和糖尿病量表上给自己评分。进行了一整个学期的基线记录。接下来是为期一学期的训练计划，在此期间，患者使用便携式肌电图反馈装置练习放松额肌，该装置会产生类似盖革计数器的滴答声反馈。同时还使用了一盒磁带与便携式肌电图配合。鼓励患者每天练习两次，并尝试即使不在练习时也保持放松状态。学期结束时停止了便携式装置的每日使用。此外，患者也停止了每天两次使用磁带练习。六周基线期的每日胰岛素平均用量为85单位，训练期最后六周为59单位。而且，在训练期结束时，平均剂量已降至43单位。在训练期间，患者给自己的评分显示情绪波动和糖尿病波动都有所减少。
