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脑电图生物反馈方法与癫痫的管理

Electroencephalographic biofeedback methodology and the management of epilepsy.

作者信息

Lubar J F

机构信息

University of Tennessee-Memphis, USA.

出版信息

Integr Physiol Behav Sci. 1998 Apr-Jun;33(2):176-207. doi: 10.1007/BF02688662.

DOI:10.1007/BF02688662
PMID:9737738
Abstract

Currently considerable research is being directed toward developing methodologies for controlling internal processes. An applied branch of the basic field of psychophysiology, known as biofeedback, has developed to fulfill clinical needs related to such control. Current scientific and popular literature abounds with numerous examples of how biofeedback is being used. For example, germinal studies by Kamiya (1962), and later work by Lynch and Paskewitz (1971), Beatty (1973), as well as many others have shown that the EEG alpha rhythm (8 to 13 Hz) recorded from occipital regions of the human brain can be behaviorally manipulated when feedback or reward is provided for changing the density of this activity. Other researchers have provided evidence that theta activity (4 to 7 Hz) and the beta activity (greater than 14 Hz) can also be controlled by humans and analogs of this activity have been conditioned in animals as well (Green, Green and Walters, 1971). In addition to the work that has been carried out with the EEG, researchers such as Engle and Bleecker (1973) have indicated that it might be possible to control cardiac arrhythmias through biofeedback. Studies by Elder et al. (1973) have provided some hope that blood pressure in humans might also be conditioned. Also, considerable effort has been directed to the control of responses from single muscles with particular applied emphasis in neuromuscular rehabilitation, control of muscle tension for tension headaches and the management of migraine headaches through vasomotor conditioning (Brudny et al., 1974; Basmajian, 1963, 1971; Sargent et al., 1973).

摘要

目前,大量研究正致力于开发控制内部过程的方法。心理生理学基础领域的一个应用分支——生物反馈,已发展起来以满足与这种控制相关的临床需求。当前的科学文献和通俗读物中充斥着大量关于生物反馈应用的例子。例如,卡米亚(1962年)的开创性研究,以及后来林奇和帕斯凯维茨(1971年)、比蒂(1973年)等人的研究表明,当为改变这种活动的密度提供反馈或奖励时,从人脑枕叶区域记录到的脑电图α波节律(8至13赫兹)可以通过行为进行操纵。其他研究人员提供的证据表明,θ波活动(4至7赫兹)和β波活动(大于14赫兹)也可以由人类控制,并且这种活动的类似物在动物身上也已形成条件反射(格林、格林和沃尔特斯,1971年)。除了在脑电图方面所做的工作外,恩格尔和布利克(1973年)等研究人员指出,通过生物反馈控制心律失常可能是可行的。埃尔德等人(1973年)的研究给人们带来了一些希望,即人类的血压也可能形成条件反射。此外,人们还投入了大量精力来控制单个肌肉的反应,特别强调在神经肌肉康复、控制紧张性头痛的肌肉紧张以及通过血管舒缩调节来治疗偏头痛方面的应用(布鲁德尼等人,1974年;巴斯马吉安,1963年、1971年;萨金特等人,1973年)。

相似文献

1
Electroencephalographic biofeedback methodology and the management of epilepsy.脑电图生物反馈方法与癫痫的管理
Integr Physiol Behav Sci. 1998 Apr-Jun;33(2):176-207. doi: 10.1007/BF02688662.
2
Biofeedback in the treatment of epilepsy.生物反馈疗法治疗癫痫。
Cleve Clin J Med. 2010 Jul;77 Suppl 3:S60-7. doi: 10.3949/ccjm.77.s3.11.
3
[Biofeedback treatment for epilepsy].[癫痫的生物反馈治疗]
Brain Nerve. 2011 Apr;63(4):385-92.
4
Behavioral and electroencephalographic correlates of 40-Hz EEG biofeedback training in humans.人类40赫兹脑电图生物反馈训练的行为学及脑电图相关性
Biofeedback Self Regul. 1978 Mar;3(1):13-28. doi: 10.1007/BF00998560.
5
Biofeedback training of 40-Hz EEG in humans.人类40赫兹脑电图的生物反馈训练。
Biofeedback Self Regul. 1978 Mar;3(1):1-11. doi: 10.1007/BF00998559.
6
Biofeedback in epileptics: equivocal relationship of reinforced EEG frequency to seizure reduction.
Epilepsia. 1975 Sep;16(3):477-85.
7
[Biofeedback treatment for epilepsy].[癫痫的生物反馈治疗]
Nihon Rinsho. 2014 May;72(5):887-93.
8
[Biofeedback. I. Current status of its clinical application].[生物反馈。一、其临床应用的现状]
Acta Psychiatr Belg. 1977 Jan-Feb;77(1):117-33.
9
The state of EEG biofeedback therapy (EEG operant conditioning) in 2000: an editor's opinion.2000年脑电图生物反馈疗法(脑电图操作性条件反射)的现状:一位编辑的观点。
Clin Electroencephalogr. 2000 Jan;31(1):V-VII.
10
Biofeedback and epilepsy.生物反馈与癫痫
Curr Neurol Neurosci Rep. 2011 Aug;11(4):443-50. doi: 10.1007/s11910-011-0201-3.

本文引用的文献

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Similar effects of feedback signals and instructional information on EEG activity.反馈信号和指导信息对脑电图活动的类似影响。
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