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  #16  
Old 11-29-18, 03:04 AM
Numbawunfela Numbawunfela is offline
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Re: Has anyone tried Neurofeedback to treat AD(H)D?

From Introduction to Quantitative EEG and Nerofeedback

https://www.dropbox.com/s/tbr3bp4xnl...dback.pdf?dl=0


Note that the web site for the National Resource Center on AD / HD, a program of CHADD, has an information sheet that critiques NFB as an alternative treatment for AD / HD. It notes that the CHADD Professional Advisory Board (PAB) rates NFB at Level 2 Effi cacy ( “possibly effi cacious ”) on the APA scale, and also just at the second level “Option” according to the AACAP guidelines. It mentions that some researchers rate the effi cacy higher. The PAB is clearly more stringent. And there is the comment that, even if effi cacy were established, NFB is costly and cumbersome. The article reviews eight controlled studies concerning NFB, and fi nds them all fl awed in one way or another: lack of control group; if a waiting list control were used then criticism that it was not a sham control; and lack of randomization in four of the studies. The two randomized, blind studies with credible control groups were cited: video games designed to improve attention and cognition in the Orlandi and Greci study (2004) , and sham feedback in the deBeus et al. study (2006) . The criticism for those two was that the studies were presented at meetings so “Neither of these has yet undergone peer reviewed publication ”. Clearly CHADD is going to hold NFB to a very high standard, but at least it is being mentioned.
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  #17  
Old 11-29-18, 03:10 AM
Numbawunfela Numbawunfela is offline
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Re: Has anyone tried Neurofeedback to treat AD(H)D?

A good model for this kind of research in the NFB fi eld is the paper by Monastra et al. (2002) that studied 100 students who received combined community care interventions (medication, parent counseling, school consultation) with 51 of the families choosing to also have neurofeedback training for their child. Half thus received the intensive community care interventions plus about 40 sessions of neurofeedback (range 34–50 sessions). There was no random assignment to groups. After a year, both groups were tested on and off medications. Both groups showed equivalent improvements as measured by TOVA scores. The encouraging fi nding for those in the NFB fi eld was that parents and teachers rated the neurofeedback group as more attentive and less hyperactive/impulsive. Even more impressive was the fi nding that, when medication was removed (a oneweek wash-out period), those gains in parent and teacher ratings were maintained. Additionally, when the students were retested on the TOVA, improvements were still there in the NFB group but those who had not received NFB lost their gains and went back to baseline.

Last edited by Numbawunfela; 11-29-18 at 03:31 AM..
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  #18  
Old 11-29-18, 03:31 AM
Numbawunfela Numbawunfela is offline
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Re: Has anyone tried Neurofeedback to treat AD(H)D?

The last part of the study that is pertinent t:

Most encouraging was follow-up after 2 and 3 years post-treatment, with the NFB group maintaining their superior results on the TOVA and still showing the EEG changes. Additionally, 70% in the NFB group had reduced their medications by at least half whereas 85% in the other group had increased the dose.
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Old 11-29-18, 03:48 AM
Numbawunfela Numbawunfela is offline
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Re: Has anyone tried Neurofeedback to treat AD(H)D?

Here is another quote:

VII . EVIDENCE-BASED PRACTICE, RESEARCH DESIGN, AND COMBINED TREATMENTS At the present time, ADHD is one of the two NFB applications for which there is enough research to meet the criteria for effi cacious treatment status according to standards approved by the Association for Applied Psychophysiology and Biofeedback; that is, there are a suffi cient number of controlled studies published in peer reviewed journals to establish Level 4 effi cacy. Effi cacy means there is evidence of benefi t in controlled research, especially randomized controlled trials. For the exact criteria and details see Yucha and Gilbert (2004) , which can be downloaded at no charge from www.aapb.org. The other condition with established effi cacy is epilepsy, which was the fi rst disorder treated clinically after Stermanís work involving operant conditioning of brain wave activity in cats indicated that increasing sensorimotor rhythm (SMR) made the cats resistant to seizures. For an understanding of this work, which provides a scientifi c basis for the use of NFB to reduce hyperactivity and increase sustained attention, read Stermanís original paper ( Wyrwicka and Sterman, 1968 ) and his review article in the January 2000 issue of the journal Clinical EEG ( Sterman, 2000 ), a volume devoted to neurofeedback interventions.
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  #20  
Old 11-29-18, 03:52 AM
Numbawunfela Numbawunfela is offline
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Re: Has anyone tried Neurofeedback to treat AD(H)D?

I just realized I might be hijacking the thread.... my apologies.

Did I mention I am not done with treatment yet?

fi nding a practitioner and judging their competence may be diffi cult. That problem is often discussed in the professional organizations devoted to biofeedback, and all maintain member lists on their web sites to help the public fi nd providers ( www.aapb.org , www.bcia.org , www.isnr.org , www.applied-neuroscience.org ).
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