Search Results (10)

(1) Background: Neurofeedback (NFB) and biofeedback (BFB) have been shown to reduce stress, enhance physiological self-regulation, improve cognitive performance, and accelerate response times. Stimulating the sensorimotor rhythm (12–15 Hz) is particularly effective in improving working memory and selective attention. However, most studies on air force pilots focus on addressing post-traumatic stress disorder rather than investigating how these interventions might enhance performance and safety during flights, as explored in the present study. (2) Methods: Twelve Spanish Air Force fighter pilot trainees (mean age = 22.83 (0.94) years) participated in the study. Six pilots underwent 24 sessions of combined NFB and BFB training (experimental group), while six served as controls. (3) Results: The experimental group demonstrated improved heart rate variability during baseline, alarm sounds, math tasks, and real flights, which is indicative of greater parasympathetic modulation. A significant decrease in the Theta/SMR ratio was observed in the experimental group during the same conditions, suggesting improved focus, with lower values than the control group. Cognitive performance improved in the experimental group, with higher accuracy and a greater number of completed operations during math tasks. Regarding dual-task performance, the experimental group showed lower reaction time and a better ratio taps/reaction post-intervention. Psychological benefits included reduced cognitive, somatic, and state anxiety levels, along with increased self-confidence. (4) Conclusions: Neurofeedback and biofeedback training, integrated with real flights, simulators, and virtual reality, can enhance physiological regulation, cognitive performance, and emotional resilience, contributing to improved performance and safety in air force pilots. Full article

Despite the evidence for the effectiveness of neurofeedback (NFB) treatment, standardization is scarce, impairing comparability across studies and conditions. Therefore, the acceptance, satisfaction and feasibility of a standardized NFB manual with 14 sessions focused on sensory motor rhythm (SMR) reward and theta and high-beta reduction were evaluated. Methodology: This monocentric, prospective, interventional pilot study in an outpatient setting followed a mixed methods approach. Quantitative data were collected from patients through standardized questionnaires. Qualitative data were derived from interviews with NFB practitioners (NPs) and were analyzed using Mayring’s method of content analysis. Results: The analysis included 24 patients. The mean patient satisfaction (ZUF-8) was 20.81, reflecting moderate satisfaction. The average perceived system usability was 73.48, representing good acceptance. The majority (95.7%) of patients perceived the treatment to be feasible; 78.3% found it useful and would recommend it. Despite reoccurring technical difficulties, NPs perceived the manual to provide security and confidence during sessions. The clear instructions could partially compensate for the heterogeneity in expertise among NPs. Suggested improvements were intensified training on technical aspects and improved patient education. Conclusions: The developed NFB manual is a promising tool for delivering NFB in psychosomatic outpatient settings. It facilitates the establishment of standards, enhances quality assurance and ensures comparability across studies and treatments. Full article

Parkinson’s disease (PD) is a progressive neurodegenerative disorder, with pharmacological treatments predominantly focusing on dopaminergic therapies. In the early stages of PD, symptoms may also be alleviated through non-pharmacological interventions. One such non-invasive technique is electroencephalogram neurofeedback (EEG NFB), which has shown promising results in improving the cognitive and motor functions of PD patients. The aim of our study was to assess the existing evidence, identify key trends and determine potential opportunities for future research in the field of EEG NFB for PD. This analysis explores the impact of EEG NFB on motor deficits in PD and identifies key factors for the successful implementation of EEG NFB as evidenced in the literature. The synthesis includes findings from five relevant studies, including one case study, one pilot study and three randomized controlled trials. Study selection followed the PICO framework to ensure relevance and rigor. The results suggest a correlation between sensorimotor rhythm (SMR) and beta rhythms, with increases in SMR (13–15 Hz) and beta (12–15 Hz) rhythms linked to improvements in balance, mobility and stability in PD patients. However, limitations such as small sample sizes, brief intervention durations and lack of follow-up warrant a cautious interpretation. Future research should prioritize robust protocols, larger samples and extended neurofeedback training to fully assess EEG NFB’s potential for PD management. Full article

(1) Background. Neurofeedback has been used in sports since the 1990s, frequently showing positive outcomes in enhancing athletic performance. This systematic review provides an updated analysis of neurofeedback training in sports, evaluating reaction time, cognitive performance, and emotional regulation to address literature gaps and suggest future research directions. (2) Methods. A systematic search was conducted using PubMed, Scopus, Science Direct, and Web of Science databases for articles published from January 2016 to April 2023. The search included only original articles written in English, resulting in 24 studies meeting the inclusion criteria. (3) Results. The reviewed studies cover a wide range of sports, including golf, basketball, swimming, rifle shooting, football, volleyball, athletics, judo, ice hockey, triathlon, handball, fencing, taekwondo, and darts. They involved athletes of varying experience levels (beginners, professionals, and experts) and utilized neurofeedback training targeting different frequency bands (alpha, beta, theta, and SMR), either individually or in mixed protocols. Findings show improvements in sports and cognitive performance, emotional regulation, and anxiety management. (4) Conclusions. This systematic review supports the effectiveness of neurofeedback in enhancing sports and cognitive performance across various disciplines and experience levels. Notable improvements were observed in technical skills, physical performance parameters, scoring, attention, concentration, reaction time, short-term and working memory, self-regulation, and cognitive anxiety. Future research should standardize protocols, include more diverse samples, and explore long-term effects to further validate these findings. Full article

Neurofeedback (NF) is a brain–computer interface in which users can learn to modulate their own brain activation while receiving real-time feedback thereof. To increase motivation and adherence to training, virtual reality has recently been used as a feedback modality. In the presented study, we focused on the effects of augmented reality (AR) based visual feedback on subjective user experience, including positive/negative affect, cybersickness, flow experience, and experience with the use of this technology, and compared it with a traditional 2D feedback modality. Also, half of the participants got real feedback and the other half got sham feedback. All participants performed one NF training session, in which they tried to increase their sensorimotor rhythm (SMR, 12–15 Hz) over central brain areas. Forty-four participants received conventional 2D visual feedback (moving bars on a conventional computer screen) about real-time changes in SMR activity, while 45 participants received AR feedback (3D virtual flowers grew out of a real pot). The subjective user experience differed in several points between the groups. Participants from the AR group received a tendentially higher flow score, and the AR sham group perceived a tendentially higher feeling of flow than the 2D sham group. Further, participants from the AR group reported a higher technology usability, experienced a higher feeling of control, and perceived themselves as more successful than those from the 2D group. Psychological factors like this are crucial for NF training motivation and success. In the 2D group, participants reported more concern related to their performance, a tendentially higher technology anxiety, and also more physical discomfort. These results show the potential advantage of the use of AR-based feedback in NF applications over traditional feedback modalities. Full article

A major concern voiced by motor behavior scientists is to find useful practice techniques that can be effective in improving motor learning and performance. Neurofeedback and self-controlled practice are among the techniques that have recently drawn attention from specialists in this area. The present study examined the additive and individual effects of sensorimotor rhythm (SMR) neurofeedback as well as self-controlled practice on motor learning and performance in novice golfers. In this semi-empirical study, forty adults (20 females, Mean_age = 26.10, SD = 5.56 years) were conveniently selected and randomly assigned to four groups: (1) neurofeedback/self-controlled practice, (2) neurofeedback/yoked practice, (3) sham/self-controlled practice, and (4) sham/yoked practice. The participants performed golf putting task in four stages, namely pretest (12 trials), intervention (one day after pretest; 6 sessions, 36 trails each), post-test (one day after intervention; 12 trials), and follow-up (two weeks after interventions; 12 trials). In addition, the participants had their EEG (SMR wave in Cz point) recorded during pretest, post-test, and follow-up. The results indicated that, although no additive effect was observed for the two practices during different stages of the experiment (p > 0.05), in acquisition and post-test stages, SMR neurofeedback and self-controlled practice independently facilitated golf putting (p ≤ 0.05). However, in the follow-up test, only the neurofeedback practice maintained its positive effects (p ≤ 0.05). The results also showed that participation in SMR neurofeedback practice can enhance the power of the SMR wave (p ≤ 0.05), regardless of the type of the self-controlled practice used. In sum, the two practice techniques seem to be independently effective in facilitating motor learning in instructional settings, particularly for golfers. Full article

Research on sensorimotor rhythms (SMR) based on neurofeedback (NFb) emphasizes improvements in selective attention associated with SMR amplification. However, the long-term training proposed in most studies posed the question of acceptability, which led to the evaluation of the potential of a single NFb session. Based on cognitive and autonomic controls interfering with attention processes, we hypothesized changes in selective attention after a single SMR-NFb session, along with changes in brain–heart interplay, which are reflected in the multifractality of heartbeat dynamics. Here, young healthy participants (n = 35, 20 females, 21 ± 3 years) were randomly assigned either to a control group (Ctrl) watching a movie or to a neurofeedback (NFb) group performing a single session of SMR-NFb. A headset with EEG electrodes (positioned on C3 and C4) connected to a smartphone app served to guide and to evaluate NFb training efficacy. A Stroop task was performed for 8 min by each group before and after the intervention (movie vs. SMR-NFb) while collecting heart rate variability and C4-EEG for 20 min. When compared to Ctrl, the NFb group exhibited better Stroop performance, especially when facing incongruent trials. The multifractality and NFb training efficacy were identified as strong predictors of the gain in global Stroop performance, while multifractality was the only predictor regarding incongruent trials. We conclude that a single session of SMR-NFb improves selective attention in healthy individuals through the specific reorganization of brain–heart interplay, which is reflected in multifractal heartbeat dynamics. Full article

In research about attention-deficit/hyperactivity disorder (ADHD) there is growing interest in evaluating cortical activation and using neurofeedback in interventions. This paper presents a case study using monopolar electroencephalogram recording (brain mapping known as MiniQ) for subsequent use in an intervention with neurofeedback for a 10-year-old girl presenting predominantly inattentive ADHD. A total of 75 training sessions were performed, and brain wave activity was assessed before and after the intervention. The results indicated post-treatment benefits in the beta wave (related to a higher level of concentration) and in the theta/beta ratio, but not in the theta wave (related to higher levels of drowsiness and distraction). These instruments may be beneficial in the evaluation and treatment of ADHD. Full article

Fibromyalgia is related to central sensitization syndrome (CSS) and is associated with chronic pain and a decrease in general health. The aim of this study was to explore how changes in brain patterns of female fibromyalgia patients are shaped by neurofeedback therapy and how it affects pain perception and general health. A quasi-experimental study with pre- and post-tests was carried out with 37 female fibromyalgia patients referred by the Pain Unit of the National Health Service of Spain. The method involved applying a sensorimotor rhythm (SMR) protocol to monitor changes in brain waves under different conditions, taking pre-/post-test measurements of perceived pain, general health and the impact on fibromyalgia. Measures included the Fibromyalgia Impact Questionnaire Revised (FIQR), the Visual Analogue Scale (VAS), the General Health Questionnaire (GHQ-28) and EEG (SMR, theta waves). During therapy, the SMR/theta wave ratio increased significantly and after application of therapy, significant results were observed for the FIQR, VAS and GHQ-28. In conclusion, neurofeedback therapy increases the SMR/theta wave ratio in fibromyalgia, helping to maintain a balance between brain functions. This is associated with the activation of inhibitory processes, which is related to the perceived improvement of pain in fibromyalgia patients. Full article

The brain activity that is measured by electroencephalography (EEG) can be modified through operant conditioning, specifically using neurofeedback (NF). NF has been applied to several disorders claiming that a change in the erratic brain activity would be accompanied by a reduction of the symptoms. However, the expected results are not always achieved. Some authors have suggested that the lack of an adequate response may be due to an incorrect application of the operant conditioning principles. A key factor in operant conditioning is the use of reinforcers and their value in modifying behavior, something that is not always sufficiently taken into account. This work aims to clarify the relevance of the motivational value versus the purely informational value of the reinforcer. In this study, 113 subjects were randomly assigned two different reinforcer conditions: a selected reinforcer—the subjects subjectively selected the reinforcers—or an imposed reinforcer—the reinforcers were assigned by the experimenter—and both groups undertook NF sessions to enhance the sensorimotor rhythm (SMR). In addition, the selected reinforcer group was divided into two subgroups: one receiving real NF and the other one sham NF. There were no significant differences between the groups at baseline in terms of SMR amplitude. After the intervention, only those subjects belonging to the selected reinforcer group and receiving real NF increased their SMR. Our results provide evidence for the importance of the motivational value of the reinforcer in Neurofeedback success. Full article