Integrated use of biofeedback and neurofeedback techniques in treating pathological conditions and improving performance: a narrative review

Frontiers in Neuroscience, Journal Year: 2024, Volume and Issue: 18

Published: March 19, 2024

In recent years, the scientific community has begun tо explore efficacy оf an integrated neurofeedback + biofeedback approach іn various conditions, both pathological and non-pathological. Although several studies have contributed valuable insights into its potential benefits, this review aims further investigate effectiveness by synthesizing current findings identifying areas for future research. Our goal іs provide a comprehensive overview that may highlight gaps existing literature propose directions subsequent studies. The search articles was conducted on digital databases PubMed, Scopus, Web of Science. Studies to used published between 2014 2023 reviews analyzed biofeedback, separately, related same time interval topics were selected. identified five compatible with objectives review, conditions: nicotine addiction, sports performance, Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity (ADHD). been shown be effective in improving aspects these such as reduction presence psychiatric symptoms, anxiety, depression, withdrawal symptoms increase self-esteem smokers; improvements communication, imitation, social/cognitive awareness, social behavior ASD subjects; attention, alertness, reaction champions; attention inhibitory control ADHD subjects. Further research, characterized greater methodological rigor, is therefore needed determine method superiority, if any, type training over single administration either. This intended serve catalyst signaling promising advancement methodologies.

Language: Английский

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Remote Short Sessions of Heart Rate Variability Biofeedback Monitored With Wearable Technology: Open-Label Prospective Feasibility Study

JMIR Mental Health, Journal Year: 2024, Volume and Issue: 11, P. e55552 - e55552

Published: April 25, 2024

Background Heart rate variability (HRV) biofeedback is often performed with structured education, laboratory-based assessments, and practice sessions. It has been shown to improve psychological physiological function across populations. However, a means remotely use monitor this approach would allow for wider of technique. Advancements in wearable digital technology present an opportunity the widespread application approach. Objective The primary aim study was determine feasibility fully remote, self-administered short sessions HRV-directed diverse population health care workers (HCWs). secondary whether intervention significantly alters longitudinal HRV over period, as monitored by devices. tertiary estimate impact on metrics well-being. Methods To implemented can autonomic well-being, we enrolled HCWs 7 hospitals New York City United States. They downloaded our app, watched brief educational videos about biofeedback, used well-studied program through their smartphone. were 5 minutes per day weeks. then followed 12 weeks after period. Psychological measures obtained they wore Apple Watch at least circadian features HRV. Results In total, 127 study. Overall, only 21 (16.5%) 50% compliant intervention, representing small portion total sample. This demonstrates that design does not feasibly result adequate rates compliance intervention. Numerical improvement observed 17-week although it did reach statistical significance (all P>.05). Using mixed effect cosinor model, mean midline-estimating statistic rhythm (MESOR) pattern SD interbeat interval normal sinus beats (SDNN), metric, increase first 4 who compliant. Conclusions conclusion, found using remote monitoring its devices, manner conducted, feasible. considering low We demonstrate potential promise improving nervous warrant further Wearable devices effects interventions.

Language: Английский

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Breathing patterns and associated cardiovascular changes in intermittently breathing animals: (Partially) correcting a semantic quagmire

Experimental Physiology, Journal Year: 2024, Volume and Issue: 109(7), P. 1051 - 1065

Published: March 19, 2024

Many animal species do not breathe in a continuous, rhythmic fashion, but rather display variety of breathing patterns characterized by prolonged periods between breaths (inter-breath intervals), during which the heart continues to beat. Examples intermittent abound across kingdom, from crustaceans cetaceans. With respect human physiology, breathing-also termed 'periodic' or 'episodic' breathing-is associated with pathologies. Cardiovascular phenomena diving have been 'diving bradycardia', 'submersion 'immersion 'ventilation tachycardia', 'respiratory sinus arrhythmia' and so forth. An examination literature terminology applied these physiological indicates, unfortunately, no attempt at standardization. This might be viewed as an esoteric semantic problem except for fact that many terms variously used different authors carry them implicit explicit suggestions underlying mechanisms even human-associated In this article, we review several breathing, indicate issues arising use each term, make recommendations best practice when applying specific particular cardiorespiratory patterns. Ultimately, emphasize biology-not semantics-is what is important, also stress confusion surrounding can avoided more careful attention describing changes diving.

Language: Английский

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Multidimensional Assessment of Orthorexia Nervosa: A Case-Control Study Comparing Eating Behavior, Adherence to the Mediterranean Diet, Body Mass Index, Psychological Symptoms, and Autonomic Arousal

Nutrients, Journal Year: 2025, Volume and Issue: 17(2), P. 317 - 317

Published: Jan. 16, 2025

Background: The research on orthorexia nervosa (ON) has thoroughly outlined the connection between it and various mental disorders, including obsessive-compulsive disorders eating in addition to stress. However, not considered psychophysical stress other measures of health, such as adherence Mediterranean diet. Methods: This cross-sectional case-control involved 63 students from University Parma, aged 18 49 years. ORTO-15 questionnaire was utilized categorize entire sample into two groups: one without (score > 35) another with < 35). All subjects were assessed Psychophysiological Stress Profile (PSP) completed Eating Disorder Inventory-3 (EDI-3) Symptom Checklist-90-Revised (SCL-90-R). In addition, they interviewed using PREDIMED assess Diet, their body mass index (BMI) calculated. Results: Subjects represented 38.10% total reported a higher BMI than controls, although score did show difference EDI-3 highlighted emotional dysregulation hypercontrol orthorexia, dissociation subjective objective emerged. Particularly, psychophysiological parameters skin conductance, heart rate, rate variability showed greater reactivity stressful stimuli, but no noted psychological symptoms. Conclusions: These findings confirmed presence alterations behavior people well BMI. It hypothesized that might favor perception well-being at level, inadequate management emerged an level. Further studies are needed highlight causality ON, hypercontrol, diet, stress, given present emotions associated autonomic arousal.

Language: Английский

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Implementation of Wearable Technology for Remote Heart Rate Variability Biofeedback in Cardiac Rehabilitation

Sensors, Journal Year: 2025, Volume and Issue: 25(3), P. 690 - 690

Published: Jan. 24, 2025

Cardiovascular diseases pose a significant threat to global health, and cardiac rehabilitation (CR) has become critical component of patient care. Heart Rate Variability Biofeedback (HRVB) is non-invasive approach that helps modulate the Autonomic Nervous System (ANS) through Resonance Frequency (RF) breathing, supporting CR for cardiovascular patients. However, traditional HRVB techniques rely heavily on manual RF selection face-to-face guidance, limiting their widespread application, particularly in home-based CR. To address these limitations, we propose remote human-computer collaborative system, “FreeResp”, which features autonomous adjustment simplified cognitive computational model, eliminating reliance therapists. Furthermore, system integrates wearable technology Internet Things (IoT) support monitoring personalized interventions. By incorporating tactile guidance with an airbag, assists patients performing diaphragmatic breathing more effectively. FreeResp demonstrated high consistency conventional methods determining values (22/24) from 24 valid training samples. Moreover, one-month using showed improvements (HRV) (p < 0.05). These findings suggest promising solution CR, offering timely precise interventions providing new long-term health management.

Language: Английский

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Effectiveness of relaxation techniques for stress management and quality of life improvement in cardiovascular disease and hypertensive patients: a systematic review

Psychology Health & Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 72

Published: Feb. 6, 2025

Background and objectives Cardiovascular diseases (CVD) hypertension are leading causes of morbidity mortality worldwide, significantly affecting quality life (QoL). Stress, anxiety, poor psychological well-being often exacerbate these conditions, creating a vicious cycle. Relaxation techniques, including progressive muscle relaxation (PMR) diaphragmatic breathing, assist in contracting relaxing groups to aid individuals identifying reducing physical tension foster due increased parasympathetic nerve activity, resulting emotional tranquility. This systematic review explores the efficacy techniques stress improving QoL patients with CVD hypertension.

Language: Английский

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Heart Rate Variability Biofeedback to Manage the Mental Health of Adults With Irritable Bowel Syndrome: A Pilot Study

Stress and Health, Journal Year: 2025, Volume and Issue: 41(1)

Published: Feb. 1, 2025

ABSTRACT Irritable bowel syndrome [IBS] is classified as a disorder of gut‐brain interaction related to stress with no curative option. Heart rate variability biofeedback [HRV‐BFB] non‐drug therapy recently suggested be relevant in reducing both autonomic nervous system [ANS] dysregulations and psychiatric comorbidities. Nevertheless, empirical evidence still scarce only few studies have tested HRV‐BFB adults IBS. Our aims were therefore examine the effectiveness training on psychophysiological states 29 The study took place three sessions, spaced 24 days apart. In all participants completed self‐report questionnaires assess their psychological state (affectivity, anxiety, depression, perceived stress, coping strategy, life satisfaction, illness cognitions), ANS measurements then recorded them at rest, during completion mental task (reactivity), while recovery following this task. first 24‐day period was control without any practice, second an intervention HRV‐BFB. Participants practiced daily for 5 min, times day, days. We found that reduced distress feeling helplessness, led decrease sympathetic reactivity findings support potential relevance manage health

Language: Английский

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Heart Rate Variability Biofeedback Training Can Improve Menopausal Symptoms and Psychological Well-Being in Women with a Diagnosis of Primary Breast Cancer: A Longitudinal Randomized Controlled Trial

Current Oncology, Journal Year: 2025, Volume and Issue: 32(3), P. 150 - 150

Published: March 4, 2025

Breast cancer survivors experience numerous chronic symptoms linked to autonomic dysfunction including anxiety, stress, insomnia, menopausal symptoms, and cognitive impairment. Effective non-pharmacological solutions address these are currently lacking. Methods: Our three-armed longitudinal randomized controlled trial assessed the effectiveness of a 4-week remote smartphone-based heart rate variability biofeedback intervention which involved daily paced breathing at 6 breaths p/min; active (12 p/min) waitlist controls were included. Heart self-reported cancer-related baseline, post-, months-post intervention. Participants 60 UK-based women with primary breast history (6 months post-active treatment). Results: The group showed significant increases in low-frequency over time (F (4, 103.89) = 2.862, p 0.027, d 0.33), long-lasting improvement sleep quality 88.04) 4.87, 0.001, 0.43) cessations night sweats (X2 (2, N 59) 6.44, 0.04, Cramer’s V reduced anxiety post-intervention compared 82.51) 2.99, 0.023, 0.44). Other findings indicated that control participants reported lasting improvements function, fatigue, stress-related (all ps < 0.05). no symptom changes across time. Conclusion: is feasible for addressing diverse commonly by survivors.

Language: Английский

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Association between individual differences in interoception and cardiac coherence during heart rate variability biofeedback

Physiology & Behavior, Journal Year: 2025, Volume and Issue: unknown, P. 114877 - 114877

Published: March 1, 2025

Language: Английский

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Effects of complete home-based biofeedback therapy on insomnia disorders in patients with cancer

Frontiers in Sleep, Journal Year: 2025, Volume and Issue: 4

Published: March 24, 2025

Background Professional palliative care for patients with cancer focuses on symptom management. Methods This exploratory, randomized controlled study was conducted to compare the effects of complete home-based heart rate variability biofeedback (HRV-BFB) using an estimation formula resonance frequency in managing insomnia disorders among cancer. Results Only 28 were included from initial enrollment 30 two sites. showed that compared control group, HRV-BFB group improved sleep efficiency 82.0% (standard deviation: 9.1%) 87.8% 7.2%) ( p &lt; 0.001) and decreased use sleeping medication 88.2% (95% confidence interval, 73.6–95.8) 51.5% 41.8–61.1) 0.001). Conclusions suggests may be a promising tool treating cancer, potentially improving decreasing reliance medications. Clinical trial registration UMIN 000046884. Registered February 11, 2022. https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000053496 .

Language: Английский

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