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Biofeedback Presentation cfg law

The basics of biofeedback and neurofeedback and the relevance to brain injury rehabilitation

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Biofeedback Presentation cfg law

  1. 1. Derek Jones PhD, MBA Biofeedback Neurofeedback Brain Computer Interfaces FIXXL Ltd * fixxl.co.uk * rehacom.co.uk * better-grip.co.uk * biofeedback-tech.com BF Skinner
  2. 2. Feedback Control System System Measurement Error Desired State Actual State Sensor -
  3. 3. Definitions ❖ Biofeedback ❖ Gaining awareness of (many) physiological functions we are not normally consciously aware of by means of electronic monitoring instrumentation…and then ❖ Presenting this data in order to train someone to acquire voluntary control of that function. ❖ Once trained - equipment not needed
  4. 4. Definitions ❖ Neurofeedback or EEG Biofeedback ❖ A form of biofeedback training that uses the EEG as the signal to control feedback. Sensors applied to the scalp identify the EEG signals which are processed by computer software. Visual, auditory and tactile feedback can be used to encourage learning ❖ Different from clinical EEG and qEEG but make use of the same signal ❖ Aim is to gain positive changes without instrumentation.
  5. 5. Definitions ❖ BCI - Brain Computer Interface ❖ Measures CNS activity and converts into an artificial output that replaces, restores, enhances, supplements or improves the natural CNS output ❖ Thereby changes ongoing interactions between the CNS and it’s internal or external environment ❖ Real time interaction between the user’s intention and the outside world
  6. 6. So What? ❖ Effects of TBI on the Autonomic Nervous System (ANS) are many and varied - e.g. Post-TBI temperature intolerance; PSH (Paroxysmal Sympathetic Hyperactivity) ❖ ANS normally maintains homeostasis in the face of life’s challenges without our conscious attention ❖ Sympathetic and Parasympathetic nervous systems ❖ TBI and many things disturb the ANS balance ❖ Can Biofeedback help achieve greater ANS balance?
  7. 7. “Neverseenalion” tribe
  8. 8. Cortex Thalamus Amygdala Our Response is.. •Instantaneous •Doesn’t involve “thinking” •Influenced by Early Learning •Emotionally DrivenBehaviour - Physiology - Immunology Perception of Stress
  9. 9. ANS Balance ❖ High Effort ❖ Fight of Flight ❖ Adrenaline ❖ Low Effort ❖ Relaxation ❖ Acetylcholine Sympathetic Pathway Signals flow from our brain to the heart, adrenal glands, blood vessels etc speeding up these body systems. Shaped by our perception Parasympathetic Pathway Opposite effect to the Sympathetic and acts to slow down or “cool down the heart and other organs “Accelerator” “Brakes”
  10. 10. Stress depends on your individual perception
  11. 11. Hormonal System Positive Emotion Well/Being Success Negative Emotion Submission Despair Many hormones - “Molecules of Emotion” are produced including DHEA (Precursor to Testosterone and Oestrogen) and the body’s main stress hormone Cortisol Imbalance is linked with many chronic diseases
  12. 12. Hormonal Long term Short Term ANS Physiology High Performance Low Performance High Arousal - Effort Low Arousal - Relaxation Fight Flight Positive Emotion Negative Emotion
  13. 13. Applications Biofeedback and EEG Biofeedback 1 Anxiety 2 Attention Deficit Disorder 3 Headache- Adult 4 Hypertension 5 Temporomandibular Disorders 6 Urinary Incontinence in Males 1 Alcoholism/Substance Abuse 2 Arthritis 3 Chronic Pain 4 Epilepsy 5 Fecal Elimination Disorders 6 Headache- Pediatric Migraines 7 Insomnia 8 Traumatic Brain Injury 9 Vulvar Vestibulitis Efficacious and specific (Fifth level): Efficacious (Fourth Level) : 1 Urinary Incontinence in Females Probably efficacious (Third level): Possibly Efficacious (Second level): Stroke Post Traumatic Stress disorder Chronic Obstructive Pulmonary Disease Raynaud's Disease Many more
  14. 14. System Design •Data Acquisition •Signal Processing/Feature Extraction •Feedback/Command Generation •Learning takes place •Maintenance of Learning ?
  15. 15. GSR Temp BVP HRV Respiration Sp02 Force qEEG sEMG ECG EOG SCP ERP P300 Data Acquisition Data Acquisition
  16. 16. Signal Processing Client FeedbackData Acquisition Biofeedback Process Learning
  17. 17. Conceptual view of Neurofeedback EEG Brain Events Behaviour Thought Externalised Internalised Perceived as Thoughts Perceived as Behaviour Perceived as Neurofeedback
  18. 18. Signal Processing Feature Extraction Translation of features into Commands Data Acquisition BCI Process Replace Restore Enhance Supplement Improve
  19. 19. • Thinking activates brain regions • Imagine “move left hand” • System Recognises pattern via EEG • Feedback imagery • FES Activation of wrist muscles
  20. 20. Disorders of Consciousness mindBEAGLE Alternative to fMRI assessment of consciousness P300 Approach
  21. 21. Contrast Project - EU Remote Control Cognitive Training EEG neurofeedback headset Single or dual channel Semi-dry electrodes
  22. 22. Derek Jones PhD MBA Anatomical Concepts (UK) Ltd - Masters of Rehabilitation Engineering Fixxl Ltd - Bringing Technology to Life

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