Emotional stress is one of the causes of stroke & heart attacks. The mind and body are one for the whole is greater than the sum of all it's parts. When stroke happens, patients will be told to get an MRI, CT scans. One scan which is needed is a quantitative electroencephalograph - QEEG . The yellow emperor's book of medicine tells of the energy within our body and this is true that our body resonates with the earth's energy 7.83 hertz. For the body's energy, I will recommend Raymedy (combination of Dutch engineering +TCM database of chinese meridian points). For the brain, we apply neurofeedback. When you need an operation, see the neurosurgeon. Post surgery, you will need therapy and long term therapy for severe cases. Many will go for physiotherapy, speech therapy, occupational therapy. Those are good. But why not go directly to the brain and reconnect the neuroactivity disrupted by stroke first? Neurofeedback is not new as a form of therapy for stroke (see the videos and articles below). After all, neurofeedback retrains the brain that controls speech, mobility, gait, sleep, memory and everything else that you do. Try asking asking a stroke patient to walk or talk when they cannot. It's frustrating isn't it. When I show stroke clients how their brains are connected and how it improves, it motivates them and gives them hope to look towards a better future. Like any other goals, you must show them long term and short term benefits. This keeps them positive, calm and hopeful. When a stroke patient has anxiety or insomnia due to stroke, neurofeedback is the key to reduce anxiety and improves sleep and much more.
Electro cap on client
QEEG reports the electrical connectivity of the brain. This is most critical before neurofeedback training. After a stroke, scans can show which part has been physically damaged. A qeeg tells which part/s are electrically disrupted. Which points are not connected well. Eg. If Broca's area have been damaged, then speech may be partially or totally lost. If the parietal areas (P3 P4) and the motor strip (C3 C4) have been damaged, then mobility will be too. Every white color electrode on the red cap you see represents a scalp site. This helps to pin point where and how much electrical disruption happens.
• confusion and memory loss.
• trouble producing/understanding speech
• executive functioning
• trouble with gross motor skills such as ambulation, self-care, and ADL’s (activities of daily living)
• headaches/convergent issues
• numbness/weakness in arms or legs
• feelings of depression/anxiety
Some You tube about neurofeedback and stroke:
What a medical doctor says?
- Neurofeedback Training for Cognitive and Motor Function Rehabilitation in Chronic Stroke: Two Case Reports
- Effect of Neurofeedback Facilitation on Poststroke Gait and Balance Recovery A Randomized Controlled Trial
- Stroke / Aneurysm: Neurofeedback Treatment
- Neurofeedback as a form of cognitive rehabilitation therapy following stroke: A systematic review
- Neurofeedback Training Improves the Dual-Task Performance Ability in Stroke Patients
- The impact of Neurofeedback on effective connectivity networks in chronic stroke patients: an exploratory study
Just google neurofeedback and stroke and you will find lots to read. Many medical doctors now begin to learn neurofeedback as an add on to their business in the USA, Canada, Australia, Europe. Why? because its works!
Traumatic Brain Injury due to fall, accidents, high impact sports?
Case of Ms. Happy - A fall followed by a major operation removing part of the right hemisphere leaves the person speechless and fully paralyzed in the left and some movements on the right and minimal focus or event attention. A qeeg brain scan was done to read brain wave activity. 2yrs of neurofeedback (4C), followed by ISF neurofeedback produced these results and speech activation is on its way. However, we are far from over and I am confident that the improvements are in it's acceleration mode as the neuro network increases. 5 questions were written and Ms. Happy was asked to underline how she feels. The difference here is, this therapy makes you feel. How? ISF neurofeedback, why? because we treat at super low frequencies that make the client "feel" when we optimise the brain waves. Isn't it cool to be able to tell the brain to make the body feel an tingle, a buzz or a sensation running through your body via a totally non invasive therapy.
The message is - We never give up. Now we are catching a glimpse of the rainbow.
Neurofeedback is effective for
Traumatic Brain Injury.
‘Traumatic Brain Injury’ (TBI) refers to brain injury that is "externally caused". It is categorised into mild, moderate or severe. These categories refer to how long consciousness was lost at the time of the injury, and don’t necessarily relate to the severity of the symptoms experienced afterwards.
The external force either directly damages the brain by penetrating the skull, or rapid acceleration/deceleration and impact with the skull causes lesions (bruising) to the brain’s surface as it hits the uneven inner surface of the skull or nerve cell fibres to be stretched, strained or torn; this damage although microscopic can severely disrupt the regulation of the brain, hence, impact brain function or behaviour.
Even so-called mild TBI can result in debilitating ‘post concussion syndrome’ symptoms including depression, ADHD-like symptoms, headaches, anxiety, fatigue, irritability, temper outbursts and aggression, memory problems, sleep disorders and sexual dysfunction, depending on which part of the brain was damaged.
Neurofeedback cannot repair physical damage to the brain’s physical structure, but it can use neuroplasticity to exercise and develop new neural pathways and restore brain function. In the early stages after a traumatic brain injury, neurofeedback can be helpful with the head pain that is often experienced, as well as with nausea, irritability, mental confusion, and sleep difficulties.
Margaret Ayers was an early neurofeedback practitioner who treated hundreds of traumatic brain injury patients and achieving remarkable results particularly with recovery from coma in the 80s. Dr. Jonathan Walker, a Dallas neurologist, observed significant improvement in 88% of a group of 26 patients with mild closed-head traumatic brain injury. All of them who had held a job prior to their injury was able to resume productive employment after neurofeedback. The average number of neurofeedback sessions was 19. These results were obtained with techniques that are more than ten years old and significant improvements in training methods have been made within the last decade. The result is that head injury symptoms showing themselves to be resistant to remediation may be targeted more specifically.
Evidence for Neurofeedback’s efficacy for Brain Injury ?
Late Margaret Ayers was a pioneer who applied Neurofeedback to brain injury. One of her case study collections published in Head Injury Frontiers, describes 250 cases of closed head brain injury she treated. Some of the peer-reviewed studies that have been published showed how Neurofeedback was able to help brain injury. SEE right-->
It is my experience, introducing foot reflexology after 80 sessions helps the progress of TBI.
More studies for your reference:
Ayers, M. E. (1981). A report on a study of the utilization of electroencephalography for the treatment of cerebral vascular lesion syndromes. Chapter in L. Taylor, M. E. Ayers, & C. Tom (Eds.), Electromyometric Biofeedback Therapy. Los Angeles: Biofeedback and Advanced Therapy Institute, pp. 244-257.
Ayers, M. E. (1987). Electroencephalic neurofeedback and closed head injury of 250 individuals. Head Injury Frontiers. National Head Injury Foundation, 380-392.
Ayers, M. E. (1991). A controlled study of EEG neurofeedback training and clinical psychotherapy for right hemispheric closed head injury. Paper presented at the National Head Injury Foundation, Los Angeles, 1991.
Ayers, M. E. (1995a). A controlled study of EEG neurofeedback and physical therapy with pediatric stroke, age seven months to age fifteen, occurring prior to birth. Biofeedback & Self-Regulation, 20(3), 318.
Ayers, M. E. (1995b). EEG neurofeedback to bring individuals out of level 2 coma.Biofeedback & Self-Regulation, 20(3), 304-305.
Ayers, M. E. (1999). Assessing and treating open head trauma, coma, and stroke using real-time digital EEG neurofeedback. Chapter in J. R. Evans & A. Abarbanel (Eds.), Introduction to Quantitative EEG and Neurofeedback. New York: Academic Press, pp. 203-222.
Ayers, M. E. (2004). Neurofeedback for cerebral palsy. Journal of Neurotherapy, 8(2), 93-94.
Bachers, A. (2004). Neurofeedback with cerebral palsy and mental retardation. Journal of Neurotherapy, 8(2), 95-96.
Bearden, T. S., Cassisi, J. E., & Pineda, M. (2003). Neurofeedback training for a patient with thalamic and cortical infarctions. Applied Psychophysiology & Biofeedback, 28(3), 241-253.
Bounias, M., Laibow, R. E., Bonaly, A., & Stubblebine, A. N. (2001). EEG-neurobiofeedback treatment of patients with brain injury: Part 1: Typological classification of clinical syndromes.Journal of Neurotherapy, 5(4), 23-44.
Bounias, M., Laibow, R. E., Stubbelbine, A. N.,Sandground, H., & Bonaly, A. (2002). EEG-neurobiofeedback treatment of patients with brain injury Part 4: Duration of treatments as a function of both the initial load of clinical symptoms and the rate of rehabilitation. Journal of Neurotherapy, 6(1), 23-38.
Byers, A. P. (1995). Neurofeedback therapy for a mild head injury. Journal of Neurotherapy, 1(1), 22-37.
Cannon, K. B., Sherlin, L., & Lyle, R. R. (2010). Neurofeedback efficacy in the treatment of a 43-year-old female stroke victim: a case study. Journal of Neurotherapy, 14(2), 107-121.
Doppelmayr, M., Nosko, H., Pecherstorfer, T., & Fink, A. (2007). An attempt to increase cognitive performance after stroke with neurofeedback. Biofeedback, 35(4), 126-130.
Duff, J. (2004). The usefulness of quantitative EEG (QEEG) and neurotherapy in the assessment and treatment of post-concussion syndrome. Clinical EEG & Neuroscience, 35(4), 198-209.
Ham, L. P., & Packard, R. C. (1996). A retrospective, follow-up study of biofeedback-assisted relaxation therapy in patients with posttraumatic headache. Biofeedback & Self-Regulation, 21(2), 93-104.
Hammond, D. C. (2007). Can LENS neurofeedback treat anosmia resulting from a head injury? Journal of Neurotherapy, 11(1), 57-62.
Hammond, D. C. (2006). Neurofeedback to improve physical balance, incontinence, and swallowing. Journal of Neurotherapy, 9(1), 27-48.
Hoffman, D. A., Stockdale, S., & Van Egren, L. (1996a). Symptom changes in the treatment of mild traumatic brain injury using EEG neurofeedback [Abstract]. Clinical Electroencephalography, 27(3), 164.
Hoffman, D. A., Stockdale, S., & Van Egren, L. (1996b). EEG neurofeedback in the treatment of mild traumatic brain injury [Abstract]. Clinical Electroencephalography, 27(2), 6.
Keller, I. (2001). Neurofeedback therapy of attention deficits in patients with traumatic brain injury. Journal of Neurotherapy, 5(1,2), 19-32.
Laibow, R E., Stubblebine, A. N., Sandground, H.,& Bounias, M. (2001). EEG neurobiofeedback treatment of patients with brain injury: Part 2: Changes in EEG parameters versus rehabilitation. Journal of Neurotherapy, 5(4), 45-71
Putnam, J. A., (2001). EEG biofeedback on a female stroke patient with depression: A case study. Journal of Neurotherapy, 5(3), 27-38.
Rozelle, G. R., & Budzynski, T. H. (1995). Neurotherapy for stroke rehabilitation: A single case study. Biofeedback & Self-Regulation, 20(3), 211-228.
Schoenberger, N. E., Shiflett, S. C., Esty, M. L., Ochs, L., & Matheis, R. J. (2001). Flexyx neurotherapy system in the treatment of traumatic brain injury: An initial evaluation. Journal of Head Trauma Rehabilitation, 16(3), 260-274.
Sterman, M. B., Ayers, M. E., & Goodman, S. J. (1976). Case study: Effects of SMR suppression on EEG and motor patterns in a quadriplegic patient. Biofeedback & Self-Regulation, 1(3), 340-341.
Thatcher, R. W. (2000). EEG operant conditioning (biofeedback) and traumatic brain injury.Clinical Electroencephalography, 31(1), 38-44.
Thornton, K. (2000). Improvement/rehabilitation of memory functioning with neurotherapy/QEEG biofeedback. Journal of Head Trauma Rehabilitation, 15(6), 1285-1296.
Thornton, K. (2001). Electrophysiology of auditory memory of paragraphs towards a projection/activation theory of the mind. Journal of Neurotherapy, 4(3), 45-72.
Thornton, K. (2002) Rehabilitation of Memory functioning with EEG Biofeedback,Neurorehabilitation, 17(1), 69-81
Thornton, K. E., & Carmody, D. P. (2008). Efficacy of traumatic brain injury rehabilitation: Interventions of QEEG-guided biofeedback, computers, strategies, and medications. Applied Psychophysiology & Biofeedback, 33(2), 101-124.
Thornton, K. E., & Carmody, D. P. (2005). Electroencephalogram biofeedback for reading disability and traumatic brain injury. Child & Adolescent Psychiatric Clinics of North America, 14(1), 137-162.
Tinius, T. P., & Tinius, K. A. (2001). Changes after EEG biofeedback and cognitive retraining in adults with mild traumatic brain injury and attention deficit disorder. Journal of Neurotherapy, 4(2), 27-44.
Walker, J. E. (2007). A neurologist's experience with QEEG-guided neurofeedback following brain injury. Chapter in J. R. Evans (Ed.), Handbook of Neurofeedback. Binghampton, NY: Haworth Medical Press, pp. 353-361.
Wing, K. (2001). Effect of neurofeedback on motor recovery of a patient with brain injury: A case study and its implications for stroke rehabilitation. Topics in Stroke Rehabilitation, 8(3), 45-53.
Yoo, S. S., & Jolesz, F. A. (2002). Functional MRI for neurofeedback: feasibility study on a hand motor task. Neuroreport, 13, 1377–1381.