Relaxation training
Research Papers
A retrospective, follow-up study of biofeedback-assisted relaxation therapy in patients with posttraumatic headache
Although biofeedback in the treatment of migraine and tension-type headache has been widely researched, there is little research examining biofeedback therapy in posttraumatic headache (PTH). In this retrospective study, 40 subjects with PTH who had received biofeedback-assisted relaxation at our headache clinic were questioned at least 3 months following the completion of therapy. Subjects were queried about improvements in headache, increases in ability to relax and cope with pain, and overall benefits, lasting effectiveness, and continued use of biofeedback in daily life. Results indicate 53% reported at least moderate improvement in headaches; 80% reported at least moderate improvement in ability to relax and cope with pain; 93% found biofeedback helpful to some degree; 85% felt headache relief achieved through biofeedback had continued at least somewhat; and 95% stated they were continuing to use biofeedback skills in daily life. A correlation analysis revealed a negative relationship between response to biofeedback and increased chronicity of the disorder. In other words, the more chronic the disorder, the poorer the response to treatment. A stepwise regression analysis found that chronicity of the disorder and number of treatment sessions significantly affected response to treatment. Data suggest that biofeedback-assisted relaxation should at least be considered when planning treatment strategies for posttraumatic headache.
View Full Paper →EEG biofeedback and relaxation training in the control of epileptic seizures
Research utilizing sensorimotor rhythm (SMR) biofeedback with epileptics suggests that it is useful in decreasing seizures. Subjects were 6 young adults with a diagnosis of epilepsy of at least two years who had been unable to control their seizures with different regimens of anticonvulsant medications. Subjects ranged from severely mentally handicapped to above average functioning. Seizure type, frequency, and duration were recorded by subjects and caretakers. Measures of operant learning were percent time in SMR. The experiment utilized a single subject multiple baseline design which consisted of 6 phases: baseline one, relaxation training; baseline two, biofeedback training one; baseline three, biofeedback treatment two and follow-up. The results of this study are in agreement with other studies using SMR biofeedback. All subjects were able to significantly increase percent time in SMR. Five out of the 6 subjects demonstrated decreases in seizure frequency during the treatment phase. Two of the 6 subjects benefited from relaxation training. Four subjects demonstrated significant negative correlations between percent SMR and seizure rates. Consistent with other studies utilizing multiple baseline designs, a majority of the subjects did not follow the design of the study.
View Full Paper →The use of EEG theta biofeedback in the treatment of a patient with sleep-onset insomnia
In this report, the treatment of a 42-year-old female with a complaint of chronic sleep-onset insomnia is described. Following the unsuccessful use of relaxation training, treatment consisted of 11 sessions of EEG theta rhythm (4–7 Hz) biofeedback. Theta density and five sleep indices were monitored throughout baseline, placebo, and treatment sessions. A significant increase in theta density was accompanied by reports of a decrease in sleep latency and an increase in total sleep time. This improvement was maintained after withdrawal of medication and at 3-month follow-up.
View Full Paper →Effects of Alpha Feedback Training on Occipital EEG, Heart Rate, and Experiential Reactivity to a Laboratory Stressor
The intent of this study was to examine whether brief alpha biofeedback training would alter the degree of physiological and experiential stress evidenced in an aversive laboratory situation. While occipital alpha and heart rate were monitored, 36 subjects underwent 8 presentations of a warning tone preceding fingertip electric shock by 30 sec. Subjects were then placed into one of three treatments taking place in dim light with eyes open. Group 1 received 24 min of contingent feedback. Group 2 received an equivalent amount of non-contingent feedback and Group 3, a no-feedback control condition, listened to music. Following the treatment period, 12 additional tone-shock pairings were presented, equally divided between eyes-open and eyes-closed trials, also with and without continuation of the treatment period “signal” (i.e. contingent, non-contingent feedback, or music). The results revealed that, in general, enhanced alpha density was maintained by the contingent feedback group during the post-treatment aversive situation. However, the reduction in alpha suppression was not systematically accompanied by corresponding heart rate and self-report reductions in situational reactivity. It was concluded that alpha feedback training was not sufficient to produce a generalized relaxation to the aversive situation. Alternative accounts of the results, focusing primarily on independence of response systems, are discussed.
View Full Paper →THE TREATMENT OF HEADACHE BY MEANS OF ELECTROENCEPHALOGRAPHIC BIOFEEDBACK
A method of treatment of tension headache by means of relaxation training augmented by feedback of alpha frequency EEG is presented. The alleviation of headache symptoms and associated musculoskeletal tension in the majority of patients suggests that it is an effective treatment method. It is more effective than induced relaxation alone and appears to be more effective than EMG biofeedback used with this particular disorder.
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