The effects of neurofeedback training for children with cerebral palsy and co-occurring attention deficits: A pilot study

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-01-30 DOI:10.1111/cch.13231

Yuh-Chuan Chen, Wen-Pin Chang, Kai-Jie Liang, Chia-Ling Chen, Hsin-Yung Chen, Shu-Ping Chen, Pei-Ying S. Chan

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引用次数: 0

Abstract

Background

Limited research exists regarding the effectiveness of electroencephalogram (EEG) neurofeedback training for children with cerebral palsy (CP) and co-occurring attention deficits (ADs), despite the increasing prevalence of these dual conditions. This study aimed to fill this gap by examining the impact of neurofeedback training on the attention levels of children with CP and AD.

Methods

Nineteen children with both CP and co-occurring ADs were randomly assigned to either a neurofeedback or control group. The neurofeedback group received 20 sessions of training, lasting approximately 1 h per day, twice a week. Theta/beta ratios of the quantitative electroencephalography (QEEG) recordings were measured pre-training and post-training in the resting state. The Continuous Performance Test (CPT), the Test of Visual Perceptual Skills—3rd Version (TVPS-3) and the Conners' Parent Rating Scale (CPRS) were measured at pre- and post-training.

Results

The neurofeedback group showed both decreased theta/beta ratios compared with control group (p = 0.04) at post-training and a within-group improvement during training (p = 0.02). Additionally, the neurofeedback group had a trend of decreased omission rates of the CPT (p = 0.08) and the visual sequential memory and the visual closure subscores in the TVPS-3, compared with the control group (p = 0.02 and p = 0.01, respectively).

Conclusions

The results suggested that children with CP and co-occurring AD may benefit from neurofeedback training in their attention level. Further research is needed to explore long-term effects and expand its application in this population.

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神经反馈训练对合并注意力缺陷的脑瘫儿童的影响：试点研究

背景关于脑电图（EEG）神经反馈训练对患有脑性瘫痪（CP）和并发注意力缺陷（AD）的儿童的有效性的研究十分有限，尽管这种双重疾病的发病率越来越高。本研究旨在通过研究神经反馈训练对 CP 和 AD 儿童注意力水平的影响来填补这一空白。方法将 19 名同时患有先天性脑瘫和并发注意力缺失症的儿童随机分配到神经反馈组或对照组。神经反馈组接受 20 次训练，每天约 1 小时，每周两次。在训练前和训练后的静息状态下，测量定量脑电图（QEEG）记录的θ/β比率。连续表现测试（CPT）、视知觉能力测试-第 3 版（TVPS-3）和康纳斯家长评定量表（CPRS）分别在训练前和训练后进行测量。结果与对照组相比，神经反馈组在训练后的θ/β比值均有所下降（p = 0.04），而且在训练期间组内的θ/β比值也有所提高（p = 0.02）。此外，与对照组相比（p = 0.02 和 p = 0.01），神经反馈组在 CPT（p = 0.08）、TVPS-3 中的视觉顺序记忆和视觉闭合分项中的遗漏率呈下降趋势。结论研究结果表明，神经反馈训练可帮助患有 CP 和并发注意力缺失症的儿童提高注意力水平。要探索神经反馈训练的长期效果并扩大其在这一人群中的应用，还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.