Z-score neurofeedback, heart rate variability biofeedback, and brain coaching for older adults with memory concerns.

IF 1.9 4区 医学 Q4 NEUROSCIENCES
Kyle D Meeuwsen, Kayleah M Groeneveld, Linda A Walker, Anna M Mennenga, Rachel K Tittle, Elyse K White
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引用次数: 0

Abstract

Background: The three-month, multi-domain Memory Boot Camp program incorporates z-score neurofeedback (NFB), heart rate variability (HRV) biofeedback, and one-on-one coaching to teach memory skills and encourage behavior change in diet, sleep, physical fitness, and stress reduction.

Objective: This prospective trial evaluates the Memory Boot Camp program for adults ages 55 to 85 with symptoms of Mild Cognitive Impairment (MCI) and subjective memory complaints.

Methods: Participants were evaluated via the Montreal Cognitive Assessment (MoCA), NeuroTrax Global Cognitive Score, measures of anxiety, depression, sleep, quality of life, quantitative electroencephalography (QEEG), and HRV parameters at four timepoints: baseline, pre-program, post-program, and follow-up. The trial included a three-month waiting period between baseline and pre-program, such that each participant acted as their own control, and follow-up took place six months after completion of the program.

Results: Participants' MoCA scores and self-reported measures of anxiety, depression, sleep quality, and quality of life improved after treatment, and these changes were maintained at follow-up. Physiological changes in HRV parameters after treatment were not significant, however, breathing rate and QEEG parameters were improved at post-program and maintained at follow-up. Finally, participants' improvement in MoCA score over the treatment period was correlated with their improvement in two brain oscillation parameters targeted by the z-score NFB protocol: relative power of delta and relative power of theta.

Conclusions: Trial results suggest that the Memory Boot Camp program is a promising treatment strategy for older adults with symptoms of MCI and subjective memory complaints.

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Z-score神经反馈、心率变异性生物反馈以及针对有记忆问题的老年人的大脑辅导。
背景:为期三个月的多领域记忆训练营计划结合了z-分数神经反馈(NFB)、心率变异性(HRV)生物反馈和一对一辅导,教授记忆技能并鼓励改变饮食、睡眠、体能和减压方面的行为:这项前瞻性试验对记忆训练营计划进行评估,对象是 55 至 85 岁、有轻度认知障碍(MCI)症状和主观记忆抱怨的成年人:在基线、计划前、计划后和随访四个时间点,通过蒙特利尔认知评估(MoCA)、NeuroTrax 全球认知评分、焦虑、抑郁、睡眠、生活质量、定量脑电图(QEEG)和心率变异参数对参与者进行评估。试验在基线和计划前之间有三个月的等待期,因此每位参与者都是自己的对照组:结果:治疗后,参与者的 MoCA 评分以及焦虑、抑郁、睡眠质量和生活质量的自我报告指标均有所改善,这些变化在随访中得以保持。治疗后心率变异参数的生理变化不显著,但呼吸频率和 QEEG 参数在项目结束后有所改善,并在后续治疗中保持不变。最后,参与者在治疗期间MoCA评分的改善与z-score NFB方案所针对的两个大脑振荡参数的改善相关:delta相对功率和theta相对功率:试验结果表明,对于有 MCI 症状和主观记忆抱怨的老年人来说,记忆训练营计划是一种很有前景的治疗策略。
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来源期刊
CiteScore
5.40
自引率
3.60%
发文量
22
审稿时长
>12 weeks
期刊介绍: This interdisciplinary journal publishes papers relating to the plasticity and response of the nervous system to accidental or experimental injuries and their interventions, transplantation, neurodegenerative disorders and experimental strategies to improve regeneration or functional recovery and rehabilitation. Experimental and clinical research papers adopting fresh conceptual approaches are encouraged. The overriding criteria for publication are novelty, significant experimental or clinical relevance and interest to a multidisciplinary audience. Experiments on un-anesthetized animals should conform with the standards for the use of laboratory animals as established by the Institute of Laboratory Animal Resources, US National Academy of Sciences. Experiments in which paralytic agents are used must be justified. Patient identity should be concealed. All manuscripts are sent out for blind peer review to editorial board members or outside reviewers. Restorative Neurology and Neuroscience is a member of Neuroscience Peer Review Consortium.
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