Combination of Neurofeedback and cognitive training in attention deficit due to multiple sclerosisстатья Тезисы

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Дата последнего поиска статьи во внешних источниках: 11 марта 2017 г.

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1. Полный текст ICO_2016.pdf 50,6 КБ 28 октября 2016 [VarakoNA]

[1] Combination of neurofeedback and cognitive training in attention deficit due to multiple sclerosis / O. R. Dobrushina, N. A. Varako, M. S. Kovyazina, Y. P. Zinchenko // International Journal of Psychophysiology. — 2016. — Vol. 108. — P. 118. Combination of Neurofeedback and cognitive training in attention deficit due to multiple sclerosis Olga R. Dobrushinaa , Natalya A. Varakob , María S. Kovyazinab , Yury P. Zinchenkob a International Institute of Psychosomatic Health, Moscow, Russia b Moscow State University, Moscow, Russia Background: Attention deficit is a common consequence of brain injury that leads to difficulties in everyday life and employment. Cognitive rehabilitation in progressive diseases is challenging and to date is mostly based on behavioral compensatory strategies. Rapidly developing technological methods aim to improve the function itself. Methods: Patient Y., 40 y.o. female, was admitted for outpatient rehabilitation with relapsing-remitting multiple sclerosis (9 years after the start of the disease) and gamma-knife treated left cerebellopontine angle meningioma (1.5 years before). She complained of difficulties focusing on tasks, memory deficit, fatigue and gait instability. Neuropsychological assessment revealed executive dysfunction with impulsivity, confabulations, instability of memory traces. Y. underwent computerized everyday attention training “Wikium” for 1 month. During the first 2 weeks she experienced a 11% gain in attention score, and then reached a performance plateau. She found no improvements in everyday life. We performed 10 session of infra-low frequency neurofeedback – bipolar training from T3T4 site with the “Cygnet” system, once a week. Results: After the introduction of neurofeedback Y. reported an improvement in attentiveness and working efficacy, which correlated with resuming gains in her attention score – 9% during the neurofeedback period. After the course completion she, once again, reached performance plateau. One month after the last neurofeedback session she reported preserved results. Discussion: Attention is known to improve with cognitive trainings, but their therapeutic potential is limited, especially in progressive diseases. Neurofeedback, being an intervention on the physiological level, may present additional opportunities for rehabilitation. Conclusion: The observed case demonstrates the efficacy of neurofeedback in restoration of attention. Controlled studies are needed to exclude a possible placebo-effect and to evaluate the therapeutic power of the intervention. [ DOI ]

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