Effects of quantitative electroencephalogram normalization using 4-channel live z-score training neurofeedback for children with learning disabilities: preliminary data

Children with learning disabilities (LD) can have difficulties in reading at word level, text comprehension, writing or arithmetic. Several studies have shown the efficacy of neurofeedback (NF) in improving learning skills through brainwave operant conditioning in children with LD. The aim of this work was to show the efficacy of live z-score NF training (LZT) for quantitative electroencephalogram (QEEG) normalization in school children with LD. Twenty-eight children aged 1015 years with LD participated. Ten 30-min sessions of QEEG-guided LZT using patient’s highly preferred feedback were applied. After 10 sessions of QEEGguided LZT, participants showed statistically significant improvements in QEEG normalization and a statistically significant small to medium improvement in the Cognitive and Emotional Checklist. The results suggest that LZT-NF produces a tendency towards normalization of brain waves in children with LD, and might be advised as a therapeutic alternative or coadjuvant along with cognitive interventions.

[1]  Peter C. Orlando,et al.  Journal of Neurotherapy: Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience Neurofeedback for Elementary Students with Identified Learning Problems , 2016 .

[2]  Benedikt Zoefel,et al.  Neurofeedback training of the upper alpha frequency band in EEG improves cognitive performance , 2011, NeuroImage.

[3]  Manuel Schabus,et al.  Increasing Individual Upper Alpha Power by Neurofeedback Improves Cognitive Performance in Human Subjects , 2005, Applied psychophysiology and biofeedback.

[4]  S. Hsieh,et al.  Neurofeedback training improves attention and working memory performance , 2013, Clinical Neurophysiology.

[5]  L. Stoller Z-Score Training, Combinatorics, and Phase Transitions , 2011 .

[6]  Neurofeedback Treatment of Two Children with Learning, Attention, Mood, Social, and Developmental Deficits , 2006 .

[7]  T. Collura,et al.  EEG Biofeedback Case Studies Using Live Z-Score Training and a Normative Database , 2010 .

[8]  G. Lindsay,et al.  Educational psychology and the effectiveness of inclusive education/mainstreaming. , 2007, The British journal of educational psychology.

[9]  Nancy L. Wigton,et al.  When Discussing Neurofeedback, Does Modality Matter? , 2014 .

[10]  W. Fisher,et al.  A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. , 1992, Journal of applied behavior analysis.

[11]  R. K. Tittle,et al.  Z-Score Neurofeedback and Heart Rate Variability Training for Adults and Children with Symptoms of Attention-Deficit/Hyperactivity Disorder: A Retrospective Study , 2019, Applied Psychophysiology and Biofeedback.

[12]  J. Kenemans,et al.  The Effects of QEEG-Informed Neurofeedback in ADHD: An Open-Label Pilot Study , 2012, Applied psychophysiology and biofeedback.

[13]  Tassaneewan Laksanasopin,et al.  Neurofeedback game for attention training in adults , 2017, 2017 10th Biomedical Engineering International Conference (BMEiCON).

[14]  Nancy L. Wigton,et al.  A Methodology of Analysis for Monitoring Treatment Progression with 19-Channel Z-Score Neurofeedback (19ZNF) in a Single-Subject Design , 2015, Applied psychophysiology and biofeedback.

[15]  Visual-motor Integration and its Relation to EEG Neurofeedback Brain Wave Patterns, Reading, Spelling, and Arithmetic Achievement in Attention Deficit Disordered and Learning Disabled Students , 1998 .

[16]  Thomas F. Collura,et al.  Technical Foundations of Neurofeedback , 2013 .

[17]  T. Collura Live Z-Score Neurofeedback , 2016 .

[18]  Richard P. DeShon,et al.  Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. , 2002, Psychological methods.

[19]  Nancy L. Wigton,et al.  A Review of qEEG-Guided Neurofeedback , 2015 .

[20]  Clinical Perspectives of 19-Channel Z-Score Neurofeedback: Benefits and Limitations , 2013 .

[21]  W. Fisher,et al.  Using a choice assessment to predict reinforcer effectiveness. , 1996, Journal of applied behavior analysis.

[22]  Recent Advances in Quantitative EEG as an Aid to Diagnosis and as a Guide to Neurofeedback Training for Cortical Hypofunctions, Hyperfunctions, Disconnections, and Hyperconnections: Improving Efficacy in Complicated Neurological and Psychological Disorders , 2010, Applied psychophysiology and biofeedback.

[23]  J. Oltra-Cucarella,et al.  Efficacy of Live Z-Score Neurofeedback Training for Chronic Insomnia: A Single-Case Study , 2019, NeuroRegulation.

[24]  R. DeShon,et al.  Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. , 2002 .

[25]  Nancy L. Wigton,et al.  Attention, Executive Function, Behavior, and Electrocortical Function, Significantly Improved With 19-Channel Z-Score Neurofeedback in a Clinical Setting: A Pilot Study , 2019, Journal of attention disorders.

[26]  D. Calvo,et al.  Neurofeedback Versus Pharmacological Intervention in the Treatment of Childhood Attention Deficit/Hyperactivity Disorder (ADHD): First Spanish Clinical Neuropsychological Study , 2018 .

[27]  D. Behrouz,et al.  The Effect of Neurofeedback Training on Increasing Sustained Attention in Veterans with Posttraumatic Stress Disorder , 2016 .

[28]  Ludo Verhoeven,et al.  Improvements in Spelling after QEEG-based Neurofeedback in Dyslexia: A Randomized Controlled Treatment Study , 2009, Applied psychophysiology and biofeedback.

[29]  D. Kaiser,et al.  Effect of Neurofeedback on Variables of Attention in a Large Multi-Center Trial , 2000 .

[30]  A. Azizi,et al.  Comparison of the Effect of Cognitive Rehabilitation and Neurofeedback on Sustained Attention Among Elementary School Students with Specific Learning Disorder: A Preliminary Randomized Controlled Clinical Trial , 2018, Applied psychophysiology and biofeedback.

[31]  E. Grigorenko,et al.  Neuropsychology of Learning Disabilities: The Past and the Future , 2017, Journal of the International Neuropsychological Society.

[32]  R. Thatcher Latest Developments in Live Z-Score Training: Symptom Check List, Phase Reset, and Loreta Z-Score Biofeedback , 2013 .

[33]  E. John,et al.  Conventional and quantitative electroencephalography in psychiatry. , 1999, The Journal of neuropsychiatry and clinical neurosciences.

[34]  T. Urdan,et al.  The Role of Context , 1999 .

[35]  Jonathan E. Walker QEEG-Guided Neurofeedback for Recurrent Migraine Headaches , 2011, Clinical EEG and neuroscience.

[36]  The Role of Context in the Evaluation of Reinforcer Efficacy: Implications for the Preference Assessment Outcomes. , 2012, Research in autism spectrum disorders.

[37]  Jacob Cohen,et al.  A power primer. , 1992, Psychological bulletin.