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 rats. Consistent with other studies utilizing multiple baseline designs, a majority of the subjects did not follow the design of the study.

[1]  Neurophysiologic and clinical studies of sensorimotor EEG biofeedback training: some effects on epilepsy. , 1973, Seminars in psychiatry.

[2]  EEG feedback training in the treatment of epilepsy: Some questions and some answers , 1977, The Pavlovian journal of biological science.

[3]  A. Black,et al.  Reducing epileptic seizures through operant conditioning of central nervous system activity: procedural variables. , 1979, Science.

[4]  M. Sterman,et al.  Effects of Central Cortical EEG Feedback Training on Incidence of Poorly Controlled Seizures , 1978, Epilepsia.

[5]  W. W. Finley Operant conditioning of the EEG in two patients with epilepsy: Methodologic and clinical considerations , 1977, The Pavlovian journal of biological science.

[6]  W. W. Finley Effects of sham feedback following successful SMR training in an epileptic , 1976, Biofeedback and self-regulation.

[7]  EEG Operant Conditioning for Control of Epilepsy , 1979, Epilepsia.

[8]  Hoyt A. Smith,et al.  Reduction of seizures and normalization of the EEG in a severe epileptic following sensorimotor biofeedback training: Preliminary study , 1975, Biological Psychology.

[9]  J. Lubar,et al.  Behavioral management of epileptic seizures following EEG biofeedback training of the sensorimotor rhythm , 1976, Biofeedback and self-regulation.

[10]  M. Sterman,et al.  Biofeedback Training of the Sensorimotor Electroencephalogram Rhythm in Man: Effects on Epilepsy , 1974, Epilepsia.

[11]  A. Wyler,et al.  Conditioned EEG desynchronization and seizure occurrence in patients. , 1976, Electroencephalography and clinical neurophysiology.

[12]  B. Ellertsen,et al.  Clinical Application of Biofeedback Training in Epilepsy , 1976 .

[13]  M B Sterman,et al.  Suppression of seizures in an epileptic following sensorimotor EEG feedback training. , 1972, Electroencephalography and clinical neurophysiology.

[14]  Bonnie J. Kaplan,et al.  Biofeedback in Epileptics: Equivocal Relationship of Reinforced EEG Frequency to Seizure Reduction , 1975, Epilepsia.

[15]  M. Trimble,et al.  Anticonvulsant serum levels: relationship to impairments of cognitive functioning. , 1983, Journal of neurology, neurosurgery, and psychiatry.

[16]  M. Sterman,et al.  Somatosensory system evoked potentials during waking behavior and sleep in the cat. , 1973, Electroencephalography and clinical neurophysiology.

[17]  M B Sterman,et al.  Sensorimotor EEG operant conditioning: Experimental and clinical effects , 1977, The Pavlovian journal of biological science.

[18]  H Gastaut Comments on “Biofeedback in Epileptics: Equivocal Relationship of Reinforced EEG Frequency to Seizure Reduction” by Bonnie J. Kaplan, Epilepsia 16:477–485, 1975 , 1975, Epilepsia.

[19]  A. Upton,et al.  The Effects of Feedback on Focal Epileptic Discharges in Man , 1975, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[20]  A double-blind investigation of the relationship between seizure activity and the sleep EEG following EEG biofeedback training , 1982, Biofeedback and self-regulation.

[21]  J. Lubar,et al.  EEG operant conditioning in intractable epileptics. , 1981, Archives of neurology.

[22]  Electroencephalographic biofeedback methodology and the management of epilepsy , 1977, Integrative physiological and behavioral science : the official journal of the Pavlovian Society.

[23]  J. Lubar,et al.  Reduction of epileptic seizures through EEG biofeedback training , 1975, Biological Psychology.

[24]  Sterman Mb Neurophysiologic and clinical studies of sensorimotor EEG biofeedback training: some effects on epilepsy. , 1973 .

[25]  D. Scott,et al.  EEG features associated with the occurrence of epilepsy after surgery for intracranial aneurysm and acoustic neuroma. , 1977, Journal of neurology, neurosurgery, and psychiatry.