Cargando…

Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study

In this pilot study near-infrared spectroscopy (NIRS) neurofeedback was investigated as a new method for the treatment of Attention Deficit-/Hyperactivity Disorder (ADHD). Oxygenated hemoglobin in the prefrontal cortex of children with ADHD was measured and fed back. 12 sessions of NIRS-neurofeedbac...

Descripción completa

Detalles Bibliográficos
Autores principales: Marx, Anna-Maria, Ehlis, Ann-Christine, Furdea, Adrian, Holtmann, Martin, Banaschewski, Tobias, Brandeis, Daniel, Rothenberger, Aribert, Gevensleben, Holger, Freitag, Christine M., Fuchsenberger, Yvonne, Fallgatter, Andreas J., Strehl, Ute
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285751/
https://www.ncbi.nlm.nih.gov/pubmed/25610390
http://dx.doi.org/10.3389/fnhum.2014.01038
_version_ 1782351593082978304
author Marx, Anna-Maria
Ehlis, Ann-Christine
Furdea, Adrian
Holtmann, Martin
Banaschewski, Tobias
Brandeis, Daniel
Rothenberger, Aribert
Gevensleben, Holger
Freitag, Christine M.
Fuchsenberger, Yvonne
Fallgatter, Andreas J.
Strehl, Ute
author_facet Marx, Anna-Maria
Ehlis, Ann-Christine
Furdea, Adrian
Holtmann, Martin
Banaschewski, Tobias
Brandeis, Daniel
Rothenberger, Aribert
Gevensleben, Holger
Freitag, Christine M.
Fuchsenberger, Yvonne
Fallgatter, Andreas J.
Strehl, Ute
author_sort Marx, Anna-Maria
collection PubMed
description In this pilot study near-infrared spectroscopy (NIRS) neurofeedback was investigated as a new method for the treatment of Attention Deficit-/Hyperactivity Disorder (ADHD). Oxygenated hemoglobin in the prefrontal cortex of children with ADHD was measured and fed back. 12 sessions of NIRS-neurofeedback were compared to the intermediate outcome after 12 sessions of EEG-neurofeedback (slow cortical potentials, SCP) and 12 sessions of EMG-feedback (muscular activity of left and right musculus supraspinatus). The task was either to increase or decrease hemodynamic activity in the prefrontal cortex (NIRS), to produce positive or negative shifts of SCP (EEG) or to increase or decrease muscular activity (EMG). In each group nine children with ADHD, aged 7–10 years, took part. Changes in parents’ ratings of ADHD symptoms were assessed before and after the 12 sessions and compared within and between groups. For the NIRS-group additional teachers’ ratings of ADHD symptoms, parents’ and teachers’ ratings of associated behavioral symptoms, childrens’ self reports on quality of life and a computer based attention task were conducted before, 4 weeks and 6 months after training. As primary outcome, ADHD symptoms decreased significantly 4 weeks and 6 months after the NIRS training, according to parents’ ratings. In teachers’ ratings of ADHD symptoms there was a significant reduction 4 weeks after the training. The performance in the computer based attention test improved significantly. Within-group comparisons after 12 sessions of NIRS-, EEG- and EMG-training revealed a significant reduction in ADHD symptoms in the NIRS-group and a trend for EEG- and EMG-groups. No significant differences for symptom reduction were found between the groups. Despite the limitations of small groups and the comparison of a completed with two uncompleted interventions, the results of this pilot study are promising. NIRS-neurofeedback could be a time-effective treatment for ADHD and an interesting new option to consider in the treatment of ADHD.
format Online
Article
Text
id pubmed-4285751
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-42857512015-01-21 Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study Marx, Anna-Maria Ehlis, Ann-Christine Furdea, Adrian Holtmann, Martin Banaschewski, Tobias Brandeis, Daniel Rothenberger, Aribert Gevensleben, Holger Freitag, Christine M. Fuchsenberger, Yvonne Fallgatter, Andreas J. Strehl, Ute Front Hum Neurosci Neuroscience In this pilot study near-infrared spectroscopy (NIRS) neurofeedback was investigated as a new method for the treatment of Attention Deficit-/Hyperactivity Disorder (ADHD). Oxygenated hemoglobin in the prefrontal cortex of children with ADHD was measured and fed back. 12 sessions of NIRS-neurofeedback were compared to the intermediate outcome after 12 sessions of EEG-neurofeedback (slow cortical potentials, SCP) and 12 sessions of EMG-feedback (muscular activity of left and right musculus supraspinatus). The task was either to increase or decrease hemodynamic activity in the prefrontal cortex (NIRS), to produce positive or negative shifts of SCP (EEG) or to increase or decrease muscular activity (EMG). In each group nine children with ADHD, aged 7–10 years, took part. Changes in parents’ ratings of ADHD symptoms were assessed before and after the 12 sessions and compared within and between groups. For the NIRS-group additional teachers’ ratings of ADHD symptoms, parents’ and teachers’ ratings of associated behavioral symptoms, childrens’ self reports on quality of life and a computer based attention task were conducted before, 4 weeks and 6 months after training. As primary outcome, ADHD symptoms decreased significantly 4 weeks and 6 months after the NIRS training, according to parents’ ratings. In teachers’ ratings of ADHD symptoms there was a significant reduction 4 weeks after the training. The performance in the computer based attention test improved significantly. Within-group comparisons after 12 sessions of NIRS-, EEG- and EMG-training revealed a significant reduction in ADHD symptoms in the NIRS-group and a trend for EEG- and EMG-groups. No significant differences for symptom reduction were found between the groups. Despite the limitations of small groups and the comparison of a completed with two uncompleted interventions, the results of this pilot study are promising. NIRS-neurofeedback could be a time-effective treatment for ADHD and an interesting new option to consider in the treatment of ADHD. Frontiers Media S.A. 2015-01-07 /pmc/articles/PMC4285751/ /pubmed/25610390 http://dx.doi.org/10.3389/fnhum.2014.01038 Text en Copyright © 2015 Marx, Ehlis, Furdea, Holtmann, Banaschewski, Brandeis, Rothenberger, Gevensleben, Freitag, Fuchsenberger, Fallgatter and Strehl. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution and reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Marx, Anna-Maria
Ehlis, Ann-Christine
Furdea, Adrian
Holtmann, Martin
Banaschewski, Tobias
Brandeis, Daniel
Rothenberger, Aribert
Gevensleben, Holger
Freitag, Christine M.
Fuchsenberger, Yvonne
Fallgatter, Andreas J.
Strehl, Ute
Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study
title Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study
title_full Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study
title_fullStr Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study
title_full_unstemmed Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study
title_short Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)—a pilot study
title_sort near-infrared spectroscopy (nirs) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (adhd)—a pilot study
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285751/
https://www.ncbi.nlm.nih.gov/pubmed/25610390
http://dx.doi.org/10.3389/fnhum.2014.01038
work_keys_str_mv AT marxannamaria nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT ehlisannchristine nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT furdeaadrian nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT holtmannmartin nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT banaschewskitobias nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT brandeisdaniel nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT rothenbergeraribert nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT gevenslebenholger nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT freitagchristinem nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT fuchsenbergeryvonne nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT fallgatterandreasj nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy
AT strehlute nearinfraredspectroscopynirsneurofeedbackasatreatmentforchildrenwithattentiondeficithyperactivitydisorderadhdapilotstudy