Heart Rate Variability and Traumatic Brain Injury (TBI): Clinical Applications

Reid-Chung, Andrea; Thompson, Michael; Thompson, Lynda

doi:10.5298/1081-5937-43.1.02

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…A small pilot study (Reid-Chung, Thompson, & Thompson, 2015), found NFB+HRV training to be effective in reducing symptoms in participants with PostConcussive Syndrome.…”

Section: Combinedmentioning

confidence: 99%

Combined Neurofeedback and Heart Rate Variability Training for Individuals with Symptoms of Anxiety and Depression: A Retrospective Study

White¹,

Groeneveld²,

Tittle³

et al. 2017

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Introduction.Neurofeedback (NFB) and heart rate variability (HRV) training present promising, nonpharmaceutical intervention strategies for anxiety and depression. This report is the first to address whether concurrent NFB and HRV (NFB+HRV) provides a viable intervention for symptoms of anxiety and depression, measured by the Achenbach System of Empirically Based Assessment (ASEBA) questionnaire. Methods. 183 children and adults with symptoms of anxiety and/or depression underwent NFB+HRV training. Psychological symptom rating, EEG, blood pressure, breathing pattern, and HRV were measured before and after treatment. Results. After NFB+HRV training, symptoms of anxiety (p < .001, d z = 1.42) and depression (p < .001, d z = 1.34) were reduced in children and adults. The majority of individuals with pretreatment symptoms of anxiety (82.8%) or depression (81.1%) experienced ASEBA improvements of clinical importance. There were also significant changes in EEG, breathing rate, and HRV. For the 16 individuals copresenting with hypertension, systolic and diastolic blood pressure were significantly reduced. Conclusion. We present evidence that NFB+HRV training may provide an effective, nonpharmaceutical intervention to reduce symptoms of anxiety and depression in children and adults. Additionally, NFB+HRV training may improve EEG, blood pressure, resting breathing rate, and HRV.

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“…A small pilot study (Reid-Chung, Thompson, & Thompson, 2015), found NFB+HRV training to be effective in reducing symptoms in participants with PostConcussive Syndrome.…”

Section: Combinedmentioning

confidence: 99%

Combined Neurofeedback and Heart Rate Variability Training for Individuals with Symptoms of Anxiety and Depression: A Retrospective Study

White¹,

Groeneveld²,

Tittle³

et al. 2017

View full text Add to dashboard Cite

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A Systematic Review of the Relationship Between Traumatic Brain Injury and Disruptions in Heart Rate Variability

Talbert,

Kaelberer,

Gleave

et al. 2024

Appl Psychophysiol Biofeedback

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Biofeedback as an intervention for persistent post-concussive symptoms: A randomized feasibility trial

Bonn

Alvarez

Graham

et al. 2021

Journal of Concussion

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Background Case reports indicate that low-resolution electromagnetic tomography neurofeedback and heart rate variability biofeedback may improve physiological functioning in individuals with persistent post-concussive symptoms. However, it is unclear whether larger-scale studies are feasible. Purpose To evaluate the feasibility of a combined low-resolution electromagnetic tomography neurofeedback and heart rate variability biofeedback intervention for individuals with persistent post-concussive symptoms. Methods Individuals with persistent post-concussive symptoms were randomized into intervention and control groups, and their baseline and post-test assessments were compared to a healthy control group. Outcomes included self-report questionnaires, resting electroencephalograph and electrocardiograph recordings, and a driving simulation task. Participants in the intervention group completed three 20 min low-resolution electromagnetic tomography neurofeedback sessions per week and at-home heart rate variability biofeedback training every morning and night for 8 weeks. Feasibility was evaluated according to recruitment capability and sample characteristics, data collection procedures, suitability of the intervention and study procedures, management and implementation of the study intervention, and preliminary participant responses to the intervention. Results Thirty-three individuals were recruited and 24 completed this study (seven intervention participants, nine persistent post-concussive symptoms control participants, and eight healthy control participants). One-quarter of participants (four intervention participants and three persistent post-concussive symptoms control participants) experienced simulator sickness during the driving simulator task and had to withdraw from the study. Intervention participants had an 88% and 86% compliance rate for the low-resolution electromagnetic tomography neurofeedback and heart rate variability biofeedback sessions, respectively. Low-resolution electromagnetic tomography neurofeedback sessions took approximately 1 h to complete per participant. Preliminary analysis indicated that the intervention reduced electroencephalograph z-score deviation with a very large effect size ( d = 1.36) compared to the other study groups. Conclusions Pilot studies evaluating the efficacy of low-resolution electromagnetic tomography neurofeedback and heart rate variability biofeedback should be performed to confirm these preliminary findings. However, the protocol should be modified to reduce participant fatigue and withdrawal. This trial was registered with Clinicialtrials.gov (NCT03338036; https://clinicaltrials.gov/ct2/show/NCT03338036?term=03338036&draw=2&rank=1 ).

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Heart Rate Variability and Traumatic Brain Injury (TBI): Clinical Applications

Cited by 4 publications

References 4 publications

Combined Neurofeedback and Heart Rate Variability Training for Individuals with Symptoms of Anxiety and Depression: A Retrospective Study

Combined Neurofeedback and Heart Rate Variability Training for Individuals with Symptoms of Anxiety and Depression: A Retrospective Study

A Systematic Review of the Relationship Between Traumatic Brain Injury and Disruptions in Heart Rate Variability

Biofeedback as an intervention for persistent post-concussive symptoms: A randomized feasibility trial

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