DOI QR코드

DOI QR Code

A Case of Alpha Wave Asymmetric Neurofeedback Training of Adolescents having Left and Right Alpha Wave Asymmetry Caused by Traumatic Brain Injury Sequela

외상성 뇌손상 후유증으로 인한 좌 우 Alpha파 비대칭성이 유발된 청소년의 Alpha파 비대칭 뉴로피드백 훈련 1례

  • 정문주 (한양대학교 교육학과) ;
  • 원희욱 (서울불교대학원대학교 뇌인지과학과) ;
  • 채은영 (더드림 상담연구소)
  • Received : 2017.07.18
  • Accepted : 2017.08.17
  • Published : 2017.08.31

Abstract

The purpose of this study is to determine an effective training method to improve sequela, since traumatic brain injury sequela is a major factor in determining the quality of life. Neurofeedback training was conducted for an adolescent who had experienced traumatic brain injury during his childhood and who had difficulty in cognitive learning and emotional aspects. The assessment of an adolescent was conducted using K-WAIS-IV intelligence test and QEEG brain wave analysis. In the neurofeedback training, T3 alpha wave compensation and T4 alpha wave inhibition training were performed 36 times for 30 minutes three times a week. In addition to the neurofeedback training, respiratory meditation was also made available to the adolescent. As a result, the adolescent showed a stable condition as indicated by taking a good sleep, reducing test anxiety, and satisfaction with final exam results. This study revealed the possibility for hidden physical and psychological problems arising due to childhood brain trauma. It has also recently been discovered that a more diverse set of tools can be found. In addition, these childhood traumatic brain injuries can be improved through brain training and meditation. The study finding is meaningful for its suggestion of a fusion method for developing mind and body therapy in terms of brain science.

References

  1. E. D. Bigler, "The lesion(s) in traumatic brain injury: Implications for clinical neuropsychology," Archives of clinical neuropsychology, vol. 16. no. 2, pp. 95-131, 2001. DOI: https://doi.org/10.1093/arclin/16.2.95 https://doi.org/10.1093/arclin/16.2.95
  2. S. R. Finfer, J. Cohen, "Severe traumatic brain injury," Resuscitation. vol. 48. no. 1, pp. 77-90, 2001. DOI: https://doi.org/10.1016/S0300-9572(00)00321-X https://doi.org/10.1016/S0300-9572(00)00321-X
  3. R. R. Leker, E. Shohami, "Cerebral ischemia and trauma-different etiologies yet similar mechanisms: neuroprotective opportunities," Brain Research Reviews, vol. 39. no.1, pp. 55-73, 2002. DOI: https://doi.org/10.1016/S0165-0173(02)00157-1 https://doi.org/10.1016/S0165-0173(02)00157-1
  4. B. G. Kim. Y. J. Park. "A case study on the early intervention of early stages of infants with risk of disability due to brain injury," Special Education Rehabilitation Science Research, vol. 54. no. 3, pp. 127-148, 2015. DOI: https://doi.org/10.15870/jsers.2015.09.54.3.127 https://doi.org/10.15870/jsers.2015.09.54.3.127
  5. K. S. Kang. H. L. Myung. "Exploring educational application of children with disabilities based on brain science theory," Research in Early Childhood Special Education, vol. 7, pp. 165-188, 2007.
  6. T. Duka, N. A. Harrison, O. D. Howes, "Immune influences on the brain: new findings and implications for treatment," Psychopharmacology. vol. 233, no. 9, pp. 1539-1541, 2016. DOI: https://doi.org/10.1007/s00213-016-4287-9 https://doi.org/10.1007/s00213-016-4287-9
  7. J. S. Park, S. H. Noh. "Quality of life level in the patients with traumatic brain injury," Journal of Korean neuropsychiatirc association. vol. 36, no. 4, pp. 648-657, 1997.
  8. J. M. Lee. "The Correlation Between Relationship Ability and Activities of Daily Living(ADL) Performance Ability of Patients With Traumatic Brain Injury(TBI)," Therapeutic science for neurorehabilitation. vol. 1, no. 1, pp. 71-79, 2012.
  9. H. Y. Shin. J. Y. Choi. "The Comparison of Clinical Characteristics Between Traumatic Brain Injury and Posttraumatic Stress Disorder Using the Minnesota Multiphasic Personality Inventory-2 Restructured Form," Korean journal of health psychology. vol. 21, no. 4, pp. 943-964, 2016. DOI: https://doi.org/10.17315/kjhp.2016.21.4.016 https://doi.org/10.17315/kjhp.2016.21.4.016
  10. C. Nagel, J. Diedler, I. Gerbig, E. Heimberg, M. U. Schuhmann, K. Hockel, K. "State of cerebrovascular autoregulation correlates with outcome in severe infant/pediatric traumatic brain injury," In Intracranial Pressure and Brain Monitoring XV (pp. 239-244). Springer International Publishing, 2016. DOI: https://doi.org/10.1007/978-3-319-22533-3_48
  11. D. Pizzagalli, R. D. Pascual-Marqui, J. B. Nitschke, T. R. Oakes, C. L. Larson, C. L. H. C. Abercrombie, R. J. Davidson, R. J. "Anterior cingulate activity as a predictor of degree of treatment response in major depression: evidence from brain electrical tomography analysis," American Journal of Psychiatry, vol. 158. no. 3, pp. 405-415, 2001. DOI: https://doi.org/10.1176/appi.ajp.158.3.405 https://doi.org/10.1176/appi.ajp.158.3.405
  12. M. A. Lim, D. H. Kang, H. J. Lee, D. R. Kim, H. S. Seo, J. W. Kim, P. G. Kim, 2016
  13. F. X. Castellanos, J. Swanson, "Biological underpinnings of ADHD. Hyperactivity and attention disorders of childhood," vol. 2, pp. 336-366, 2002.
  14. M. I. Jordan, "On statistics, computation and scalability," Bernoulli, vol. 19. no. 4, pp. 1378-1390, 2013. DOI: https://doi.org/10.3150/12-BEJSP17 https://doi.org/10.3150/12-BEJSP17
  15. R. Moseley, "Immersive brain entrainment in virtual worlds: actualizing meditative states," In Emerging Trends and Advanced Technologies for Computational Intelligence (pp. 315-346). Springer International Publishing, 2016. DOI: https://doi.org/10.1007/978-3-319-33353-3_17
  16. D, R, Simkin, R. W. Thatcher, J. Lubar. "Quantitative EEG and neurofeedback in children and adolescents: Anxiety disorders, depressive disorders, comorbid addiction and attention-deficit/hyperactivity disorder, and brain injury," Child and adolescent psychiatric clinics of North America, vol. 23. no. 3, pp. 427-464, 2014. https://doi.org/10.1016/j.chc.2014.03.001
  17. I. Keller. "Neurofeedback therapy of attention deficits in patients with traumatic brain injury,"Journal of Neurotherapy, vol. 5. no. 1-2, pp. 19-32, 2001. DOI: https://doi.org/10.1300/J184v05n01_03 https://doi.org/10.1300/J184v05n01_03
  18. B. N. Kim. "Child and adolescent onset obsessive-compulsive disorder," Korean Journal of Psychopharmacology, vol. 14, no. 2, pp. 119-128, 2003.
  19. I. S. Wang, O. K. Cho. "The effects of yoga program on personalization, Anxiety and meaning of life in self - Supported female participants," Korean Psychological Association: Health, vol. 11, no. 3, pp. 587-606, 2002.
  20. S. T. Hwang, J. H. Kim, K. B. Park, J. Y. Choi, & S. H. Hong. "Standardization of K-WAIS-IV- Reliability and Validity," Korean Psychological Association Annual Conference 2012, Single Issue, pp. 140, 2012.
  21. S. Tu, J. Tu, "Stem Cell Therapy in Traumatic Brain Injury," In Neurological Regeneration (pp. 13-48). Springer International Publishing, 2017. DOI: https://doi.org/10.1007/978-3-319-33720-3_8
  22. D. Galin, R. R. Ellis. "Asymmetry in evoked potentials as an index of lateralized cognitive processes: Relation to EEG alpha asymmetry," Neuropsychologia, vol. 13, no. 1, pp. 45-50. 1975. DOI: https://doi.org/10.1016/0028-3932(75)90046-9 https://doi.org/10.1016/0028-3932(75)90046-9
  23. H. S. Lim, M. S. Chae, B. W. Park. "Emotional and behavioral characteristics of early childhood comparing alpha wave and beta wave asymmetry at prefrontal lobe and with BIS/BAS," Journal of Korea academiaindustrial cooperation society. vol. 12, no. 6, pp. 2588-2597, 2011. DOI: https://doi.org/10.5762/KAIS.2011.12.6.2588 https://doi.org/10.5762/KAIS.2011.12.6.2588
  24. G. J. Bak, B. W. Park, S. G. An. "A Study on the effects of prefrontal lobe neurofeedback training on the corelation of children by timeseries linear analysis," Journal of Korea academia-industrial cooperation society. vol. 10, no. 7, pp. 1673-1679, 2009. https://doi.org/10.5762/KAIS.2009.10.7.1673
  25. J. E. Walker, G. P. Kozlowski, R. Lawson, "A modular activation/coherence approach to evaluating clinical/ QEEG correlations and for guiding neurofeedback training: modular insufficiencies, modular excesses, disconnections, and hyperconnections," Journal of Neurotherapy, vol. 11. no. 1, pp. 25-44, 2007. DOI: https://doi.org/10.1300/J184v11n01_03 https://doi.org/10.1300/J184v11n01_03
  26. D. P. Macfarlane, J. A. Nicoll, C. Smith, D. I. Graham, "APOE ${\epsilon}4$ allele and amyloid ${\beta}$‐protein deposition in long term survivors of head injury," Neuroreport, vol. 10. no. 18, pp. 3945-3948. 1999. DOI: https://doi.org/10.1097/00001756-199912160-00040 https://doi.org/10.1097/00001756-199912160-00040
  27. J. Ghajar, "Traumatic brain injury," The Lancet, vol. 356. no. 9233, pp. 923-929, 2000. DOI: https://doi.org/10.1016/S0140-6736(00)02689-1 https://doi.org/10.1016/S0140-6736(00)02689-1
  28. J. D. Haynes, G. Rees, G. "Decoding mental states from brain activity in humans," Nature reviews. Neuroscience. vol. 7, no. 7, pp. 523, 2006. DOI: https://doi.org/10.1038/nrn1931 https://doi.org/10.1038/nrn1931
  29. D. R. Weinberger, L. B. Bigelow, J. E. Kleinman, S. T. Klein, J. E. Rosenblatt, R. J. Wyatt, "Cerebral ventricular enlargement in chronic schizophrenia: An association with poor response to treatment," Archives of General Psychiatry, vol. 37. no. 1, pp. 11-13. 1980. DOI: https://doi.org/10.1001/archpsyc.1980.01780140013001 https://doi.org/10.1001/archpsyc.1980.01780140013001
  30. J. H. Shin, H. S. Kim, J. A. Kim. "The effects of brain education based on career camp program for child . adolescent's career maturity," Journal of Korea academia-industrial cooperation society. vol. 18, no. 3, pp. 215-222, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.3.215 https://doi.org/10.5762/KAIS.2017.18.3.215
  31. S. H. Shin. "A study on employment stress and self-esteem of health college students," Journal of dental hygiene science. vol. 12. no. 3, pp. 217-225, 2012.
  32. H. J. Kim, H. S. Kim, H. K. Park. "Analysis of linguistic creativity according to the types of brain dominance for developing pre-service early childhood teachers' creativity teacher education program," Journal of digital convergence. vol. 15, no. 5, pp. 79-88, 2017. https://doi.org/10.14400/JDC.2017.15.5.79
  33. M. J. Park, D. W. Choi(2017). "The convergence eEffect of career education program for freshmen of nursing department on learning motivation, college life adaptation and self-efficacy," Journal of digital convergence. vol. 15, no. 4, pp. 339-349, 2017. DOI: https://doi.org/10.14400/JDC.2017.15.4.339 https://doi.org/10.14400/JDC.2017.15.4.339
  34. R. Mayou, B. Bryant, "Outcome 3 years after a road traffic accident," Psychological medicine, vol. 32. no. 4, pp. 671-675, 2002. DOI: https://doi.org/10.1017/S0033291702005470
  35. C. Catroppa, V. A. Anderson, S. A. Morse, F. Haritou, J. V. Rosenfeld. "Outcome and predictors of functional recovery 5 years following pediatric traumatic brain injury (TBI)," Journal of pediatric psychology. vol. 33, no. 7, pp. 707-718, 2008. DOI: https://doi.org/10.1093/jpepsy/jsn006 https://doi.org/10.1093/jpepsy/jsn006
  36. A. Gerrard-Morris, H. G. Taylor. K. O. Yeates, N. C. Walz, T. Stancin, N. Minich, S. L. Wade. "Cognitive development after traumatic brain injury in young children," Journal of the International Neuropsychological Society. vol. 16. no. 1, pp. 157-168, 2010. DOI: https://doi.org/10.1017/S1355617709991135 https://doi.org/10.1017/S1355617709991135
  37. D. M. Kim. "The effects of the brain education meditation program on self-regulated learning ability and the academic self-efficacy of elementary school students," Journal of digital convergence. vol. 14, no. 5, pp. 77-84, 2016. https://doi.org/10.14400/JDC.2016.14.5.77
  38. D. C. Hammond, L. Kirk, "First, do no harm: Adverse effects and the need for practice standards in neurofeedback," Journal of Neurotherapy, vol. 12. no. 1, 79-88, 2008. DOI: https://doi.org/10.1080/10874200802219947 https://doi.org/10.1080/10874200802219947
  39. V. E. Wilson, E. Peper, D. Moss, "The mind room in Italian soccer training: The use of biofeedback and neurofeedback for optimum performance," Biofeedback, vol. 34, no. 3, 2006.
  40. D. J. Kearney, K. McDermott, M. Martinez, T. L. Simpson, "Association of participation in a mindfulness programme with bowel symptoms, gastrointestinal symptom-specific anxiety and quality of life," Alimentary pharmacology & therapeutics, vol. 34. no. 3, pp. 363-373, 2011. https://doi.org/10.1111/j.1365-2036.2011.04731.x
  41. Y. S. Kim, Y. H. Kim. "Effects of Brain Respiration Program on Test Anxiety and Depression in Nursing Students," Journal of Korean public health nursing. vol. 23, no. 2, pp. 251-261, 2009.
  42. S. G. An, G. J. Baek. "The Effect of brainwave training on students' acadamic achievement and ability of resisting stress -for the primary student-" Journal of Korea academia-industrial cooperation society. vol. 10, no. 10, pp. 2952-2958, 2009. https://doi.org/10.5762/KAIS.2009.10.10.2952
  43. J. H. Kim. "Systematic mindfulness for stress management : Focusing on mindfulness of the emotion," Korean journal of health psychology. vol. 6, no. 1, 23-58, 2001.