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The Efficacy of Neurofeedback for Pediatric Epilepsy.
Applied Psychophysiology and Biofeedback ( IF 2.2 ) Pub Date : 2019-08-12 , DOI: 10.1007/s10484-019-09446-y
Sarah E Nigro 1
Affiliation  

Approximately 470,000 children (birth to 18 years old) are affected by Epilepsy (CDC in Epilepsy. https://www.cdc.gov/epilepsy/index.html, 2018). Since the initial findings in the 1970s, Sensorimotor Rhythm (SMR) has been continuously utilized for the treatment of seizures. Studies have consistently demonstrated that SMR reduces the frequency and severity of seizure activity. Although a mix of pediatric cases, adolescents and adults have been sampled in previous studies, no age effects have been reported. There continues to be a lack of research in the area of neurofeedback for the treatment of epilepsy in the pediatric population. To date, no randomized control trial specific to pediatric epilepsy has been published. The existing research regarding the use of neurofeedback in the treatment of epilepsy provides strong evidence that neurofeedback training might be an effective treatment for pediatric epilepsy. However, existing studies are not specific to the pediatric population. Moreover, there is a lack of rigor in the studies in which the effects of neurofeedback in children and adolescents with epilepsy are documented. Therefore, based on the current literature, there is not enough evidence to state that neurofeedback is efficacious for the treatment of pediatric epilepsy. However, the APBB criteria for evidence-based practices indicate that neurofeedback for pediatric epilepsy is Possibly Efficacious (Level 2). Future research in which a randomized controlled trial approach is utilized will greatly help to increase support for the use of neurofeedback as an efficacious treatment for epilepsy.

中文翻译:

神经反馈对小儿癫痫的疗效。

大约470,000名儿童(出生至18岁)受到癫痫病的影响(CDC in Epilepsy.https://www.cdc.gov/epilepsy/index.html,2018)。自1970年代最初发现以来,感觉运动节律(SMR)一直被用于癫痫发作的治疗。研究一致表明,SMR可降低癫痫发作的频率和严重程度。尽管在先前的研究中对儿科病例,青少年和成人进行了混合采样,但没有年龄影响的报道。在神经反馈领域,对于小儿人群癫痫的治疗仍然缺乏研究。迄今为止,尚未发表针对小儿癫痫的随机对照试验。关于使用神经反馈治疗癫痫症的现有研究提供了有力的证据,表明神经反馈训练可能是一种有效的治疗小儿癫痫的方法。但是,现有研究并非专门针对儿童人群。此外,在研究中缺乏严格的文献记载了神经反馈对癫痫儿童和青少年的影响。因此,根据目前的文献,没有足够的证据表明神经反馈对治疗小儿癫痫有效。但是,APBB循证实践标准表明,小儿癫痫的神经反馈是 在研究中缺乏严格的文献记载了神经反馈对癫痫儿童和青少年的影响。因此,根据目前的文献,没有足够的证据表明神经反馈对治疗小儿癫痫有效。但是,APBB循证实践标准表明,小儿癫痫的神经反馈是 在研究中缺乏严格的文献记载了神经反馈对癫痫儿童和青少年的影响。因此,根据目前的文献,没有足够的证据表明神经反馈对治疗小儿癫痫有效。但是,APBB循证实践标准表明,小儿癫痫的神经反馈是可能有效(第2级)。使用随机对照试验方法的未来研究将极大地帮助增加对使用神经反馈作为癫痫有效治疗方法的支持。
更新日期:2019-08-12
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