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Supported only through anecdotal evidence or non-peer reviewed case-studies
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Based on the five-level grading of evidence used by the American Psychological Association (APA see Table 1), Monastra concludes that neurofeedback is “probably efficacious” for ADHD. Others, including CHADD’s Professional Advisory Board (PAB), suggest that “possibly efficacious” better reflects the state of published science. In a review of the published literature to date, Monastra noted that over the past 25 years, numerous studies have reported benefits from neurofeedback in ADHD. There are six partially controlled studies published that examine the effectiveness of neurofeedback as an ADHD intervention (See link below).
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The concept of neurofeedback as an intervention for ADHD is based on data showing that many individuals with ADHD have more slow-wave (especially theta) power in their EEG than those without ADHD, and conversely, less beta power.
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When the patient has learned how to increase these arousal levels, proponents believe improvements in attention will result and that there will be reductions in hyperactive/impulsive behavior. When the brainwaves are of the desired frequency, the beep may inform the patient, or the character in the game will move in the proper direction. Feedback is given to the patient with cues that can be as simple as an audio beep or as complex as a video game. Neurofeedback treatment involves placing electrodes on a person’s head to monitor brain activity. Supporters of this treatment suggest that the brain can be trained to increase the levels of arousal (increase beta waves and reduce theta waves) and thereby reduce ADHD symptoms. Neurofeedback, formerly called electroencephalographic (EEG) biofeedback, and occasionally referred to as neurotherapy, is an intervention for ADHD based on findings that many individuals with ADHD show low levels of arousal in frontal brain areas, with excess of theta waves and deficit of beta waves. (A fourth type of brain wave, called delta, is seen during deep sleep). Theta waves are often seen during times of drowsiness, daydreaming or during light sleep, but can also occur during thoughtless, restless overactivity. Beta waves are present when a person is interacting with the surrounding environment, and is concentrating, thinking, or solving problems. Alpha waves are seen when a person is in a relaxed state, and not actively thinking or interacting with one’s environment. There are several frequencies of brain waves when we are awake these are called alpha (medium), beta (fast), and theta (slow) waves. When the results of an EEG measurement are analyzed, scientists are able to identify certain brain wave patterns recorded by the machine. The human brain emits electrical activity in waves that can be measured by a device called an electroencephalograph (EEG).