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1

Slavikova, M., N. Sekaninova, Olexova L. Bona, Z. Visnovcova, and I. Tonhajzerova. "Biofeedback – A Promising Non Pharmacological Tool of Stress – Related Disorders." Acta Medica Martiniana 20, no. 1 (April 1, 2020): 1–8. http://dx.doi.org/10.2478/acm-2020-0001.

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AbstractBiofeedback is a therapeutic method of obtaining better awareness of physiological functions based on principles of operant conditioning and learning in general. While patient observes changes in physiological parameters in real-time (e.g. blood pressure, heart rate variability, temperature, electrodermal activity, etc.), he/she learns how to manipulate them at will. By means of this technique, individuals can improve their mental, emotional, and physical health. Clinical biofeedback training becomes popular for treating a variety of medical conditions, manage ment of disease symptoms, and improvement of overall health through training of stress management. There is no center or group to systematically deal with biofeedback methods in Slovakia, except the Slovak Institute of CBT (cognitive-behavioral therapy) that teaches biofeedback as a therapeutic method. However, biofeedback and its opportunities have a relatively long history of exploration and practice, which is the best precondition for positive changes in this area. The review article aims to provide an insight to biofeedback training as a non-pharmacological therapeutic tool in stress management and stress-related diseases and disorders. The article also describes biofeedback modalities and efficacy on various medical conditions.
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2

Nelson Ferguson, Kendra, and Craig Hall. "Sport Biofeedback: Exploring Implications and Limitations of Its Use." Sport Psychologist 34, no. 3 (September 1, 2020): 232–41. http://dx.doi.org/10.1123/tsp.2019-0109.

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Biofeedback is among the various self-regulation techniques that mental performance consultants can utilize in their practice with athletes. Biofeedback produces psychophysiological assessments in real time to enhance awareness of thoughts and emotions. Quantitatively, research shows that biofeedback can facilitate self-regulation, allowing an athlete to gain control over psychophysiological responses that could be detrimental to performance. With technology becoming a widespread tool in monitoring psychophysiological states, an exploration of consultants’ use of biofeedback, their perceptions of effectiveness, and limitations of their use was warranted to qualitatively evaluate efficiency of the tool. A qualitative descriptive approach was taken through semistructured interviews with 10 mental performance consultants. Inductive reasoning uncovered three themes: positive implications, practical limitations, and equipment options. With biofeedback, athletes have the ability to develop a deeper level of self-awareness and thereby facilitate the use of self-regulation strategies intended for optimal performance states and outcomes.
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Benore, Ethan, Gerard A. Banez, Tyson Sawchuk, and Jeffrey Bolek. "Applied Biofeedback in Pediatric Pain." Biofeedback 42, no. 3 (November 1, 2014): 96–102. http://dx.doi.org/10.5298/1081-5937-42.3.01.

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Biofeedback is an effective tool for treating pediatric pain. As biofeedback professionals, we often work within an interdisciplinary team for complicated cases of pain. This interprofessional care of pediatric chronic pain presents both advantages and potential hurdles to the biofeedback clinician. In this article, we detail two current biofeedback services affiliated with interprofessional pediatric pain management. We then use case examples to demonstrate key issues in interprofessional care. We conclude with opportunities for further development of interprofessional care involving biofeedback and lessons learned from our practice that may be beneficial to others in the field.
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Pinheiro, Cristiana, Joana Figueiredo, Nuno Magalhães, and Cristina P. Santos. "Wearable Biofeedback Improves Human-Robot Compliance during Ankle-Foot Exoskeleton-Assisted Gait Training: A Pre-Post Controlled Study in Healthy Participants." Sensors 20, no. 20 (October 17, 2020): 5876. http://dx.doi.org/10.3390/s20205876.

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The adjunctive use of biofeedback systems with exoskeletons may accelerate post-stroke gait rehabilitation. Wearable patient-oriented human-robot interaction-based biofeedback is proposed to improve patient-exoskeleton compliance regarding the interaction torque’s direction (joint motion strategy) and magnitude (user participation strategy) through auditory and vibrotactile cues during assisted gait training, respectively. Parallel physiotherapist-oriented strategies are also proposed such that physiotherapists can follow in real-time a patient’s motor performance towards effective involvement during training. A preliminary pre-post controlled study was conducted with eight healthy participants to conclude about the biofeedback’s efficacy during gait training driven by an ankle-foot exoskeleton and guided by a technical person. For the study group, performance related to the interaction torque’s direction increased during (p-value = 0.07) and after (p-value = 0.07) joint motion training. Further, the performance regarding the interaction torque’s magnitude significantly increased during (p-value = 0.03) and after (p-value = 68.59 × 10−3) user participation training. The experimental group and a technical person reported promising usability of the biofeedback and highlighted the importance of the timely cues from physiotherapist-oriented strategies. Less significant improvements in patient–exoskeleton compliance were observed in the control group. The overall findings suggest that the proposed biofeedback was able to improve the participant-exoskeleton compliance by enhancing human-robot interaction; thus, it may be a powerful tool to accelerate post-stroke ankle-foot deformity recovery.
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5

Kennedy, Lauren, and Sarah Henrickson Parker. "Biofeedback as a stress management tool: a systematic review." Cognition, Technology & Work 21, no. 2 (May 29, 2018): 161–90. http://dx.doi.org/10.1007/s10111-018-0487-x.

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6

Hasegawa, Naoya, and Tadayoshi Asaka. "Motor learning on postural control using auditory biofeedback training." Impact 2021, no. 8 (October 28, 2021): 55–57. http://dx.doi.org/10.21820/23987073.2021.8.55.

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Motor disorders are characterised by damage to the central nervous system, which subsequently affects muscles, motor skills and brain function. People with motor disorders can suffer injury as a result of falls and recovery from falls can be challenging. Augmented biofeedback modalities is an important tool used in physical therapy, providing individuals with biofeedback that helps guide them through the therapy. Biofeedback modalities have been designed for most of our senses, including auditory, visual and haptic and advances in technology have meant that biofeedback therapy can make use of wearable technology and future advances are expected to further assist. Therefore, it will be key to determine which biofeedback method works best for different training exercises and conditions in order to maximise the benefits of technological advances. Dr Naoya Hasegawa and Professor Tadayoshi Asaka are investigating which biofeedback method works best for different therapies. Their goal is to understand the characteristics of sensory modalities used for biofeedback training in order to help physical therapists determine appropriate approaches for different individuals. The researchers are currently investigating postural control with a view to defining the characteristics of postural control during walking and standing and developing new methods to enhance or improve it. This work involves the use of force plates, 3D motion analysis systems and electromyograms.
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Weerdmeester, Joanneke, Marieke MJW van Rooij, Rutger CME Engels, and Isabela Granic. "An Integrative Model for the Effectiveness of Biofeedback Interventions for Anxiety Regulation: Viewpoint." Journal of Medical Internet Research 22, no. 7 (July 23, 2020): e14958. http://dx.doi.org/10.2196/14958.

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Biofeedback has shown to be a promising tool for the treatment of anxiety; however, several theoretical as well as practical limitations have prevented widespread adaptation until now. With current technological advances and the increasing interest in the use of self-monitoring technology to improve mental health, we argue that this is an ideal time to launch a new wave of biofeedback training. In this viewpoint paper, we reflect on the current state of biofeedback training, including the more traditional techniques and mechanisms that have been thought to explain the effectiveness of biofeedback such as the integration of operant learning and meditation techniques, and the changes in interoceptive awareness and physiology. Subsequently, we propose an integrative model that includes a set of cognitive appraisals as potential determinants of adaptive trajectories within biofeedback training such as growth mindset, self-efficacy, locus of control, and threat-challenge appraisals. Finally, we present a set of detailed guidelines based on the integration of our model with the mechanics and mechanisms offered by emerging interactive technology to encourage a new phase of research and implementation using biofeedback. There is a great deal of promise for future biofeedback interventions that harness the power of wearables and video games, and that adopt a user-centered approach to help people regulate their anxiety in a way that feels engaging, personal, and meaningful.
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Vieira, Maryllian de Albuquerque, Ana Izabela Sobral de Oliveira-Souza, Gesa Hahn, Luisa Bähr, Susan Armijo-Olivo, and Ana Paula de Lima Ferreira. "Effectiveness of Biofeedback in Individuals with Awake Bruxism Compared to Other Types of Treatment: A Systematic Review." International Journal of Environmental Research and Public Health 20, no. 2 (January 14, 2023): 1558. http://dx.doi.org/10.3390/ijerph20021558.

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Excessive masticatory muscle activity is generally present in awake bruxism, which is related to increased anxiety and stress. It has been hypothesized that biofeedback could potentially manage awake bruxism, however, its effectiveness has not been empirically analyzed in a systematic manner. Therefore, this systematic review was designed to determine the effectiveness of biofeedback compared to other therapies in adults with awake bruxism. Extensive searches in five databases looking for randomized controlled trials (RCTs) that included biofeedback to manage awake bruxism were targeted. The risk of bias (RoB) assessment was conducted using the Cochrane RoB-2 tool. Overall, four studies were included in this systematic review, all of which used the electromyographic activity of the masticatory muscles during the day and night as the main endpoint. Auditory and visual biofeedback could reduce the excessive level of masticatory muscle activity in a few days of intervention. The majority of the included studies had a high RoB and only one study had a low RoB. The standardization of the biofeedback protocols was also inconsistent, which makes it difficult to establish the ideal protocol for the use of biofeedback in awake bruxism. Thus, it is proposed that future studies seek to reduce methodological risks and obtain more robust samples.
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9

Blumenstein, Boris, and Yitzhak Weinstein. "Biofeedback Training: Enhancing Athletic Performance." Biofeedback 39, no. 3 (November 1, 2011): 101–4. http://dx.doi.org/10.5298/1081-5937-39.3.07.

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During the last three decades, mental skills training of athletes has become widely accepted as an important factor in sport and a vital component of successful performance of top athletes. Biofeedback training (BFT) is a key element/tool of a complex multifaceted treatment/training program aimed at enhancing athletic performance. The main purpose of this conceptual paper is to illustrate the successful integration of the Wingate 5-Step Approach to training programs that are based on a periodization principle. This integration is targeted at the development of both physical and mental skills to optimize and enhance the effectiveness of the mental training process. Examples derived from our experiences are illustrated and discussed.
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10

Zhang, Zheng-Bo, Hao Wu, Jie-Wen Zheng, Wei-Dong Wang, Bu-Qing Wang, Hong-Yun Liu, and Guo-Jing Wang. "A WEARABLE BIOFEEDBACK SYSTEM SUPPORTING REAL-TIME PACED BREATHING TRAINING AND PHYSIOLOGICAL MONITORING." Biomedical Engineering: Applications, Basis and Communications 25, no. 02 (April 2013): 1350018. http://dx.doi.org/10.4015/s101623721350018x.

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Slow and regular breathing can generate beneficial effects on cardiovascular system and reduce stress. Breathing pacer is usually helpful for a user to learn to control breathing and restore an optimal breathing pattern. In this paper, a wearable physiological monitoring system supporting real-time breathing biofeedback is presented. An elastic T-shirt with two inductive bands integrated in the positions of rib cage (RC) and abdomen (AB) is used as a motherboard both for physiological monitoring and respiratory biofeedback. Physiological signals such as RC and AB respiration, electrocardiography (ECG), photoplethysmograph (PPG) and artery pulse wave (APW) can be sampled, stored and transmitted wirelessly. When this system is used in biofeedback applications, respiratory signals are processed in real-time by a peak-detection algorithm to recognize the concurrent breathing pattern. By comparing the actual breathing rate with the guiding breathing rate, an audio biofeedback is generated by playing music audios stored in the Micro-SD card through an MP3 decoder chip VS1053. With this design, multiple functions of physiological monitoring, real-time signal processing and audio biofeedback were integrated in one wearable system. Experiment showed that through audio biofeedback this system can guide the user to practice a slow and regular breathing effectively. Physiological data recorded from a Yoga practitioner during meditation demonstrated the capability of the system to acquire cardiopulmonary physiological data during slow breathing. This system is a useful tool both for breathing biofeedback training and its related scientific researches.
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11

Florjanski, Wojciech, Andrzej Malysa, Sylwia Orzeszek, Joanna Smardz, Anna Olchowy, Anna Paradowska-Stolarz, and Mieszko Wieckiewicz. "Evaluation of Biofeedback Usefulness in Masticatory Muscle Activity Management—A Systematic Review." Journal of Clinical Medicine 8, no. 6 (May 30, 2019): 766. http://dx.doi.org/10.3390/jcm8060766.

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Temporomandibular disorders (TMD) have multifactorial and complex etiology. Regardless of their etiology, all those conditions may result in centrally mediated chronic muscle pain, myalgia, myofascial pain, myofibrotic contracture, myosistis, myospasm, headache and a variety of neck, shoulder, upper back and lower back pain. Biofeedback (BF) is one of methods that has been used for more than 50 years in rehabilitation to facilitate normal movement patterns after injuries. Some studies suggest that biofeedback may be an effective treatment option for patients with different muscle disorders. The aim of this study was to evaluate the efficiency of biofeedback in masticatory muscle activity management in the light of current medical literature. The authors followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines for this systematic review. The authors searched the MEDLINE, Scopus, Web of Science, CINAHL databases to identify relevant publications. Finally 10 papers were included. Most of the selected studies showed a significant correlation between biofeedback usage and reduction of masticatory muscle activity. By analyzing qualified studies, it can be concluded that biofeedback can be an effective tool in masticatory muscle activity management.
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12

Pop-Jordanova, N., and J. Pop-Jordanov. "Psychophysiological comorbidity and computerized biofeedback." International Journal of Artificial Organs 25, no. 5 (May 2002): 429–33. http://dx.doi.org/10.1177/039139880202500513.

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Our previous research on basic and applied psychophysiology comprised the quantum model for subcellular brain processes, the psychosomatic health risk assessment and management, as well as the electrodermal biofeedback psychometrics and therapy. Based on this experience, in the present paper the stress-related psychophysiological disorders in patients dependent on hemodialysis and insulin are considered. The most frequent comorbid psychological disorders appeared to be anxiety and depression, and they are generally under-diagnosed and under-treated. It is concluded that the quality of life of these patients needs to be considerably enhanced. The application of biofeedback, as a complementary cost-effective and non-invasive psychophysiological tool is recommended. In terms of ESAO vocabulary, this technique could be viewed as some kind of artificial ANS/CNS support. Simultaneously, the concept of biocompatibility may be viewed in a larger perspective as “psychobiocompatibility”.
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13

Gribova, V. V., and V. O. Strekalev. "TOOLKIT FOR IMMERSIVE VIRTUAL SIMULATORS WITH BIOFEEDBACK." Vestnik komp'iuternykh i informatsionnykh tekhnologii, no. 194 (August 2020): 19–28. http://dx.doi.org/10.14489/vkit.2020.08.pp.019-028.

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The architecture of the instrumental complex for the creation and reproduction of immersive virtual simulators using biological feedback is proposed. An overview of existing solutions such as tools for the development and reproduction of virtual simulators is considered. The analysis of the use of virtual reality in different areas such as aircraft control, parachute jumping, various medical procedures, and operations which require preliminary preparation is considered. The concept of an immersive virtual simulator with biological feedback has been introduced. The use of virtual reality and biological feedback equipment as well as the applicability of the software-hardware complex in the field of interaction and control of objects of the virtual environment based on the state of a person and the state of objects are determined within its framework. The following principles of the instrumental complex development based on the use of the ontological approach are proposed: the use of various mechanisms to describe the learning scenario, the support for various control mechanisms of the simulator, the inclusion of specialists of different profiles in the development process of the simulator, and the automatic generation of the components of the virtual environment based on the declarative model of the virtual simulator to simplify the creation of a virtual environment. The description of the architecture and all interested participants is provided. The connections between the participants and the components of the tool complex are shown. The information and software components of the instrumental complex aimed at automating the process of creation, launch, control, and monitoring based on biological feedback are considered. A complex of ontologies is described: the ontology of an immersive virtual simulator with biological feedback and the ontology of knowledge about human states. The interfaces of the instrumental complex are demonstrated, such as interfaces of the equipment editor, monitoring tools, and launching tools.
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Gribova, V. V., and V. O. Strekalev. "TOOLKIT FOR IMMERSIVE VIRTUAL SIMULATORS WITH BIOFEEDBACK." Vestnik komp'iuternykh i informatsionnykh tekhnologii, no. 194 (August 2020): 19–28. http://dx.doi.org/10.14489/vkit.2020.08.pp.019-028.

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The architecture of the instrumental complex for the creation and reproduction of immersive virtual simulators using biological feedback is proposed. An overview of existing solutions such as tools for the development and reproduction of virtual simulators is considered. The analysis of the use of virtual reality in different areas such as aircraft control, parachute jumping, various medical procedures, and operations which require preliminary preparation is considered. The concept of an immersive virtual simulator with biological feedback has been introduced. The use of virtual reality and biological feedback equipment as well as the applicability of the software-hardware complex in the field of interaction and control of objects of the virtual environment based on the state of a person and the state of objects are determined within its framework. The following principles of the instrumental complex development based on the use of the ontological approach are proposed: the use of various mechanisms to describe the learning scenario, the support for various control mechanisms of the simulator, the inclusion of specialists of different profiles in the development process of the simulator, and the automatic generation of the components of the virtual environment based on the declarative model of the virtual simulator to simplify the creation of a virtual environment. The description of the architecture and all interested participants is provided. The connections between the participants and the components of the tool complex are shown. The information and software components of the instrumental complex aimed at automating the process of creation, launch, control, and monitoring based on biological feedback are considered. A complex of ontologies is described: the ontology of an immersive virtual simulator with biological feedback and the ontology of knowledge about human states. The interfaces of the instrumental complex are demonstrated, such as interfaces of the equipment editor, monitoring tools, and launching tools.
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McGregor, Alison H., Erica Buckeridge, Andrew J. Murphy, and Anthony MJ Bull. "Communicating and using biomechanical measures through visual cues to optimise safe and effective rowing." Proceedings of the Institution of Mechanical Engineers, Part P: Journal of Sports Engineering and Technology 230, no. 4 (August 1, 2016): 246–52. http://dx.doi.org/10.1177/1754337115618552.

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The use of representations of physiological parameters to an athlete and coach during training is becoming increasingly common. Their utility is enhanced when the appropriate data are captured and communicated in real time for the athlete to make training adjustments immediately. The aim of this work was to develop a biofeedback tool for ergometer rowing by creating a data acquisition system, data analysis and interpretation that could be conducted in real time and a feedback system with appropriate cues to the athlete. This 14-year study resulted in a set of measured parameters with inferred correlations between the directly measured parameters acquired during the activity and performance and injury outcome measures. These parameters were represented through a customisable visual display in real time during ergometer training. An athlete and coach open survey was conducted to assess the utility of the biofeedback tool. This survey found that all parties valued the feedback system since it provided a common language to identify body motion and performance parameters in a way that was accessible and meaningful to all parties as well as available during training and coaching. Athletes noted that it helped them to understand body segment motion and its relation to performance, and both coaches and medical staff valued this in enhancing performance and monitoring injury and injury prediction. There was also speculation that the system helps to underpin coaching practice and its translation to the team. The biofeedback tool has been adopted by the British elite rowing squad.
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Białkowska, Joanna, Dorota Mroczkowska, and Martyna Wickland-Białkowska. "The use of EEG biofeedback to improve memory, concentration, attention and reduce emotional tension." Rehabilitacja Medyczna 23, no. 2 (October 2, 2019): 31–35. http://dx.doi.org/10.5604/01.3001.0013.5097.

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Biofeedback is a method of giving patients computerised feedback signals about changes in the physiological state of their body. This allows them to learn how to consciously modify functions not controlled consciously. This method allows active and conscious involvement of the patient in controlling their own physiological processes. The therapy aims to regulate the frequency of human brain waves. The human brain produces different ranges of waves that are characteristic of different types of human activity, a mechanism used in this method. The use of this method in routine rehabilitation with a specifically designed computer programme provides physicians, physiotherapists, neuropsychologists and speech therapists with a new tool for treatment, opportunities for improvement in treatment, and helps them better plan and develop treatment strategies using Evidence-Based Medicine. The aim of the work is to discuss how EEG Biofeedback software can be applied in neurorehabilitation and to discuss the use of EEG Biofeedback software in order to improve memory, concentration, attention, reduce emotional tension, increase resistance to stress, improve self-control, self-esteem and relaxation. Key words EEG biofeedback, neurorehabilitation, computer software in rehabilitation Article received: 14.01.2019; Accepted: 17.09.2019
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Sikorski, Jonathon, and Olivia Hernandez-Gonzalez. "Mindful Adaptations for Young Patients and Adults with Mild Cognitive Disabilities." Biofeedback 47, no. 3 (November 1, 2019): 58–62. http://dx.doi.org/10.5298/1081-5937-47.3.01.

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Young patients often encounter behavioral and communication challenges when interacting with adults. Adults with intellectual disabilities (ID) experience similar difficulties. There is a need to develop strategies that teach young patients and adults with intellectual disabilities practical and applicable mindfulness skills to either augment or support other behavioral or medical interventions. Biofeedback is a useful tool to teach these populations ways to increase their internal awareness of how emotions influence physiological sensations, while mindfulness helps them to focus on the present moment to control their emotions. This article presents the cases of Max and Robin to illustrate how mindfulness and biofeedback interventions can be adapted for younger patients and adults with ID in clinical settings. Clinicians used tangible visuals and overemphasized gestures to facilitate the understanding of our patients. Following these strategies, patients were able to understand changes in their physiological and emotional responses using biofeedback and mindfulness.
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Криштопова, М. А., Л. Г. Петрова, and В. Н. Гирса. "The Role of Laryngeal Ultrasound in the Assessment and Treatment of Functional Dysphonia." Оториноларингология. Восточная Европа, no. 1 (April 8, 2020): 51–58. http://dx.doi.org/10.34883/pi.2020.10.1.034.

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Цель исследования: повышение эффективности диагностики и объективизации эффекта комплексного лечения пациентов с функциональными дисфониями с помощью УЗИ гортани. Материалы и методы: исследование гортани с помощью УЗИ проводилось здоровым лицам без дисфонии (n10) и пациентам с функциональной дисфонией/афонией (n20). Основными видами лечения пациентов были комплексное медикаментозное лечение и фонопедия (G1, n10) или фонопедия с ультразвуковой биологической обратной связью (G2, n10). Результаты: УЗИ гортани в B-режиме и в режиме доплерографии с фонаторными пробами позволяет визуализировать нарушение координации работы мышц гортани в виде напряжения вестибулярного отдела гортани, ограничения подвижности, наличия неполного смыкания и отсутствие вибрации голосовых складок при фонации. Более быстрое и стойкое восстановление голоса наблюдалось в группе пациентов, получавших комплексное медикаментозное лечение и фонопедию с ультразвуковой биологической обратной связью, по сравнению с группой пациентов, получавших комплексное медикаментозное лечение и фонопедию без ультразвуковой биологической обратной связи (p0,005). Заключение: УЗИ гортани в B-режиме и режиме доплерографии с фонаторными пробами позволяет глубже понять патофизиологические процессы функциональной дисфонии. Фонопедическое лечение с биологической обратной связью является эффективным методом лечения функциональной дисфонии. The purpose of the study is to improve diagnosis and treatment of patients with functional dysphonia by using ultrasound of the larynx. Materials and methods. Larynx ultrasonography was performed to healthy people without dysphonia (n10) and patients with functional dysphonia/aphonia (n20). Complex medication therapy and oropharyngeal muscle exercise therapy without ultrasound biofeedback (G1, n10) or oropharyngeal muscle exercise therapy with ultrasound biofeedback (G2, n10) were used. Results. Larynx ultrasonography is a minimally invasive, easily reproducible, and inexpensive method of laryngeal examining. It may become a perfect tool for functional dysphonia identification with its later monitoring. The group of patients receiving complex medication therapy and oropharyngeal muscle exercise therapy with ultrasound biofeedback compared to the group of patients without ultrasound biological feedback had significantly higher functional results (p0.005). Conclusion. Larynx ultrasonography is a perfect tool for understanding the pathophysiology of functional dysphonia. Oropharyngeal muscle exercise therapy with ultrasound biofeedback is an effective treatment tool for functional dysphonia.
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Guo, Liyun, Andrew M. Kwarciak, Russell Rodriguez, Nilanjan Sarkar, and W. Mark Richter. "Validation of a Biofeedback System for Wheelchair Propulsion Training." Rehabilitation Research and Practice 2011 (2011): 1–7. http://dx.doi.org/10.1155/2011/590780.

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This paper describes the design and validation of the OptiPush Biofeedback System, a commercially available, instrumented wheel system that records handrim biomechanics and provides stroke-by-stroke biofeedback and targeting for 11 propulsion variables. Testing of the system revealed accurate measurement of wheel angle (0.02% error), wheel speed (0.06% error), and handrim loads. The maximum errors in static force and torque measurements were 3.80% and 2.05%, respectively. Measured forces were also found to be highly linear (0.985 < slope < 1.011) and highly correlated to the reference forces (r2> .998). Dynamic measurements of planar forces ( and ) and axle torque also had low error (−0.96 N to 0.83 N for force and 0.10 Nm to 0.14 Nm for torque) and were highly correlated (r> .986) with expected force and torque values. Overall, the OptiPush Biofeedback System provides accurate measurement of wheel dynamics and handrim biomechanics and may be a useful tool for improving manual wheelchair propulsion.
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Valera-Calero, Juan Antonio, César Fernández-de-las-Peñas, Umut Varol, Ricardo Ortega-Santiago, Gracia María Gallego-Sendarrubias, and José Luis Arias-Buría. "Ultrasound Imaging as a Visual Biofeedback Tool in Rehabilitation: An Updated Systematic Review." International Journal of Environmental Research and Public Health 18, no. 14 (July 15, 2021): 7554. http://dx.doi.org/10.3390/ijerph18147554.

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Rehabilitative ultrasound imaging (RUSI) is used by physical therapists as a feedback tool for measuring changes in muscle morphology during therapeutic interventions such as motor control exercises (MCE). However, a structured overview of its efficacy is lacking. We aimed to systematically review the efficacy of RUSI for improving MCE programs compared with no feedback and other feedback methods. MEDLINE, PubMed, SCOPUS and Web of Science databases were searched for studies evaluating efficacy data of RUSI to improve muscular morphology, quality, and/or function of skeletal muscles and MCE success. Eleven studies analyzing RUSI feedback during MCE were included. Most studies showed acceptable methodological quality. Seven studies assessed abdominal wall muscles, one assessed pelvic floor muscles, one serratus anterior muscle, and two lumbar multifidi. Eight studies involved healthy subjects and three studies clinical populations. Eight studies assessed muscle thickness and pressure differences during MCE, two assessed the number of trials needed to successfully perform MCE, three assessed the retain success, seven assessed the muscle activity with electromyography and one assessed clinical severity outcomes. Visual RUSI feedback seems to be more effective than tactile and/or verbal biofeedback for improving MCE performance and retention success, but no differences with pressure unit biofeedback were found.
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Bottiglieri, Thomas, and Randy Casals. "Heart rate variability as it pertains to sports related concussion and post-concussion syndrome." Neurology 91, no. 23 Supplement 1 (December 4, 2018): S20.3—S21. http://dx.doi.org/10.1212/01.wnl.0000550610.90268.3a.

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ContextSports related concussions (SRC), occur frequently in contact and collision sports and detection relies predominantly on subjective reports by athletes themselves. A non-invasive means of monitoring brain function and injury is desirable. Existing literature has established autonomic nervous system (ANS) dysfunction in the setting of brain injury. Heart rate variability (HRV) has been accepted as a means of measuring ANS function and correlation of ANS dysregulation after brain injury through HRV measurement can aid in the detection of concussions, monitoring of recovery, and may offer a target for intervention.MethodsThe studies included were found on the Ovid MEDLINE, PubMed, and Google Scholar databases through searches of the following keywords: HRV, heart rate variability and concussion, post-concussion syndrome, and HRV biofeedback. We excluded studies that were not in English and did not meet the inclusion criteria of pertaining to SRC, sports performance, or ANS function.DesignClinical review.ResultsCurrent literature supports the notion that SRC causes dysregulation of the ANS, which can be detecting through changes in HRV. Monitoring HR and analyzing HRV can be used as a tool to detect SRC, monitor recovery, and set a target for treatment. Biofeedback techniques targeting HRV have been used to improve HRV and expedite recovery from SRC.ConclusionExisting literature has shown HRV is a tool for concussion detection and HRV biofeedback can aid in recovery. More rigorous study of the best ways to measure HRV in athletes, qualify and quantify changes in HRV specific to SRC, timing of change, timing of resolution of ANS dysfunction, and clinical significance of persistent HRV change after injury were all identified as targets for future research. Interventional studies evaluating the use of biofeedback as a means of improving HRV and reducing concussion symptoms severity and duration are warranted as well.
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Mazgelytė, Eglė, Julija Zagorskaja, Edita Dereškevičiūtė, Tomas Petrėnas, Andrius Kaminskas, Jurgita Songailienė, Algirdas Utkus, Gintaras Chomentauskas, and Dovilė Karčiauskaitė. "Dynamics of Physiological, Biochemical and Psychological Markers during Single Session of Virtual Reality-Based Respiratory Biofeedback Relaxation." Behavioral Sciences 12, no. 12 (November 28, 2022): 482. http://dx.doi.org/10.3390/bs12120482.

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Psychological stress exposure is associated with long-lasting health effects including memory problems, depression, aches and pains, eating disorders, and alcohol or drug use. Thus, there is a need to develop effective stress management strategies that are easy to learn and practice. Respiratory biofeedback is an evidence-based stress management technique presenting breathing-related information to help subjects learn specific breathing skills for relaxation. It is suggested that the use of biofeedback techniques in conjunction with virtual reality makes biofeedback training an even more effective tool for stress management. The current study aimed to investigate dynamics of distinct stress indicators before, after, as well as during one brief virtual reality-based respiratory biofeedback session. Thirty-nine healthy volunteers participated in the study. Individuals provided their saliva samples and evaluated their mood status, fatigue, and strain level before and after the session. The subjects’ heart and respiratory rate, heart rate variability, and galvanic skin response measures were recorded during the session. The results showed that after single 12 min relaxation session, there was a significant decrease in salivary cortisol concentration, heart and respiratory rate, as well as decrease in skin conductance values. Self-reported strain, fatigue level, and mood status also significantly improved. VR-based respiratory-biofeedback-assisted relaxation sessions might serve as an effective stress management strategy, as even single session had positive effects on subjects’ autonomic nervous system (ANS) and hypothalamic-pituitary–adrenal (HPA) axis activity, as well as self-reported fatigue, strain level, and mood status.
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Cossmann, Peter H. "Video-coaching as biofeedback tool to improve gated treatments: Possibilities and limitations." Zeitschrift für Medizinische Physik 22, no. 3 (September 2012): 224–30. http://dx.doi.org/10.1016/j.zemedi.2012.01.001.

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Cairns, Mindy C., Karen Harrison, and Chris Wright. "Pressure Biofeedback: A useful tool in the quantification of abdominal muscular dysfunction?" Physiotherapy 86, no. 3 (March 2000): 127–38. http://dx.doi.org/10.1016/s0031-9406(05)61155-8.

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Криштопова, М. А., Л. Г. Петрова, and В. Н. Гирса. "The Method of Ultrasound Biofeedback in the Treatment of Persistent Forms of Functional Dysphonia." Оториноларингология. Восточная Европа, no. 2 (July 16, 2020): 130–40. http://dx.doi.org/10.34883/pi.2020.2.2.009.

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Цель исследования. Повысить эффективность комплексного лечения пациентов с функциональными дисфониями методом визуальной ультразвуковой биологической обратной связи.Материалы и методы. Проспективное обсервационное исследование проводилось пациентам с функциональной дисфонией/афонией (n=91). Основными видами лечения были комплексное медикаментозное лечение и фонопедия (G1, n=45) или комплексное медикаментозное лечение и фонопедия с методом ультразвуковой биологической обратной связи (G2, n=46).Результаты. Более быстрое и стойкое восстановление голоса наблюдалось в группе пациентов, получавших комплексное медикаментозное лечение и фонопедию с методом ультразвуковой биологической обратной связи, по сравнению с группой пациентов, получавших комплексное медикаментозное лечение и фонопедию без ультразвуковой биологической обратной связи (p<0,005).Заключение. Фонопедическое лечение с биологической обратной связью является эффективным методом лечения функциональной дисфонии. The purpose of the study is to improve treatment of patients with functional dysphonia by using the method of ultrasound visual biofeedback.Materials and methods. Prospective observational study was performed for patients with functional dysphonia/aphonia (n=91). Medication therapy and oropharyngeal muscle exercisetherapy without ultrasound biofeedback (G1, n=45) or oropharyngeal muscle exercise therapy with ultrasound biofeedback (G2, n=46) were used.Results. The group of patients receiving medication therapy and oropharyngeal muscle exercise therapy with ultrasound biofeedback compared to the group of patients without ultrasound biological feedback had significantly higher functional results (p<0.005).Conclusion. Oropharyngeal muscle exercise therapy with ultrasound biofeedback is an effective treatment tool for functional dysphonia.
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Apostolidis, Hippokratis, Georgia Papantoniou, and Thrasyvoulos Tsiatsos. "Deployment and Dynamics of a Biofeedback System for Anxiety Awareness during Online Examination Activities." Applied Sciences 11, no. 2 (January 14, 2021): 756. http://dx.doi.org/10.3390/app11020756.

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The presented paper examines the deployment of a cost-effective biofeedback system that provides anxiety awareness during online examination activities. Human anxiety is classified by evaluating biosignals related to skin conductance, skin temperature, and heart rate. The first aim of this study is to check the presented system performance. Thus, we test the convergent validity of the system regarding self-report measures of anxiety. Moreover, the system is validated against a commercial tool of anxiety detection. Fifteen (15) postgraduate students took part in the relevant psychometric test. The convergent validity of the system is found to be satisfactory. The second aim of this study is to identify the participant’s personality dimensions according to Technology Readiness Index (TRI) which affects their academic performance and their real-time anxiety, as provided by the biofeedback device, during academic examinations. Thirty-five (35) postgraduate students, who were taking examinations in the form of synchronous online tests in the classroom for one of their lessons, took part in this stage of the research. The examined relationships are presented via a path model showing mainly that insecurity causes academic performance to decline, which in turn has a significant negative effect with increasing anxiety.
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Peper, Erik, Sakiko Nemoto, I.-Mei Lin, and Richard Harvey. "Seeing is Believing: Biofeedback as a Tool to Enhance Motivation for Cognitive Therapy." Biofeedback 43, no. 4 (December 1, 2015): 168–72. http://dx.doi.org/10.5298/1081-5937-43.4.03.

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Cognitive behavior therapy (CBT) as applied by behavioral scientists includes strategies for changing negative cognitions that contribute to depression and anxiety. Biofeedback is a useful strategy to demonstrate to clients the mind (cognitive, psychological) to body (physiological) interaction. For example, a cognitive, psychological reaction to a stimuli results in a physiological effects as illustrated by changes in skin conductance or muscle tension. A case example is used to demonstrate an anticipatory psychophysiological response resulting in covert activity of the forearm as a client simply imagines playing the piano.
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Djermanov, Marina, and Dragana Zivkovic. "Biofeedback in the treatment of lower urinary tract symptoms in children." Medical review 71, no. 5-6 (2018): 167–70. http://dx.doi.org/10.2298/mpns1806167d:.

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Introduction. Bladder and bowel dysfunction describes a large spectrum of lower urinary tract symptoms along with fecal elimination issues. The aim of the study was to analyze the effects of biofeedback treatment in children with lower urinary tract symptoms. Material and Methods. A prospective study analyzed the effects of biofeedback treatment conducted in children with lower urinary tract symptoms. Questionnaires and voiding diaries were collected prior to the treatment. The patients were followed for two weeks on daily basis. After the completion of the treatment, the data from voiding diaries and questionnaires were analyzed. Results. A total of 18 children were referred for biofeedback treatment. Seven patients had an overactive bladder. seven had isolated dysfunctional voiding, and in the third group three had difficulties starting to void and one had daily incontinence with dysfunctional voiding. A total of 14 patients presented with improvement of symptoms. The analyzed data showed no measurable improvement in one patient, even though he reported a personal feeling of improvement. Three patients without positive effects of the therapy were immature and non-cooperative. In six out of seven patients with overactive bladder with urine leakage, the symptom disappeared by the end of the treatment. Conclusion. Biofeedback is a very useful tool in the treatment of lower urinary tract symptoms in pediatric population. Although the main indication for initiating this therapy is dysfunctional voiding, the study showed an improvement of symptoms in patients with overactive bladder as well.
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Kluge, Murielle G., Steven Maltby, Nicole Walker, Neanne Bennett, Eugene Aidman, Eugene Nalivaiko, and Frederick Rohan Walker. "Development of a modular stress management platform (Performance Edge VR) and a pilot efficacy trial of a bio-feedback enhanced training module for controlled breathing." PLOS ONE 16, no. 2 (February 2, 2021): e0245068. http://dx.doi.org/10.1371/journal.pone.0245068.

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This paper describes the conceptual design of a virtual reality-based stress management training tool and evaluation of the initial prototype in a pilot efficacy study. Performance Edge virtual-reality (VR) was co-developed with the Australian Defence Force (ADF) to address the need for practical stress management training for ADF personnel. The VR application is biofeedback-enabled and contains key stress management techniques derived from acceptance and commitment and cognitive behavioural therapy in a modular framework. End-user-provided feedback on usability, design, and user experience was positive, and particularly complimentary of the respiratory biofeedback functionality. Training of controlled breathing delivered across 3 sessions increased participants’ self-reported use of breath control in everyday life and progressively improved controlled breathing skills (objectively assessed as a reduction in breathing rate and variability). Thus the data show that a biofeedback-enabled controlled breathing protocol delivered through Performance Edge VR can produce both behaviour change and objective improvement in breathing metrics. These results confirm the validity of Performance Edge VR platform, and its Controlled Breathing module, as a novel approach to tailoring VR-based applications to train stress management skills in a workplace setting.
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Davidson, Kate (Humphries), and Ashli K. O'Rourke. "The Utility of High-Resolution Pharyngeal Manometry in Dysphagia Treatment." Perspectives of the ASHA Special Interest Groups 4, no. 3 (June 19, 2019): 507–16. http://dx.doi.org/10.1044/2019_pers-sig13-2018-0027.

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Purpose High-resolution pharyngeal manometry (HRPM) is an emerging technology that shows promise as both an adjuvant diagnostic and therapeutic tool in oropharyngeal dysphagia management. Advances in manometric technology, including increased number of sensors and topographical pressure plots, enhance the biofeedback potential for the pharynx. This clinical focus article serves as an overview of the utility of HRPM in dysphagia treatment. Conclusion HRPM-facilitated biofeedback aids the patient in the correct implementation of clinical recommendations and also provides the clinician an assessment of the effectiveness and accuracy of those targeted interventions. Topographic pressure plots provide intuitive feedback, allow easier swallow-to-swallow comparisons, and produce visually color-coded pressure information for the patient and clinician in real time. Paired with existing, evidence-based interventions, HRPM biofeedback may facilitate maneuver and strategy planning, exercise training and monitoring, temporal coordination, upper esophageal segment relaxation and duration, swallow mapping (topographic pattern recognition and approximation), fatigue monitoring, dose planning, adherence tracking, and efficacy assessment of selected interventions. Although competency training is needed to effectively utilize HRPM, there are growing opportunities for the speech-language pathologist to acquire and implement this technology for the benefit of patients.
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Cossmann, P. H., A. Stuessi, and C. von Briel. "Video-Coaching as Biofeedback-tool to Improve Gated Treatments: 2 Years Clinical Experience." International Journal of Radiation Oncology*Biology*Physics 69, no. 3 (November 2007): S645. http://dx.doi.org/10.1016/j.ijrobp.2007.07.1986.

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Chipchase, Lucy S., Kerry Thoirs, and A. Jedrzejczak. "The effectiveness of real time ultrasound as a biofeedback tool for muscle retraining." Physical Therapy Reviews 14, no. 2 (April 2009): 124–31. http://dx.doi.org/10.1179/174328809x405991.

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Munsch, Amanda E., Brian Pietrosimone, and Jason R. Franz. "The effects of knee extensor moment biofeedback on gait biomechanics and quadriceps contractile behavior." PeerJ 8 (July 8, 2020): e9509. http://dx.doi.org/10.7717/peerj.9509.

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Individuals with knee joint pathologies exhibit quadriceps dysfunction that, during walking, manifests as smaller peak knee extensor moment (pKEM) and reduced knee flexion excursion. These changes persist despite muscle strengthening and may alter stance phase knee joint loading considered relevant to osteoarthritis risk. Novel rehabilitation strategies that more directly augment quadriceps mechanical output during functional movements are needed to reduce this risk. As an important first step, we tested the efficacy of real-time biofeedback during walking to prescribe changes of ±20% and ±40% of normal walking pKEM values in 11 uninjured young adults. We simultaneously recorded knee joint kinematics, ground reaction forces, and, via ultrasound, vastus lateralis (VL) fascicle length change behavior. Participants successfully responded to real-time biofeedback and averaged up to 55% larger and 51% smaller than normal pKEM values with concomitant and potentially favorable changes in knee flexion excursion. While the VL muscle-tendon unit (MTU) lengthened, VL fascicles accommodated weight acceptance during walking largely through isometric, or even slight concentric, rather than eccentric action as is commonly presumed. Targeted pKEM biofeedback may be a useful rehabilitative and/or scientific tool to elicit desirable changes in knee joint biomechanics considered relevant to the development of osteoarthritis.
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Kumar, Chintala Kiran, A. V. Siva Kumar, Pullaganti Madhurima, K. N. Maruthy, and Gurja John Preetham. "Assessment of psychomotor skills using finger pulse guided biofeedback tool in young medical students." Annals of Medical Physiology 2, no. 4 (December 31, 2018): 36–39. http://dx.doi.org/10.23921/amp.2018v2i4.21991.

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Psychomotor skills are the organized patterns of muscular activities guided by signals from the environment. These skills can be influenced by factors like age, gender, built of an individual and handedness. It’s a known fact that the dominant hand has more dexterity; nevertheless, proficiency of the non-dominant hand can be improved with repetition of tasks and procedures. The aim of the present study was to examine the influence of biofeedback mechanism on psychomotor skills performance and gender variation in their activity. Eighty participants aged between 20-30 years were recruited after taking the informed consent. All the subjects performed number countdown test and 100 pin dexterity test. Tests were done by fixing the subject’s heart beats instead of stipulated time which was picked up by finger Pulse plethysmography using optocoupler principle. The results were compared between the males and age-matched female participants. The pin dexterity scores with a right and left hands in males (57.2±8.1, 42.16±7.3) were significantly higher than females (48.41±8.4, 37.58±6.8) (p = 0.001 and p = 0.01). There was no significant difference in number countdown test scores. The results suggest that males handle a skilled performance better than females. This is perhaps males were less anxious as the task was designed in such way that it has to be completed by counting down the heart beats. In that way, the males got more time duration as the heart rate did not shoot up when the task was assigned.
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Lopez-Samaniego, Leire, and Begonya Garcia-Zapirain. "A Robot-Based Tool for Physical and Cognitive Rehabilitation of Elderly People Using Biofeedback." International Journal of Environmental Research and Public Health 13, no. 12 (November 24, 2016): 1176. http://dx.doi.org/10.3390/ijerph13121176.

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Cossmann, PH, A. Stuessi, and C. von Briel. "SU-FF-T-454: Video-Coaching as a Biofeedback Tool to Improve Gated Treatments." Medical Physics 33, no. 6Part14 (June 2006): 2150. http://dx.doi.org/10.1118/1.2241372.

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Gu, Xiaoning, Min Yang, Fang Liu, Dongmei Liu, and Fuwen Shi. "Effects of Adding Ultrasound Biofeedback to Individualized Pelvic Floor Muscle Training on Extensibility of the Pelvic Floor Muscle and Anterior Pelvic Organ Prolapse in Postmenopausal Women." Contrast Media & Molecular Imaging 2022 (June 23, 2022): 1–8. http://dx.doi.org/10.1155/2022/4818011.

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The aim of the study was to determine effects of adding transperineal ultrasound (TPUS) biofeedback to individualized pelvic floor muscle training (PFMT) on extensibility of the pelvic floor muscle and anterior pelvic organ prolapse (POP) in postmenopausal women. A total of 77 patients with POP at stage I or stage II were admitted to Beijing Shijitan Hospital, China, from January 2017 to October 2018. They were randomly divided into a control group (CG) (n = 37) or a study group (SG) (n = 40). Both SG and CG received a 12-week PFMT including health education, verbal instruction, and home training. However, the SG, but not the CG, received additional TPUS biofeedback. Data of these patients were retrospectively reviewed. The distance from the lowest point of the bladder to the inferior-posterior margin of the symphysis pubis (BSP) and the levator hiatus area (LHA) were measured on maximal Valsalva via TPUS before and after the 12-week PFMT. Correct pelvic floor muscle contraction (PFMC) rates before and after PFMT were compared between the two groups. The correct PFMC rate was higher in the SG than that in the CG (92.5% vs. 73%; x2 = 5.223, p = 0.022 ). The BSP was increased but the LHA was reduced after the 12-week PFMT in both groups compared to those before PFMT (all p < 0.05 ). However, after the PFMT, the SG showed greater improvement than the CG for both BSP (0.77 ± 0.71 cm vs. 0.11 ± 0.66 cm, p < 0.05 ) and LHA (20.69 ± 2.77 cm2 vs. 22.85 ± 3.98 cm2, p < 0.05 ). TPUS might be an effective biofeedback tool for PFMT in clinical practice. Individualized PFMT with TPUS biofeedback could significantly attenuate POP severity and strengthen the extensibility of pelvic floor muscle in postmenopausal women when they are under increased intraabdominal pressure.
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Broderick, Jill. "Functional Continuum Questionnaire." Biofeedback 48, no. 3 (September 1, 2020): 46–53. http://dx.doi.org/10.5298/1081-5937-48.03.01.

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Thirty years ago, the Functional Continuum Questionnaire (FCQ) was developed to measure functional outcomes using biofeedback in an occupational therapy context. Initially, the assessment was designed to identify dysfunction in various areas that influence occupational behavior (daily tasks) and performance, to identify goals for therapy. Over time, the FCQ was reformatted to produce a score that correlates as a discreet point on a continuum of function/dysfunction (functional continuum). This score may be used as a pre- and post-assessment to evaluate patients' perception of change in function as an outcome of biofeedback and occupational therapy. The FCQ is presented in this article along with the functional continuum. A brief discussion about the theoretical framework—the model of human occupation—is provided. The statements used in the FCQ describe components of occupational behavior from the model, providing a comprehensive set of factors influencing occupational performance. The FCQ was also designed to provide a perspective regarding the unique focus of occupational therapy interventions, which can be communicated through the use of this tool. The FCQ has been used in my private practice over the past 30 years. It is an easy-to-use self-assessment tool that provides measurable data to identify patients' specific challenges in occupational performance as well as their overall perception of their function.
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Cochran, Paula S., and Julie J. Masterson. "Not Using a Computer in Language Assessment/Intervention." Language, Speech, and Hearing Services in Schools 26, no. 3 (July 1995): 213–22. http://dx.doi.org/10.1044/0161-1461.2603.213.

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Clinicians who are not yet making direct use of computer applications with their school-age clients may have good reasons. Factors that hinder the clinical use of computers by school clinicians include limited access to computer resources, lack of training, concern that students will be intimidated by the computer, worry over the amount of time necessary to teach students to use the computer, and doubts regarding the efficacy of computer activities. On the other hand, some computer applications offer benefits that are compelling enough to cause clinicians to overcome these barriers. Clinicians are encouraged to explore such applications, which include use of the computer as a context for conversation, a tool for learning, a tool for linguistic and phonological analysis, a tool for treatment data collection, a treatment materials generator, and a biofeedback device.
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Chand, Kulbhushan, and Arun Khosla. "BioNES: A plug-and-play MATLAB-based tool to use NES games for multimodal biofeedback." SoftwareX 19 (July 2022): 101184. http://dx.doi.org/10.1016/j.softx.2022.101184.

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Mehta, Vijay, Yamen Smadi, Devendra I. Mehta, and Shaista Safder. "Sa1685 BIOFEEDBACK AS A TOOL FOR RESOLUTION OF ENCOPRESIS IN PEDIATRIC PATIENTS WITH FUNCTIONAL CONSTIPATION." Gastroenterology 158, no. 6 (May 2020): S—382. http://dx.doi.org/10.1016/s0016-5085(20)31649-8.

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Rosenthal, Saul. "“Watch the Screen”: Biofeedback Can Improve Mindfulness for Chronic Pain." Biofeedback 46, no. 1 (June 1, 2018): 15–20. http://dx.doi.org/10.5298/1081-5937-46.1.06.

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Chronic pain has a significant impact on the quality of lives for millions of people. Because it is resistant to traditional medical intervention, the optimal approach to chronic pain management relies on a biopsychosocial understanding of health and treatment. To date, cognitive behavioral therapy (CBT) has been the treatment of choice. However, CBT's emphasis on active control can prove counterproductive because the cognitions, behaviors, and emotions related to pain are difficult to directly confront. More recently, CBT has begun to integrate mindfulness, shifting toward paradigms of accepting sensations rather than trying to change them. This is difficult for individuals with chronic pain, who frequently spend significant resources avoiding and trying to minimize sensations. Biofeedback can be a useful tool for shaping mindfulness because it allows a focus on an external signal that in fact reflects the internal process. Over time, individuals can learn to integrate mindfulness techniques in their daily life that minimize the influence of pain, allowing them to focus on other aspects of their lives.
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Oded, Yuval. "Biofeedback-Based Mental Training in the Military—The “Mental Gym™” Project." Biofeedback 39, no. 3 (November 1, 2011): 112–18. http://dx.doi.org/10.5298/1081-5937-39.3.03.

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The “Mental Gym™” is a practical mental training program that helps participants to cope better with stressors and to be able to keep an emotional and physical balance in their everyday tasks. This new multidisciplinary training combines a number of methodologies: biofeedback, neurofeedback, mindfulness, stress inoculation techniques, imagery, and various problem solving and attentional training methods. This article describes the process and obstacles of implementing the Mental Gym project with military pilots and elite unit personnel. Through examples of some of the training protocols, the author also shares insights from ten years of experience in providing an effective “tool box” for enhancing psychophysiological and cognitive flexibility in the military setting.
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Biesmans, Sander, and Panos Markopoulos. "Design and Evaluation of SONIS, a Wearable Biofeedback System for Gait Retraining." Multimodal Technologies and Interaction 4, no. 3 (August 28, 2020): 60. http://dx.doi.org/10.3390/mti4030060.

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Herein, we introduce SONIS, a wearable system to support gait rehabilitation training after a lower extremity trauma, which combines a sensing sock with a smartphone application. SONIS provides interactive, corrective, real-time feedback combining visual and auditory cues. We report the design of SONIS and its evaluation by patients and therapists, which indicates acceptance by targeted users, credibility as a rehabilitation tool, and a positive user experience. SONIS demonstrates how to successfully combine a number of feedback strategies and modalities: graphical, verbal, and music feedback on gait quality during training (knowledge of performance) and verbal and vibrotactile feedback on gait tracking (knowledge of results).
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Sagayam, K. Martin, Shibin D, Hien Dang, Mohd Helmy Abd Wahab, and Radzi Ambar. "IoT Based Virtual Reality Game for Physio-therapeutic Patients." Annals of Emerging Technologies in Computing 4, no. 4 (October 1, 2020): 39–51. http://dx.doi.org/10.33166/aetic.2020.04.005.

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Biofeedback therapy trains the patient to control voluntarily the involuntary process of their body. This non-invasive and non-drug treatment is also used as a means to rehabilitate the physical impairments that may follow a stroke, a traumatic brain injury or even in neurological aspects within occupational therapy. The idea behind this study is based on using immersive gaming as a tool for physical rehabilitation that combines the idea of biofeedback and physical computing to get a patient emotionally involved in a game that requires them to do the exercises in order to interact with the game. This game is aimed towards addressing the basic treatment for ‘Frozen Shoulder’. In this work, the physical motions are captured by the wearable ultrasonic sensor attached temporarily to the various limbs of the patient. The data received from the sensors are then sent to the game via serial wireless communication. There are two main aspects to this study: motion capturing and game design. The current status of the application is a single ultrasonic detector. The experimental result shows that physio-therapeutic patients are benefited through the IoT based virtual reality game.
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Kaplan, Oral, Goshiro Yamamoto, Takafumi Taketomi, Alexander Plopski, Christian Sandor, and Hirokazu Kato. "Exergame Experience of Young and Old Individuals Under Different Difficulty Adjustment Methods." Computers 7, no. 4 (November 7, 2018): 59. http://dx.doi.org/10.3390/computers7040059.

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In this work, we compare the exergaming experience of young and old individuals under four difficulty adjustment methods. Physical inactivity is a leading cause of numerous health conditions including heart diseases, diabetes, cancer, and reduced life expectancy. Committing to regular physical exercise is a simple non-pharmaceutical preventive measure for maintaining good health and sustaining quality of life. Incorporating exercise into games, studies frequently used exergames as an intervention tool over the last decades to improve physical functions and to increase adherence to exercise. While task difficulty optimization is crucial to exergame design, researchers consistently overlooked age as an element which can significantly influence the nature of end results. We use the Flow State Scale to analyze the mental state of young and old individuals to compare constant difficulty with ramping, performance-based, and biofeedback-based difficulty adjustments. Our results indicate that old individuals are less likely to experience flow compared to young under the same difficulty adjustment methods. Further investigation revealed that old individuals are likely to experience flow under ramping and biofeedback-based difficulty adjustments whereas performance-based adjustments were only feasible for young.
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Sosnowska, Anna J., Aleksandra Vuckovic, and Henrik Gollee. "Automated semi-real-time detection of muscle activity with ultrasound imaging." Medical & Biological Engineering & Computing 59, no. 9 (August 16, 2021): 1961–71. http://dx.doi.org/10.1007/s11517-021-02407-w.

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AbstractUltrasound imaging (USI) biofeedback is a useful therapeutic tool; however, it relies on qualitative assessment by a trained therapist, while existing automatic analysis techniques are computationally demanding. This study aims to present a computationally inexpensive algorithm based on the difference in pixel intensity between USI frames. During an offline experiment, where data was analyzed after the study, participants performed isometric contractions of the gastrocnemius medialis (GM) muscle, as executed (30% of maximum contraction) or attempted (low force contraction up to a point when the participant is aware of exerting force or contracting the muscle) movements, while USI, EMG, and force data were recorded. The algorithm achieved 99% agreement with EMG and force measurements for executed movements and 93% for attempted movements, with USI detecting 1.9% more contractions than the other methods. In the online study, participants performed GM muscle contractions at 10% and 30% of maximum contraction, while the algorithm provided visual feedback proportional to the muscle activity (based on USI recordings during the maximum contraction) in less than 3 s following each contraction. We show that the participants reached the target consistently, learning to perform precise contractions. The algorithm is reliable and computationally very efficient, allowing real-time applications on standard computing hardware. It is a suitable method for automated detection, quantification of muscle contraction, and to provide biofeedback which can be used for training of targeted muscles, making it suitable for rehabilitation. Graphical abstract Biofeedback session based on ultrasound imaging (USI) during muscle training. Novel, computationally inexpensive algorithm based on the difference in pixel intensity between USI frames is used to process the video and provide quantitative feedback on the strength of muscle contraction.
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48

Casellato, C., A. Pedrocchi, G. Zorzi, L. Vernisse, G. Ferrigno, and N. Nardocci. "EMG-Based Visual-Haptic Biofeedback: A Tool to Improve Motor Control in Children With Primary Dystonia." IEEE Transactions on Neural Systems and Rehabilitation Engineering 21, no. 3 (May 2013): 474–80. http://dx.doi.org/10.1109/tnsre.2012.2222445.

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49

Szegletes, Luca, and Bertalan Forstner. "Applications of Modern HCIs in Adaptive Mobile Learning." Journal of Advanced Computational Intelligence and Intelligent Informatics 18, no. 3 (May 20, 2014): 311–14. http://dx.doi.org/10.20965/jaciii.2014.p0311.

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Our paper shows how the evolution of HCI devices progresses as a mobile learning tool. Mobile devices provide interesting applications for cognitive infocommunication. Our principal objective is to assist in developing educational games on these devices. Working with different educational institutes, we designed a flexible biofeedback-controlled self-rewarding framework. Several promising approaches and methods are proposed outside the box of educational games in this paper. The attention of players is regulated by changing rewards. We show both how educational games can be improved and how adaptive entertainment games may be developed in the near future.
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Nada, Pop-Jordanova, and Zorcec Tatjana. "Some Peripheral Biofeedback Modules in the Treatment of Chronic Diseases in Children." Journal of Education and Culture Studies 2, no. 1 (December 8, 2017): 1. http://dx.doi.org/10.22158/jecs.v2n1p1.

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<p><em>Biofeedback therapy</em><em> is a non-drug treatment in which patients learn to control bodily processes that are normally involuntary, such as muscle tension, blood pressure, or heart rate. In this paper we present results obtained with Electro Dermal Response (EDR) and Heart Rate Variability (HRV) applied as adjuvant therapy in chronic pediatric patients. </em><em>The methodology can be used in scholar settings for stress reducing in pupils and teachers.</em></p><p><em>The evaluated group comprises children and adolescents with: a) cystic fibrosis (N = 40 mean age = 17.5 years ± 23.18 SD); b) bronchial asthma (N = 35, mean age = 11.5 years ± 18.84 SD); c) epilepsy (N = 45, mean age = 13.5 years ± 15.34 SD); and d) diabetes mellitus (N = 30, mean age = 12.5 years ± 12.3 SD).</em></p><p><em>Study showed that peripheral biofeedback is very helpful tool for chronic disorders in children. Both (EDR and HRV) methods confirmed changes on the stress level very significantly. This therapy is non-invasive, easy for application, children accept it with interest and it is cost-effective.</em></p>
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