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www.neurocaregroup.com
neuroCare Solutions made inGermany
We are here for you!neuroCare Group
Rindermarkt 7, 80331 Munich, Germany
phone: +49 (0)89 215 471 299-0
fax: +49 (0)89 215 471 299-1
e-mail: [email protected]
web: www.neurocaregroup.com
neuroCare – stands for innovative therapy solutions according to the newest research and guidelines for mental illness, chronic pain and in rehabilitation.
neuroCare offers technology, education and clinical expertise at the highest level, specializing in non-invasive neuromodulation (neurofeedback, transcranial direct current stimulation tDCS, transcranial magnetic stimulation TMS, cognitive trai-ning), making sure that your start in bio- or neurofeedback therapy is smooth and successful right from the beginning.
neuroCare neurofeedback: high effectiveness, long-term sustainability, low side effects
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Neurofeedback and self-regulation
Neurofeedback training and frequency bands
Structure of a therapy session
THERA PRAX®, accessories, extensions
How does neurofeedback therapy work
Analysis and course of therapy
References
Studies and effectiveness
neuroCademy trainings
CONTENT
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Neurofeedback is an effective longterm method for treating disorders of self-regulation and impulse control. Patients with different neuro- psychological disorders can improve their quality of life after a number of sessions. The client’s brain activity is measured and visualized on a com-puter. The resulting visual feedback shows those neurophysiological processes which occur subconsciously.During the feedback process the client is presented with tasks. In order to receive positive feedback, the brain has to achieve a certain level of activity. The activity level changes when the client’s concentration or perception increases. This principle of operant conditioning causes the brain to show beneficial activity more and more often. Guided by a licensed therapist, clients can learn to observe and be aware of these neurophysiological processes, so misregulations can be recognized and effective countermeasures can be taken.
Effectiveness and sustainability of Neurofeeback Multiple scientific studies have examined Neurofeedback therapy and proven it to be effective and sustainable long term. The studies proved that the ability to control and direct one‘s body processes can be learned. Clients receiving bio- or neurofeedback therapy can often reduce medi-cation that only affects symptoms, whereas neurofeedback targets the root cause of the problem. However, effective and sustainable results are only possible if neurofeedback is applied correctly using proven and standardized protocols.
For more information visit :www.neurocaregroup.com/scientific-publications.htmlour evidence-booklet or one of our neurofeedback courses.
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NEUROFEEDBACK ANDSELF-REGULATION
Self-regulation is, among other things, the ability to deal with one‘s feelings and moods, as well as realize one’s intentions through target oriented and reality-based action. People suffering from certain neuro- logical and psychological disorders (e. g. addiction, obsessive-compulsive disorders, ADD/ADHD) have limited self-regulation competences. Those limits often strongly impair the individual’s independence.
Neurofeedback therapy can improve self-regulation abilities. Through operant conditioning clients can learn to recognize and positively influence their own mis- regulations. Neurofeedback therapy aims to develop and improve self-control and self-regulation.
If your self-regulation is working, you are able to:
• direct and maintain attention;• calm yourself down despite emotional excitement or stress;• deal with frustration;• reduce stress and relax after difficult situations;• recognize and control impulses and react appropriately;• pause between stimulus and reaction;• realize intentions and pursue goals;• socialise in a positive way.
Awarenessand realization
Improving attention andconcentration
Learning toself-control
ORIENTATION DECISION
FEEDBACKFEEDBACK
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HOW DOESTHE THERAPY WORK
self-regulationself-control
perception impulse control
relaxation
awareness
emotions
behaviour sleepexpectations
concentration
HEALTHanxietystress thoughts
Neurofeedback training Neurofeedback training should take place in a room with a comfortable and welcoming atmosphere. The client sits relaxed on a comfortable chair or armchair. The application of the electrodes can be combined with a short introductory talk. During the session, the therapist should observe the client and the visual feedback on the screen in order to provide ap-propriate assistance. If necessary, the training can be paused. After neurofeedback training, the client and the therapist should evaluate the results together and transfer exercises should be performed. The transfer contains methods that help implement the session’s contents into everyday life.
Fields of application Studies have shown neurofeedback to
be benificial in various disorders, including
AD(H)D
addiction
migraine
sleep disorders
autism
depression
anxiety disorders
epilepsy
stroke
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FREQUENCY BANDS
AD(H)DThe latest German S3 guideline on AD(H)D recom-mends the protocols SCP, SMR and Theta/Beta for neurofeedback treatment. These three protocols have been linked in numerous studies to symptom improvements in ADD/ADHD.
SleepThe role of sleep as the basis of our motivation is becoming increasingly important. Problems with falling asleep or sleeping can be treated successfully with SMR and SCP training.
Delta waves
Theta waves
Alpha waves
SMR waves
Beta waves
Gamma waves
normal:
deep sleep
pathological:
brain lesion,
epilepsy
normal:
drowsiness
pathological:
inattention,
day dreaming,
anxiety,
ADHD
normal:
relaxation,
meditation
pathological:
depression,
ADHD
normal:
concentration,
activity
pathological:
compulsion,
sleep disorder
normal:
neuronal connection,
consciousness,
complex thoughts
normal:
calm motor function,
mentally focused
Gam
ma
SMR
Thet
aB
eta
Alp
haD
elta
0 Hz
10 Hz
20 Hz
30 Hz
40 Hz
50 Hz
5 Hz
15 Hz
25 Hz
35 Hz
45 Hz
cortex
thalamus
suprachiasmatic nucleus
sensory cortex
prefrontal cortex
hippocampus
motor cortex
sensory cortex
thalamus
hippocampus
motor cortex
sensory cortex
audio fields
fields of vision
cortex
basal ganglia
luys body
bulbus olfactorius
all brain structures
bulbus olfactorius
Are you unsure whether bio- or neurofeedback fits into your practice? We would be happy to advise you!
AddictionA central element in addictions is a disturbed self-re-gulation ability. Therapists who have carried out SCP training as part of addiction treatment report good results in terms of their patient’s severity of addiction.
Migraine and EpilepsyWhen it comes to migraines and epilepsy resear-chers assume a lack of inhibition in the self-regulating mechanisms of the brain. Participants with either disorder were able to benefit from SCP training in studies, which resulted in a reduction in the number of seizures.
NEUROFEEDBACKTRAINING IN THE EEG
SCP training (slow cortical potentials)SCP‘s are slow potentials of the brain current curve. They are the momentary result of an unstable balance between excitation (negativa-tion) and inhibition (positivation). The aim of SCP training is to conscious-ly induce states of attention or relaxation. The processing of information in the corresponding networks in the brain should expand. If the training is successful, the self-regulation abilities improve. SCP training can also be helpful in improving a client‘s willingness to engage in therapy and thus provides opportunities for further interventions.
Frequency band training Frequency band training uses the wave patterns known from the EEG (see figure on page 13). Certain symptoms can often be attributed to changes in frequency. With frequency band training, a normal frequen-cy can be achieved. Studies have shown that this training of certain frequencies led to a significant reduction in symptoms. Many successful neurofeedback therapists prepare their clients with SCP training for a successive frequency band training.
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What can be achieved? Development of strategies to positively influence brain activity; application
of the learned strategies in everyday life - even without EEG feedback; contribution to the reduction of attention and concentration problems
PROCEDURE OF ATHERAPY SESSION
introductory talk and applying the electrodes(5 min.)
selection of neurofeedback protocol and artifact correction(3 min.)
neurofeedback training(20-35 min.)
final talk and evaluation(5 min.)1 2 3 4
SportsPeak performance training can help to increase concentration at the right moment or to better control negative effects such as stage fright. Biofeedback with ECG or re-spiration parameters can be a useful supple-ment.
Increase in the quality of life Neurofeedback is useful in treating stress, muscle tension or symptoms of burnout. With biofeedback of the galvanic skin res-ponse (GSR feedback) it is possible to visuali-ze states of tension and to treat them with further measures.
PsychotherapyNeurofeedback is successfully used in the treatment of stress, anxiety, depression and addiction. Biofeedback can be a useful supplement for these indications.
Occupational therapy SCP neurofeedback is suitable for the promising treatment of concentration and learning problems within the framework of occupational therapy. Indications that are associated with hyperactivity or impulsiveness can also be treated with neuro-feedback.
PhysiotherapyWith EMG biofeedback or neurofeedback, improvements can be achieved in cases of paralysis, craniocerebral trauma or strokes. In affected brain regions, it can also determine whether residual activity is present and whether control over muscle groups can be regained.
How long?A session takes about
45 - 60 minutes, including preparation and review
How many sessions?
30 - 40 sessions in total, 2 sessions per week,
the duration of treatment depends on the
disorder
Progress?Positive changes can occur as
soon as the 6th session
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ANALYSIS AND COURSE OF THERAPY
Session 2
Session 15
Session 25
Session 2: It is not possible yet to differentiate between states of acti- vation and relaxation.
Session 15: The different levels of activation can be achieved more and more often.
Session 25: This patient has learned to control the level of activation, even if the feedback object is invisible to him/her. This would be the ideal learning curve in a therapy.
More informationen on evidence-based neurofeedback: www.neurocaregroup.com
The triangle in the middle of the image indicates the direction in which the feed-back object should be moved. If the client concentrates, the object rises. If the concentration decreases or the client relaxes, the object moves downwards.
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NEUROFEEDBACK WITHTHERA PRAX®
The THERA PRAX® MOBILE is a neuro- and biofeedback system suitable for therapists, clinicians and researchers. As a certified medical device, it offers safety in use.The included standard protocols facilitate getting started with neuro-feedback training and correspond to the recommendations of the German S3 guideline for AD(H)D. Thirteen freely definable channels allow for even demanding neurofeedback applications.
Additionally, skin conductance, respiration, body temperature and pulse can be measured and reported using the biofeedback extension. With this extension body signals can be perceived and influenced during training.
The THERA PRAX® MOBILE complete package includes:
- a computer
- two monitors (for the therapist and the patient)
- EEG amplifier incl. lithium-ion batteries with charger
- easy-to-use EEG software by neuroConn incl. templates
for protocols
- connecting cable, mouse and keyboard
- manual
- starter set incl. electrodes
- technical instructions on the medical device
- technical support
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ACCESSORIES ANDEXTENSIONS
Skin conductance sensor for biofeedback The skin conductance sensor can be used to determine the galvanic skin response and the electrical skin resistance. Changes indicate conditions like high stress or anxiety.
Batteries for the amplifier For safety reasons the amplifier is battery operated and thus electrically isolated from the mains. The rechargeable batteries have a long running time and a long service life. A charger is included in the package.
Transfer cards for everyday practice and use Using the transfer cards, clients can more easily recall the strategies learned during the neurofeedback sessions and implement the strate-gies in their everyday life.
Q-tips for skin preparation Q-Tips are used to comfortably apply the abrasive Nuprep® paste. They are also suitable for achieving an even distribution of the Ten-20 paste beneath the electrode.
Electrode paste for signal transmission Ten-20 is a beige opaque and water soluble adhesive conductive paste intended for use with silver-silver chloride electrodes.
Electrode adapters and adhesive rings Adhesive rings and electrode adapters facilitate positioning and attach-ment of the electrodes.
Abrasive paste for neurofeedback recordingsNuprep provides the optimal skin preparation by slightly roughening the scalp like a peeling. This improves the electrical resistance and the deri-ved signals are of higher quality.
Respiration sensor including chest strap for biofeedback The respiration or breathing sensor is used to monitor breathing. Respi-ratory frequency and relative respiratory depth can be derived.
Temperature sensor for biofeedback The sensor measures the temperature on the skin surface. This allows conclusions to be drawn about the psychological strain on a client. In combination with other biosignals such as breathing and pulse, training can be carried out to reduce stress.
ElectrodesElectrodes translate the bioelectric potentials at the head into a techni-cal current. These silver-silver-chloride electrodes have particularly good transmission properties and thus enable derivations of the highest quality with a long service life. The electrodes are available in black, red, green and blue.
Pulse wave sensor for biofeedback The sensor is used for recording and visualizing cardiological parameters. This sensor is available as finger clip sensor or without attachment (see illustration).
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FURTHER OFFERSFOR THE THERAPY
DC-STIMULATOR MOBILEtranscranial direct current stimulation in clinical routine
Transcranial direct current stimulation (tDCS) is a non-invasive, well-tolerated neuromodulative treatment method. Numerous studies show positive effects in stroke patients, depression, addiction, pain and many other disorders. When used in addition to standard therapies, neuromodulative methods can improve their outcome. The DC-STIMULATOR MOBILE offers a safe and painless addition to your range of treatments. You can find examples of application as well as studies proving its effectiveness at: www.neurocaregroup.com/dc-stimulator-mobile.html
ActTrustefficient therapy support through sleep profile analysisThe ActTrust Actigraph provides you with unique insights into your clients’ quality of sleep. Detailed analysis and statistics provide you with information about the wearer‘s movement and sleep profile. ActTrust can continuously record different wavelengths of light, temperature, movement and other parameters for several weeks. This information helps to improve the wearer‘s quality of life significant-ly through targeted measures. Find out more about the effects of sleep on your health in our free webinars now! www.neurocaregroup.com/acttrust-actigraphy.html
MyBrainTraining®
cognitive training - online, up-to-date, effective
MyBrainTraining® is an individualized training program to improve cognitive per-formance for people with neurological or psychiatric disorders. The auto-adaptive brain performance training has been specially developed for use in occupational therapy and psychotherapy in inpatient and outpatient settings. Each of the 30 exercises has been validated and found to be effective by Dr. Kawashima/Japan. Whether in your practice or at the client‘s home in home training: MyBrainTraining is intuitive to use, motivating and easy to apply anywhere. Test the professional version now free of charge:www.neurocaregroup.com/new-cognitive-training.html
neuroCare offers e-learning in free-of-charge webinars: www.neurocademy.com/webinars
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REFERENCES
University of Tuebingen, GermanyDepartment of Clinical Psychology
LWL university hospital Hamm of the Ruhr University BochumDepartment of child and adolescent psychiatry and psychothera-py, Prof. Dr. Martin Holtmann
Philipps University Marburg, GermanyDepartment of Psychology, psychology for children and adole-scents, Prof. Dr. Hanna Christiansen
neuroCare Therapy centers The Netherlands in Nijmegen, Den Haag, Eindhoven, Groningen, Hengelo Drs. Rosalinde van Ruth
neuroCare Therapy center Italyin Bologna
neuroCare Therapy centers Australiain Sydney, Frenchs Forest and Melbourne Listen and Learn Centre, BalwynVita Health Care, Mount Eliza
neuroCare Centers of AmericaNashville neurocare Therapy CentreLong Island neuroCare Therapy Centre
neuroCare Coaching Center, Munich, GermanyDr. rer. hum. biol. Linda Wulf
neurofeedback, biofeedback and ergotherapy practiceDr. med. Edith Schneider, Stuttgart, Germany
Children’s neurology practice Dr. med. Kirsten Stollhoff, Hamburg, Germany
Outpatient clinic for child and adolescent psychiatry and psychotherapy of the Asklepios HospitalDr. med. Kujau, Gera, Germany
Social-psychiatric centre for children and adolescents Dr. med. Fabian Härtling, Frankfurt/Main, Germany
Hospital Saarland HeilstättenOutpatient clinicDr. med. Walter Koch, Idar-Oberstein, Germany
Psychology practiceDipl.-Psych. Ernst Hohn, Baesweiler, Germany
Practice for development and learningProf. Dr. Edgar Friederichs, Bamberg, Germany
Practice for occupational therapyJohannes Späker, Heiden, Germany
Practice for occupational therapy, systemic therapy and consultationNora and Dirk Nehrlich, Rottenburg am Neckar and Tuebingen, Germany
„I have been working with the neuroCare product
THERA PRAX® for 10 years. The success I‘ve had with the
system, especially the SCP protocol, is absolutely remarkable.“
Johannes Spaeker, occupational therapist, Germany
„I have been working with the THERA PRAX device for 5 years
in therapeutical practice. As a psychologist I particularly value
the SCP protocol and have seen substantial improvements in
attention, impulse control, ability to regulate emotions and
quality of sleep in a diverse group of clients, aged between
6 and 75 years old. It is also a very good initial tool to help
clients shift into a state of mind that allows them to access
and be open to further interventions and therapies.“
Susanne Mechtersheimer, Psychologist, Australia
„We have been supporting the world‘s leading scientists
in the field of neuromodulation for 20 years. We strive to
sustainably advance neurofeedback and transcranial di-
rect current stimulation in research and therapy. We will
continue to devote all our attention to our goal of helping
patients everywhere.“ Klaus Schellhorn, CTO at neuroCare
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The THERA PRAX® is a frequently used neurofeedback device in research. In all studies conducted with the THERA PRAX®, patients‘ symptoms were improved.
Publications on the efficacy and sustainability of neurofeedback
Further studies can be found at: www.neurocaregroup.com/scientific-publications.html
STUDIES ON THE EFFECTIVENESSOF NEUROFEEDBACK
Strehl U. et al., 2017: Neurofeedback of Slow Cortical Potentials in Children with Attention-Deficit/Hyperactivity Disorder: A Multicenter Randomized Trial Controlling for Unspecific Effects. Front Hum Neurosci.
Geladé K. et al., 2017: A 6-month follow-up of an RCT on behavioral and neurocognitive effects of neurofeedback in children with ADHD. ECAP Journal
Arns M. et al., 2009: Efficacy of Neurofeed-back Treatment in ADHD: the Effects on Inattention, Impulsivity and Hyperactivity: a Meta-Analysis. Clinical EEG and Neurosci-ence
Gevensleben H. et al., 2010: Neurofeedback training in children with ADHD: 6-month follow-up of a randomised controlled trial. ECAP Journal
Van Doren J. et al., 2019: Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis – 10 studies with follow-up after 6 to 12 months. ECAP Journal
Gevensleben H. et al., 2009: Is neurofeed-back an efficacious treatment for ADHD? A randomised controlled clinical trial. Journal of Child Psychology and Psychiatry
Heinrich H. et al., 2020: Effects of neuro-feedback on the dysregulation profile in children with ADHD: SCP NF meets SDQ-DP - a retrospective analysis. Psychol. Med.
Arns M. et al., 2014: Differential effects of theta/beta and SMR neurofeedback in ADHD on sleep onset latency. Front Hum Neurosci.
Mayer K. et al., 2015: Neurofeedback of slow cortical potentials as a treatment for adults with Attention Deficit-/Hyperactivity Disorder. Clin Neurophysiol.
Arns M. et al., 2020: Neurofeedback and Attention-Deficit/Hyperactivity-Disorder (ADHD) in Children: Rating the Evidence and Proposed Guidelines. Applied Psychophysio-logy and Biofeedback
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Get the most out of our knowhow
Learn neurofeedback following correct and proven protocolsneuroCademy is offering 4-day neurofeedback courses at our training centers in Europe and Australia. By attending the course you will receive clear instructions, backed by science, and delivered by leading experts in the field. Learn about the theory and practical appli-cation of neurofeedback in the treatment of ADHD and insomnia and understand which protocols and technologies allow for evidence-based and effective application.
This course helps you gain certication with the BCIA (BiofeedbackCertification International Alliance). It covers 36 didactic training points.
In-house supervision and webinars Would you us like to train you and your team at your facility? neuroCademy offers indivi-dual solutions for in-house training courses. Inquire about in-house supervision to conduct a workshop at your facility - lead by technical and clinical specialists. For a first insight into neurofeedback attend one of our free webinars. The range is conti-nuously being expanded!
www.neurocademy.com
Online, self-placed learningEnrole in one of our self-paced learning pathways. You will gain access to expert learning modules covering the theory and foundations of neuromodulation modalities, as well as technical demonstration videos and access to live lessons and Q&A sessions scheduled throughout the year.
www.lms.neurocademy.com
EDUCATION AND TRAINING WITH NEUROCADEMY
Information, advice and registration:[email protected]+49 89 215 471 2995
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ImprintneuroCare Group GmbH ∙ Rindermarkt 7 ∙ 80331 Munich ∙ Germanyphone: +49 (0)89 215 471 299-0 ∙ fax: +49 (0)89 215 471 299-1 ∙ e-mail: [email protected] ∙ web: www.neurocaregroup.compictures: neuroCare Group GmbH, 1075789_©niekverlaan@Pixabay, 1137688_©Fotownetrza@Pixabay, 1311784_©smengelsrud@pixabayCopyright: neuroCare Group GmbH 2020The use or publication of contained texts or pictures is generally prohibited.Exceptions require written permission from neuroCare Group GmbH.
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neuroCareRindermarkt 7 | 80331 Munich | Germany
phone: +49 89 215 471 2995
e-mail: [email protected]
web: www.neurocaregroup.com
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