The Do's and Don'ts of Neurofeedback Training: A Review of the Controlled Studies Using Healthy Adults.

Jacek Rogala,Ewa Kublik,Katarzyna Paluch,Andrzej Wróbel,Katarzyna Jurewicz,Ryszard Cetnarski

doi:10.3389/fnhum.2016.00301

Abstract

The goal of EEG neurofeedback (EEG-NFB) training is to induce changes in the power of targeted EEG bands to produce beneficial changes in cognitive or motor function. The effectiveness of different EEG-NFB protocols can be measured using two dependent variables: (1) changes in EEG activity and (2) behavioral changes of a targeted function (for therapeutic applications the desired changes should be long-lasting). To firmly establish a causal link between these variables and the selected protocol, similar changes should not be observed when appropriate control paradigms are used. The main objective of this review is to evaluate the evidence, reported in the scientific literature, which supports the validity of various EEG-NFB protocols. Our primary concern is to highlight the role that uncontrolled nonspecific factors can play in the results generated from EEG-NFB studies. Nonspecific factors are often ignored in EEG-NFB designs or the data are not presented, which means conclusions should be interpreted cautiously. As an outcome of this review we present a do's and don'ts list, which can be used to develop future EEG-NFB methodologies, based on the small set of experiments in which the proper control groups have excluded non-EEG-NFB related effects. We found two features which positively correlated with the expected changes in power of the trained EEG band(s): (1) protocols which focused on training a smaller number of frequency bands and (2) a bigger number of electrodes used for neurofeedback training. However, we did not find evidence in support of the positive relationship between power changes of a trained frequency band(s) and specific behavioral effects.

Highlights

Electroencephalogram (EEG) based neurofeedback (NFB) is a method in which brain activity is modulated via self-induced increases or decreases in the power of selected EEG frequency bands
We posit that neurofeedback methodology used in the majority of the reviewed experiments did not enable proper targeting of the brain regions responsible for control over the desired behavioral changes
- Use single band protocols. - Localize brain regions functionally correlated with the targeted behavior for optimal electrode placement. - Use of viable EEG source localization methods for the feedback signals used in the training

Summary

Introduction

Electroencephalogram (EEG) based neurofeedback (NFB) is a method in which brain activity is modulated via self-induced increases or decreases in the power of selected EEG frequency bands. Since the pioneering work of Sterman and Friar (1972), the number of publications devoted to EEG-NFB has Review of the Controlled Neurofeedback Studies systematically increased. During the first two decades (19721990), 162 NFB-based studies were published, based on a search in Google Scholar for the keyword ‘neurofeedback’. This number increased rapidly in the subsequent decades, reaching 1,260 in nineties and 6,100 between 2001 and 2010. Since 2011, there have been over 9000 publications devoted to various aspects of EEG-NFB. Despite multiple promising case reports, reliable experimental research is scarce, and the methodologies and results inconsistent

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Conclusion