Heart Rate Variability Biofeedback for Mild Traumatic Brain Injury: A Randomized-Controlled Study

作     者：Lu, Hsueh Chen Gevirtz, Richard Yang, Chi Cheng Hauson, Alexander O. 

作者机构：California School of Professional Psychology at Alliant International University Clinical Psychology PhD Program San Diego CA United States Department of Psychiatry University of California San Diego La Jolla San Diego CA United States Institute of Brain Research and Integrated Neuropsychological Services (***) San Diego CA United States Department of Psychology National Chengchi University Taipei Taiwan 

出 版 物：《Applied Psychophysiology Biofeedback》 (Appl. Psychophysiol. Biofeedback)

年 卷 期：2023年第48卷第4期

页      面：405-421页

学科分类：0710[理学-生物学] 0402[教育学-心理学(可授教育学、理学学位）] 0303[法学-社会学] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 07[理学] 09[农学] 

基　　金：Fu Jen Catholic University Hospital, FJCUH National Taiwan University Hospital, NTUH 

主　　题：Central and autonomic nervous systems Heart rate variability Heart rate variety biofeedback Mild traumatic brain injury Neuropsychological functioning Rehabilitation 

摘      要：To determine whether heart rate variability biofeedback (HRV-BF) training, compared to a psychoeducation control condition can strengthen the integration of the central and autonomic nervous systems as measured by neuropsychological measures in patients with mild traumatic brain injury (mTBI). Participants were recruited from two university hospitals in Taipei, Taiwan. A total of 49 participants with mTBI were recruited for this study. Forty-one participants completed the study, 21 in the psychoeducation group and 20 in the HRV-BF group. Randomized controlled study. The Taiwanese Frontal Assessment Battery, the Semantic Association of Verbal Fluency Test, the Taiwanese version of the Word Sequence Learning Test, the Paced Auditory Serial Addition Test-Revised, and the Trail Making Test were used as performance-based neuropsychological functioning measures. The Checklist of Post-concussion Symptoms, the Taiwanese version of the Dysexecutive Questionnaire, the Beck Anxiety Inventory, the Beck Depression Inventory, and the National Taiwan University Irritability Scale were used as self-report neuropsychological functioning measures. Furthermore, heart rate variability pre- vs. post-training was used to measure autonomic nervous system functioning. Executive, information processing, verbal memory, emotional neuropsychological functioning, and heart rate variability (HRV) were improved significantly in the HRV-BF group at the posttest whereas the psychoeducation group showed no change. HRV biofeedback is a feasible technique following mild TBI that can improve neuropsychological and autonomic nervous system functioning. HRV-BF may be clinically feasible for the rehabilitation of patients with mTBI. © 2023, The Author(s).