Resting alpha activity predicts learning ability in alpha neurofeedback

Are treatment effects of neurofeedback training in children with ADHD related to the successful regulation of brain activity? A review on the learning of regulation of brain activity and a contribution to the discussion on specificity

While issues of efficacy and specificity are crucial for the future of neurofeedback training, there may be alternative designs and control analyses to circumvent the methodological and ethical problems associated with double-blind placebo studies. Surprisingly, most NF studies do not report the most immediate result of their NF training, i.e., whether or not children with ADHD gain control over their brain activity during the training sessions. For the investigation of specificity, however, it seems essential to analyze the learning and adaptation processes that take place in the course of the training and to relate improvements in self-regulated brain activity across training sessions to behavioral, neuropsychological and electrophysiological outcomes. To this aim, a review of studies on neurofeedback training with ADHD patients which include the analysis of learning across training sessions or relate training performance to outcome is presented. Methods on how to evaluate and quantify learning of EEG regulation over time are discussed. “Non-learning” has been reported in a small number of ADHD-studies, but has not been a focus of general methodological discussion so far. For this reason, selected results from the brain-computer interface (BCI) research on the so-called “brain-computer illiteracy”, the inability to gain control over one’s brain activity, are also included. It is concluded that in the discussion on specificity, more attention should be devoted to the analysis of EEG regulation performance in the course of the training and its impact on clinical outcome. It is necessary to improve the knowledge on characteristic cross-session and within-session learning trajectories in ADHD and to provide the best conditions for learning.

Resting-state sensorimotor rhythm (SMR) power predicts the ability to up-regulate SMR in an EEG-instrumental conditioning paradigm

OBJECTIVE

Instrumental conditioning of EEG activity (EEG-IC) is a promising method for improvement and rehabilitation of cognitive functions. However, it has been found that even healthy adults are not always able to learn how to regulate their brain activity during EEG-IC. In the present study, the role of a neurophysiological predictor of EEG-IC learning performance, the resting-state power of sensorimotor rhythm (rs-SMR, 12-15Hz), was investigated.

METHODS

Eyes-open and eyes-closed rs-SMR power was assessed before N=28 healthy adults underwent 10 training sessions of instrumental SMR conditioning (ISC), in which participants should learn to voluntarily increase their SMR power by means of audio-visual feedback. A control group of N=19 participants received gamma (40-43Hz) or sham EEG-IC.

RESULTS

N=19 of the ISC participants could be classified as "responders" as they were able to increase SMR power during training sessions, while N=9 participants ("non-responders") were not able to increase SMR power. Rs-SMR power in responders before start of ISC was higher in widespread parieto-occipital areas than in non-responders. A discriminant analysis indicated that eyes-open rs-SMR power in a central brain region specifically predicted later ISC performance, but not an increase of SMR in the control group.

CONCLUSIONS

Together, these findings indicate that rs-SMR power is a specific and easy-to-measure predictor of later ISC learning performance.

SIGNIFICANCE

The assessment of factors that influence the ability to regulate brain activity is of high relevance, as it could be used to avoid potentially frustrating and expensive EEG-IC training sessions for participants who have a low chance of success.