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Published on: June 30, 2020
Neurofeedback in Learning Disabled Children: Visual versus Auditory Reinforcement
Thalía Fernández1, Jorge Bosch-Bayard2, Thalía Harmony2
1Departamento de Neurobiología Conductual y Cognitiva, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, Boulevard Juriquilla 3001, 76230, Juriquilla, Querétaro, Mexico. thaliafh@yahoo.com.mx.
Insights
Auditory neurofeedback (NFB) effectively reduces the theta/alpha ratio in children with learning disabilities (LD). This method also improves cognitive abilities more than visual NFB, suggesting it is a more efficacious treatment for LD.
Area of Science:
- Neuroscience
- Pediatrics
- Cognitive Psychology
Background:
- Children with learning disabilities (LD) often exhibit abnormal electroencephalogram (EEG) patterns, specifically an excess of theta activity and a deficit of alpha activity.
- Neurofeedback (NFB) is a therapeutic tool that uses EEG feedback to help individuals regulate brain activity.
- Previous research indicates NFB, using auditory stimuli, can positively reinforce decreases in the theta/alpha ratio, proving beneficial for LD children.
Purpose of the Study:
- To optimize neurofeedback (NFB) procedures for treating learning disabilities (LD).
- To compare the efficacy of visual versus auditory reinforcers in NFB interventions for LD children.
- To determine which type of reinforcer (visual or auditory) is more effective in improving EEG patterns and cognitive functions.
Main Methods:
- Twenty children diagnosed with learning disabilities (LD) and an elevated theta/alpha ratio were recruited.
- Participants were randomly assigned to either an Auditory NFB group or a Visual NFB group.
- The Auditory group received a 500 Hz tone, while the Visual group received a white square as positive reinforcement for reducing their theta/alpha ratio.
Main Results:
- Both the Auditory and Visual NFB groups demonstrated signs of EEG maturation (reduction in theta/alpha ratio).
- However, only the children in the Auditory NFB group exhibited significant behavioral and cognitive improvements.
- The auditory reinforcer proved more efficacious in both reducing the theta/alpha ratio and enhancing cognitive abilities compared to the visual reinforcer.
Conclusions:
- Auditory neurofeedback (NFB) is a more effective intervention than visual NFB for children with learning disabilities (LD) exhibiting high theta/alpha ratios.
- The auditory stimulus facilitates greater improvements in EEG patterns and cognitive functions compared to visual stimuli.
- Optimizing NFB with auditory reinforcers offers a promising therapeutic avenue for addressing learning disabilities.
Abstract:
Children with learning disabilities (LD) frequently have an EEG characterized by an excess of theta and a deficit of alpha activities. NFB using an auditory stimulus as reinforcer has proven to be a useful tool to treat LD children by positively reinforcing decreases of the theta/alpha ratio. The aim of the present study was to optimize the NFB procedure by comparing the efficacy of visual (with eyes open) versus auditory (with eyes closed) reinforcers. Twenty LD children with an abnormally high theta/alpha ratio were randomly assigned to the Auditory or the Visual group, where a 500 Hz tone or a visual stimulus (a white square), respectively, was used as a positive reinforcer when the value of the theta/alpha ratio was reduced. Both groups had signs consistent with EEG maturation, but only the Auditory Group showed behavioral/cognitive improvements. In conclusion, the auditory reinforcer was more efficacious in reducing the theta/alpha ratio, and it improved the cognitive abilities more than the visual reinforcer.
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