Peak Flow: Performance & Creativity
Cognitive enhancement, flow states, and optimal brain function research.
Research Library
We've curated 30 research papers for this use case. Dr. Hill and the Peak Brain team are reviewing and summarizing these papers to provide accessible, actionable insights.
Citations and abstracts shown below. Detailed summaries, key findings, and clinical applications will be added as reviews are completed.
Research Citations
Neurofeedback training: Decreases in Mu rhythm lead to improved motor performance in complex visuomotor skills
Abstract The physiological function of the Mu rhythm (8â13Â Hz in the central region) is still unclear, particularly its role in visuomotor performance in sports (shooting vs. golf putting), as both the complexity of the motor skills (i.e., simple vs. complex visuomotor skills) and the skill level (e.g., novices vs. experts or low-skilled vs. highly skilled) may modulate Mu rhythm. To gain a broader understanding of the association between Mu rhythm and visuomotor skill performance, a study design that considers both a control moderator (the difference in skill level) and the ability to manipulate Mu rhythm (i.e., either increase or decrease Mu rhythm) is required. To achieve this, we recruited 30 novice golfers who were randomly assigned to either the increased Mu rhythm group (IMG), decreased Mu rhythm group (DMG), or sham group (SG) and used electroencephalographic-neurofeedback training (EEG-NFT) to manipulate Mu rhythm during a golf putting task (complex visuomotor skill). The aim was to determine whether the complexity of the motor skill was a potential moderator of Mu rhythm. We mainly found that Mu power was significantly decreased in the DMG following EEG-NFT, which lead to increased motor control and improved performance. We suggest that (1) the complexity of the motor skill, rather than the difference in skill level, may be a potential moderator of Mu rhythm and visuomotor performance, as our results were not consistent with a previous study that reported that increased Mu rhythm improved shooting performance (a simple visuomotor task) in novices.
View Full Paper âEEG neurofeedback improves cycling time to exhaustion
Objective: The role of the brain in endurance performance is frequently debated; surprisingly, few investigations have attempted to improve endurance performance by directly targeting brain activity. One promising but untested approach to modifying brain activity is electroencephalogram (EEG) neurofeedback. Consequently, our experiment is the first to examine an EEG neurofeedback intervention for whole-body endurance performance. Method: We adopted a two-part experiment. The first consisted of a randomized parallel controlled design. Forty participants were allocated to three experimental groups; increase relative left cortical activity (NFL), increase relative right (NFR), and passive control (CON). They performed a depleting cognitive task, followed by either six 2-min blocks of EEG neurofeedback training (NFL or NFR) or time-matched videos of the neurofeedback display (CON). Next, they performed a time-to-exhaustion (TTE) test on a cycle-ergometer. We then tested participants of NFL and NFR groups in an additional experimental visit and administered the opposite neurofeedback training within a fully repeated-measures protocol. Results: EEG neurofeedback modified brain activity as expected. As hypothesized, the NFL group cycled for over 30% longer than the other groups in the parallel controlled design, NFL: 1382 ± 252 s, NFR: 878 ± 167, CON: 963 ± 117 s. We replicated this result in the repeated-measures design where NFL: 1167 ± 831 s performed 11% longer than NFR: 1049 ± 638 s. There were no differences in pre-exercise fatigue, vigor or self-control; area under the curve group-differences for perceived effort were interpreted within a goal persistence framework. Conclusion: The brief EEG neurofeedback intervention elicited greater relative left frontal cortical activity and enhanced endurance exercise performance
View Full Paper âInnovative Technology Using Virtual Reality in the Treatment of Pain: Does It Reduce Pain via Distraction, or Is There More to It?
OBJECTIVE: Virtual reality (VR) is an exciting new technology with almost endless possible uses in medicine. One area it has shown promise is pain management. This selective review focused on studies that gave evidence to the distraction or nondistraction mechanisms by which VR leads to the treatment of pain. METHODS: The review looked at articles from 2000 to July 29, 2016, focusing on studies concerning mechanisms by which virtual reality can augment pain relief. The data was collected through a search of MEDLINE and Web of Science using the key words of "virtual reality" and "pain" or "distraction." RESULTS: Six studies were identified: four small randomized controlled studies and two prospective/pilot studies. The search results provided evidence that distraction is a technique by which VR can have benefits in the treatment of pain. Both adult and pediatric populations were included in these studies. In addition to acute pain, several studies looked at chronic pain states such as headaches or fibromyalgia. These studies also combined VR with other treatment modalities such as biofeedback mechanisms and cognitive behavioral therapy. CONCLUSIONS: These results demonstrate that in addition to distraction, there are novel mechanisms for VR treatment in pain, such as producing neurophysiologic changes related to conditioning and exposure therapies. If these new mechanisms can lead to new treatment options for patients with chronic pain, VR may have the ability to help reduce opioid use and misuse among chronic pain patients. More studies are needed to reproduce results from prospective/pilot studies in large randomized control studies.
View Full Paper âNeurocognitive mechanisms of the flow state
While the experience of flow is often described in attentional terms-focused concentration or task absorption-specific cognitive mechanisms have received limited interest. We propose that an attentional explanation provides the best way to advance theoretical models and produce practical applications, as well as providing potential solutions to core issues such as how an objectively difficult task can be subjectively effortless. Recent research has begun to utilize brain-imaging techniques to investigate neurocognitive changes during flow, which enables attentional mechanisms to be understood in greater detail. Some tensions within flow research are discussed; including the dissociation between psychophysiological and experiential measures, and the equivocal neuroimaging findings supporting prominent accounts of hypofrontality. While flow has received only preliminary investigation from a neuroscientific perspective, findings already provide important insights into the crucial role played by higher-order attentional networks, and clear indications of reduced activity in brain regions linked to self-referential processing. The manner in which these processes may benefit sporting performance are discussed.
View Full Paper âFlow and quiet eye: the role of attentional control in flow experience
This report was designed to investigate the role of effective attention control in flow states, by developing an experimental approach to the study of flow. A challenge-skill balance manipulation was applied to self-paced netball and basketball shooting tasks, with point of gaze recorded through mobile eye tracking. Quiet eye was used to index optimal control of visual attention. While the experimental manipulation was found to have no effect, quiet eye was associated with the experience of flow. Furthermore, mediation revealed an indirect effect of quiet eye on performance through flow experience. This study provides initial evidence that flow may be preceded by changes in visual attention, suggesting that further investigation of visual attention may elucidate the cognitive mechanisms behind flow experience.
View Full Paper âIncreasing Performance of Professional Soccer Players and Elite Track and Field Athletes with Peak Performance Training and Biofeedback: A Pilot Study
The aim of this pilot study was to investigate the effects of an intervention consisting of mental coaching combined with either electro encephalogram (EEG) alpha power feedback or heart rate variability (HRV) feedback on HRV, EEG outcomes and self-reported factors related to stress, performance, recovery and sleep quality in elite athletes. A prospective pilot study was performed with two distinct cohorts. Soccer players were provided with four sessions of mental coaching combined with daily HRV biofeedback (Group A); track and field athletes were provided with four sessions of mental coaching in combination with daily neurofeedback (Group B). Measurements were performed at baseline, post intervention and at 5 weeks follow-up. Objective measures: EEG and ECG. Subjective measures: Numeric Rating Scale for performance, Pittsburgh Sleep Quality Index, Rest and Stress Questionnaire and Sports Improvement-60. Group characteristics were too distinct to compare the interventions. Linear mixed models were used to analyze differences within groups over time. In Group A, significant changes over time were present in alpha power at 5 of 7 EEG locations (p < 0.01-0.03). LF/HF ratio significantly increased (p = 0.02) and the concentration (p = 0.02) and emotional scale (p = 0.03) of the SIM-60 increased significantly (p = 0.04). In Group B, the HRV low frequency power and recovery scale of the REST-Q significantly increased (p = 0.02 and <0.01 resp.). Other measures remained stable or improved non-significantly. A mental coaching program combined with either HRV or EEG alpha power feedback may increase HRV and alpha power and may lead to better performance-related outcomes and stress reduction. Further research is needed to elucidate the effects of either type of feedback and to compare effects with a control group.
View Full Paper âSwing-leg trajectory of running guinea fowl suggests task-level priority of force regulation rather than disturbance rejection
To achieve robust and stable legged locomotion in uneven terrain, animals must effectively coordinate limb swing and stance phases, which involve distinct yet coupled dynamics. Recent theoretical studies have highlighted the critical influence of swing-leg trajectory on stability, disturbance rejection, leg loading and economy of walking and running. Yet, simulations suggest that not all these factors can be simultaneously optimized. A potential trade-off arises between the optimal swing-leg trajectory for disturbance rejection (to maintain steady gait) versus regulation of leg loading (for injury avoidance and economy). Here we investigate how running guinea fowl manage this potential trade-off by comparing experimental data to predictions of hypothesis-based simulations of running over a terrain drop perturbation. We use a simple model to predict swing-leg trajectory and running dynamics. In simulations, we generate optimized swing-leg trajectories based upon specific hypotheses for task-level control priorities. We optimized swing trajectories to achieve i) constant peak force, ii) constant axial impulse, or iii) perfect disturbance rejection (steady gait) in the stance following a terrain drop. We compare simulation predictions to experimental data on guinea fowl running over a visible step down. Swing and stance dynamics of running guinea fowl closely match simulations optimized to regulate leg loading (priorities i and ii), and do not match the simulations optimized for disturbance rejection (priority iii). The simulations reinforce previous findings that swing-leg trajectory targeting disturbance rejection demands large increases in stance leg force following a terrain drop. Guinea fowl negotiate a downward step using unsteady dynamics with forward acceleration, and recover to steady gait in subsequent steps. Our results suggest that guinea fowl use swing-leg trajectory consistent with priority for load regulation, and not for steadiness of gait. Swing-leg trajectory optimized for load regulation may facilitate economy and injury avoidance in uneven terrain.
View Full Paper âEEG-neurofeedback for optimising performance. I: A review of cognitive and affective outcome in healthy participants
A re-emergence of research on EEG-neurofeedback followed controlled evidence of clinical benefits and validation of cognitive/affective gains in healthy participants including correlations in support of feedback learning mediating outcome. Controlled studies with healthy and elderly participants, which have increased exponentially, are reviewed including protocols from the clinic: sensory-motor rhythm, beta1 and alpha/theta ratios, down-training theta maxima, and from neuroscience: upper-alpha, theta, gamma, alpha desynchronisation. Outcome gains include sustained attention, orienting and executive attention, the P300b, memory, spatial rotation, RT, complex psychomotor skills, implicit procedural memory, recognition memory, perceptual binding, intelligence, mood and well-being. Twenty-three of the controlled studies report neurofeedback learning indices along with beneficial outcomes, of which eight report correlations in support of a meditation link, results which will be supplemented by further creativity and the performing arts evidence in Part II. Validity evidence from optimal performance studies represents an advance for the neurofeedback field demonstrating that cross fertilisation between clinical and optimal performance domains will be fruitful. Theoretical and methodological issues are outlined further in Part III.
View Full Paper âNeurofeedback training for peak performance
AIM: One of the applications of the Neurofeedback methodology is peak performance in sport. The protocols of the neurofeedback are usually based on an assessment of the spectral parameters of spontaneous EEG in resting state conditions. The aim of the paper was to study whether the intensive neurofeedback training of a well-functioning Olympic athlete who has lost his performance confidence after injury in sport, could change the brain functioning reflected in changes in spontaneous EEG and event related potentials (ERPs). CASE STUDY: The case is presented of an Olympic athlete who has lost his performance confidence after injury in sport. He wanted to resume his activities by means of neurofeedback training. His QEEG/ERP parameters were assessed before and after 4 intensive sessions of neurotherapy. Dramatic and statistically significant changes that could not be explained by error measurement were observed in the patient. CONCLUSION: Neurofeedback training in the subject under study increased the amplitude of the monitoring component of ERPs generated in the anterior cingulate cortex, accompanied by an increase in beta activity over the medial prefrontal cortex. Taking these changes together, it can be concluded that that even a few sessions of neurofeedback in a high performance brain can significantly activate the prefrontal cortical areas associated with increasing confidence in sport performance.
View Full Paper âBeneficial outcome from EEG-neurofeedback on creative music performance, attention and well-being in school children
We earlier reported benefits for creativity in rehearsed music performance from alpha/theta (A/T) neurofeedback in conservatoire studies (Egner & Gruzelier, 2003) which were not found with SMR, Beta1, mental skills, aerobics or Alexander training, or in standby controls. Here the focus was the impact on novice music performance. A/T and SMR training were compared in 11-year old school children along with non-intervention controls with outcome measures not only of rehearsed music performance but also of creative improvisation, as well as sustained attention and phenomenology. Evidence of effective learning in the school setting was obtained for A/T and SMR/beta2 ratios. Preferential benefits from A/T for rehearsed music performance were replicated in children for technique and communication ratings. Benefits extended to creativity and communication ratings for creative improvisation which were shared with SMR training, disclosing an influence of SMR on unrehearsed music performance at a novice level with its greater cognitive demands. In a first application of A/T for improving sustained attention (TOVA), it was found to be more successful than SMR training, with a notable reduction in commission errors in the children, 15/33 of whom had attention indices in the ADHD range. Phenomenological reports were in favour of neurofeedback and well-being benefits. Implementing neurofeedback in the daily school setting proved feasible and holds pedagogic promise.
View Full Paper âEffects of SMR and Theta/Beta Neurofeedback on Reaction Times, Spatial Abilities, and Creativity
Neurofeedback training (NFT) has been demonstrated to be a useful, inexpensive, nonpharmacological tool in the treatment of attention deficit hyperactivity disorder and epilepsy in humans. Different neurofeedback training protocols have been associated with positive effects on performance in sports, creativity, memory, and simple reaction time tasks. During NFT, individuals receive visual or acoustic feedback of their brain oscillations, which are recorded by electroencephalogram (EEG). Through operant conditioning that employs this feedback, the individuals subsequently may be able to modulate the respective oscillations. The most widely used training protocols focus on either the enhancement of the sensorimotor rhythm (SMR; 12-15Hz) or modulation of the theta/beta ratio (TBR; theta: 4.5-7.5 Hz, beta: 17-21 Hz). We investigated whether healthy individuals are able to learn, within 30 NFT sessions, how to modulate either the SMR (n=13) or the TBR (n=14), and whether such modulation can lead to an enhancement in different cognitive or creative tasks. A control group (n=14) that received NFT with daily changing frequency bands and instructions was included for comparison. Although neither the TBR group nor the control group was able to modulate the EEG in the trained frequency bands, the SMR group was successful in doing so. In addition, only the SMR group was able to attain significantly better results in simple and choice reaction time tasks and a spatial rotation task after training as compared to the two other groups. No effects of NFT were found for the other attention-related tasks or for creative tasks. A series of 30 SMR training sessions can increase the ability to increase SMR amplitudes and therefore may have a future application in settings where the cultivation of fast reactions and good visuospatial abilities are relevant (e.g., in sports).
View Full Paper âSelf-regulation of regional cortical activity using real-time fMRI: The right inferior frontal gyrus and linguistic processing
Neurofeedback of functional magnetic resonance imaging (fMRI) can be used to acquire selective control over activation in circumscribed brain areas, potentially inducing behavioral changes, depending on the functional role of the targeted cortical sites. In the present study, we used fMRI-neurofeedback to train subjects to enhance regional activation in the right inferior frontal gyrus (IFG) to influence speech processing and to modulate language-related performance. Seven subjects underwent real-time fMRI-neurofeedback training and succeeded in achieving voluntary regulation of their right Brodmann's area (BA) 45. To examine short-term behavioral impact, two linguistic tasks were carried out immediately before and after the training. A significant improvement of accuracy was observed for the identification of emotional prosodic intonations but not for syntactic processing. This evidence supports a role for the right IFG in the processing of emotional information and evaluation of affective salience. The present study confirms the efficacy of fMRI-biofeedback for noninvasive self-regulation of circumscribed brain activity. Hum Brain Mapp 2009. © 2008 Wiley-Liss, Inc.
Alpha Neurofeedback Training for Performance Enhancement: Reviewing the Methodology
Introduction. Considerable interest has been, and still is, generated by the potential performance enhancing benefits of alpha neurofeedback training (NFT) for healthy participants. A plausible rationale for such training, with an aim to improve mood and/or enhance cognition, can be made based upon what is already known of the links between alpha EEG activity and behavior. However, designing an optimal NFT paradigm remains difficult because a number of methodological factors that may influence the outcome of such training remain largely unexplored. Method. This article focuses on these methodological factors in an attempt to highlight some of the unanswered questions and stimulate future research. Results. Specifically, this article examines the NFT training schedule; the variety, basis, and setting of reward thresholds; the nature and modality of the feedback signal provided; unidirectional as compared to bidirectional NFT; the establishment of a target frequency range for alpha; whether NFT should be conducted with eyes open or closed; and the identification of a clear index of learning. Conclusions. Throughout, the article provides a number of suggestions and possible directions for future research.
View Full Paper âOptimizing microsurgical skills with EEG neurofeedback
BACKGROUND: By enabling individuals to self-regulate their brainwave activity in the field of optimal performance in healthy individuals, neurofeedback has been found to improve cognitive and artistic performance. Here we assessed whether two distinct EEG neurofeedback protocols could develop surgical skill, given the important role this skill plays in medicine. RESULTS: National Health Service trainee ophthalmic microsurgeons (N = 20) were randomly assigned to either Sensory Motor Rhythm-Theta (SMR) or Alpha-Theta (AT) groups, a randomized subset of which were also part of a wait-list 'no-treatment' control group (N = 8). Neurofeedback groups received eight 30-minute sessions of EEG training. Pre-post assessment included a skills lab surgical procedure with timed measures and expert ratings from video-recordings by consultant surgeons, together with state/trait anxiety self-reports. SMR training demonstrated advantages absent in the control group, with improvements in surgical skill according to 1) the expert ratings: overall technique (d = 0.6, p < 0.03) and suture task (d = 0.9, p < 0.02) (judges' intraclass correlation coefficient = 0.85); and 2) with overall time on task (d = 0.5, p = 0.02), while everyday anxiety (trait) decreased (d = 0.5, p < 0.02). Importantly the decrease in surgical task time was strongly associated with SMR EEG training changes (p < 0.01), especially with continued reduction of theta (4-7 Hz) power. AT training produced marginal improvements in technique and overall performance time, which were accompanied by a standard error indicative of large individual differences. Notwithstanding, successful within session elevation of the theta-alpha ratio correlated positively with improvements in overall technique (r = 0.64, p = 0.047). CONCLUSION: SMR-Theta neurofeedback training provided significant improvement in surgical technique whilst considerably reducing time on task by 26%. There was also evidence that AT training marginally reduced total surgery time, despite suboptimal training efficacies. Overall, the data set provides encouraging evidence of optimised learning of a complex medical specialty via neurofeedback training.
View Full Paper âA theory of alpha/theta neurofeedback, creative performance enhancement, long distance functional connectivity and psychological integration
Professionally significant enhancement of music and dance performance and mood has followed training with an EEG-neurofeedback protocol which increases the ratio of theta to alpha waves using auditory feedback with eyes closed. While originally the protocol was designed to induce hypnogogia, a state historically associated with creativity, the outcome was psychological integration, while subsequent applications focusing on raising the thetaâalpha ratio, reduced depression and anxiety in alcoholism and resolved post traumatic stress syndrome (PTSD). In optimal performance studies we confirmed associations with creativity in musical performance, but effects also included technique and communication. We extended efficacy to dance and social anxiety. Diversity of outcome has a counterpart in wide ranging associations between theta oscillations and behaviour in cognitive and affective neuroscience: in animals with sensory-motor activity in exploration, effort, working memory, learning, retention and REM sleep; in man with meditative concentration, reduced anxiety and sympathetic autonomic activation, as well as task demands in virtual spatial navigation, focussed and sustained attention, working and recognition memory, and having implications for synaptic plasticity and long term potentiation. Neuroanatomical circuitry involves the ascending mescencephalic-cortical arousal system, and limbic circuits subserving cognitive as well as affective/motivational functions. Working memory and meditative bliss, representing cognitive and affective domains, respectively, involve coupling between frontal and posterior cortices, exemplify a role for theta and alpha waves in mediating the interaction between distal and widely distributed connections. It is posited that this mediation in part underpins the integrational attributes of alphaâtheta training in optimal performance and psychotherapy, creative associations in hypnogogia, and enhancement of technical, communication and artistic domains of performance in the arts.
View Full Paper âApplications of real-time fMRI
For centuries people have aspired to understand and control the functions of the mind and brain. It has now become possible to image the functioning of the human brain in real time using functional MRI (fMRI), and thereby to access both sides of the mindâbrain interface â subjective experience (that is, one's mind) and objective observations (that is, external, quantitative measurements of one's brain activity) â simultaneously. Developments in neuroimaging are now being translated into many new potential practical applications, including the reading of brain states, brainâcomputer interfaces, communicating with locked-in patients, lie detection, and learning control over brain activation to modulate cognition or even treat disease.
Golf Performance Enhancement and Real-Life Neurofeedback Training Using Personalized Event-Locked EEG Profiles
Background. This study reports on a new method for golf performance enhancement employing personalized real-life neurofeedback during golf putting. Method. Participants (n = 6) received an assessment and three real-life neurofeedback training sessions. In the assessment, a personal event-locked electroencephalographic (EEG) profile at FPz was determined for successful versus unsuccessful putts. Target frequency bands and amplitudes marking optimal prefrontal brain state were derived from the profile by two raters. The training sessions consisted of four series of 80 putts in an ABAB design. The feedback in the second and fourth series was administered in the form of a continuous NoGo tone, whereas in the first and third series no feedback was provided. This tone was terminated only when the participants EEG met the assessment-defined criteria. In the feedback series, participants were instructed to perform the putt only after the NoGo tone had ceased. Results. From the personalized event-locked EEG profiles, individual training protocols were established. The interrater reliability was 91%. The overall percentage of successful putts was significantly larger in the second and fourth series (feedback) of training compared to the first and third series (no feedback). Furthermore, most participants improved their performance with feedback on their personalized EEG profile, with 25% on average. Conclusions. This study demonstrates that the âzoneâ or the optimal mental state for golf putting shows clear recognizable personalized patterns. The learning effects suggest that this real-life approach to neurofeedback improves learning speed, probably by tapping into learning associated with contextual conditioning rather than operant conditioning, indicating perspectives for clinical applications.
Direct Instrumental Conditioning of Neural Activity Using Functional Magnetic Resonance Imaging-Derived Reward Feedback
Successful learning is often contingent on feedback. In instrumental conditioning, an animal or human learns to perform specific responses to obtain reward. Instrumental conditioning is often used by behavioral psychologists to train an animal (or human) to produce a desired behavior. Shaping involves reinforcing those behaviors, which in a stepwise manner are successively closer to the desired behavior until the desired behavior is reached. Here, we aimed to extend this traditional approach to directly shape neural activity instead of overt behavior. To achieve this, we scanned 22 human subjects with functional magnetic resonance imaging and performed image processing in parallel with acquisition. We delineated regions of interest (ROIs) in finger and toe motor/somatosensory regions and used an instrumental shaping procedure to induce a regionally specific increase in activity by providing an explicit monetary reward to reinforce neural activity in the target areas. After training, we found a significant and regionally specific increase in activity in the ROI being rewarded (finger or toe) and a decrease in activity in the nonrewarded region. This demonstrates that instrumental conditioning procedures can be used to directly shape neural activity, even without the production of an overt behavioral response. This procedure offers an important alternative to traditional biofeedback-based approaches and may be useful in the development of future therapies for stroke and other brain disorders.
Volitional control of neural activity: implications for brainâcomputer interfaces
Successful operation of brainâcomputer interfaces (BCI) and brainâmachine interfaces (BMI) depends significantly on the degree to which neural activity can be volitionally controlled. This paper reviews evidence for such volitional control in a variety of neural signals, with particular emphasis on the activity of cortical neurons. Some evidence comes from conventional experiments that reveal volitional modulation in neural activity related to behaviours, including real and imagined movements, cognitive imagery and shifts of attention. More direct evidence comes from studies on operant conditioning of neural activity using biofeedback, and from BCI/BMI studies in which neural activity controls cursors or peripheral devices. Limits in the degree of accuracy of control in the latter studies can be attributed to several possible factors. Some of these factors, particularly limited practice time, can be addressed with longâterm implanted BCIs. Preliminary observations with implanted circuits implementing recurrent BCIs are summarized.
Reading and controlling human brain activation using real-time functional magnetic resonance imaging
Understanding how to control how the brain's functioning mediates mental experience and the brain's processing to alter cognition or disease are central projects of cognitive and neural science. The advent of real-time functional magnetic resonance imaging (rtfMRI) now makes it possible to observe the biology of one's own brain while thinking, feeling and acting. Recent evidence suggests that people can learn to control brain activation in localized regions, with corresponding changes in their mental operations, by observing information from their brain while inside an MRI scanner. For example, subjects can learn to deliberately control activation in brain regions involved in pain processing with corresponding changes in experienced pain. This may provide a novel, non-invasive means of observing and controlling brain function, potentially altering cognitive processes or disease
Validating the efficacy of neurofeedback for optimising performance
The ïŹeld of neurofeedback training has largely proceeded without validation. Here we review our studies directed at validating SMR, beta and alphaâtheta protocols for improving attention, memory, mood and music and dance performance in healthy participants. Important beneïŹts were demonstrable with cognitive and neurophysiological measures which were predicted on the basis of regression models of learning. These are initial steps in providing a much needed scientiïŹc basis to neurofeedback, but much remains to be done.
View Full Paper âCan Neurofeedback Training Enhance Performance? An Evaluation of the Evidence with Implications for Future Research
There have been many claims regarding the possibilities of performance enhancement training. The aim of such training is for an individual to complete a specific function or task with fewer errors and greater efficiency, resulting in a more positive outcome. The present review examined evidence from neurofeedback training studies to enhance performance in a particular area. Previous research has documented associations between specific cortical states and optimum levels of performance in a range of tasks. This information provides a plausible rationale for the use of neurofeedback to train individuals to enhance their performance. An examination of the literature revealed that neurofeedback training has been utilised to enhance performance from three main areas; sport, cognitive and artistic performance. The review examined evidence from neurofeedback training studies within each of these three areas. Some suggestive findings have been reported with regard to the use of neurofeedback training to enhance performance. However, due to a range of methodological limitations and a general failure to elicit unambiguous changes in baseline EEG activity, a clear association between neurofeedback training and enhanced performance has yet to be established. Throughout, the review highlights a number of recommendations to aid and stimulate future research.
View Full Paper âBiofeedback and Dance Performance: A Preliminary Investigation
Alpha-theta neurofeedback has been shown to produce professionally significant performance improvements in music students. The present study aimed to extend this work to a different performing art and compare alpha-theta neurofeedback with another form of biofeedback: heart rate variability (HRV) biofeedback. Twenty-four ballroom and Latin dancers were randomly allocated to three groups, one receiving neurofeedback, one HRV biofeedback and one no intervention. Dance was assessed before and after training. Performance improvements were found in the biofeedback groups but not in the control group. Neurofeedback and HRV biofeedback benefited performance in different ways. A replication with larger sample sizes is required
Self-regulation of local brain activity using real-time functional magnetic resonance imaging (fMRI)
Functional magnetic resonance imaging (fMRI) measures the blood oxygen level-dependent (BOLD) signal related to neuronal activity. So far, this technique has been limited by time-consuming data analysis impeding on-line analysis. In particular, no brain-computer interface (BCI) was available which provided on-line feedback to learn physiological self-regulation of the BOLD signal. Recently, studies have shown that fMRI feedback is feasible and facilitates voluntary control of brain activity. Here we review these studies to make the fMRI feedback methodology accessible to a broader scientific community such as researchers concerned with functional brain imaging and the neurobiology of learning. Methodological and conceptual limitations were substantially reduced by artefact control, sensitivity improvements, real-time algorithms, and adapted experimental designs. Physiological self-regulation of the local BOLD response is a new paradigm for cognitive neuroscience to study brain plasticity and the functional relevance of regulated brain areas by modification of behaviour. Voluntary control of abnormal activity in circumscribed brain areas may even be applied as psychophysiological treatment.
Learned regulation of spatially localized brain activation using real-time fMRI
It is not currently known whether subjects can learn to voluntarily control activation in localized regions of their own brain using neuroimaging. Here, we show that subjects were able to learn enhanced voluntary control over task-specific activation in a chosen target region, the somatomotor cortex. During an imagined manual action task, subjects were provided with continuous direction regarding their cognitive processes. Subjects received feedback information about their current level of activation in a target region of interest (ROI) derived using real-time functional magnetic resonance imaging (rtfMRI), and they received automatically-adjusted instructions for the level of activation to achieve. Information was provided both as continously upated graphs and using a simple virtual reality interface that provided an image analog of the level of activation. Through training, subjects achieved an enhancement in their control over brain activation that was anatomically specific to the target ROI, the somatomotor cortex. The enhancement took place when rtfMRI-based training was provided, but not in a control group that received similar training without rtfMRI information, showing that the effect was not due to conventional, practice-based neural plasticity alone. Following training, using cognitive processes alone subjects could volitionally induce fMRI activation in the somatomotor cortex that was comparable in magnitude to the activation observed during actual movement. The trained subjects increased fMRI activation without muscle tensing, and were able to continue to control brain activation even when real-time fMRI information was no longer provided. These results show that rtfMRI information can be used to direct cognitive processes, and that subjects are able to learn volitionally regulate activation in an anatomically-targeted brain region, surpassing the task-driven activation present before training.
Ecological validity of neurofeedback: modulation of slow wave EEG enhances musical performance
Biofeedback-assisted modulation of electrocortical activity has been established to have intrinsic clinical benefits and has been shown to improve cognitive performance in healthy humans. In order to further investigate the pedagogic relevance of electroencephalograph (EEG) biofeedback (neurofeedback) for enhancing normal function, a series of investigations assessed the training's impact on an ecologically valid real-life behavioural performance measure: music performance under stressful conditions in conservatoire students. In a pilot study, single-blind expert ratings documented improvements in musical performance in a student group that received training on attention and relaxation related neurofeedback protocols, and improvements were highly correlated with learning to progressively raise theta (5-8 Hz) over alpha (8-11 Hz) band amplitudes. These findings were replicated in a second experiment where an alpha/theta training group displayed significant performance enhancement not found with other neurofeedback training protocols or in alternative interventions, including the widely applied Alexander technique.
View Full Paper âPhysiological self-regulation of regional brain activity using real-time functional magnetic resonance imaging (fMRI): methodology and exemplary data
A brainâcomputer interface (BCI) based on real-time functional magnetic resonance imaging (fMRI) is presented which allows human subjects to observe and control changes of their own blood oxygen level-dependent (BOLD) response. This BCI performs data preprocessing (including linear trend removal, 3D motion correction) and statistical analysis on-line. Local BOLD signals are continuously fed back to the subject in the magnetic resonance scanner with a delay of less than 2 s from image acquisition. The mean signal of a region of interest is plotted as a time-series superimposed on color-coded stripes which indicate the task, i.e., to increase or decrease the BOLD signal. We exemplify the presented BCI with one volunteer intending to control the signal of the rostralâventral and dorsal part of the anterior cingulate cortex (ACC). The subject achieved significant changes of local BOLD responses as revealed by region of interest analysis and statistical parametric maps. The percent signal change increased across fMRI-feedback sessions suggesting a learning effect with training. This methodology of fMRI-feedback can assess voluntary control of circumscribed brain areas. As a further extension, behavioral effects of local self-regulation become accessible as a new field of research.
Applied Research Using Alpha/Theta Training for Enhancing Creativity and Well-Being
Introduction. Previous research has supported anecdotal reports of a possible correlation between the state of hypnagogia and the enhancement of creative ability (Green, 1972; Green, Green, & Walters, 1970, 1974; Parks, 1996; Stembridge, 1972; Whisenant & Murphy, 1977). Some psychologists (e.g., Maslow, 1963; Rogers, 1978) have suggested that there is also a correlation between creative ability and enhanced well-being. Methods. This study utilized an 8-week repeated-measures experimental design to investigate the effects of electroencephalogram (EEG) biofeedback on the willful use of hypnagogia for increasing creativity and well-being. The sample size of 62 (30 experimental subjects and 32 controls) was comprised of both sexes with a mean age of 45. The EEG parameters of hypnagogia were broadly defined as the presence and pre-dominance of alpha and theta brain wave activity. Creativity was defined by the three most readily agreed upon divergent thinking abilities: (a) fluency (the ability to generate numerous ideas), (b) flexibility (the ability to see a given problem from multiple perspectives), and (c) originality (the ability to come up with new and unique ideas). Results. Hypnagogia was analyzed through multiple univariate analyses of variance. The EEG data showed that both experimental and control participants were able to achieve light to deep hypnagogic states in every training session. T-tests results on fluency and originality scores from the Torrance Test of Creative Thinking and the Christensen-Guilford Associational Fluency Test showed no significant changes in pre- and post-tests for either group. However, flexibility in thinking, as measured by the Alternate Uses Test was significantly increased (p < .001) for all participants. Well-being, as measured by the Friedman Well-Being Scale, also significantly increased for all participants (p = .002). Discussion. The data suggest that willful use of hynagogia may indeed increase creativity and well-being. Participants reported increased personal creativity, stress reduction, heightened self-awareness, emotional equanimity, and improved work performance.
View Full Paper âThe Effects of Brief, Eyes-Open Alpha Brain Wave Training with Audio and Video Relaxation Induction on the EEG of 77 Army Reservists
Background: Recently, psychologist Barry Sterman of the UCLA School of Medicine became involved in measuring the brain wave activity of pilots engaged in a variety of tasks for the purpose of identifying the brain wave correlates of peak performance under different load conditions. Sterman found that during a manageable periodic challenge the brain waves exhibited, in parietal areas, a consistent cycling between resting state alpha (when in the attentive readiness state) and an alpha desynchronized, elevated low beta state when engaged in the response mode. As the tasks came closer together, hence allowing for no alpha respite, there was a deterioration in performance accompanied by an increase in theta activity. In this paper, the effects of brief, eyes-open alpha brain wave enhancement training will be examined for the general purpose of suggesting possible methods for increasing functional integrity and cortical flexibility through increased alpha brain wave production. Methods: The subjects were 77 U.S. Army reservists. The EEG biofeedback system used was the BioIntegrator manufactured by the Bio-Research Institute. Alpha enhancement training was employed with electrode placement at Pz. Results: It was found that eyes-open alpha enhancement training resulted in substantial increases in activity in the feedback band (alpha) with smaller increases in low beta and decreases in theta. This is quite a different result than one would expect from general ârelaxationâ training that is usually accomplished with eyes closed and yields substantial increases in both alpha and theta. Conclusion: When engaged in this training, even for brief periods, the EEG moves in a direction quite different to that of Sterman's burnout profile. It would be of interest to demonstrate rigorously that the training could, if administered preventatively, diminish poor performance in persons performing tasks that demand prolonged periods of external focus under high load conditions
View Full Paper âOptimal spatial frequencies for discrimination of motion direction in optic flow patterns
Spatial frequency tuning functions were measured for direction discrimination of optic flow patterns. Three subjects discriminated the direction of a curved motion path using computer generated optic flow patterns composed of randomly positioned dots. Performance was measured with unfiltered patterns and with patterns that were spatially filtered across a range of spatial frequencies (center spatial frequencies of 0.4, 0.8, 1.6, 3.2, 6.4, and 9.6 c/deg). The same subjects discriminated the direction of uniform, translational motion on the fronto-parallel plane. The uniform motion patterns were also composed of randomly positioned dots, that were either unfiltered or filtered with the same spatial filters used for the optic flow patterns. The peak spatial frequency was the same for both the optic flow and uniform motion patterns. For both types of motion, a narrow band (1.5 octaves) of optimal spatial frequencies was sufficient to support the same level of performance as found with unfiltered, broadband patterns. Additional experiments demonstrated that the peak spatial frequency for the optic flow patterns varies with mean image speed in the same manner as has been reported for moving sinusoidal gratings. These findings confirm the hypothesis that the outputs of the local motion mechanisms thought to underlie the perception of uniform motion provide the inputs to, and constrain the operation of, the mechanism that processes self motion from optic flow patterns.
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