COMPARISON OF 4 BIOFEEDBACK TREATMENTS FOR MIGRAINE HEADACHE - PHYSIOLOGICAL AND HEADACHE VARIABLES

COMPARISON OF 4 BIOFEEDBACK TREATMENTS FOR MIGRAINE HEADACHE - PHYSIOLOGICAL AND HEADACHE VARIABLES
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DOI:
10.1097/00006842-198009000-00001
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发表时间:
1980-01-01
影响因子:
3.3
通讯作者:
RICKLES, WH
RICKLES, WH
中科院分区:
医学3区
文献类型:
--
作者:
COHEN, MJ;MCARTHUR, DL;RICKLES, WH

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偏头痛患者(42例)参与了对不同手指加热-前额冷却、额肌EMG(肌电图)松弛、α增强和颞头皮动脉血管收缩的生物反馈评估。所有患者提供8周的头痛基线图表,然后在上述条件之一接受24次训练。头痛图表持续整个训练和8个月。培训后。在训练期间,测量每个生物反馈变量加上前额温度、心率、皮肤电导和手指脉搏幅度。分析显示,所有组每周头痛的次数都有显着减少,头痛的强度,残疾或长度没有变化。生理变化始终很小,与头痛结果无关。一个非特异性的影响,生物反馈的建议与可能的候选人是一个放松的现象或认知解释的基础上感知控制。
Migraine headache patients (42) participated in an appraisal of biofeedback for differential finger warming-forehead cooling, frontalis EMG (electromyogram) relaxation, alpha enhancement and vasoconstriction of the temporal scalp arteries. All patients provided 8 wk of baseline charting of headache, and then received 24 training sessions in one of the above conditions. Headache charting continued throughout training and for 8 mo. post-training. During the training period, measurements were taken of each biofeedback variable plus forehead temperature, heart rate, skin conductance and finger pulse amplitude. Analyses revealed that all groups had a significant reduction in number of headaches per week with no change in intensity, disability or length of headache. Physiological changes were consistently small and unrelated to headache outcome. A nonspecific effect for biofeedback is suggested with the likely candidates being a relaxation phenomenon or a cognitive explanation based upon perceived control.