Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives
Fatigue is a frequent and debilitating symptom in patients with multiple sclerosis (MS). Affective manifestations are also of high prevalence in this population and can drastically impact the patients’ functioning. A considerable proportion of patients with MS suffer from cognitive deficits affec...
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| Format: | Article |
| Language: | English |
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IMR Press
2021-09-01
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| Series: | Journal of Integrative Neuroscience |
| Subjects: | |
| Online Access: | https://jin.imrpress.com/fileup/1757-448X/PDF/1632962206106-789457894.pdf |
| _version_ | 1817984573749854208 |
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| author | Samar S. Ayache Benjamin Bardel Jean-Pascal Lefaucheur Moussa A. Chalah |
| author_facet | Samar S. Ayache Benjamin Bardel Jean-Pascal Lefaucheur Moussa A. Chalah |
| author_sort | Samar S. Ayache |
| collection | DOAJ |
| description | Fatigue is a frequent and debilitating symptom in patients with multiple
sclerosis (MS). Affective manifestations are also of high prevalence in this
population and can drastically impact the patients’ functioning. A considerable
proportion of patients with MS suffer from cognitive deficits affecting general
and social cognitive domains. In addition, pain in MS is commonly observed in
neurology wards, could be of different types, and may result from or be
exacerbated by other MS comorbidities. These complaints tend to cluster together
in some patients and seem to have a complex pathophysiology and a challenging
management. Exploring the effects of new interventions could improve these
outcomes and ameliorate the patients’ quality of life. Neurofeedback (NFB) might
have its place in this context by enhancing or reducing the activity of some
regions in specific electroencephalographic bands (i.e., theta, alpha, beta,
sensorimotor rhythm). This work briefly revisits the principles of NFB and its
application. The published data are scarce and heterogeneous yet suggest
preliminary evidence on the potential utility of NFB in patients with MS (i.e.,
depression, fatigue, cognitive deficits and pain). NFB is simple to adapt and
easy to coach, and its place in the management of MS symptoms merits further
investigations. Comparing different NFB protocols (i.e., cortical target,
specific rhythm, session duration and number) and performing a comprehensive
evaluation could help developing and optimizing interventions targeting specific
symptoms. These aspects could also open the way for the association of this
technique with other approaches (i.e., brain stimulation, cognitive
rehabilitation, exercise training, psychotherapies) that have proved their worth
in some MS domains. |
| first_indexed | 2024-04-13T23:47:08Z |
| format | Article |
| id | doaj.art-b33c814c05ab44798c035fa125158efa |
| institution | Directory Open Access Journal |
| issn | 1757-448X |
| language | English |
| last_indexed | 2024-04-13T23:47:08Z |
| publishDate | 2021-09-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Journal of Integrative Neuroscience |
| spelling | doaj.art-b33c814c05ab44798c035fa125158efa2022-12-22T02:24:16ZengIMR PressJournal of Integrative Neuroscience1757-448X2021-09-0120374575410.31083/j.jin20030791632962206106-789457894Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectivesSamar S. Ayache0Benjamin Bardel1Jean-Pascal Lefaucheur2Moussa A. Chalah3EA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est-Créteil, 94010 Créteil, FranceEA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est-Créteil, 94010 Créteil, FranceEA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est-Créteil, 94010 Créteil, FranceEA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est-Créteil, 94010 Créteil, FranceFatigue is a frequent and debilitating symptom in patients with multiple sclerosis (MS). Affective manifestations are also of high prevalence in this population and can drastically impact the patients’ functioning. A considerable proportion of patients with MS suffer from cognitive deficits affecting general and social cognitive domains. In addition, pain in MS is commonly observed in neurology wards, could be of different types, and may result from or be exacerbated by other MS comorbidities. These complaints tend to cluster together in some patients and seem to have a complex pathophysiology and a challenging management. Exploring the effects of new interventions could improve these outcomes and ameliorate the patients’ quality of life. Neurofeedback (NFB) might have its place in this context by enhancing or reducing the activity of some regions in specific electroencephalographic bands (i.e., theta, alpha, beta, sensorimotor rhythm). This work briefly revisits the principles of NFB and its application. The published data are scarce and heterogeneous yet suggest preliminary evidence on the potential utility of NFB in patients with MS (i.e., depression, fatigue, cognitive deficits and pain). NFB is simple to adapt and easy to coach, and its place in the management of MS symptoms merits further investigations. Comparing different NFB protocols (i.e., cortical target, specific rhythm, session duration and number) and performing a comprehensive evaluation could help developing and optimizing interventions targeting specific symptoms. These aspects could also open the way for the association of this technique with other approaches (i.e., brain stimulation, cognitive rehabilitation, exercise training, psychotherapies) that have proved their worth in some MS domains.https://jin.imrpress.com/fileup/1757-448X/PDF/1632962206106-789457894.pdfmultiple sclerosisfatiguecognitionanxietydepressionneurofeedback |
| spellingShingle | Samar S. Ayache Benjamin Bardel Jean-Pascal Lefaucheur Moussa A. Chalah Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives Journal of Integrative Neuroscience multiple sclerosis fatigue cognition anxiety depression neurofeedback |
| title | Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives |
| title_full | Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives |
| title_fullStr | Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives |
| title_full_unstemmed | Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives |
| title_short | Neurofeedback therapy for the management of multiple sclerosis symptoms: current knowledge and future perspectives |
| title_sort | neurofeedback therapy for the management of multiple sclerosis symptoms current knowledge and future perspectives |
| topic | multiple sclerosis fatigue cognition anxiety depression neurofeedback |
| url | https://jin.imrpress.com/fileup/1757-448X/PDF/1632962206106-789457894.pdf |
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