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Head Injury

The use of neurofeedback techniques to care for those with head injury has been receiving strong attention for researchers in recent years.  With increased awareness of the effects of repeated head injury among athletes and combat related injury, researchers and therapists have given increased attention to the development of interventions that may be helpful.  Neurotherapy appears to be helpful in encouraging the development of neurological systems to compensate for areas that have been lost or damaged.  Those who have experienced a head injury have a unique set of symptoms. Injuries may be somewhat diffuse or precise.  As a result, symptoms vary greatly.  This in turn requires strong attention to screening and the development of potential interventions. 

 

It is important to note that neurotherapy is a behavioral technique, not a medical intervention.  It relies on learning and includes no medication, or surgical intervention.

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Assess

Most individuals with a history of head injury have typically had assessments by neurologists and neuropsychologists.  These often include measures such as an MRI, attention tests, memory tests, and measures of physical impairments.   Additional testing may be conducted based on what if any assessments have already been completed.  This could measures of attention, memory, or mood, In addition, a qEEG would be conducted to identify areas of impaired brain functioning.  

Plan

We find it to be very important to use the assessment to identify whether individuals will be a good candidate for neurofeedback.  Some injuries are less amenable to treatment, making them resistant or nonresponse to therapeutic interventions.  This means that during planing and assessment phases, a decision must be made to determine if further interventions may be useful to you.    If you are identified as a good candidate for neurofeedback, a plan will be developed that includes following medical directives as well as neurofeedback and possibly psychotherapy.

Practice

Once the planning stage is complete, biofeedback, neurofeedback and psychotherapy will commence.  Often this will begin with breath and heart rate training known as HRV.  Based on your situation, neurofeedback may be implemented using 1-19 channels of EEG at a time.  This approach may be used to improve regional and network neurological functioning.  In addition, more traditional forms of psychotherapy may be provided to augment in session practice by developing practices that can be used at school, work, or home.

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