Study Norsiah Fauzan and Aziranasya Mazlan nursiahfauzan@gmail.com, - PowerPoint PPT Presentation

Application of Neurofeedback on cerebral Palsy: A Case Study Norsiah Fauzan and Aziranasya Mazlan nursiahfauzan@gmail.com, azira_nasya@yahoo.com Universiti of Malaysia Sarawak

Quantitative Electroenccephalogram (QEEG)

Neurofeedback Training

Neurofeedback Neurofeedback is a specialty field within Neurotechnology, which is devoted to training people to gain control over electro-physiological processes in the human brain. In neurofeedback training, self-regulation of specific aspects of electrical brain activity is acquired by means of immediate feedback and positive reinforcement

Visual/sound Stimulus  Games  Al-Quran  Colors  Music-mozart  Movie and beethoven

Numerical Values of Arabic language

Underlying mechanism while listening  Hair cells release neurochemicals picked up by auditory nerve {8 th cranial nerve)  Auditory nerve transmit auditory stimulation to a region on right left sides of brainstem called pons which in innervate areas of cochlear nucleus.  Next , the signal goes to the olivary region and lateral lemnicus and inferior colliculus

Numerical values of Dhikir

Numerical values of Alfatihah

Spectrum Power Brain Wave Recite Dhikr Delta Theta Alpha Beta Gamma & Al-Quran Mean 28.48 0.67 0.38 0.19 0.17 SD 28.78 0.36 0.44 0.14 0.14 Listening Dhikr & Al- Quran Mean 15.96 0.59 0.38 0.16 0.15 SD 16.32 0.74 0.24 0.19 0.26 Table 1 Average Mean and Standard Deviation while Listen to Dhikr & Al- Quran and verbally recite

Neurofeedback and Quranic Verse  Case : Cerebral Palsy/Ataxia & scoliosis

Case history The study was carried out on girl aged 5 years old who weighs 11 kilograms and has a height of 115cm. According to medical records, the subjects have had hypertonic cerebral palsy and global developmental delay. Cerebral Palsy Hypertonic problems faced by spastic type which is subject to a delay in the development of motor system and speech delay.

Method  Data Collection Procedures  Pre test (Before training) First Assessment of Brain waves from QEEG before Neurofeedback training (NFT)   Document Analysis (Interview from Parents and teachers)  Neurofeedback training Post test (Post training)   Second Assessment of Brain waves from QEEG after Neurofeedback training. (NFT) Document analysis (Interview from Parents and teache rs)  

Spectral analysis Delta Delta Theta Theta Alpha Alpha Beta1 Beta1 Beta2 Beta2 Gamma Gamma uV^2 Hz uV^2 Hz uV^2 Hz uV^2 Hz uV^2 Hz uV^2 Hz Fp1-Av 11.6 1.95 1.8 4.88 2.7 13.67 2.6 13.67 2.5 25.39 1.5 37.11 Fp2-Av 11.4 1.95 3.6 4.88 2.8 13.67 2.1 13.67 0.9 22.46 2.6 30.27 F7-Av 7.4 1.95 3.0 4.88 2.3 13.67 2.8 13.67 4.5 23.44 3.2 33.20 F3-Av 8.9 1.95 2.0 5.86 3.1 13.67 2.9 13.67 4.4 21.48 1.2 38.09 Fz-Av 5.9 2.93 1.6 5.86 3.1 13.67 2.7 13.67 1.2 23.44 1.4 39.06 F4-Av 5.4 2.93 2.2 4.88 6.9 8.79 7.1 14.65 27.0 21.48 32.3 30.27 F8-Av 4.4 1.95 4.2 4.88 2.4 10.74 2.2 13.67 2.1 27.34 4.2 33.20 T3-Av 591.0 1.95 166.2 3.91 41.4 6.84 33.8 13.67 17.9 20.51 6.9 33.20 C3-Av 6.2 1.95 7.4 4.88 2.8 13.67 1.6 13.67 0.7 23.44 0.4 30.27 Cz-Av 20.7 2.93 62.9 4.88 7.6 9.77 2.0 13.67 1.3 27.34 0.6 30.27 C4-Av 3.9 2.93 6.6 4.88 2.1 6.84 1.3 14.65 3.3 27.34 1.1 33.20 T4-Av 29.5 1.95 9.8 4.88 3.6 12.70 7.3 16.60 14.3 20.51 8.2 38.09 T5-Av 10.8 1.95 4.9 3.91 5.3 13.67 8.4 14.65 1.3 20.51 0.6 30.27 P3-Av 4.3 2.93 5.4 4.88 2.2 13.67 1.9 13.67 0.4 20.51 0.3 29.30 Pz-Av 12.4 1.95 9.5 4.88 2.6 10.74 0.9 17.58 0.6 20.51 0.3 29.30 P4-Av 5.6 2.93 9.5 5.86 4.4 12.70 2.2 14.65 1.7 22.46 0.5 30.27 T6-Av 17.5 1.95 11.3 4.88 6.3 9.77 3.5 14.65 3.3 28.32 1.3 34.18 O1-Av 7.3 2.93 11.4 4.88 8.1 13.67 4.1 13.67 0.7 28.32 0.2 36.13 O2-Av 6.4 3.91 13.0 4.88 8.1 13.67 3.6 13.67 0.9 24.41 0.2 32.23 Purata 11.6 1.95 1.8 4.88 2.7 13.67 2.6 13.67 2.5 25.39 1.5 37.11

Without stimulus

Eyes open with auditory stimulus

Alpha Training:Changes in the Brain wave 12/11/2015 – 01/12/2015

Changes in the Brainwave 9/12/15- 17/12/15

Session 5 and 6

Session 7

Behavioral and speech After 5 months of Neurofeedback training. The interview showed changes of behavior and speech. -she can lift her head while watching television. -Raised her voice to get attention -Lift her leg higher -improved understanding

Cerebral Palsy 2  Dystonia CP

Head Control

Conclusion Neurofeedback training using Al-Mulk verse on children with Cerebral Palsy can increase the Alpha waves, changing social behavior and speech. Alpha Protocol was applied to implicate on T3 and T4 area to activate the motor system of children with Cerebral Palsy. More research need to be done to explore more protocol that would be effective for cerebral palsy children. In addition, that training sessions should be more consistence to get more effective results especially in the treatment of severe cases involving motor system.