The use of biofeedback in recreational therapy practice

Authors

  • Carmen V. Russoniello, PhD, LRT, LPC, BCB, BCN
  • Matthew Fish, MS, LRT, BCB
  • Tami Maes, MS, LRT, LPC, BCB
  • Holly Paton, BS, CTRS
  • Ruth-Ann Styron, BS, LRT

DOI:

https://doi.org/10.5055/ajrt.2013.0041

Keywords:

biofeedback, neurofeedback, operant conditioning, electromyography, electrodermal response, electroencephalography, thermal biofeedback, recreational therapy intervention

Abstract

The purpose of this article is to provide a brief history of biofeedback and a review its use as a clinical intervention in recreational therapy. Several specific biofeedback modalities; electromyography, electrodermal response, electroencephalography, and skin temperature biofeedback techniques will be discussed in terms of recreational therapy practice to demonstrate biofeedback’s usefulness in a variety of settings where recreational therapists currently practice. Criteria for becoming board certified in biofeedback and neuro-feedback as well as recommendations for inclusion of biofeedback and stress management course work into recreational therapy curriculum are presented.

Author Biographies

Carmen V. Russoniello, PhD, LRT, LPC, BCB, BCN

Psychophysiology Lab and Biofeedback Clinic, East Carolina University, Greenville, North Carolina.

Matthew Fish, MS, LRT, BCB

Graduate Student, Psychophysiology Lab and Biofeedback Clinic, East Carolina University, Greenville, North Carolina.

Tami Maes, MS, LRT, LPC, BCB

Graduate Student, Psychophysiology Lab and Biofeedback Clinic, East Carolina University, Greenville, North Carolina.

Holly Paton, BS, CTRS

Graduate Student, Psychophysiology Lab and Biofeedback Clinic, East Carolina University, Greenville, North Carolina.

Ruth-Ann Styron, BS, LRT

Graduate Student, Psychophysiology Lab and Biofeedback Clinic, East Carolina University, Greenville, North Carolina.

References

Runck B: What is biofeedback? In Kay R (ed.): Plain-Talk Series. Rockville, MD: US Department of Health and Human Services, Division of Communications and Education, National Institute of Mental Health, Public Health Service-Alcohol, Drug Abuse and Mental Health Administration, 1983: DHHS Publication No. (ADM) 83-1273. Arizona Behavioral Health Associates Web site. Available at http://www.psychotherapy.com/bio.html. Accessed September 19, 2011.

Association for Applied Psychophysiology and Biofeedback (AAPB): Standards and guidelines for biofeedback applications in psychophysiological self-regulation. AAPB Web site. Available at http://www.aapb.org. Accessed September 19, 2011.

National Institutes of Health: NIH panel encourages wider acceptance of behavioral treatments for chronic pain and insomnia. HHS Archive Web site. Available at http://archive.hhs.gov/news/press/1995pres/951018b.html. Accessed November 18, 2011.

Basmajian JV: Control and training of individual motor units. Science. 1963; 141(3579): 440-441.

Vaschillo E, Lehrer P, Rishe N, et al.: Heart rate variability biofeedback as a method for assessing baroreflex function: A preliminary study of resonance in the cardiovascular system. Appl Psychophys Biof. 2002; 27: 1-27.

Cram JR, Kasman GS: The basics of surface electromyography. In Criswell E (ed.): Introduction to Surface Electromyography, 2nd ed. Gaithersburg, MA: Aspen Publishers Inc., 1998: 1-171.

Cram JR, Durie M: The history of muscle dysfunction and surface electromyography. In Criswell E (ed.): Introduction to Surface Electromyography, 2nd ed. Gaithersburg, MA: Aspen Publishers Inc., 1998: 173-190.

Swartz MS, Olson RP: A historical perspective on the field of biofeedback and applied psychophysiology. In Schwartz MS, Andrasik F (eds.): Biofeedback: A Practitioner’s Guide, 3rd ed. New York: Guilford Press, 2003: 3-19.

Wu CH: Electric fish and the discovery of animal electricity: The mystery of the electric fish motivated research into electricity and was instrumental in the emergence of electrophysiology. Am Sci. 1984; 72(6): 598-607.

Green RM: A translation of Luigi Galvani’s de viribus electricitatis in motu muscularis commentarius: Commentary on the effect of electricity in muscular motion. Am J Med Sci. 1954; 227(2): 231.

Venermo J, Sihvola A: The tangent galvanometer of Johan Jacob Nervander. IEEE Instru Meas Mag. 2008; 11(3): 16-23.

Finkelstein GM: du Bois-Reymond goes to Paris. Brit J Hist Sci. 2003; 26(130): 261-300.

Krebs DE, Fagerson TL: The respiratory system in applied psychophysiology. In Schwartz MS, Andrasik F (eds.): Biofeedback: A Practitioner’s Guide, 3rd ed. New York: Guilford Press, 2003: 485-514.

Belar CD, Cohen JL: The use of EMG feedback and progressive relaxation in the treatment of a woman with chronic back pain. Appl Psychophys Biof. 1979; 4(4): 345-353.

Gevirtz RN, Schwartz MS: The respiratory system in applied psychophysiology. In Schwartz MS, Andrasik F (eds.): Biofeedback: A Practitioner’s Guide, 3rd ed. New York: Guilford Press, 2003: 212-244.

Peper E, Tylova H, Gibney KH, et al.: Unit 3: introduction to electrodermal activity. In Peper E (ed.): Biofeedback Mastery: An Experiential Teaching and Self-Training Manual, 1st ed. Wheatfield, CO: Association for Applied Psychophysiology and Biofeedback, 2008: 161-220.

Piccolino M: Luigi Galvani and animal electricity: Two centuries of electrophysiology. Trends Neurosci. 1997; 10(1): 443-448.

Sabatinelli D, Bradley MM, Lang PJ: Affective startle modulation in anticipation and perception. Psychophysiology. 2001; 38(4): 719-722.

Peek CJ: A primer of biofeedback instrumentation. In Schwartz MS, Andrasik F (eds.): Biofeedback: A Practitioner’s Guide, 3rd ed. New York: Guilford Press, 2003: 43-87.

Brown BB: New Mind, New Body: Bio-Feedback: New Direction for the Mind. New York: Harper & Row, 1974.

Hermens HJ, Freriks B, Disselhorst-Klug C, et al.: Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kines. 2000; 10(5): 361-374.

Pennebaker JW, Chew CH: Behavioral inhibition and electrodermal activity during deception. J Pers Soc Psychol. 1985; 49(5): 1427-1433.

Critchley HD, Melmed RN, Featherstone E, et al.: Volitional control of autonomic arousal: a functional magnetic resonance study. Neuroimage. 2002; 16(4): 909-919.

Ramirez PM, Desantis D, Opler LA: EEG biofeedback treatment of ADD: A viable alternative to traditional medical intervention? Ann N Y Acad Sci. 2001; 931: 342-358.

Shouse MN, Lubar JF: Operant conditioning of EEG rhythms and Ritalin in the treatment of hyperkinesis. Appl Psychophys Biof. 1974; 4(4): 299-312.

Sternman MB, Macdonald LR, Stone RK: Biofeedback training of the sensorimotor EEG rhythm in man: Effects on epilepsy. Epilepsia. 1974; 15: 395.

Johnstone J: A three-stage neuropsychological model of neurofeedback: Historical perspectives. Biofeedback. 2008; 36(4): 142-147.

Lubar JF: Neurofeedback for the management of attention deficit disorders. In Schwartz MS, Andrasik F (eds.): Biofeedback: A Practitioner’s Guide, 3rd ed. New York: Guilford Press, 2003: 409-437.

Lubar JF, Swartwood MO, Swartwood JN, et al.: Evaluation of the effectiveness of EEG neurofeedback training for ADHD in a clinical setting as measured by changes in T.O.V.A. scores, behavioral ratings, and WISC-R performance. Appl Psychophys Biof. 1995; 20(1): 83-99.

Coben R, Linden M, Myers TE: Neurofeedback for autistic spectrum disorder: A review of the literature. Appl Psychophys Biof. 2010; 35(1): 83-105.

Trudeau DL: EEG biofeedback for addictive disorders: the state of the art in 2004. J Adult Dev. 2005; 12(2-3): 139-146.

Yucha C, Montogomery D: Evidenced-based practice in biofeedback and neurofeedback. Retrieved from the Association for Applied Psychophysiology and Biofeedback Web site, 2008. Available at http://www.isnr.org/uploads/EvidenceBasedYuchaMontgomeryW.pdf. Accessed September 1, 2011.

Peper E, Tylova H, Gibney KH, et al.: Unit 2: Introduction to temperature. In Peper E (ed.): Biofeedback Mastery: An Experiential Teaching and Self-Training Manual, 1st ed. Wheatfield, CO: Association for Applied Psychophysiology and Biofeedback, 2008: 107-115.

Reiner R: Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders: Results of a pilot study. Appl Psychophys Biof. 2008; 33(1): 55-61.

Selhub E: Mind-body medicine for treating depression: Using the mind to alter the body’s response to stress. Altern Complem Ther. 2007; 13(1): 4-9.

Jain S, Shapiro SL, Swanick S, et al.: A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Ann Behav Med. 2007; 33(1): 11-21.

Arias AJ, Steinberg K, Banga A, et al.: Systematic review of the efficacy of meditation techniques as treatments for medical illness. J Altern Complem Med. 2006; 12(8): 817-832.

Nakao M, Myers P, Fricchione G, et al.: Somatization and symptom reduction through a behavioral medicine intervention in a mind/body medicine clinic. Behav Med. 2001; 26(4): 169-176.

Samuelson M, Foret M, Baim M, et al.: Exploring the effectiveness of a comprehensive mind–body intervention for medical symptom relief. J Altern Complem Med. 2010; 16(2): 187-192.

BCIA: What is certification? BCIA Web site. Available at http://www.bcia.org/i4a/pages/index.cfm?pageid=3351. Accessed May 3, 2012.

Davis CT: Clinical Applications of Recreational Therapy. Springfield, IL: Charles Thomas, 1952.

Published

04/01/2013

How to Cite

Russoniello, PhD, LRT, LPC, BCB, BCN, C. V., Fish, MS, LRT, BCB, M., Maes, MS, LRT, LPC, BCB, T., Paton, BS, CTRS, H., & Styron, BS, LRT, R.-A. (2013). The use of biofeedback in recreational therapy practice. American Journal of Recreation Therapy, 12(2), 8–18. https://doi.org/10.5055/ajrt.2013.0041

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Section

Articles