Train The Brain: Using Neurofeedback To Treat ADHD : NPR.

The link above references an interesting piece on NPR about how neurofeedback can be used to treat ADD/ADHD:

Even though there are studies now showing that neurofeedback works for ADHD, all of these studies have serious limitations, researchers say. So the approach remains promising but unproved, says David Rabiner, a researcher at Duke University who writes a newsletter about treatments for ADHD…

A team at The Ohio State University has nearly completed a pilot study of neurofeedback for ADHD that was funded by the National Institute of Mental Health.

The team had hoped to announce results last week at a scientific meeting in New York, but Gene Arnold, one of the scientists in charge of the study, says they had to delay that announcement because “we weren’t able to get the results analyzed in time,” he says.

Learning Breakthrough and the vestibular-cerebellar training approach to ADHD remediation more generally have been considered by the research team at Ohio State University as well. Our interest in the topic stems from the substantial neurofeedback aspect to the Learning Breakthrough Program…as the repetitive nature of LBP’s balance exercises themselves generate what the user in this article calls “constant feedback during a session” through constant motor control monitoring, planning, executive function modulation, and hemispheric integration all in one system. There is much hope that as this research progresses and the pilot study information is collated that LBP will be tested along side on neurofeedback techniques and a control group.

Here’s another great example of neuroplasticity impacts derived from motor skills training. Cortical expressions of proprioceptive responses over time are around us every day and form the basis of the EXPERIENTIAL part of neuroplastic changes. The implications for athletic performance and rehab are tremendous and the article below gives some good insight.

Motor Learning and Neuroplasticity in Rehabiliation.

Here’s a brief summary of an excellent paper by Boudreau et al from Manual Therapy. Patrick Ward and I had a brief discussion about this paper and since we found great benefit in its contents, I thought I would share some of it with you.

The purpose of this paper was to summarize several important aspects of motor-skill training for enhancing musculoskeletal rehabilitation.

Cortical Neuroplasticity: a dynamic feature of life that encompasses functional or morphological change in properties of neurons (connection strength, represenational patterns, neuron reorganization.

• Positive changes: improvements in motor performance
• Negative changes: decreases in performance, such as in the presence of chronic pain (low back pain resulting in decreased cortical spinal drive in lumbar musculature and subsequent shift in somatosensory representation)

Use It or Lose It: The Theory and Practice of Brain Exercise and Fitness for Cognitive Health – 1252th Edition | Health Blog.

When we exercise our brains, we put our Neurons and connections between neurons in action.

Given the diversity of functions outlined above, it is clear that different activities are going to activate different brain areas, which scientists now know thanks to neuroimaging techniques. There is no one magic bullet that is best (either crosswords puzzles, or computer-based programs, or physical exercise): we do need a variety of mental stimulation or “brain exercises”.

A newly published article by the Department of Neurology, Division of Cognitive Neuroscience at Johns Hopkins University School of Medicine outlines another look into the role the cerebellum plays in language development and cognition. There are many researchers investigating this part of the brain that is so deeply involved in movement and a huge variety of “automated” functions. The exact logic of how the brain uses all its various systems to divide and tackle the complex cognitive tasks it performs every day is still in its infancy. However, the efficiency of cerebellar functions and how it can be enhanced through calibrated neuro-motor and vestibular training is constantly being examined as a likely method of improving brain fitness generally and as a way to overcome specific learning challenges.

The entire article is available here: Functional Topography of the Cerebellum in Verbal Working Memory, with the abstract printed below for your convenience.

Abstract :

Dyslexia is a learning disorder that manifests itself as a difficulty with reading, spelling and in some cases mathematics. It is separate and distinct from reading difficulties resulting from other causes, such as a non-neurological deficiency with vision or hearing, or from poor or inadequate reading instruction. It is estimated that dyslexia affects between 5% and 12% of the U.S. population in some degree and is thought to be the result of a neurological defect/difference, and though not an intellectual disability, a language disability, among others. It is also worth noting that most dyslexics who have Boder’s Dysiedetic type, have attentional and spatial difficulties which interfere with the reading acquisition process as well.

Visuospatial Cognition and Theories of Developmental Dyslexia:
When we look at a scene we feel that we perceive the visual world in all its detail and richness. This experienced quality and effortlessness of vision masks the fact that scene perception is actually a highly complex cognitive process, which requires the explorative scanning by eye movements, the quick and accurate direction of attention, the anticipation of the consequences of actions, and the integration and comparison of current visual input with stored representations of previously viewed parts of the scene and knowledge of objects and their relationships. A number of striking visual illusions demonstrate that scene perception is in fact a rather fragile process that essentially builds upon assumptions about the visual world to optimally piece together observations from a number of fields of scientific study.
The leading theories on the topic of developmental dyslexia should not be viewed as competing, but instead be seen as a complementary set of theories trying to explain the underlying causes of a similar set of symptoms but from a variety of research perspectives and backgrounds.

Here is a great link for information on the history and theories of developmental dyslexia.

Cerebellar Theory:
One such theory that has gained note in the past decade is represented by the automaticity/cerebellar theory of dyslexia. Here the biological claim is that the cerebellum of people with dyslexia is mildly dysfunctional and that a number of cognitive difficulties ensue from this dysfunction.

For many years, developmental dyslexia was thought to be a problem related to language itself. However, with the arrival of neuroimaging tools and greater research into the relationship between dyslexia and balance, among other things, opinions began to shift. It has become clear to researchers that developmental dyslexia and the cerebellum are somehow related due to the function of the cerebellum matching the deficits in function associated with developmental dyslexia.

The cerebellum, more than many other areas of the brain, is engaged in processing and deciphering a constant series of “behind the scenes” events. It is forever multitasking in the background of our conscious mind. It is responsible for the sequencing of input, the automatization of tasks and skills, as well as the production and interpretation of verbal and written language. Since developmental dyslexia is defined by problems in these three exact areas, the hypothesis that the cerebellum was responsible, especially when coupled with revelatory neuroimaging studies, has gathered strength and wide acceptance as a promising area of study.

The cerebellum plays a critical role in overall brain function but has particular importance in reading and writing tasks. “Impairments of the cerebellum cause deficits in motor control such as posture and balance, and additional difficulties in achieving ‘automaticity’ of other learned skills” including skills that are related to reading and writing. The complicated issue is deciding where and how there is a “misfire” among neural pathways—a task that can be almost impossible without the use of sophisticated imaging equipment over a long span.

Dyslexia Treatment:
While these problems seem difficult to overcome and detection of the exact location of the impairment may never be known, this does not mean there are not options for those with developmental dyslexia. In fact, cerebellar dysfunction as a theory does not imply a sentence for those with developmental dyslexia to a life of failed reading attempts.  With concentrated effort on refining the neural pathways in the cerebellum, along with the sensory connections from the cerebellum to the other critical informational processing centers in the brain, the brain’s natural plasticity can be taken advantage of to establish better neuro-processing to help overcome developmental dyslexia as well as other processing-based learning difficulties.

Nothing about the brain is static. It is always on, always at work; sending, receiving, responding, interpreting. Accordingly, it is always handling input, although this input or the pathways it travels on may not be “optimized” for adequate processing. Neurological issues like these underlie learning challenges and indicate that specific disabilities like developmental dyslexia may be addressed simply… with vestibular-based brain training exercises like those available in the Learning Breakthrough Program.

Sources
Rochelle, K., & Talcott, J. (2006). Impaired balance in developmental dyslexia? A meta-analysis of the contending evidence. Journal of Child Psychology & Psychiatry, 47(11), 1159-1166.

Cyril R Pernet, Jean Baptiste Poline, Jean Francois Demonet and Guillaume A Rousselet: BMC Neuroscience (in press) – Brain classification reveals the right cerebellum as the best biomarker of dyslexia.  http://www.biomedcentral.com/bmcneurosci/