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Tosti B, Corrado S, Mancone S, Di Libero T, Carissimo C, Cerro G, Rodio A, da Silva VF, Coimbra DR, Andrade A, Diotaiuti P. Neurofeedback Training Protocols in Sports: A Systematic Review of Recent Advances in Performance, Anxiety, and Emotional Regulation. Brain Sci 2024; 14:1036. [PMID: 39452048 PMCID: PMC11506327 DOI: 10.3390/brainsci14101036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2024] [Revised: 10/01/2024] [Accepted: 10/07/2024] [Indexed: 10/26/2024] Open
Abstract
(1) Background. Neurofeedback has been used in sports since the 1990s, frequently showing positive outcomes in enhancing athletic performance. This systematic review provides an updated analysis of neurofeedback training in sports, evaluating reaction time, cognitive performance, and emotional regulation to address literature gaps and suggest future research directions. (2) Methods. A systematic search was conducted using PubMed, Scopus, Science Direct, and Web of Science databases for articles published from January 2016 to April 2023. The search included only original articles written in English, resulting in 24 studies meeting the inclusion criteria. (3) Results. The reviewed studies cover a wide range of sports, including golf, basketball, swimming, rifle shooting, football, volleyball, athletics, judo, ice hockey, triathlon, handball, fencing, taekwondo, and darts. They involved athletes of varying experience levels (beginners, professionals, and experts) and utilized neurofeedback training targeting different frequency bands (alpha, beta, theta, and SMR), either individually or in mixed protocols. Findings show improvements in sports and cognitive performance, emotional regulation, and anxiety management. (4) Conclusions. This systematic review supports the effectiveness of neurofeedback in enhancing sports and cognitive performance across various disciplines and experience levels. Notable improvements were observed in technical skills, physical performance parameters, scoring, attention, concentration, reaction time, short-term and working memory, self-regulation, and cognitive anxiety. Future research should standardize protocols, include more diverse samples, and explore long-term effects to further validate these findings.
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Affiliation(s)
- Beatrice Tosti
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy; (B.T.); (S.C.); (S.M.); (T.D.L.); (A.R.)
| | - Stefano Corrado
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy; (B.T.); (S.C.); (S.M.); (T.D.L.); (A.R.)
| | - Stefania Mancone
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy; (B.T.); (S.C.); (S.M.); (T.D.L.); (A.R.)
| | - Tommaso Di Libero
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy; (B.T.); (S.C.); (S.M.); (T.D.L.); (A.R.)
| | - Chiara Carissimo
- Department of Medicine and Health Sciences “Vincenzo Tiberio”, University of Molise, 86100 Campobasso, Italy; (C.C.); (G.C.)
| | - Gianni Cerro
- Department of Medicine and Health Sciences “Vincenzo Tiberio”, University of Molise, 86100 Campobasso, Italy; (C.C.); (G.C.)
| | - Angelo Rodio
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy; (B.T.); (S.C.); (S.M.); (T.D.L.); (A.R.)
| | - Vernon Furtado da Silva
- Instituto de Psiquiatria-IPUB, Federal University of Rio de Janeiro, UFRJ, Rio de Janeiro 21941-853, Brazil;
| | - Danilo Reis Coimbra
- Faculty of Physical Education and Sports, Federal University of Juiz de Fora, UFJF, Juiz de Fora 36036-900, Brazil;
| | - Alexandro Andrade
- Health and Sports Science Center, Department of Physical Education, CEFID, Santa Catarina State University, Florianópolis 88035-901, Brazil;
| | - Pierluigi Diotaiuti
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy; (B.T.); (S.C.); (S.M.); (T.D.L.); (A.R.)
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Prończuk M, Trybek G, Terbalyan A, Markowski J, Pilch J, Krzysztofik M, Kostrzewa M, Mostowik A, Maszczyk A. The Effects of EEG Biofeedback Training on Visual Reaction Time in Judo Athletes. J Hum Kinet 2023; 89:247-258. [PMID: 38053968 PMCID: PMC10694711 DOI: 10.5114/jhk/174272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 10/10/2023] [Indexed: 12/07/2023] Open
Abstract
The aim of the study was to expand the current knowledge on the effects of EEG biofeedback training on the reaction time of judo athletes, as well as to develop an optimal EEG training protocol in terms of the number of sessions and their duration that would significantly improve the reaction time of athletes. The study included 24 male athletes from the national team of the Polish Judo Association. The selected group was randomly divided into two subgroups: experimental and control. The study was conducted in four cycles varying in terms of frequency and duration of neurofeedback (NFB) sessions, both in the control and experimental groups. In the experimental group, each training cycle consisted of 15 sessions, followed by a four-week break. The effects of NFB training on the visual reaction time of judo athletes were evaluated using computerized simple and complex reaction time tests along with selected trials of the Vienna Test System (VTS). Following NFB training according to the theta/beta1 protocol, while maintaining appropriate duration and frequency of individual training sessions, statistically significant improvements in reaction times to visual stimuli of athletes, both in simple and complex tasks, were observed in the experimental group. No such changes were found in the control group. The greatest improvement in reaction times was observed in complex tasks, indicating the high effectiveness of EEG biofeedback training in enhancing this ability.
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Affiliation(s)
- Magdalena Prończuk
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Grzegorz Trybek
- Department of Oral Surgery, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Artur Terbalyan
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Jarosław Markowski
- Department of Laryngology, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Katowice, Poland
| | - Jan Pilch
- Department of Physiological and Medical Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Michał Krzysztofik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Maciej Kostrzewa
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Aleksandra Mostowik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Adam Maszczyk
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
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Mirifar A, Keil A, Ehrlenspiel F. Neurofeedback and neural self-regulation: a new perspective based on allostasis. Rev Neurosci 2022; 33:607-629. [PMID: 35122709 PMCID: PMC9381001 DOI: 10.1515/revneuro-2021-0133] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 01/13/2022] [Indexed: 11/15/2022]
Abstract
The field of neurofeedback training (NFT) has seen growing interest and an expansion of scope, resulting in a steadily increasing number of publications addressing different aspects of NFT. This development has been accompanied by a debate about the underlying mechanisms and expected outcomes. Recent developments in the understanding of psychophysiological regulation have cast doubt on the validity of control systems theory, the principal framework traditionally used to characterize NFT. The present article reviews the theoretical and empirical aspects of NFT and proposes a predictive framework based on the concept of allostasis. Specifically, we conceptualize NFT as an adaptation to changing contingencies. In an allostasis four-stage model, NFT involves (a) perceiving relations between demands and set-points, (b) learning to apply collected patterns (experience) to predict future output, (c) determining efficient set-points, and (d) adapting brain activity to the desired ("set") state. This model also identifies boundaries for what changes can be expected from a neurofeedback intervention and outlines a time frame for such changes to occur.
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Affiliation(s)
- Arash Mirifar
- Department of Sport and Health Sciences, Chair of Sport Psychology, Technische Universität München, Munich, Bavaria, Germany
- Institute of Sports Science, Leibniz UniversityHannover, Germany
| | - Andreas Keil
- Center for the Study of Emotion & Attention, University of Florida, Gainesville, Florida, United States of America
| | - Felix Ehrlenspiel
- Department of Sport and Health Sciences, Chair of Sport Psychology, Technische Universität München, Munich, Bavaria, Germany
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de Brito MA, Fernandes JR, Esteves NS, Müller VT, Alexandria DB, Pérez DIV, Slimani M, Brito CJ, Bragazzi NL, Miarka B. The Effect of Neurofeedback on the Reaction Time and Cognitive Performance of Athletes: A Systematic Review and Meta-Analysis. Front Hum Neurosci 2022; 16:868450. [PMID: 35795260 PMCID: PMC9252423 DOI: 10.3389/fnhum.2022.868450] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 03/14/2022] [Indexed: 11/13/2022] Open
Abstract
Our study evaluated the effect of training with neurofeedback (NFB) in improving athletes' reaction time and decision-making. A computerized search in PubMed, PsycINFO, Scielo, Web of Science, EMBASE, Scopus, BVS, and Cochrane databases was performed to identify studies published from 2011 to June 2021. The protocol was registered in PROSPERO. The quality of studies that was peer-reviewed and included was assessed using the Review Manager tool, Cochrane Risk of Bias, and design and reporting quality according to the CRED-nf checklist. Standard mean differences and 95% confidence intervals (CIs) were calculated and combined using a random-effects model. A total of 07 randomized controlled trials (RCTs) (173 athletes) met the inclusion criteria. Significant effects of NFB in the experimental group in relation to reaction time were found, indicating an improvement in sports performance [standardized mean difference (SMD) = -1.08; 95% CI = (-1.90, -0.25), p = 0.0009] and cognitive performance vs. decision-making with moderate effect [SMD = 1.12; 95% CI = (-0.40, 1.85), p = 0.0001]. However, the control group had a very small effect on cognitive performance [SMD = 0.19; 95% CI = (-0.20, 0.59), p = 0.086]. NFB could improve athletes' reaction time and decision-making, effectively increasing their performance in the sports field. Future studies should focus on standardized protocols for NFB training. Systematic Review Registration http://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021258387.
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Affiliation(s)
- Michele Andrade de Brito
- Laboratory of Psychophysiology and Performance in Sports & Combats, Department of Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - José Raimundo Fernandes
- Laboratory of Psychophysiology and Performance in Sports & Combats, Department of Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Natã Sant'Anna Esteves
- Laboratory of Psychophysiology and Performance in Sports & Combats, Department of Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Vanessa Teixeira Müller
- Laboratory of Psychophysiology and Performance in Sports & Combats, Department of Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Daniella Brito Alexandria
- Laboratory of Psychophysiology and Performance in Sports & Combats, Department of Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Diego Ignacio Valenzuela Pérez
- Escuela de Kinesiología, Facultad de Salud, Magister en Ciencias la Actividad Física y Deportes Aplicadas al Entrenamiento Rehabilitación y Reintegro Deportivo, Universidad Santo Tomás, Santiago, Chile
| | - Maamer Slimani
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Child and Maternal Health, Faculty of Medical and Pharmaceutical Sciences, University of Genoa, Genoa, Italy
| | - Ciro José Brito
- Department of Physical Education, Federal University of Juiz de Fora, Campus Governador Valadares, Governador Valadares, Brazil
| | - Nicola Luigi Bragazzi
- Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, Toronto, ON, Canada
| | - Bianca Miarka
- Laboratory of Psychophysiology and Performance in Sports & Combats, Department of Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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Effects of unilateral dynamic handgrip on reaction time and error rate. Cogn Process 2022; 23:169-178. [PMID: 35142949 PMCID: PMC9072264 DOI: 10.1007/s10339-022-01080-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 01/26/2022] [Indexed: 11/03/2022]
Abstract
Quick and accurate reactions to environmental stimuli are often required. Researchers have investigated ways to improve these reactions, which are critical components of perceptual-motor abilities. To optimize individual performance, different techniques, such as embodied interventions and brain stimulation, have been examined. The evidence from EEG studies shows that upper limb muscle contractions lead to changes in brain oscillations associated with changes in mental states and behavioral outcomes. Much research has been conducted on whether muscle contractions of a particular hand have a greater effect on a perceptual-motor ability, as a trigger to facilitate cortical processes (a mediator) for skilled motor performance. While previous studies have shown that left- (vs. right-) hand contractions can lead to greater alpha activation, we hypothesized that left dynamic handgrips have different impacts on motor performance, reflected by simple RT (SRT) and choice RT (CRT). We recruited 64 right-handers, for a within/between-subjects experiment consisting of performance measurements in SRT and CRT tasks after the intervention (either right or left dynamic handgrip approximately twice a second for 30 s for each hand) or assignment to paired passive control groups. We did not find left-hand contractions improve response accuracy in neither SRT nor CRT tasks. Further, left-hand contractions did not affect RTs. The findings indicate that the effects of dynamic handgrips are smaller on behavioral outcomes such as RTs than what can be inferred from published studies. More research is needed to establish the effect of dynamic handgrips on optimizing performance.
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Jin X, Lu Y, Hatfield BD, Wang X, Wang B, Zhou C. Ballroom dancers exhibit a dispositional need for arousal and elevated cerebral cortical activity during preferred melodic recall. PeerJ 2021; 9:e10658. [PMID: 33520454 PMCID: PMC7811281 DOI: 10.7717/peerj.10658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 12/07/2020] [Indexed: 11/26/2022] Open
Abstract
Background Although the association of human temperament and preference has been studied previously, few investigations have examined cerebral cortical activation to assess brain dynamics associated with the motivation to engage in performance. The present study adopted a personality and cognitive neuroscience approach to investigate if participation in ballroom dancing is associated with sensation-seeking temperament and elevated cerebral cortical arousal during freely chosen musical recall. Methods Preferred tempo, indicated by tapping speed during melodic recall, and a measure of fundamental disposition or temperament were assessed in 70 ballroom dancers and 71 nondancers. All participants completed a trait personality inventory (i.e., the Chen Huichang 60 Temperaments Inventory) to determine four primary types: choleric, sanguine, phlegmatic and melancholic. Participants separately recalled their favorite musical piece and tapped to it with their index finger for 40 beats using a computer keyboard. A subset of 59 participants (29 ballroom dancers and 30 nondancers) also repeated the same tapping task while electroencephalographic (EEG) activity was recorded. Results The results revealed that the dancers were more extraverted, indicative of a heightened need for arousal, exhibited a preference for faster musical tempo, and exhibited elevated EEG beta power during the musical recall task relative to nondancers. Paradoxically, dancers also showed elevated introversion (i.e., melancholic score) relative to nondancers, which can be resolved by consideration of interactional personality theory if one assumes reasonably that dance performance environment is perceived in a stimulating manner. Conclusion The results are generally consistent with arousal theory, and suggest that ballroom dancers seek elevated stimulation and, thereby, choose to engage with active and energetic rhythmic auditory stimulation, thus providing the nervous system with the requisite stimulation for desired arousal. These results also suggest an underlying predisposition for engagement in ballroom dance and support the gravitational hypothesis, which propose that personality traits and perception lead to the motivation to engage in specific forms of human performance.
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Affiliation(s)
- Xinhong Jin
- School of Psychology, Shanghai University of Sport, Shanghai, China
| | - Yingzhi Lu
- School of Psychology, Shanghai University of Sport, Shanghai, China
| | - Bradley D Hatfield
- Department of Kinesiology, University of Maryland, College Park, MD, USA.,Neuroscience and Cognitive Science Program, University of Maryland, College Park, MD, USA
| | - Xiaoyu Wang
- School of Biomedical Engineering, Dalian University of Technology, Dalian, China
| | - Biye Wang
- Department of Physical Education, Yangzhou University, Yangzhou, China
| | - Chenglin Zhou
- School of Psychology, Shanghai University of Sport, Shanghai, China
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Mirifar A, Cross-Villasana F, Beckmann J, Ehrlenspiel F. Effects of the unilateral dynamic handgrip on resting cortical activity levels: A replication and extension. Int J Psychophysiol 2020; 156:40-48. [PMID: 32702385 DOI: 10.1016/j.ijpsycho.2020.07.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Revised: 05/28/2020] [Accepted: 07/07/2020] [Indexed: 10/23/2022]
Abstract
Previous studies have linked unilateral hand contractions to subsequent changes in hemispheric asymmetric activity, as reflected in the electroencephalographic alpha (8-12 Hz) range in each hemisphere. However, debate continues regarding the state of asymmetry induced by unilateral contractions. We have previously found a bilateral enhancement of alpha amplitude that occurs after contractions, reflecting cortical downregulation instead of changes in asymmetric activity. To corroborate our observations, we examined the effects of 45 s of unilateral dynamic handgrip contractions on subsequent resting alpha activity. Twenty-two right-handed participants were recruited (M = 25 years, 17 female). The study used a within-subjects design consisting of a pre- and post-test (2 min resting; eyes open) for the intervention (dynamic handgrip; at a self-determined pace of approximately twice a second for 45 s for each hand). Following the handgrip task, an increase in alpha amplitude above the baseline was observed over the entire cortex, which was greater after left-hand squeezing. This observation confirms our previous findings and we have extended them by adding more electrodes to gain further insights into the handgrip exercise as an external brain stimulator. Moreover, we grouped electrodes according to scalp regions to facilitate the visualization of the effects on the frequency spectrum. Our findings can be used to develop targeted interventions aimed at modifying behavioral outcomes affected by alpha activity.
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Affiliation(s)
- Arash Mirifar
- Department of Sport and Health Sciences, Chair of Sport Psychology, Technische Universität München, Germany.
| | - Fernando Cross-Villasana
- Department of Sport and Health Sciences, Chair of Sport Psychology, Technische Universität München, Germany
| | - Jürgen Beckmann
- School of Human Movement and Nutrition Sciences, University of Queensland, Australia
| | - Felix Ehrlenspiel
- Department of Sport and Health Sciences, Chair of Sport Psychology, Technische Universität München, Germany
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Wexler A, Nagappan A, Kopyto D, Choi R. Neuroenhancement for sale: assessing the website claims of neurofeedback providers in the United States. JOURNAL OF COGNITIVE ENHANCEMENT 2020; 4:379-388. [PMID: 34164596 DOI: 10.1007/s41465-020-00170-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Although electroencephalographic (EEG) neurofeedback is a technique that has been in existence for many decades, it has remained controversial, largely due to questions about efficacy. Yet neurofeedback is being widely offered to the public, often at great expense. To date, however, there has not been empirical data on which providers are utilizing neurofeedback, what they are offering it for, and how they are advertising the technique. The present study aimed to fill that gap by systematically analyzing the websites of neurofeedback practitioners in the United States. To that end, we obtained data from four directories of neurofeedback providers, extracting practitioner names, geographical locations, professional training, and website URLs. Only websites offering neurofeedback services (N=371) were included in the next step, wherein two coders independently coded the websites based on a codebook developed from preliminary analyses. We found that nearly all websites (97.0%) contained claims about at least one clinical indication, most commonly anxiety, ADHD/ADD, and depression; however, only 36.0% of providers had either a medical degree (MD) or a doctoral-level degree in psychology. The majority of websites advertised neurofeedback for cognitive (90.0%) or performance (67.9%) enhancement, and roughly three-quarters utilized language related to complementary and alternative medicine (CAM). In sum, there is a considerable divergence between the scientific literature on neurofeedback and the marketing of neurofeedback services to the general public, raising concerns regarding the misrepresentation of services and misleading advertising claims.
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Affiliation(s)
- Anna Wexler
- Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania
| | - Ashwini Nagappan
- Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania
| | - Deena Kopyto
- Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania
| | - Rebekah Choi
- Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania
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