Negative transfer of heart rate control following biofeedback training: a partial replication

Ability to raise and lower heart rate (HR) on instruction was tested before and after unidirectional biofeedback training in two groups of 10 male volunteers. Instructional control was assessed in 2-min trials before training, and after 5 and 10 biofeedback trials of increasing (Group I) and decreasing (Group D) HR. The magnitude of HR elevations produced by Group D diminished following training, while modifications in Group I were unchanged. This negative transfer effect is discussed in relation to whether voluntary speeding and slowing HR reflect distinct capacities.     

Negative transfer of heart rate control following biofeedback training: A partial replication

Ability to raise and lower heart rate (HR) on instruction was tested before and after unidirectional biofeedback training in two groups of 10 male volunteers. Instructional control was assessed in 2-min trials before training, and after 5 and 10 biofeedback trials of increasing (Group I) and decreasing (Group D) HR. The magnitude of HR elevations produced by Group D diminished following training, while modifications in Group I were unchanged. This negative transfer effect is discussed in relation to whether voluntary speeding and slowing HR reflect distinct capacities.     

Changes in Hemodynamic Response to Mental Stress with Heart Rate Feedback Training

This study was designed to examine underlying hemodynamic changes that accompany observed reductions in heart rate (HR) response to mental stress following HR feedback training. Twenty-five college males, assigned to either a HR feedback training group (FB+) or a control group (FB–), were presented with a videogame and mental arithmetic challenge, as HR, blood pressure, and impedance cardiography-derived measures of hemodynamic functioning were recorded. During training, the FB+ group received HR feedback and the FB– group was not provided with HR feedback while playing a videogame. At posttraining, results revealed that the FB+ group exhibited significantly lower HR, systolic blood pressure, stroke volume, and total peripheral resistance responses to the videogame compared to that at pretraining. There was no evidence that the acquired skills generalized to a mental arithmetic task. These results suggest that HR feedback training is an effective method for reducing cardiovascular and hemodynamic responses to a mental stressor; however, the generalizability of this effect remains questionable.     

Voluntary control of cardiovascular reactions to demanding tasks

Three groups of 10 normotensives participated in a study exploring voluntary control of cardiovascular reactions to cognitive tasks. Pulse transit time (TT), interbeat interval (IBI), skin conductance level, and respiratory variables were monitored throughout one introductory and four experimental sessions. The groups were matched on the basis of initial TT and IBI responses to the taxing arithmetic and reasoning tasks. During experimental sessions, one group (FB) was provided with visual analogue TT feedback, while the REL group was given detailed relaxation instructions. A third group (CON) performed the same sequence of tasks but was not instructed to modify cardiovascular reactions at any point. Training in voluntary control was carried out in resting (no-task) conditions, and during task administration. Both treatment groups showed lower cardiovascular reactions than controls in task trials. Only REL subjects lengthened TT in no-task conditions, while both FB and REL groups showed smaller cardiovascular reactions than CON during the tasks. Effects were confined to cardiovascular variables, since respiratory and electrodermal reactions during task administration were similar in all groups. The effects of treatments were especially marked among the most reactive subjects.This work was supported by the Medical Research Council, U.K. We are grateful to Derek Johnston for his comments on an earlier draft of this paper.     

Voluntary control of cardiovascular reactions to demanding tasks

Three groups of 10 normotensives participated in a study exploring voluntary control of cardiovascular reactions to cognitive tasks. Pulse transit time (TT), interbeat interval (IBI), skin conductance level, and respiratory variables were monitored throughout one introductory and four experimental sessions. The groups were matched on the basis of initial TT and IBI responses to the taxing arithmetic and reasoning tasks. During experimental sessions, one group (FB) was provided with visual analogue TT feedback, while the REL group was given detailed relaxation instructions. A third group (CON) performed the same sequence of tasks but was not instructed to modify cardiovascular reactions at any point. Training in voluntary control was carried out in resting (no-task) conditions, and during task administration. Both treatment groups showed lower cardiovascular reactions than controls in task trials. Only REL subjects lengthened TT in no-task conditions, while both FB and REL groups showed smaller cardiovascular reactions than CON during the tasks. Effects were confined to cardiovascular variables, since respiratory and electrodermal reactions during task administration were similar in all groups. The effects of treatments were especially marked among the most reactive subjects.     

The Effect of a Single Session of Short Duration Biofeedback-Induced Deep Breathing on Measures of Heart Rate Variability During Laboratory-Induced Cognitive Stress: A Pilot Study

This study examines the acute effect of heart rate variability (HRV) biofeedback on HRV measures during and immediately after biofeedback and during the following laboratory-induced stress. Eighteen healthy males exposed to work-related stress were randomised into an HRV biofeedback group (BIO) or a comparative group (COM). Subjects completed a modified Stroop task before (Stroop 1) and after (Stroop 2) the intervention. Both groups had similar physiological responses to stress in Stroop 1. In Stroop 2, the COM group responded similarly to the way they did to Stroop 1: respiratory frequency (RF) and heart rate (HR) increased, RMSSD and high frequency (HF) power decreased or had a tendency to decrease, while low frequency (LF) power showed no change. The BIO group responded differently in Stroop 2: while RF increased and LF power decreased, HR, RMSSD and HF power showed no change. In the BIO group, RMSSD was higher in Stroop 2 compared to Stroop 1. In conclusion, HRV biofeedback induced a short term carry-over effect during both the following rest period and laboratory-induced stress suggesting maintained HF vagal modulation in the BIO group after the intervention, and maintained LF vagal modulation in the COM group.     

The effects of EMG biofeedback on strength acquisition

This study investigated the effectiveness of electromyographic (EMG) biofeedback in maximizing strength gains and integrated electromyographic (IEMG) levels of the quadriceps muscle group resulting from an isokinetic exercise program. Twenty-one male volunteers recruited from physical education classes at a large southwestern university were randomly assigned to one of the following three treatment groups: (1) a biofeedback (BF) trained group, (2) a deception (DEC) trained group, and (3) a nonfeedback (NF) trained group. Subjects were trained and tested for strength by extension on a Cybex Isokinetic Exercise Machine at a speed of 30 degrees per second. Training sessions were performed three times per week for five weeks; pretest and posttest data were based on the best score of three trials of a 1-RM maximum effort. A pretraining to posttraining comparison indicated significant increases in strength (p less than .001) and IEMG levels (p less than .001) for all treatment groups when a paired t test was applied to the data. A multivariate analysis of covariance (MANCOVA) revealed that the BF trained group showed significantly greater peak torque values than DEC and NF trained groups (p less than .01) and produced significantly greater IEMG levels than the NF trained group (p less than .05). Overall, these results were taken as supporting the hypothesis that a training program of combined isokinetics and EMG biofeedback produces significant gains in maximal force and IEMG activity of leg-extensor muscles.     

The effects of EMG biofeedback on strength acquisition

This study investigated the effectiveness of electromyographic (EMG) biofeedback in maximizing strength gains and integrated electromyographic (IEMG) levels of the quadriceps muscle group resulting from an isokinetic exercise program. Twenty-one male volunteers recruited from physical education classes at a large southwestern university were randomly assigned to one of the following three treatment groups: (1) a biofeedback (BF) trained group, (2) a deception (DEC) trained group, and (3) a nonfeedback (NF) trained group. Subjects were trained and tested for strength by extension on a Cybex Isokinetic Exercise Machine at a speed of 30 degrees per second. Training sessions were performed three times per week for five weeks; pretest and posttest data were based on the best score of three trials of a 1-RM maximum effort. A pretraining to posttraining comparison indicated significant increases in strength (p<.001)and IEMG levels (p<.001) for all treatment groups when a pairedt test was applied to the data. A multivariate analysis of covariance (MANCOVA) revealed that the BF trained group showed significantly greater peak torque values than DEC and NF trained groups (p<.01) and produced significantly greater IEMG levels than the NF trained group (p<.05). Overall, these results were taken as supporting the hypothesis that a training program of combined isokinetics and EMG biofeedback produces significant gains in maximal force and IEMG activity of leg-extensor muscles.This research was conducted while the author was at the University of New Mexico, Albuquerque, New Mexico.     

The effects of thermal biofeedback and autogenic training of cardiovascular reactivity: the joint USSR-USA Behavioral Hypertension Treatment Project

Cardiovascular reactivity (heart rate, systolic, and diastolic BP) to mental arithmetic and cold pressor were measured before and after treatment as part of the cross-cultural (USSR and USA) evaluation of thermal biofeedback and autogenic training (in comparison with self-relaxation) as treatments for mild hypertension in unmedicated males. There were no statistically reliable decreases in cardiovascular reactivity from before to after treatment. However, downward shifts in basal levels of systolic and diastolic BP at post-treatment led treated patients to have lower stress-induced levels of BP.     

Transfer of Heart Rate Feedback Training to Reduce Heart Rate Response to Laboratory Tasks

To examine whether transfer of heart rate (HR) feedback training to tasks not used during training could be improved by using multiple tasks during training, a modified multiple baseline across tasks, single subject design study was conducted using six high HR-reactive young adults. Participants received HR feedback training during the presentation of a videogame, and transfer of training was assessed to a mental arithmetic challenge and handgrip task. Transfer of training was next assessed following training with the mental arithmetic challenge and handgrip task. HR responses to each training task with no HR feedback were assessed during a pre-treatment session, an immediate post-training period following training on each task, a short delay (1–2 days) post-training session, and a long delay (1–2 weeks) post-training session. HR response to a novel speech task was assessed at pre-treatment and during short delay and long delay post-training sessions. Results revealed that participants reduced HR during training and generally maintained this reduction in HR during the immediate post-training assessment when HR feedback was not present. Participants were not able to reduce HR responses to tasks during short delay and long delay post-training sessions, and they were unable to transfer HR reduction skills to the speech task. Transfer of HR feedback training to new tasks was limited in nature and efforts to train across multiple stressors did not appear to improve transfer of training.     

自适应式与固定式生物反馈训练对出口梗阻型便秘患者肛直肠功能和心理状态的影响

目的:探讨自适应式与固定式生物反馈训练对出口梗阻型便秘(OOC)患者肛直肠功能和心理状态的影响。方法:选取2017年4月～2019年12月期间晋城大医院收治的OOC患者98例,根据随机数字表法将患者分为对照组(n=49,固定式生物反馈训练)和研究组(n=49,自适应式生物反馈训练),比较两组患者疗效、肛直肠功能、排便次数、排便困难评分和心理状态。结果:研究组治疗8周后的临床总有效率93.88%(46/49),高于对照组的77.55%(38/49)(P0.05)。两组治疗8周后排便次数增加,排便困难评分降低(P0.05),研究组治疗8周后排便次数多于对照组,排便困难评分低于对照组(P0.05)。两组治疗8周后直肠肛门抑制反射阈、肛管静息压均较治疗前下降,模拟排便时直肠肛管压力梯度较治疗前升高(P0.05)。两组治疗8周后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较治疗前下降,且研究组低于对照组(P0.05)。结论:与固定式生物反馈训练相比,自适应式生物反馈训练可获得与之效果相当的肛直肠功能改善程度,并可进一步减轻患者症状及改善心理状态,疗效显著。     

Voluntary heart rate deceleration: A critical evaluation

This experiment was designed as a test of the view that the human heart rate (HR) deceleration response can be brought under voluntary control, when some form of exteroceptive feedback is available. Sixteen female volunteers were randomly assigned to two groups. The first group received instructions to decrease their HR plus a continuous negative (failure) binary feedback, while the second group received only the instructions. Each subject was given four sessions of HR deceleration training. Two identical tests were presented, one before and the other after the series of training sessions. These tests were divided into two parts. In the first part, subjects attempted to decrease their HR while undergoing an ischemic arm pain stress. In the second part, subjects performed a 40-trial HR discrimination task. The results indicate that all subjects decrease HR during both rest and voluntary control periods within each training session, but there are no significant group differences, no improvement in HR deceleration control over the four training sessions, and no difference in performance between rest and voluntary control periods. Similarly HR, blood pressure (BP), and the HR×BP product levels during the ischemic stress condition and the HR discrimination performance do not show group differences. It is suggested that the HR deceleration response may not meet the criteria generally applied to the definition of a voluntary response.     

Regulation of mental states and biofeedback techniques: Effects on breathing pattern

The purpose of the present study was to examine whether breathing pattern may be used as a reliable index for the effectiveness of techniques applied for the regulation of mental states. Heart rate (HR), breathing pattern, galvanic skin response (GSR), and electromyogram (EMG) of the frontalis muscle were measured in 39 male and female subjects aged 18–25 years during 10-minute treatment with relaxation technique (autogenic training and/or music) followed by 10 minutes of imagery training. In the first 7 sessions biofeedback (BFB) was not included, while during the last 6 sessions BFB was introduced and utilized by the subjects. Relaxation (music or autogenic training) led to a decrease in breathing frequency, attributed to lengthening of expiration time, as well as reduced HR, GSR, and frontalis EMG response. In most instances imagery training was related to an increase in these indices. Specifically, significant tachypnea was observed during imagery of sprint running. In most cases BFB substantially augmented the physiological responses. In conclusion, our data suggest that, compared with HR, GSR, and EMG responses, the breathing pattern is at least as sensitive to the mental techniques employed, and may be useful as a psychophysiological index for diagnosis and testing, especially in sport practice.     

The effects of thermal biofeedback and autogenic training of cardiovascular reactivity: The joint USSR-USA behavioral hypertension treatment project

Cardiovascular reactivity (heart rate, systolic, and diastolic BP) to mental arithmetic and cold pressor were measured before and after treatment as part of the cross-cultural (USSR and USA) evaluation of thermal biofeedback and autogenic training (in comparison with self-relaxation) as treatments for mild hypertension in unmedicated males. There were no statistically reliable decreases in cardiovascular reactivity from before to after treatment. However, downward shifts in basal levels of systolic and diastolic BP at post-treatment led treated patients to have lower stress-induced levels of BP.The American portion of this research was supported by a grant from the NHLBI, HL-31189. We express appreciation to officials at the USSR Cardiology Research Center, Academician Igor Shkhvatsabaya, and Professor Vadim Zaitsev for their support, as well as to Dr. Steve Weiss, of NHLBI, for his instigation of this research.     

Respiratory Sinus Arrhythmia Versus Neck/Trapezius EMG and Incentive Inspirometry Biofeedback for Asthma: A Pilot Study

This pilot study compared biofeedback to increase respiratory sinus arrhythmia (RSA) with EMG and incentive inspirometry biofeedback in asthmatic adults. A three-group design (Waiting List Control n = 5, RSA biofeedback n = 6, and EMG biofeedback n = 6) was used. Six sessions of training were given in each of the biofeedback groups. In each of three testing sessions, five min. of respiratory resistance and EKG were obtained before and after a 20-min biofeedback session. Additional five-min epochs of data were collected at the beginning and end of the biofeedback period (or, in the control group, self-relaxation). Decreases in respiratory impedance occurred only in the RSA biofeedback group. Traub-Hering-Mayer (THM) waves (.03-.12 Hz) in heart period increased significantly in amplitude during RSA biofeedback. Subjects did not report significantly more relaxation during EMG or RSA biofeedback than during the control condition. However, decreases in pulmonary impedance, across groups, were associated with increases in relaxation. The results are consistent with Vaschillo's theory that RSA biofeedback exercises homeostatic autonomic reflex mechanisms through increasing the amplitude of cardiac oscillations. However, deep breathing during RSA biofeedback is a possible alternate explanation.     

Effects of biofeedback on the discrimination of electrodermal activity

Twenty-four subjects were tested on their ability to discriminate between the presence and absence of negative skin potential responses before and after training to control skin potential. Training consisted of 52 discrete 30-second trials during which subjects were asked either to increase or to inhibit palmar sweating. Subjects in groups N and P were provided with analogue feedback on their skin potential activity. Group N was correctly informed that increases in sweating were indicated by increases in the negativity of skin potential; group P was misinformed that these were indicated by increases in the positivity of skin potential. Subjects in the control (C) group received no feedback. Reliable evidence of discrimination was obtained only in groups N and P, following training. However, reliable evidence of control was obtained only in group N. Thus, training to control skin potential led to an ability to identify afferentation associated with the more common (i.e., negative) skin potential responses, even though biofeedback training appeared unsuccessful in the case of group P. These findings are discussed in the context of "discrimination" or "awareness" accounts of the process of acquiring control of internal response.     

Feedback delays and relaxation expectancies in EMG biofeedback

The use of noncontingent feedback controls in studies of the efficacy and process of electromyographic (EMG) biofeedback may yield results confounded by differential expectancies for relaxation. Furthermore, the role of expectancies in producing psychological and physical relaxation as well as reducing muscle activity is unclear. This study investigated the effects of feedback delays and induced relaxation expectancies on EMG activity and experienced relaxation. One hundred four non-clinical subjects participated in one auditory frontal EMG biofeedback training session. Subjects were assigned to one of four computerized feedback delay conditions (0.0037, 0.7493, 2.2481, 6.7444 s) and to one of two relaxation expectancy conditions (positive or negative). During 20 minutes of biofeedback training, all groups decreased frontal activity. Feedback delays interacted with training epochs in affecting EMG; the longest delay group reduced frontal activity more slowly than the shortest delay group during training. Positive relaxation expectancies produced greater experienced relaxation than did negative relaxation expectancies. Instrumental and expectancy factors in EMG biofeedback appear to operate independently of each other by reducing physiological activity and producing psychological relaxation respectively.     

The effect of feedback-assisted reduction in heart rate reactivity on videogame performance

In 67 male volunteers, we examined the reduction of cardiovascular responsivity to a psychomotor challenge (videogame) achieved by use of heart rate (HR) feedback and effects of these procedures on concomitant behavioral performance. Each subject participated in a pretraining assessment of his cardiovascular responses to the videogame, a training condition, and a posttraining assessment identical to the initial evaluation. During training, subjects were assigned to one of four conditions: (a) a habituation control group receiving no instructions to alter HR (HC); (b) an instructions-only control group receiving instructions to maintain a low or unchanged HR during videogame presentations (IC); (c) a feedback group receiving instructions to reduce HR using ongoing HR feedback (FB-); or (d) a feedback group receiving instructions to lower HR and given HR feedback plus a score contingency in which total game score was jointly determined by subjects' game performance and success at HR control (FB+). Subjects receiving feedback (FB+, FB-) exhibited greater reductions in HR response to the videogame in the posttraining assessment than control (HC, IC) subjects; FB+ subjects showed greater HR reductions than subjects in any other group. FB+ and FB- subjects showed a lower SBP at posttraining relative to the two control groups, but no reduction in task-induced blood pressure reactivity. There were no group differences in videogame performance, either before or following training.     

Maintenance and generalization of 40-Hz EEG biofeedback effects

Maintenance of conditioning of 40-Hz EEG activity was investigated in six adults 1 to 3 years after they had experienced biofeedback training to increase 40-Hz EEG. Subjects were first retrained to alternately increase and suppress 40-Hz EEG. All six subjects achieved a preset performance criterion in 16–20 minutes. Five of these subjects also subsequently demonstrated significant control of 40-Hz EEG without feedback. The sixth subject did not demonstrate control after 76 minutes and four sessions of attempted retraining with feedback. Transfer of 40-Hz EEG control to a problem-solving task was tested in all subjects in a final session. Cognitive test items were presented and subjects were instructed to alternately increase and suppress 40-Hz EEG while solving the problems. Rates of 40-Hz EEG in suppression periods during problem solving were significantly greater than during suppression periods without problems. No significant differences in problem-solving performance were found comparing 40-Hz increase and suppression periods. This study supports previous research suggesting an association between 40-Hz EEG and mental activity, and suggests methods for further study of transfer of EEG biofeedback effects.     

Biofeedback modification of frontal EMG in normal subjects

We carried out a controlled study on the voluntary control of the frontalis muscle by biofeedback procedures employing 20 normal subjects. Subjects were randomly divided into two groups of 10: (1) the biofeedback group and (2) the control group. Each of the two groups received five training sessions of about 40 minutes' duration each on different days. The results obtained are as follows: (1) In the biofeedback group, mean EMG levels decreased progressively and markedly from 2.16µVp-p min in the first session to 1.54µVp-p min in the last session. On the contrary, the control group did not show constant decreases in EMG levels over sessions. (2) The changes in the heart rate did not correlate with the changes in EMG activity. (3) The changes in the respiratory rate correlated with the changes in EMG activity.