[esnr] Re: drawbacks and modesty please
- From: "Gruzelier, John H" <j.gruzelier@xxxxxxxxxxxxxx>
- To: <esnr@xxxxxxxxxxxxx>
- Date: Wed, 21 Jul 2004 15:47:01 +0100
Ineke,
Your thoughts are well received. In all of this work we are in the foothills,
if we have even reached that far.
I hope you might join in discussion of this approach at the next meeting.
Together with Niels Birbaumer's work with locked-in patients, work with spinal
cord injury seems to me the most difficult Everest to climb.
John
-----Original Message-----
From: esnr-bounce@xxxxxxxxxxxxx [mailto:esnr-bounce@xxxxxxxxxxxxx]On Behalf Of
h.a.baas
Sent: 21 July 2004 13:30
To: esnr@xxxxxxxxxxxxx
Subject: [esnr] Re: drawbacks and modesty please
dear collegues
i'm happy the baltic forum was such a succesand that people felt very inspired
after attending. I am especially happy that dr. schalow is going to be part of
the movement
this month january already i came across prof schalows ideas via internet and
spoke to him about the possibilites of combining neurofeedback and his dynamic
coordination therapy. he then was still unaware of neurofeedback and had his
head elsewhere
this whole concept of c.d.t. for me was very interesting. i am a psychologist,
and tried to help a person very seriously damaged by T.B.I. with neurofeedback.
Despite all the efforts that were made, she never profited in any way. And
believe me we worked on it!
So together with a physiotherapist I thought that maybe I should start in a
more simple way and that's were dynamic coordination therapy came in handy. In
the end we did not go to prof. Schalow but his principles were worked out in
Switserland in the Giger md machine. Before we bought this machine we went to
Switserland to see how the machines were used in a physiotherapy practise, and
everything seemed fine. we bought the machine and read the book by prof Schalow.
However, although the principles are very interesting and clever, there is
little talk of the drawbacks. After three weeks of intensive training my
patient started suffering from a pain very similar to R.S.I. This is still
going on since four weeks and has not stopped. I am not saying that we are now
completely lost, the concept and ideas are really great, but they lack carefull
documentation.
When the idea started of SAN I was positive, especially as I was so
fed up with american propaganda. Now I just hope the european branche will not
go the same direction. I like enthousiasme, i am impressed by intelligent
people, but i would like a bit more honesty about limitations,
deceptions,dangers.
ineke baas
----- Original Message -----
From: Gruzelier, John H <mailto:j.gruzelier@xxxxxxxxxxxxxx>
To: esnr@xxxxxxxxxxxxx
Sent: Wednesday, July 21, 2004 1:24 PM
Subject: [esnr] Baltic States Forum Feedback Report
Baltic Forum, Riga, Latvia, 2-3 July, 2004.
Society Prototype?
Professor Paulis Butlers hosted the first neurofeedback meeting in the Baltic
States at the Riga Stradins University, where he is Assistant Professor of
Medical Physics. It is to his credit and considerable entrepreneurial skills
and dedication to the field (he part funded the meeting himself) that he
assembled participants from Estonia, Lithuania, Poland, and Russia, while I
presented on behalf of the society. Around 60 people attended for the two day
meeting.
The meeting represented to me a prototype of how the Society could develop, to
embrace applied neuroscience and encourage cross fertilisation between clinical
therapeutic and optimal performance approaches on the one hand, and basic
science on the other.
The meeting began with the current perspective on the brain mechanisms
underpinning operant conditioning by Professor Liga Aberberga-Augskalne, who
heads the Department of Neurophysiology. This was an insightful introduction.
This was followed by presentations by medical students from the Department of
General Medicine who under the supervision of Paulis Butlers have examined how
SMR training and suppressing theta in healthy volunteers also elevated alpha2,
which is implicated in working memory, and shifted the alpha peak upwards..
These were mature presentations and I have encouraged them to submit the SMR
paper for publication. Further analysis may also shed light on learners versus
nonlearners. The results contribute to the debate on specificity of bandwidth
training.
After morning tea I presented our work with alpha/theta training, to include
our latest findings in enhancing ballroom and Latin dance performance in
competitive university dancers, and in elevating mood and well being in
withdrawn students. Professor Klonowski from the Polish Academy of Sciences,
Warsaw then presented his advanced methods of EEG nonlinear complexity
analysis, which incidentally could provide a new metric for neurofeedback
training. In identifying sleep stages in the EEG the procedures were superior
to trained experts. To conclude the morning session Dr Helena Ciavko introduced
stabilography methods from St Petersburg. The participant steps on a bathroom
scales type stand and a spectrum of movements is recorded. There are clinical
applications such as tremor and applications with dancers and sportsmen. Again
there are implications for biofeedback developments which Professor Butlers
will consider.
In the afternoon we were treated to a fascinating, inspiring and very moving
introduction to the pathfinding 'coordination dynamics therapy' for spinal cord
injury of Professor Giselher Schalow, formerly of Switzerland, but now based in
Tatin, Estonia. He outlined his highly creative theory and then proceeded to
introduce us to two patients, one in a wheel chair and another a Norwegian
youth who hit his head on the bottom of a river when diving in, and is a
paraplegic as a result, but following very arduous training is now able to walk
and even run with assistance. We were given demonstrations of the approach,
and alas time quickly ran out. There is not space to go into this now, but the
aim is to create new neurological connections, and it was clear to this
psychophysiologist, how important topdown influences were in forging these
neuronal changes. Clearly much potential can be derived from combining our
techniques to achieve these goals. It is food for thought that his highly
innovative methods, which fly in the face of contemporary neurophysiological
thinking, were not acceptable in Switzerland, and have found a receptive home
in Estonia.
Perhaps our society could provide an important political role in science to
counteract conservative constraints.
The next day was mainly devoted to the work of Professor Dangole Zemaitye and
colleagues. Professor Zemaitye heads an Institute for Psychophysiology and
Rehabilitation in Lithuania. Apparently we first rubbed shoulders in Montreal
at the founding meeting of the International Organisation of Psychophysiology
in the early 1980s. 11 papers were presented focussing on one aspect of their
work, consisting of the manifold clinical implications of heart rate
variability for diagnosis and rehabilitation. Highly sophisticated methods of
analysis were demonstrated with a clinical yield not available in conventional
HRV analyses. This very expert clinical team would provide an ideal setting for
a RCT of heart rate coherence training for cardiovascular disorders.
The forum ended with Professor Olegs Timms work in instating Swiss methods of
neurostimulation and neural prosthesis with cochlear implants in Latvian
children.
There was throughout the Forum a splendid spirit of openmindedness, and
opportunities for neurofeedback and biofeedback were widely discussed.
Professor Butlers is to be congratulated for his initiative in planning the
meeting. There is to be a followup via internet later in the year - see our
website.
Offers from all the Baltic States to host a society meeting were received with
enthusiasm, and I have received again a request today from Professor Schalow to
host the next meeting in Tatin. I would very much like us to go there.
We also took in the jazz festival, which just happened to on at the time, and
we missed the opera festival by only a few days! These are very beautiful
cities, and I believe Tatin is an absolute jewel. In Riga there is unspoiled
architecture going back to the middle ages, art noveau turn of the century
buildings, and a river with handsome bridges. It is very green everywhere.
Prices are affordable before the EU takes hold, as are flights booked in
advance. The food is particularly excellent and cheap.
How about the Baltic States for our next meeting!
John Gruzelier
Professor John Gruzelier
Division of Neuroscience & Psychological Medicine
Imperial College London
Charing Cross Campus
St Dunstan's Road
London W6 8RP
UK
Phone 44 020 8 846 7386: Fax 44 020 8 846 1670:
e-mail j.gruzelier@xxxxxxxx
Secretary: Mrs Ann Ebberson: Phone 44 020 8 846 7246
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