Cognitive Performance Enhancement: Do Biofeedback and Neurofeedback Work?

Dessy, Emilie; Puyvelde, Martine Van; Maîresse, Olivier; Neyt, Xavier; Pattyn, Nathalie

doi:10.1007/s41465-017-0039-y

Cited by 25 publications

(12 citation statements)

References 137 publications

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“…Relatedly, Kuikkaniemi et al (2010) hypothesized that the increase in immersion due to adaptive biofeedback that they demonstrated in the context of first-shooter games could also be achieved in other contexts such as 3D virtual environments (Malińska et al, 2015). There is also evidence that neurofeedback, which BioPhyS employs, may boost the effects of cognitive training (Dessy et al, 2018). Biocybernetic adaptation integrated during exercise-based videogames called Exergames was used effectively to encourage older users to exert in targeted cardiac zones (Muñoz et al, 2018).…”

Section: Characterization Psychophysiological Model and The Physiolmentioning

confidence: 99%

A Psychophysiological Model of Firearms Training in Police Officers: A Virtual Reality Experiment for Biocybernetic Adaptation

et al. 2020

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Crucial elements for police firearms training include mastering very specific psychophysiological responses associated with controlled breathing while shooting. Under high-stress situations, the shooter is affected by responses of the sympathetic nervous system that can impact respiration. This research focuses on how frontal oscillatory brainwaves and cardiovascular responses of trained police officers (N = 10) are affected during a virtual reality (VR) firearms training routine. We present data from an experimental study wherein shooters were interacting in a VR-based training simulator designed to elicit psychophysiological changes under easy, moderate and frustrating difficulties. Outcome measures in this experiment include electroencephalographic and heart rate variability (HRV) parameters, as well as performance metrics from the VR simulator. Results revealed that specific frontal areas of the brain elicited different responses during resting states when compared with active shooting in the VR simulator. Moreover, sympathetic signatures were found in the HRV parameters (both time and frequency) reflecting similar differences. Based on the experimental findings, we propose a psychophysiological model to aid the design of a biocybernetic adaptation layer that creates real-time modulations in simulation difficulty based on targeted physiological responses.

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Section: Characterization Psychophysiological Model and The Physiolmentioning

confidence: 99%

A Psychophysiological Model of Firearms Training in Police Officers: A Virtual Reality Experiment for Biocybernetic Adaptation

et al. 2020

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“…The former outcome warrants replication and extension, whereas the latter study has considerable methodological challenges that limit interpretation. Reproducible, reliable (within and across participants), and robust demonstrations of CES effects on nervous system activity and behavior are necessary before adopting CES for use in occupational contexts, including training, job performance, and recovery contexts (Bostrom and Sandberg, 2009 ; Agar, 2013 ; Chatterjee, 2013 ; Colzato, 2018 ; Dessy et al, 2018 ; Blacker et al, 2019 ; Feltman et al, 2019 ; Brunyé et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

A Critical Review of Cranial Electrotherapy Stimulation for Neuromodulation in Clinical and Non-clinical Samples

Brunyé

Patterson

Wooten

et al. 2021

Front. Hum. Neurosci.

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Cranial electrotherapy stimulation (CES) is a neuromodulation tool used for treating several clinical disorders, including insomnia, anxiety, and depression. More recently, a limited number of studies have examined CES for altering affect, physiology, and behavior in healthy, non-clinical samples. The physiological, neurochemical, and metabolic mechanisms underlying CES effects are currently unknown. Computational modeling suggests that electrical current administered with CES at the earlobes can reach cortical and subcortical regions at very low intensities associated with subthreshold neuromodulatory effects, and studies using electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) show some effects on alpha band EEG activity, and modulation of the default mode network during CES administration. One theory suggests that CES modulates brain stem (e.g., medulla), limbic (e.g., thalamus, amygdala), and cortical (e.g., prefrontal cortex) regions and increases relative parasympathetic to sympathetic drive in the autonomic nervous system. There is no direct evidence supporting this theory, but one of its assumptions is that CES may induce its effects by stimulating afferent projections of the vagus nerve, which provides parasympathetic signals to the cardiorespiratory and digestive systems. In our critical review of studies using CES in clinical and non-clinical populations, we found severe methodological concerns, including potential conflicts of interest, risk of methodological and analytic biases, issues with sham credibility, lack of blinding, and a severe heterogeneity of CES parameters selected and employed across scientists, laboratories, institutions, and studies. These limitations make it difficult to derive consistent or compelling insights from the extant literature, tempering enthusiasm for CES and its potential to alter nervous system activity or behavior in meaningful or reliable ways. The lack of compelling evidence also motivates well-designed and relatively high-powered experiments to assess how CES might modulate the physiological, affective, and cognitive responses to stress. Establishing reliable empirical links between CES administration and human performance is critical for supporting its prospective use during occupational training, operations, or recovery, ensuring reliability and robustness of effects, characterizing if, when, and in whom such effects might arise, and ensuring that any benefits of CES outweigh the risks of adverse events.

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“…The Performance Edge VR application features respiratory biofeedback functionality which is specifically used to visualise respiratory pattern and rate within the VR headset in real-time. As mentioned above, non-VR HRV biofeedback applications have shown to be effective training tools for attention control and general cognitive performance in a range of settings [ 56 ]. Incorporating a virtual environment with HRV biofeedback training further improved user motivation and focus [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Development of a modular stress management platform (Performance Edge VR) and a pilot efficacy trial of a bio-feedback enhanced training module for controlled breathing

Kluge

Maltby

Walker³

et al. 2021

PLoS ONE

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This paper describes the conceptual design of a virtual reality-based stress management training tool and evaluation of the initial prototype in a pilot efficacy study. Performance Edge virtual-reality (VR) was co-developed with the Australian Defence Force (ADF) to address the need for practical stress management training for ADF personnel. The VR application is biofeedback-enabled and contains key stress management techniques derived from acceptance and commitment and cognitive behavioural therapy in a modular framework. End-user-provided feedback on usability, design, and user experience was positive, and particularly complimentary of the respiratory biofeedback functionality. Training of controlled breathing delivered across 3 sessions increased participants’ self-reported use of breath control in everyday life and progressively improved controlled breathing skills (objectively assessed as a reduction in breathing rate and variability). Thus the data show that a biofeedback-enabled controlled breathing protocol delivered through Performance Edge VR can produce both behaviour change and objective improvement in breathing metrics. These results confirm the validity of Performance Edge VR platform, and its Controlled Breathing module, as a novel approach to tailoring VR-based applications to train stress management skills in a workplace setting.

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Cognitive Performance Enhancement: Do Biofeedback and Neurofeedback Work?

Cited by 25 publications

References 137 publications

A Psychophysiological Model of Firearms Training in Police Officers: A Virtual Reality Experiment for Biocybernetic Adaptation

A Psychophysiological Model of Firearms Training in Police Officers: A Virtual Reality Experiment for Biocybernetic Adaptation

A Critical Review of Cranial Electrotherapy Stimulation for Neuromodulation in Clinical and Non-clinical Samples

Development of a modular stress management platform (Performance Edge VR) and a pilot efficacy trial of a bio-feedback enhanced training module for controlled breathing

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