www.neurocaregroup.com

neuroCare Solutions made inGermany

We are here for you!neuroCare Group

Rindermarkt 7, 80331 Munich, Germany

phone: +49 (0)89 215 471 299-0

fax: +49 (0)89 215 471 299-1

e-mail: info@neurocaregroup.com

web: www.neurocaregroup.com

neuroCare – stands for innovative therapy solutions according to the newest research and guidelines for mental illness, chronic pain and in rehabilitation.

neuroCare offers technology, education and clinical expertise at the highest level, specializing in non-invasive neuromodulation (neurofeedback, transcranial direct current stimulation tDCS, transcranial magnetic stimulation TMS, cognitive trai-ning), making sure that your start in bio- or neurofeedback therapy is smooth and successful right from the beginning.

neuroCare neurofeedback: high effectiveness, long-term sustainability, low side effects

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Neurofeedback and self-regulation

Neurofeedback training and frequency bands

Structure of a therapy session

THERA PRAX®, accessories, extensions

How does neurofeedback therapy work

Analysis and course of therapy

References

Studies and effectiveness

neuroCademy trainings

CONTENT

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Neurofeedback is an effective longterm method for treating disorders of self-regulation and impulse control. Patients with different neuro- psychological disorders can improve their quality of life after a number of sessions. The client’s brain activity is measured and visualized on a com-puter. The resulting visual feedback shows those neurophysiological processes which occur subconsciously.During the feedback process the client is presented with tasks. In order to receive positive feedback, the brain has to achieve a certain level of activity. The activity level changes when the client’s concentration or perception increases. This principle of operant conditioning causes the brain to show beneficial activity more and more often. Guided by a licensed therapist, clients can learn to observe and be aware of these neurophysiological processes, so misregulations can be recognized and effective countermeasures can be taken.

Effectiveness and sustainability of Neurofeeback Multiple scientific studies have examined Neurofeedback therapy and proven it to be effective and sustainable long term. The studies proved that the ability to control and direct one‘s body processes can be learned. Clients receiving bio- or neurofeedback therapy can often reduce medi-cation that only affects symptoms, whereas neurofeedback targets the root cause of the problem. However, effective and sustainable results are only possible if neurofeedback is applied correctly using proven and standardized protocols.

For more information visit :www.neurocaregroup.com/scientific-publications.htmlour evidence-booklet or one of our neurofeedback courses.

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NEUROFEEDBACK ANDSELF-REGULATION

Self-regulation is, among other things, the ability to deal with one‘s feelings and moods, as well as realize one’s intentions through target oriented and reality-based action. People suffering from certain neuro- logical and psychological disorders (e. g. addiction, obsessive-compulsive disorders, ADD/ADHD) have limited self-regulation competences. Those limits often strongly impair the individual’s independence.

Neurofeedback therapy can improve self-regulation abilities. Through operant conditioning clients can learn to recognize and positively influence their own mis- regulations. Neurofeedback therapy aims to develop and improve self-control and self-regulation.

If your self-regulation is working, you are able to:

• direct and maintain attention;• calm yourself down despite emotional excitement or stress;• deal with frustration;• reduce stress and relax after difficult situations;• recognize and control impulses and react appropriately;• pause between stimulus and reaction;• realize intentions and pursue goals;• socialise in a positive way.

Awarenessand realization

Improving attention andconcentration

Learning toself-control

ORIENTATION DECISION

FEEDBACKFEEDBACK

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HOW DOESTHE THERAPY WORK

self-regulationself-control

perception impulse control

relaxation

awareness

emotions

behaviour sleepexpectations

concentration

HEALTHanxietystress thoughts

Neurofeedback training Neurofeedback training should take place in a room with a comfortable and welcoming atmosphere. The client sits relaxed on a comfortable chair or armchair. The application of the electrodes can be combined with a short introductory talk. During the session, the therapist should observe the client and the visual feedback on the screen in order to provide ap-propriate assistance. If necessary, the training can be paused. After neurofeedback training, the client and the therapist should evaluate the results together and transfer exercises should be performed. The transfer contains methods that help implement the session’s contents into everyday life.

Fields of application Studies have shown neurofeedback to

be benificial in various disorders, including

AD(H)D

addiction

migraine

sleep disorders

autism

depression

anxiety disorders

epilepsy

stroke

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FREQUENCY BANDS

AD(H)DThe latest German S3 guideline on AD(H)D recom-mends the protocols SCP, SMR and Theta/Beta for neurofeedback treatment. These three protocols have been linked in numerous studies to symptom improvements in ADD/ADHD.

SleepThe role of sleep as the basis of our motivation is becoming increasingly important. Problems with falling asleep or sleeping can be treated successfully with SMR and SCP training.

Delta waves

Theta waves

Alpha waves

SMR waves

Beta waves

Gamma waves

normal:

deep sleep

pathological:

brain lesion,

epilepsy

normal:

drowsiness

pathological:

inattention,

day dreaming,

anxiety,

ADHD

normal:

relaxation,

meditation

pathological:

depression,

ADHD

normal:

concentration,

activity

pathological:

compulsion,

sleep disorder

normal:

neuronal connection,

consciousness,

complex thoughts

normal:

calm motor function,

mentally focused

Gam

ma

SMR

Thet

aB

eta

Alp

haD

elta

0 Hz

10 Hz

20 Hz

30 Hz

40 Hz

50 Hz

5 Hz

15 Hz

25 Hz

35 Hz

45 Hz

cortex

thalamus

suprachiasmatic nucleus

sensory cortex

prefrontal cortex

hippocampus

motor cortex

sensory cortex

thalamus

hippocampus

motor cortex

sensory cortex

audio fields

fields of vision

cortex

basal ganglia

luys body

bulbus olfactorius

all brain structures

bulbus olfactorius

Are you unsure whether bio- or neurofeedback fits into your practice? We would be happy to advise you!

AddictionA central element in addictions is a disturbed self-re-gulation ability. Therapists who have carried out SCP training as part of addiction treatment report good results in terms of their patient’s severity of addiction.

Migraine and EpilepsyWhen it comes to migraines and epilepsy resear-chers assume a lack of inhibition in the self-regulating mechanisms of the brain. Participants with either disorder were able to benefit from SCP training in studies, which resulted in a reduction in the number of seizures.

NEUROFEEDBACKTRAINING IN THE EEG

SCP training (slow cortical potentials)SCP‘s are slow potentials of the brain current curve. They are the momentary result of an unstable balance between excitation (negativa-tion) and inhibition (positivation). The aim of SCP training is to conscious-ly induce states of attention or relaxation. The processing of information in the corresponding networks in the brain should expand. If the training is successful, the self-regulation abilities improve. SCP training can also be helpful in improving a client‘s willingness to engage in therapy and thus provides opportunities for further interventions.

Frequency band training Frequency band training uses the wave patterns known from the EEG (see figure on page 13). Certain symptoms can often be attributed to changes in frequency. With frequency band training, a normal frequen-cy can be achieved. Studies have shown that this training of certain frequencies led to a significant reduction in symptoms. Many successful neurofeedback therapists prepare their clients with SCP training for a successive frequency band training.

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What can be achieved? Development of strategies to positively influence brain activity; application

of the learned strategies in everyday life - even without EEG feedback; contribution to the reduction of attention and concentration problems

PROCEDURE OF ATHERAPY SESSION

introductory talk and applying the electrodes(5 min.)

selection of neurofeedback protocol and artifact correction(3 min.)

neurofeedback training(20-35 min.)

final talk and evaluation(5 min.)1 2 3 4

SportsPeak performance training can help to increase concentration at the right moment or to better control negative effects such as stage fright. Biofeedback with ECG or re-spiration parameters can be a useful supple-ment.

Increase in the quality of life Neurofeedback is useful in treating stress, muscle tension or symptoms of burnout. With biofeedback of the galvanic skin res-ponse (GSR feedback) it is possible to visuali-ze states of tension and to treat them with further measures.

PsychotherapyNeurofeedback is successfully used in the treatment of stress, anxiety, depression and addiction. Biofeedback can be a useful supplement for these indications.

Occupational therapy SCP neurofeedback is suitable for the promising treatment of concentration and learning problems within the framework of occupational therapy. Indications that are associated with hyperactivity or impulsiveness can also be treated with neuro-feedback.

PhysiotherapyWith EMG biofeedback or neurofeedback, improvements can be achieved in cases of paralysis, craniocerebral trauma or strokes. In affected brain regions, it can also determine whether residual activity is present and whether control over muscle groups can be regained.

How long?A session takes about

45 - 60 minutes, including preparation and review

How many sessions?

30 - 40 sessions in total, 2 sessions per week,

the duration of treatment depends on the

disorder

Progress?Positive changes can occur as

soon as the 6th session

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ANALYSIS AND COURSE OF THERAPY

Session 2

Session 15

Session 25

Session 2: It is not possible yet to differentiate between states of acti- vation and relaxation.

Session 15: The different levels of activation can be achieved more and more often.

Session 25: This patient has learned to control the level of activation, even if the feedback object is invisible to him/her. This would be the ideal learning curve in a therapy.

More informationen on evidence-based neurofeedback: www.neurocaregroup.com

The triangle in the middle of the image indicates the direction in which the feed-back object should be moved. If the client concentrates, the object rises. If the concentration decreases or the client relaxes, the object moves downwards.

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NEUROFEEDBACK WITHTHERA PRAX®

The THERA PRAX® MOBILE is a neuro- and biofeedback system suitable for therapists, clinicians and researchers. As a certified medical device, it offers safety in use.The included standard protocols facilitate getting started with neuro-feedback training and correspond to the recommendations of the German S3 guideline for AD(H)D. Thirteen freely definable channels allow for even demanding neurofeedback applications.

Additionally, skin conductance, respiration, body temperature and pulse can be measured and reported using the biofeedback extension. With this extension body signals can be perceived and influenced during training.

The THERA PRAX® MOBILE complete package includes:

- a computer

- two monitors (for the therapist and the patient)

- EEG amplifier incl. lithium-ion batteries with charger

- easy-to-use EEG software by neuroConn incl. templates

for protocols

- connecting cable, mouse and keyboard

- manual

- starter set incl. electrodes

- technical instructions on the medical device

- technical support

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ACCESSORIES ANDEXTENSIONS

Skin conductance sensor for biofeedback The skin conductance sensor can be used to determine the galvanic skin response and the electrical skin resistance. Changes indicate conditions like high stress or anxiety.

Batteries for the amplifier For safety reasons the amplifier is battery operated and thus electrically isolated from the mains. The rechargeable batteries have a long running time and a long service life. A charger is included in the package.

Transfer cards for everyday practice and use Using the transfer cards, clients can more easily recall the strategies learned during the neurofeedback sessions and implement the strate-gies in their everyday life.

Q-tips for skin preparation Q-Tips are used to comfortably apply the abrasive Nuprep® paste. They are also suitable for achieving an even distribution of the Ten-20 paste beneath the electrode.

Electrode paste for signal transmission Ten-20 is a beige opaque and water soluble adhesive conductive paste intended for use with silver-silver chloride electrodes.

Electrode adapters and adhesive rings Adhesive rings and electrode adapters facilitate positioning and attach-ment of the electrodes.

Abrasive paste for neurofeedback recordingsNuprep provides the optimal skin preparation by slightly roughening the scalp like a peeling. This improves the electrical resistance and the deri-ved signals are of higher quality.

Respiration sensor including chest strap for biofeedback The respiration or breathing sensor is used to monitor breathing. Respi-ratory frequency and relative respiratory depth can be derived.

Temperature sensor for biofeedback The sensor measures the temperature on the skin surface. This allows conclusions to be drawn about the psychological strain on a client. In combination with other biosignals such as breathing and pulse, training can be carried out to reduce stress.

ElectrodesElectrodes translate the bioelectric potentials at the head into a techni-cal current. These silver-silver-chloride electrodes have particularly good transmission properties and thus enable derivations of the highest quality with a long service life. The electrodes are available in black, red, green and blue.

Pulse wave sensor for biofeedback The sensor is used for recording and visualizing cardiological parameters. This sensor is available as finger clip sensor or without attachment (see illustration).

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FURTHER OFFERSFOR THE THERAPY

DC-STIMULATOR MOBILEtranscranial direct current stimulation in clinical routine

Transcranial direct current stimulation (tDCS) is a non-invasive, well-tolerated neuromodulative treatment method. Numerous studies show positive effects in stroke patients, depression, addiction, pain and many other disorders. When used in addition to standard therapies, neuromodulative methods can improve their outcome. The DC-STIMULATOR MOBILE offers a safe and painless addition to your range of treatments. You can find examples of application as well as studies proving its effectiveness at: www.neurocaregroup.com/dc-stimulator-mobile.html

ActTrustefficient therapy support through sleep profile analysisThe ActTrust Actigraph provides you with unique insights into your clients’ quality of sleep. Detailed analysis and statistics provide you with information about the wearer‘s movement and sleep profile. ActTrust can continuously record different wavelengths of light, temperature, movement and other parameters for several weeks. This information helps to improve the wearer‘s quality of life significant-ly through targeted measures. Find out more about the effects of sleep on your health in our free webinars now! www.neurocaregroup.com/acttrust-actigraphy.html

MyBrainTraining®

cognitive training - online, up-to-date, effective

MyBrainTraining® is an individualized training program to improve cognitive per-formance for people with neurological or psychiatric disorders. The auto-adaptive brain performance training has been specially developed for use in occupational therapy and psychotherapy in inpatient and outpatient settings. Each of the 30 exercises has been validated and found to be effective by Dr. Kawashima/Japan. Whether in your practice or at the client‘s home in home training: MyBrainTraining is intuitive to use, motivating and easy to apply anywhere. Test the professional version now free of charge:www.neurocaregroup.com/new-cognitive-training.html

neuroCare offers e-learning in free-of-charge webinars: www.neurocademy.com/webinars

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REFERENCES

University of Tuebingen, GermanyDepartment of Clinical Psychology

LWL university hospital Hamm of the Ruhr University BochumDepartment of child and adolescent psychiatry and psychothera-py, Prof. Dr. Martin Holtmann

Philipps University Marburg, GermanyDepartment of Psychology, psychology for children and adole-scents, Prof. Dr. Hanna Christiansen

neuroCare Therapy centers The Netherlands in Nijmegen, Den Haag, Eindhoven, Groningen, Hengelo Drs. Rosalinde van Ruth

neuroCare Therapy center Italyin Bologna

neuroCare Therapy centers Australiain Sydney, Frenchs Forest and Melbourne Listen and Learn Centre, BalwynVita Health Care, Mount Eliza

neuroCare Centers of AmericaNashville neurocare Therapy CentreLong Island neuroCare Therapy Centre

neuroCare Coaching Center, Munich, GermanyDr. rer. hum. biol. Linda Wulf

neurofeedback, biofeedback and ergotherapy practiceDr. med. Edith Schneider, Stuttgart, Germany

Children’s neurology practice Dr. med. Kirsten Stollhoff, Hamburg, Germany

Outpatient clinic for child and adolescent psychiatry and psychotherapy of the Asklepios HospitalDr. med. Kujau, Gera, Germany

Social-psychiatric centre for children and adolescents Dr. med. Fabian Härtling, Frankfurt/Main, Germany

Hospital Saarland HeilstättenOutpatient clinicDr. med. Walter Koch, Idar-Oberstein, Germany

Psychology practiceDipl.-Psych. Ernst Hohn, Baesweiler, Germany

Practice for development and learningProf. Dr. Edgar Friederichs, Bamberg, Germany

Practice for occupational therapyJohannes Späker, Heiden, Germany

Practice for occupational therapy, systemic therapy and consultationNora and Dirk Nehrlich, Rottenburg am Neckar and Tuebingen, Germany

„I have been working with the neuroCare product

THERA PRAX® for 10 years. The success I‘ve had with the

system, especially the SCP protocol, is absolutely remarkable.“

Johannes Spaeker, occupational therapist, Germany

„I have been working with the THERA PRAX device for 5 years

in therapeutical practice. As a psychologist I particularly value

the SCP protocol and have seen substantial improvements in

attention, impulse control, ability to regulate emotions and

quality of sleep in a diverse group of clients, aged between

6 and 75 years old. It is also a very good initial tool to help

clients shift into a state of mind that allows them to access

and be open to further interventions and therapies.“

Susanne Mechtersheimer, Psychologist, Australia

„We have been supporting the world‘s leading scientists

in the field of neuromodulation for 20 years. We strive to

sustainably advance neurofeedback and transcranial di-

rect current stimulation in research and therapy. We will

continue to devote all our attention to our goal of helping

patients everywhere.“ Klaus Schellhorn, CTO at neuroCare

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The THERA PRAX® is a frequently used neurofeedback device in research. In all studies conducted with the THERA PRAX®, patients‘ symptoms were improved.

Publications on the efficacy and sustainability of neurofeedback

Further studies can be found at: www.neurocaregroup.com/scientific-publications.html

STUDIES ON THE EFFECTIVENESSOF NEUROFEEDBACK

Strehl U. et al., 2017: Neurofeedback of Slow Cortical Potentials in Children with Attention-Deficit/Hyperactivity Disorder: A Multicenter Randomized Trial Controlling for Unspecific Effects. Front Hum Neurosci.

Geladé K. et al., 2017: A 6-month follow-up of an RCT on behavioral and neurocognitive effects of neurofeedback in children with ADHD. ECAP Journal

Arns M. et al., 2009: Efficacy of Neurofeed-back Treatment in ADHD: the Effects on Inattention, Impulsivity and Hyperactivity: a Meta-Analysis. Clinical EEG and Neurosci-ence

Gevensleben H. et al., 2010: Neurofeedback training in children with ADHD: 6-month follow-up of a randomised controlled trial. ECAP Journal

Van Doren J. et al., 2019: Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis – 10 studies with follow-up after 6 to 12 months. ECAP Journal

Gevensleben H. et al., 2009: Is neurofeed-back an efficacious treatment for ADHD? A randomised controlled clinical trial. Journal of Child Psychology and Psychiatry

Heinrich H. et al., 2020: Effects of neuro-feedback on the dysregulation profile in children with ADHD: SCP NF meets SDQ-DP - a retrospective analysis. Psychol. Med.

Arns M. et al., 2014: Differential effects of theta/beta and SMR neurofeedback in ADHD on sleep onset latency. Front Hum Neurosci.

Mayer K. et al., 2015: Neurofeedback of slow cortical potentials as a treatment for adults with Attention Deficit-/Hyperactivity Disorder. Clin Neurophysiol.

Arns M. et al., 2020: Neurofeedback and Attention-Deficit/Hyperactivity-Disorder (ADHD) in Children: Rating the Evidence and Proposed Guidelines. Applied Psychophysio-logy and Biofeedback

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Get the most out of our knowhow

Learn neurofeedback following correct and proven protocolsneuroCademy is offering 4-day neurofeedback courses at our training centers in Europe and Australia. By attending the course you will receive clear instructions, backed by science, and delivered by leading experts in the field. Learn about the theory and practical appli-cation of neurofeedback in the treatment of ADHD and insomnia and understand which protocols and technologies allow for evidence-based and effective application.

This course helps you gain certication with the BCIA (BiofeedbackCertification International Alliance). It covers 36 didactic training points.

In-house supervision and webinars Would you us like to train you and your team at your facility? neuroCademy offers indivi-dual solutions for in-house training courses. Inquire about in-house supervision to conduct a workshop at your facility - lead by technical and clinical specialists. For a first insight into neurofeedback attend one of our free webinars. The range is conti-nuously being expanded!

www.neurocademy.com

Online, self-placed learningEnrole in one of our self-paced learning pathways. You will gain access to expert learning modules covering the theory and foundations of neuromodulation modalities, as well as technical demonstration videos and access to live lessons and Q&A sessions scheduled throughout the year.

www.lms.neurocademy.com

EDUCATION AND TRAINING WITH NEUROCADEMY

Information, advice and registration:www.neurocademy.comneurocademy@neurocaregroup.com+49 89 215 471 2995

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ImprintneuroCare Group GmbH ∙ Rindermarkt 7 ∙ 80331 Munich ∙ Germanyphone: +49 (0)89 215 471 299-0 ∙ fax: +49 (0)89 215 471 299-1 ∙ e-mail: info@neurocaregroup.com ∙ web: www.neurocaregroup.compictures: neuroCare Group GmbH, 1075789_©niekverlaan@Pixabay, 1137688_©Fotownetrza@Pixabay, 1311784_©smengelsrud@pixabayCopyright: neuroCare Group GmbH 2020The use or publication of contained texts or pictures is generally prohibited.Exceptions require written permission from neuroCare Group GmbH.

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neuroCareRindermarkt 7 | 80331 Munich | Germany

phone: +49 89 215 471 2995

e-mail: sales@neurocaregroup.com

web: www.neurocaregroup.com

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