Friday Continued

 

Friday, November 6, 2020

Lunch Break (ON YOUR OWN)
Time: 12:30pm-2:00pm

 

Exhibitor Demonstration: Vielight
Time: 12:30pm-2:00pm

 

ISMA Lunch & Presentation: Stress and the Brain
Time: 12:30pm-2:00pm
The International Stress Management Association welcomes all to share in its annual meeting. There will be free lunch and a presentation.

CE Credits: 1
Track: Basic Science
Level: Intermediate
Target Audience: This workshop can benefit all levels of practitioners and students.

This session will cover the pathways and molecules of stress in the brain including the gut-brain axis  It will look at the effects of stress on the HPA axis, the initiation of the stress response in the amygdala and propagation of stress signaling throughout the brain. It will discuss how overwhelming stress causes dysregulation of the HPA axis, the effects of chronic stress on the brain and the role of stress in various brain diseases from Alzheimer's and Parkinson's disease to Adult onset Diabetes and metabolic derangements. It will cover the latest understanding of psychoneuroimmunology and psychoneuroendocrinology. Where appropriate the resultant effects on behavior will be discussed.
 
The use of antidepressants and antipsychotics and their pathways will be described Epigenetic changes induced by stress will be covered. The latest in resilience research and it's effects on the brain will be described.

Learning Objectives:

·       The participant will be able to describe the stress pathways in the brain
·       The participate will be able to name neurotransmitters that participate in the stress response
·       The participant will be able to describe the changes in the HPA axis with overwhelming stress
·       The participant will be able to describe the role of stress in degenerative neurological disease

Speaker(s):

·       Jan Newman, AAS, BS, MD, MA, FACS, ABIHM: Dr. Jan B. Newman received her M.D. from SUNY Downstate Medical Center, surgical training at UTMB Galveston and University of Vermont. She is a fellow of the American College of Surgeons and board certified in Integrative and Holistic Medicine. She has studied and practiced meditation, Yoga, Buddhism and biofeedback in the U.S and in India for over 30 years. She is President of International Stress Management Association - US.. She is dedicated to the integration of sound medical practice with scientifically based multimodality stress reduction for disease mitigation and prevention. She is an internationally requested speaker and has presented on topics including Stress: Manifestations, Mechanisms, and Management, Spirituality and Health, the Relationship of Stress and Disease, Oxytocin the Anti-Stress Hormone, Cardiopulmonary Anatomy and Physiology and the response of the Cardiopulmonary System to Stress. She works in geriatric preventative medicine. She teaches online at the Graduate School of Behavioral Health Sciences.

 

Student Roundtable & Lunch
Time: 12:45pm-1:45pm

 

Exhibits Teardown
Time: 1:00pm -4:00pm

 

ORAL4 Oral Presentations - Session 4
Time: 2pm-3:30pm
CE Credits: 1.5
Track: Hot Topics
Level: Intermediate
Session Focus:
Target Audience: All

1. Does stimulating high heart rate oscillatory activity during biofeedback training sessions improve emotion regulation ability?, Jungwon Min, University of Southern California

Heart rate variability (HRV), fluctuations in the time intervals between consecutive heart beats, is indicative of emotional wellbeing. For example, increased heart rate variability is associated with lower anxiety, greater resilience to stress, and better emotion regulation. Furthermore, HRV-biofeedback studies suggest that time spent in a high heart rate oscillatory state may improve emotional well-being. In these studies, participants engage in daily sessions of resonance breathing in which they take about 10 seconds per breath, creating resonance with the ~0.1 Hz cycle of the baroreflex and leading to high-amplitude oscillations in heart rates. Previous work indicates that engaging in this daily practice for several weeks can reduce stress and anxiety. The current study examined how several weeks of biofeedback training with resonance frequency breathing affects the function of brain networks involved in emotion regulation. We randomly assigned participants to increase- versus decrease-oscillation biofeedback groups and trained them to either increase or decrease heart rate oscillations during daily sessions for five weeks. In an emotion regulation task completed while breathing normally both before and after the five-week intervention, participants were shown emotionally valanced images and asked to upregulate or downregulate the emotion elicited by the images. Their self-reported ratings of emotional intensity indicated that biofeedback training involving resonance breathing diminished the baseline arousal level to emotional stimuli. Functional magnetic imaging during the task indicated that the increase-oscillation group, compared to the decrease-oscillation group, downregulated activity in emotion-related brain regions more after the intervention.

2. Examining the effects of a mindfulness-based biofeedback intervention with athletes, Frank D Perry, EdD, Consultant / Private Practice

This session will describe and summarize dissertation research which examined a mindfulness-based biofeedback intervention with soccer athletes. Athletes are constantly in search of methods that optimize training, including physical and mental strategies that enhance performance. Such methods often focus on developing self-awareness of thoughts, emotions, and physiological states and are designed to lead to improved self-regulation.  Two techniques that have received attention in sport research are biofeedback and mindfulness training. Although a number of studies have reported benefits for athletes’ physiological or psychological outcomes, few report actual sport performance changes. A new self-regulatory strategy, mindfulness-based biofeedback, seeks to integrate the features of mindfulness training into a traditional biofeedback intervention protocol. Athletes learn skills in present-moment, physiological and cognitive self-awareness, and consequently, self-regulation. To date, only a few studies have discussed this new technique in sport, and none present empirical evidence for its effectiveness.  The current study used a single-subject design to explore a mindfulness-based biofeedback intervention with female soccer athletes (n=4), using direct measures of physiology, psychology, and sport performance. Physiological outcomes included heart rate, heart rate variability, respiration rate, skin conductance, and skin temperature. Psychological outcomes included scores on the Competitive State Anxiety Inventory-2 (CSAI-2), and the Mindfulness Attention Awareness Scale (MAAS). Sport performance was measured using the Loughborough Soccer Passing Test (LSPT).  Clear performance improvements were seen for all athletes, with physiological and psychological results being more variable. Physiological parameters showed improvement, while psychological variables were mixed. Observed decreases in mindfulness may have actually been an indication of the development of improved self-awareness. Overall athletes appeared to have benefited from the mindfulness-based biofeedback intervention. As this study was the first to examine mindfulness-based biofeedback training in a sport setting, the stage has been set to more fully explore this promising athletic mental training technique.

3. An Overview of Benzodiazepine Effects on Heart Rate Variability Measurements, Zach Irvin; Branden Schaff; Fredric Bruce Shaffer, PhD, Truman State University (mentor)

Clinicians and researchers who utilize heart rate variability (HRV) often cannot predict benzodiazepine effects on their clients' HRV time- and frequency-domain measurements due to conflicting findings in the available literature. This oral paper synthesizes studies of the effects of long- and short-acting benzodiazepines on HRV and the strength of the experimental evidence.

4. Rhythmical Skeletal Muscle Tension (RSMT) Increases Heart Rate Variability: A Systematic Replication, Marilise Stamps; Jayla Simms; Zack Irvin; Fredric Bruce Shaffer, PhD, Truman State University (mentor)

Approaches to improve heart rate variability and reduce stress such as breathing retraining are more frequently being integrated into psychotherapy but little research has been done to date. Specifically, no studies to date have directly compared using a pacer at 6 breaths per minute with compassion focused soothing rhythm breathing. In this randomized controlled experiment, 6 breaths per minute breathing using a pacer was compared with compassion focused soothing rhythm breathing, with a nature video being used as a control group condition. Measures of heart rate variability (HRV) were assessed using a Nexus-4 with ECG and respiration measured, and a GE automated blood pressure machine was used to measure systolic and diastolic blood pressure. A total of 96 participants were randomized into the 3 groups. Following a 5-minute baseline, participants engaged in either 6 breath per minute breathing, soothing rhythm breathing, or watched a nature video for 10 minutes. To induce a stressful state, participants then wrote for 5 minutes about a time they felt intensely self-critical. Participants then wrote for 5 minutes about a time they felt self-compassionate, and the experiment ended with a 10-minute recovery period. Overall, HRV (SDNN) increased during the intervention period, decreased during the critical writing, and then returned to baseline levels during the recovery period. Time by Condition analyses revealed that both the 6 breaths per minute pacer and soothing breathing rhythm conditions lead to significantly higher SDNN than the nature video condition during the intervention but there were no significant differences between conditions in response to the critical writing or recovery periods. There was a nonsignificant trend for the 6 breath per minute pacer condition to have a higher LF/HF ratio than the soothing rhythm breathing condition, and both intervention conditions had a higher LF/HF ratio than the nature video. The results of this experiment indicate that both 6 breath per minute breathing and soothing rhythm breathing effectively increase heart rate variability and LF/HF ratio and can potentially be used as key adjuncts in psychotherapy.

BOS28 How Your Mind can Change Your Brain
Time: 2pm-3:30pm
CE Credits: 1.5
Track: Basic Science
Level: Advanced
Session Focus: 30% Clinical/70% Research
Target Audience: Persons with a minimum of a bachelor’s .degree will benefit from this advanced introduction to our field. Those with graduate experience in Psychology and/or Neurobiology will benefit most. Physicians will discover the solid scientific basis underlying competent NEUROFEEDBACK.

The primary voluntary functions of the brain can be summarized as attention, movement, and problem solving. Using a new approach to the functional tracking of  these functions with the quantitative EEG we can now identify functional states and their interactions simply and efficiently. The basic evidential data supporting this conclusion will be reviewed.

Learning Objectives:

·       Attendees will be able to articulate the basis of the SMR EEG rhythm, as well as understand supporting research, data, and applications.
·       Attendees will learn about critical and relevant physiological principles of NEUROFEEDBACK.
·       Attendees will be able to explain how SMR informs clinical neurofeedback practice.
·       Attendees will learn an appreciation for software characteristics essential for valid neurofeedback

Speaker(s):

·  Maurice (Barry) Sterman, PhD, Professor Emeritus, Neurobiology & Bio-behavioral Psychology, David Geffen School of Medicine, UCLA

BOS29 Photobiomodulation as Adjunct Intervention for Neurofeedback
Time: 2pm-3:30pm
CE Credits: 1.5
Track: Hot Topics
Level: Intermediate
Session Focus: 50% Clinical/50% Research
Target Audience: Neurofeedback researchers and practitioners, neuroscientists, neurologists, and anyone interested in improving brain functions.

Neurofeedback (NFB) provides information about the brain’s rhythms and functioning in real time. Based on this, sounds, graphics or vibrations are used as rewards to train it to improve functions presented as changes in EEG rhythms (Demos, 2019). The changes are usually incremental, which could require up to 40 weeks to achieve the desired results, and which is not assured. In a similar way, photobiomodulation (PBM) of the brain can also trains brain rhythms. However, PBM achieves this very rapidly – usually in a single 20-minute session with no negative side effects (Saltmarche et al, 2017). In PBM, near infrared (NIR) light directed to the default mode network (DMN) at selected pulses could produce large brain responses (Chao, 2019). This has been suggested in studies involving dementia and acute cognitive processing. We carried out controlled studies that specifically explored neural response to 40 Hz (Gamma) (Zomorrodi et al, 2019) and 10 Hz (Alpha) directed to the DMN of healthy subjects. In the Gamma EEG study, it was found that the power spectrum and connectivity of alpha, beta and gamma increased significantly. Surprisingly, the opposite was found for the slower delta and theta bands where the power spectrum decreased with no significant change in connectivity. In the meantime, there was a global increase in inhibition which is often desirable (Zomorrodi et al, 2019). In the Alpha study, the brain responded differently – only the alpha band at around 10 Hz showed significant increase in power (Zomorrodi et al, 2020). Changes in connectivity also increased in a similar way, in the alpha. These studies tell us that the brain not only responds to PBM significantly, it does so in frequency-specific ways that are desired in NFB. These evidences suggest that PBM could be a potentially powerful adjunct to NFB practice. It also opens investigations on how PBM’s parameters can be adjusted to address psychiatric conditions and even enhance the performance of normal brains.

Learning Objectives:

·       Improve and accelerate neurofeedback outcomes
·       For practitioners, clients should enjoy better satisfaction
·       Have tools and techniques of transcranial photobiomodulation to improve brain functions
·       Offer new options for neuro-modulation techniques
·       Be able to explain photobiomodulation mechanisms

Speaker(s):

·       Lew Lim, PhD, DNM, MBA, Vielight Inc.: Dr. Lew Lim is widely recognized as a knowledge leader in photobiomodulation (PBM), particularly related to brain functions. He is the Founder and CEO of Vielight Inc., known for its brain PBM technology. His innovation in the field is positively affecting tens of thousands around the world, whether to address a brain condition or enhancing performance. Currently, his team is involved in various clinical studies indicating PBM for Alzheimer's Disease, traumatic brain injury, meditation, mental and sports performance, and others. Dr. Lim is a neuroscientist, doctor of natural medicine, engineer and chartered accountant. He has completed the various education disciplines at University of California, Berkeley, Quantum University, Sheffield University, Duke University and other institutions.

 

BOS30 The Myths and Misconceptions of Heart Rate Variability
Time: 2pm-3:30pm
CE Credits: 1.5
Track: Hot Topics
Level: Intermediate
Session Focus: 50% Clinical/50% Research
Target Audience: Anyone who is interested in gaining a deeper understanding of heart rate variability and hear rate variability biofeedback

Heart rate variability is powerful indicator of the body’s ability to self-regulate. Heart rate variability biofeedback has been empirically shown to be an effective intervention for a variety of psychophysiological disorders, such as anxiety, chronic pain, hypertension, and depression. However, heart rate variability is a complicated concept, oftentimes not understood deeply enough by practitioners. This makes heart rate variability biofeedback difficult to explain to patients and, even more importantly, conduct properly with effective results. The purpose of this symposium is to describe and address the most common misconceptions about heart rate variability and heart rate variability biofeedback, providing participants with deeper understanding of the concept and the biofeedback technique.

Learning Objectives:

·       Define the concept of heart rate variability
·       Describe the most common ways to measure heart rate variability and ways to track progress in heart rate variability biofeedback
·       Explain resonance frequency breathing
·       Differentiate between measurements used at baseline and training phases of heart rate variability biofeedback
·       Explain the difference between clinical and sport use of HRV

Speaker(s):

·       Inna Khazan, PhD, BCB, Harvard Medical School: Inna Khazan, PhD, BCB is a faculty member at Harvard Medical School and a clinical psychologist specializing in health psychology and performance excellence training using biofeedback and mindfulness-based approaches. Dr. Khazan is recognized as a pioneer in the area of mindfulness-based biofeedback. She teaches nationally and internationally, including at institutions such as the US Navy Special Warfare, US Army Special Forces, and the Stuttgart Opera and Ballet Company. Dr. Khazan is a member of the board of directors for the Institute for Meditation and Psychotherapy (IMP), Association for Applied Psychophysiology and Biofeedback (AAPB), and Biofeedback Certification International Alliance (BCIA), where she is currently chair elect. Dr. Khazan is the author of numerous journal articles and 2 books: Clinical Handbook of Biofeedback: A Step-by-Step Guide to Training and Practice with Mindfulness and Biofeedback and Mindfulness in Everyday Life: practical solutions for improving your health and performance.

·       Brad Lichtenstein, ND, BCB, The BreathSPACE  Associate & Clinical Faculty at  Bastyr university: Brad Lichtenstein, ND BCB BCB-HRV. believes in the power of breath to restore health and balance. As a naturopathic physician in private practice and a professor at Bastyr University for over two decades, Dr. Lichtenstein has helped people embody the lives they want to live. His approach integrates naturopathic medicine, mind-body medicine and biofeedback, depth & somatic psychology, Eastern contemplative practices, yoga and movement, bodywork and end-of-life care. He participated in a joint research study between the University of Washington and Bastyr University where he provided over 500 guided meditations to hospice patients. Dr. Lichtenstein received his doctorate of naturopathic medicine from Bastyr University. His articles have appeared in several publications and journals and he speaks nationally on topics ranging from stress-reduction, mindfulness and health, mind-body approaches to healing trauma, and issues surrounding end-of-life.

·       Richard Gevirtz, PhD, BCB, Distinguished Professor of Psychology at the California School of Professional Psychology at Alliant International University: Dr. Richard Gevirtz is a Distinguished Professor of Psychology at the California School of Professional Psychology at Alliant International University in San Diego. He has been in involved in research and clinical work in applied psychophysiology and biofeedback for the last 30 years and was the president of the Association for Applied Psychophysiology and Biofeedback, 2006-2007. His primary research interests are in understanding the physiological and psychological mediators involved in disorders such as chronic muscle pain, fibromyalgia, and gastrointestinal pain. In this vein, he has studied applications of heart rate variability biofeedback for anxiety, pain, gastrointestinal, cardiac rehabilitation and other disorders.  He is the author of many journal articles and chapters on these topics. He also maintains a part time clinical practice treating patients with anxiety and stress related disorders.

 

Break (Refreshments)
Time: 3:30pm-4pm

 

BOS31 Providing Rigorous Evidence that Biofeedback Accomplishes Physiological Change
Time: 4:05 pm -5:05pm
CE Credits: 1
Track: Basic Science
Level: Intermediate
Session Focus: 100% Research
Target Audience: Anyone interested in evidence that biofeedback accomplishes measurable physiological change, in addition to improvements in quality of life.

Biofeedback is frequently used to regulate the autonomic nervous system. Rigorous evidence suggests that autonomic nervous system dysregulation is part of many chronic disease processes, and that reversal via other therapeutic interventions (beta blocking drugs, vagal nerve stimulation, spinal cord stimulation) can have significant and meaningful impact for patients with these diseases. Clinical colleagues, however, are often not as willing to believe that biofeedback might have the same advantages, because it is a therapy without the need for surgery, anesthesia, implanted stimulators, prescription drugs, or other modalities with which they are most familiar. In this presentation, Dr. Moravec will discuss the body of evidence which is currently available to support the effectiveness of biofeedback mediated self-regulation in the treatment of chronic conditions which are prevalent today in the US. In the same way that Dean Ornish gained traction for lifestyle interventions by going into the cardiac catheterization laboratory and showing that his program actually decreased the development of coronary artery plaque, we must assemble a body of evidence for the efficacy of biofeedback which focuses on biological impact. While the quality of life and stress management effects are undeniably important to the individual patient, the physiological effects on disease progression or even prevention will be essential for convincing clinical colleagues that biofeedback should increasingly be part of comprehensive treatment packages and programs and therefore covered by insurance companies and health plans. With the advent of population health and big data approaches to medical care, treatments that are not proven to have value will disappear from the available options. Dr. Moravec's talk will focus on the evidence which is already assembled, and that which must be collected moving forward.

Learning Objectives:

·       Explain the value of demonstrating physiological changes resulting from biofeedback therapy
·       Recognize physiological changes in the autonomic nervous system which accompany chronic diseases
·       Summarize the role of biofeedback in reversing autonomic dysregulation
·       List studies which have demonstrated physiological reversal of disease after biofeedback therapy
·       Discuss future research approaches to establishing the efficacy of biofeedback in treating chronic disease

Speaker(s):

·       Christine S Moravec, PhD, Research Scientist / Cleveland Clinic: Dr. Christine Moravec is a research scientist at the Lerner Research Institute at Cleveland Clinic, in Cleveland, Oho. Her research focuses on cardiovascular physiology and pathology. Dr. Moravec is an expert on the physiology of the autonomic nervous system, and has published widely in this area. She has been funded by NIH and the AHA, and has a longstanding interest in the interaction between self-regulation and physiological change, particularly in patients with chronic disease.  She is a member of AAPB, a past member of the AAPB board, and has presented her work at the meeting several times.

 

BOS32 The Future of Biofeedback: Wearables, Devices, and Apps for Biofeedback and NEUROFEEDBACK
Time: 4:05 pm -5:05pm
CE Credits: 1
Track: Hot Topics
Level: Intermediate
Session Focus: 50% Clinical/50% Research
Target Audience: Clinicians and researchers who are interested in, or curious about, the cutting edge products that are available or will soon be available to enhance the application of Biofeedback and NEUROFEEDBACK.

Biofeedback is on the cusp of a revolution in acceptance, understanding, and use as several trends come together. With the development of new technology, smart phones, tablets, and smart watches, the public is getting used to carrying devices with extreme capability. Now the trend  towards being able to wear these devices and to monitor activity is hitting critical mass. With the explosive development of activity trackers, sleeptrackers, even monitoring rings, as well as flexible screens and electrodes, the public is now becoming aware of physiologic monitoring and its usefulness. There currently are apps for Biofeedback, for monitoring heart rate, heart rate variability, electrodermal response, temperature, and blood pressure. In the past two years we saw the development of many different physiological monitoring devices embedded in wearables of various kinds including smart watches by Apple, Samsung, Fitbit and other major companies. This presentation reviews and demonstrates the current and future devices, apps, and wearables as well as discusses their positive and negative features and how they can be used by the Biofeedback practitioner both in-office and for home practice.

Learning Objectives:

·       Learn about wearables and apps as they apply to Biofeedback
·       Observe their functioning
·       Recognize the positive and negative features of the equipment
·       Learn to apply this equipment in clinical practice

Speaker(s):

·       George von Bozzay, PhD, The Biofeedback Institute: Dr. George Fuller von Bozzay is founder and director of the Biofeedback Inst. of San Francisco, emeritus: clinical instructor in psychiatry and behavioral sciences Stanford University Medical Center, associate clinical professor in the department of biological dysfunction University of California Medical School San Francisco, Faculty City College of San Francisco, Author of Biofeedback, Behavioral Medicine and Stress Management: a clinicians desk reference, Biofeedback: Methods and Procedures in Clinical Practice, and numerous other books and articles.

 

BOS33 What We Can Learn from Reading the MORPHOLOGY of Brainwaves - CANCELLED Speaker Withdrawn
Time: 4:05 pm -5:05pm

Speaker(s):

·       Penelope Montgomery, Ph.D. BCIA certified Senior Fellow, New Hope For The Brain

 

BOS34 Alpha the Brain Barometer -The Role of Alpha in Determining Brain Health: Emergent Models & Markers of Brain Deregulation, Disorganization, Standard and Optimal Function
Time: 4:05 pm -5:05pm
CE Credits: 1
Track: Hot Topics
Level: Intermediate
Session Focus: 50% Clinical/50% Research
Target Audience: Neurotherapists and clinicians interested in training optimal brain function.    Neurotherapists and clinicians interested in addressing brain deregulation due to multiple causes.

Alpha has long been established as a marker for brain efficiency... and inefficiency. 10/20  location, amplitude and comparative ratios are often analyzed and fine tuned or otherwise re-trained in the treatment of depression, PTSD, educational difficulties/ADHD, addiction, and fine tuned for the release of creative process, peak and optimal performance. Clinical research is now showing the emergence of new patterns of Alpha. Morphology often ignored and misinterpreted as artifact may indeed be large amplitude Alpha. Previously, these Alpha patterns were only seen in specific seizure disorders and with excessive marijuana use/abuse. These atypical patterns are now being seen in in concussed patients (Donaldson, 2019) and clients with excessive interactive screen use/addiction (Swingle, M. 2012/3). It is possible that this specific large amplitude Alpha deregulation is not ailment specific but rather a signal of extreme brain deregulation. This presentation will explore the role of Alpha in excellence (optimal functioning & peak performance) through to known deregulation and intervention followed by a series of case studies exploring high Alpha amplitude deregulation, implications for further study, and treatment.

Learning Objectives:

·       Explore the multidimensional aspects of Alpha throughout the brain
·       Learn 'traditional' markers of Alpha in excellence/peak & optimal performance
·       learn 'traditional 'markers of Alpha in brain inefficiency e.g., ADHD, PTSD,
·       Identify Alpha patters associated with disorganization
·       Identify (Alpha) patterns associated with injury

Speaker(s):

·       Mari Swingle, PhD Clin Psych, Dr. of Psychology: Dr. Mari Swingle (PhD & MA Clin Psych, MA Ed), practicing (neuro)therapist, researcher, consultant, and author is a BCIA Senior Fellow BCIA, AAPB BOD, and winner of practice and authorship awards including FABBS Early Career Impact Award for her research on technology, the brain, and behavior. She works with a wide range of neurophysiological ailments including Anxiety, Depression, Trauma, OCD and Addiction and is well known for her work with children and families experiencing behavioral and learning difficulties (e.g., Defiance and Conduct Disorders, ADHD, Dyslexia, Processing, Written Output, & Speech Disorders and the family dynamics that often come with (e.g., Parental Fatigue, Depression, Anxiety, and Couple/Parental Dynamics). Over the years Dr. Swingle has found that that many symptoms, for which clients seek psychological services, appear to be exacerbated, if not caused by, excessive or otherwise inappropriate applications of interactive technologies (gaming, porn consumption, social media obsession etc.). This has been the primary focus of her clinical research since 2009.

·       Stuart Donaldson, Ph.D., EMTA, BCFE, ABDA Registered Psychologist, Director of Myosymmetries: Stuart received his Ph.D. from the University of Calgary in 1989. His doctoral work was on the relationship of muscle activity as measured by surface electromyographic (SEMG) techniques to chronic pain. He has utilized SEMG in studying myofascial pain, and fibromyalgia. Unique in the psychophysiology field he has also studied qEEG and brainwave activity combining SEMG with EEG biofeedback producing a comprehensive theory involving neural plasticity and fibromyalgia.  Stuart has published extensively on both myofascial pain syndromes and fibromyalgia. In 1995 he won the American Journal of Pain Management Award entitled, Outstanding Contribution to the Interdisciplinary Pain Management Literature, for his work on SEMG, neck pain and headaches. His present interests include the use of the qEEG in evaluation of concussions (mild traumatic brain injury) in the general population, including Junior A Hockey players. Dr. Donaldson is currently conducting a 4-year study of concussions in junior hockey with three papers published to date. The clientele seen at Myosymmetries includes mild traumatic brain injury (usually post motor vehicle accidents and sport injuries), anxiety and depression, ADD, post-traumatic stress disorder (PTSD), and more. Stuart continues to travel and lecture throughout North America, and is presently Director of Myosymmetries, Calgary.

 

BOS36 Biofeedback and Neuromodulation-modalities: A Personalized Approach, Applicable to a Culturally Diverse Population
Time: 5:15pm-6:15pm
CE Credits: 1
Track: Hot Topics
Level: Introductory
Session Focus: 100% Clinical
Target Audience: Those who are new in the field, clinicians or those interested in applied clinical research.

Personalized approaches to healthcare delivery have been highlighted in the clinical and research literature. Starting in biomedicine, with personalized medicine, and evolving into a multi-factor framework that includes, genetics, brain structure/function, cognition, psychological and personal factors. Personalizing protocols in healthcare delivery take into account that psychophysiological, cultural variability exists among a diverse population of individuals, which plays a clinically significant factor in their care and recovery. In clinical work, a personalized approach, not only positively influences the prescriptive nature of the (health) intervention, but also its course and efficacy. Biofeedback and neuromodulation-modalities lend themselves to a personalized approach aligned with P4 medicine tenets; keying on customized protocols targeting individuals’ (markers) baseline functioning towards their optimal zone of functioning. To deliver personalized, customized protocols, is important to be informed on the science, modality, ethics and clinical best practices involved. Representative deidentified case samples and protocols will be presented.  

Learning Objectives:

·       Describe 3 key aspects of Biofeedback as a personalized approach.
·       Explain differences in prescriptive-personalized protocols, in a culturally diverse population; and
·       Identify 2 Biofeedback prescriptive-personalized protocols.

Speaker(s):

·       Genomary Krigbaum-Pérez, PsyD, BCB, DAAETS, FAAPB, LP, Clinical Assistant Professor, University of Wyoming Family Medicine Residency Program: Genomary Krigbaum-Pérez, PsyD, BCB, DAAETS, FAAPB, LP, in transition to the position of Clinical Assistant Professor at the University of Wyoming Family Medicine Residency-Casper; with keen interest in applied psychophysiology and biofeedback/neuromodulation modalities. She is invested in clinical work, applied research, training future clinicians, consulting and scholarship. Her work encompasses cross-cultural neuroscience and evidence-based (-informed) interventions/frameworks. Dr. Krigbaum-Pérez is passionate about fostering as well as promoting individual resilience, and quality of life.

 

BOS37 Resilience Training with Mindfulness and Biofeedback
Time: 5:15pm-6:15pm
CE Credits: 1
Track: Clinical Interventions and Optimal Performance
Level: Intermediate
Session Focus: 70% Clinical/30% Research
Target Audience: Individuals in optimizing health and performance.

Performance environments today, whether on the field of a competitive baseball game or at the board room of a Fortune 500 company, are often uncertain, complex, volatile, and demanding.  Whether your team is overcoming adverse conditions for a championship tournament or you get passed over for a promotion, many scenarios could threaten to derail your mood, focus, and performance.  Resilience is fundamental to successfully navigating those inevitable challenges in sports, business and life.  During this 60-minute symposium, Drs. Inna Khazan and Leah Lagos will identify four strategies to help your clients cultivate resilience and perform at their peak during times of uncertainty and challenge.  Fortunately, resilience can be learned and, not surprisingly, can be achieved through deliberate practice and planning.  Drs. Khazan and Lagos will ask questions like, “how do you train your mind to become more resilient,” and “what specific HRV strategies can build resilience during critical performance moments.” They will also address matters such as how sleep impacts resilience and recommend specific cell phone apps for training resilience in between critical moments.  With more than two decades of combined experience working with athletes around the world, musicians, artists, doctors, and business professionals, Drs. Khazan and Lagos will teach how deliberate, intentional efforts to cultivate resilience can help performers achieve success.

Learning Objectives:

·       Discuss concepts of sleep, mindfulness, HRV and their relevance to resilience.
·       Identify frequent sleep challenges that high performing individuals face and recommend specific applications for improving nocturnal HRV.
·       Observe and experience specific HRV biofeedback techniques for improving the ability to return to quickly baseline following a stressor.
·       Learn specific cell phone apps that can be utilized to improve and/or train resilience.
·       Experience how these biofeedback-based skills can be used to effectively and quickly improve resilience.

Speaker(s):

·       Leah Lagos, Psy.D, B.C.B, Licensed Psychologist and Board Certified in Biofeedback: Leah Lagos, PsyD, is a clinical and sport psychologist and BCIA Board Certified biofeedback provider in Manhattan, New York.  She earned a doctorate in clinical psychology from Rutgers University and served as a faculty member of the Center of Alcohol Studies at Rutgers University.  Highlights of her work with athletes include conducting interviews for NFL teams, as part of Professional Sports Consultants, for more than 9 years. Dr. Lagos has served as a consultant to PGA tour players to provide on-site support at tournaments such as the Masters' Tournament in Augusta, GA. Dr. Lagos has also served as a consultant to US Olympians providing consultation and on-site support at venues such as the London Olympics.  As a consulting psychological expert for the media, Dr. Lagos has appeared on the Today Show, NBC Nightly, MSNBC, CNN, CBS, Fox, Sports Illustrated News and ESPN.  She is a consulting editor for Biofeedback Magazine: Clinical Journal and was the Guest Editor of the 2015 spring issue.  She is the Co-Chair of the Optimal Performance Section of the American Association of Physiology and Biofeedback and a Guest Editor for Biofeedback Magazine.  Dr. Lagos is also an appointed biofeedback provider for athletes and patients of several hospital programs

·       Inna Khazan, Ph.D., BCB, Licensed Clinical Psychologist Certified Biofeedback Specialist: Inna Khazan, Ph.D., BCB is a faculty member at Harvard Medical School, where she has taught biofeedback and supervised trainees since 2008. A clinical psychologist specializing in health psychology and biofeedback, Dr. Khazan also maintains a private practice in Boston, working with clients on optimizing their health and performance, using biofeedback and mindfulness based approaches. She has been invited to give keynote and conference presentations and teach workshops at national and international conferences on the topics of biofeedback and mindfulness. Dr. Khazan has conducted biofeedback and mindfulness trainings for notable institutions in the US and abroad, including the US Navy Special Warfare and the Stuttgart Opera and Ballet Company. Dr. Khazan is recognized as a pioneer in the area of mindfulness and acceptance based biofeedback, and is the author of a highly regarded Clinical Handbook of Biofeedback: A Step-by-Step Guide to Training and Practice with Mindfulness.

 

BOS38 Heart Rate Variability Biofeedback for Pain, Stress, Fatigue, and Depression among Veterans
Time: 5:15pm-6:15pm
CE Credits: 1
Track: Clinical Interventions and Optimal Performance
Level: Intermediate
Session Focus: 33% Clinical/67% Research
Target Audience: Everyone interested in clinical applications of HRV Biofeedback

Pain is a primary reason why United States Veterans seek medical care. It is often accompanied by a cluster of symptoms associated with increased sympathetic nervous system activity, including stress, fatigue, sleep disturbance and depression. Chronic pain induces a stress response, which in turn exacerbates pain, thus generating a self-perpetuating cycle of pain symptomatology and autonomic dysregulation. Heart rate variability biofeedback (HRVB) training induces a state of HRV coherence, a condition that maximizes HRV and facilitates cardiorespiratory homeostasis, improved autonomic health, and reductions in subjective symptoms.   Methods. This randomized, sham-controlled, intervention trial tests the hypothesis that HRVB can improve HRV coherence and alleviate pain, stress, fatigue, sleep disturbance and depression among Veteran patients with chronic pain. Participants are randomized to a previously established HRVB or sham protocol (target n=40 per group, total planned enrollment N=80). Each patient completed a baseline assessment, 6 weekly training sessions, a post-training assessment, a booster training (with an assessment, 1-month post-training), and a follow-up assessment (2-months post-training). Primary outcomes included: 15-minute HRV recordings (HRV Coherence Ratio), pain, and stress. Secondary outcomes include pain catastrophizing, fatigue, sleep quality and depression. Each participant was provided with a portable, data-logging HRVB device to monitor and evaluate treatment compliance and sustainability.   Results: A total of 116 Veteran patients were enrolled, 86 have completed the post-training assessment, and 76completed the entire protocol. In preliminary analyses, patients in the HRVB group had elevated HRV Coherence Ratios at the post-training assessment relative to baseline (0.24±0.04 vs. 0.78±0.1, respectively, n=42, p<0.001), whereas no change was observed among the controls, which indicates receipt of intervention by the treatment group.  At the follow-up assessment HRV Coherence Ratios remained elevated relative to the baseline assessment (0.65±0.11 vs. 0.24±0.04, respectively, n=34).  At baseline, scores for pain, stress, pain catastrophizing, fatigue, sleep quality and depression were well-correlated (all r’s: 0.56 to 0.86, all p<0.05  Results from mixed effects statistical models testing study hypotheses will be presented at the meeting.  Conclusion. Therapies that reduce opioid dependency would be a significant benefit to those with chronic pain. HRVB is a valid, quantifiable, easily implemented, non-pharmacological procedure. This study is directly responsive to the national VHA/DoD Task Force’s recommendations to provide complementary, integrative therapies for pain management among Veterans.

Learning Objectives:

·       apply prinicples of HRV and HRV Biofeedback to causes of chronic pain
·       assess the methods of determining clinical outcomes of HRV Biofeedback in a sample of Veterans with chronic pain
·       describe the utilization of HRV Biofeedback in controlling acute pain;

Speaker(s):

·       JP (Jack) Ginsberg, PhD, Columbia VA Health Care System: Dr. JP (Jack) Ginsberg, PhD holds appointments as a Licensed Clinical Psychologist / Neuropsychologist and Research Health Scientist at the Columbia VA Health Care System (formerly the Dorn VA Medical Center), as Basic Science Research Assistant Professor at the USC School of Medicine, and as Adjunct Assistant Professor in the Department of Exercise Science of the USC Arnold School of Public Health, all in Columbia, SC. He is an advocate for integrative management of PTSD and chronic pain using Autonomic Self-Regulation as a mind-body treatment. He has authored or co-authored more than 30 peer-reviewed scientific publications and served as a scientist reviewer of research grant proposals to NIH, VA, and DoD. He has edited and reviewed numerous published scientific articles.  Dr. Ginsberg has been a Principal Investigator and Co-Investigator on research grants funded by DoD, NIH, and the VA

 

BOS39 Pediatric EEGs: Neurobiological Development and the Impact and Treatment of Trauma
Time: 5:15pm-6:15pm
CE Credits: 1
Track: Clinical Interventions and Optimal Performance
Level: Introductory
Session Focus
Target Audience: ll neurotherapists and students should attend

This talk looks at neurobiological development and EEG in instances of abuse and neglect, relative to healthy upbringing. Both nature and nurture, or lack thereof, create the human brain as it evolves through early life. From an evolutionary perspective, the reptilian brain is fully functional at birth and the second layer—the limbic system—is prepared for the organizational experiences of early life. While the neuronal development of the brain’s first and second layers are virtually complete at birth; soon after birth “wiring” (the branching of dendrites) and creation of oligodendrocytes (myelination) begins to occur from the limbic structures into the cortex. It is this third layer that allows for self-conscious awareness, among other qualities. Most of our significant early emotional and intellectual experiences, those that shape our later perceptions and reactions, occur when the limbic and reptilian structures are in dominance. Thus, many of our social-emotional reactions and behaviors are literally programmed beneath the surface of our consciousness.

Learning Objectives:

·       list the physiological developmental changes in the brain the correspond with development in utero
·       describe the process of alpha peak frequency speeding up with developmental age
·       describe the changes in the brain caused by environmental stress

Speaker(s):

·       Tiff Thompson, PhD, R.EEG.T, BCN, QEEG-D, MFT, CEO, Neurofield Neurotherapy: Tiff is a board certified neurotherapist, licensed psychotherapist, and Quantitative EEG Diplomate who owns and runs a neurotherapy clinic in Santa Barbara. She is a Registered EEG Technician, a medical credential bestowed by the American Society of Neurodiagnostic Technicians; she has worked in neurology clinics, as well as clinical settings, and has taught in kindergarten to university settings. Tiff has served as the Executive Director of the Western Association of Biofeedback and Neuroscience. She holds two Masters degrees, one in Depth Counseling Psychology and another in Rhetoric. She has a PhD in Psychology; her dissertation was on the intersection of psychodynamic psychology model of the psyche and electroencephalography (EEG).

She teaches neuromodulation and neurofeedback courses nationally and internationally for NeuroField, Inc. with her husband, Nicholas Dogris. She also organizes and hosts an annual conference for Neurofield n Santa Barbara for NeuroField users. She is in the process of finalizing an online educational platform: The School of Neurotherapy, which will run three separate curricula: QEEG Didactic training, BCIA Didactic training, and NeuroField Education. Tiff regularly delivers public and trade organization lectures on Quantitative EEGs, the psychodynamics of EEG, neurotherapy, and induced meditative states at various organizations.

 

CLOSING RECEPTION - INTERACTIVE CONNECTIONS
Time: 6:15 pm - TBD

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