Saturday, March 26, 2022
PLEASE NOTE: The schedule is preliminary, tentative, and subject to change. We will live stream and record keynote presentations and select breakout sessions for virtual ONLY attendee participation. Pre-conference Workshops will be held onsite, for “in-person” only participation. Virtual Registration for the conference will be offered separately in early 2022 for those who cannot or prefer not to travel. Thank you for your patience as navigate and accommodate.
8:00am - 6:00pm Registration
8:00am – 8:45am Morning Meditation
7:00am – 1:00pm EXHIBIT HALL OPEN
8:00am - 9:00am General Attendee CONTINENTAL Breakfast
9:00am – 7:00pm AAPB SYNERGY LOUNGE
- Open all day, featuring prominent experts and AAPB-endorsed authors for open discussion, experience sharing and informal networking - and opportunity to reconnect and engage for non-CE learning. The Lounge is designed with virtual capabilities to ensure connectivity between those present at the meeting and those who can join us virtually.
9:00am - 10:00am 60-MINUTE BREAKOUT SESSIONS- SYMPOSIA
Teaching Breathing Biofeedback
- Taylor Capozziello, PhD, BCB, BCN, CMT
SESSION SYNOPSIS: We all know that breathing biofeedback is important. Most likely you are already teaching it, but are you really addressing the issue? Many times people are holding extra air in their chest and tightening their muscles. They may even be able to practice 6 breaths per minute this way, and perhaps their heart rate variability scores will even increase. But, are they still holding extra air in their chest? There is a very good chance they are. This will be a hands on talk to help you learn as a clinician what to feel and look for. We will go through the steps of different exercises to deepen their understanding of what you are asking. Once people learn how to correctly use their body for breath they can then apply it to a variety of different breath practices. Until then, one can only get so far.
- Basic Science (All Levels)
- 90% Clinical/10% Research
- How to run a breathing biofeedback session
- How to train a person to notice when they are breathing in their chest
- Allowing your body to move with breath and what that feels like
- Basic anatomy of the breathing and how to use that to your advantage
TARGET AUDIENCE: Anyone who is using or wanting to incorporate breathing biofeedback in their practice.
DIVERSITY CONSIDERATIONS: Breathing addresses everyone. It is often at the root of many issues going on in society today. We are divided by fear, which breathing can help address over time. Of course it does not solve it, but as people start to notice when they are holding their breath, they can start to look at why, which leads to bigger questions and hopefully answers.
Agonism and Antagonism Among the Shoulder Muscles: An SEMG Approach
- Gabriel E. Sella, MD, BSC, MSc, MPH, PhD(c)
SESSION SYNOPSIS: Muscular agonism (synergism) and antagonism is a long standing principle of muscular action. The concept is held to be true by many generations of scientist without actual proof except the anatomic position of the muscles of a joint. With the advent of the SEMG functional investigation of joint range of motion (ROM) it was possible to devise statistical documentation of the existence of agonism and antagoinsm of the muscles of any joint. In this presentaion the author will document the presence and relative values of the agonistic and antagonistic relationships of most muscles of the shoulder joint.
- Clinical Interventions and Optimal Performance
- Clinical and Research
- Learning of the definitions of muscular agonism (synergism) and antagonism
- Learning to utilize SEMG dynamic studies to generate correlation coefficient statistics necessary to document inter-muscular relationships
- Learning to document the agonistic and antagonistic muscular relationships of the shoulder joint through the ROM
- Learning to utilize the knowledge above in the clinical and ergonomic fields, including athletics
TARGET AUDIENCE: All audiences are welcome, beginners, intermediate and advanced.
DIVERSITY CONSIDERATIONS: Muscle investigators and clinicians of all cultures have learned about the presence and relevance of agonism and antagonism among the muscles of any joint. This is the first time that they will learn what the actual relationships are and bring the knowledge back to their country and culture.
Oral Presentations Session 4: Neurofeedback Focus
The following 30-minute abstract presentations will be featured: 1. Differentiating Neurofeedback Paradigms: The Time has Come 2. Taking Neurofeedback Research to the Next Level: Lessons from Literature and Research
Differentiating Neurofeedback Paradigms: The Time has Come
- Judy Carlson, EdD., MSN, APRN, BCN
SESSION SYNOPSIS: The time has come to differentiate the differing paradigms of Neurofeedback (NFB). We now have paradigms of NFB that are vastly different in approach, protocols, and mechanism of action. Although, it is clear that all paradigms have degrees of efficacy, receiving one type of NFB intervention is not the same as having another and the distinction is important to clarify to neurofeedback community and the public at large. Confusion abounds when articles are published without the specificity of the paradigm indicated in the title nor is the reader clear of the mechanism of action of the specific type of NFB used. Those that receive NFB usually do not know the paradigm, name, or type of NFB received. There is a general perspective that all neurofeedback is the exactly the same. However, NFB has grown from the alpha-theta and early Sensory-motor rhythm paradigms to the focus on comprehensive assessments and treatment of dysrhythmic patterns of brain-waves and blood oxygen levels. Now with the newest paradigm, a break away from a operant conditioning model, Infra-Low frequency (ILF) NFB is more of a endogenous neuromodulation model. Described in this presentation will be different paradigms assessment techniques, focus for improvement, training model, mechanism of action, therapists role, the trainee's role and the self regulation process.
- Hot Topics
- 100% Clinical
- differentiate 5 different paradigms of neurofeedback
- summarize the mechanisms of the predominant neurofeedback paradigms
- recognize the therapists and trainees role in the differing neurofeedback models
TARGET AUDIENCE: Biofeedback therapists, theorists, and scientists and those interested integrative health modlaities.
DIVERSITY CONSIDERATIONS: Will be addressing the differing neurofeedback models and a new cutting edge model that may change the neurofeedback operant conditioning culture and approach to care.
Taking Neurofeedback Research to the Next Level: Lessons from Literature and Research
- Caitlin Tyrrell, PhD
SESSION SYNOPSIS: Neurofeedback using electroencephalography (EEG NF), and in particular infra-low neurofeedback (IFL NFB), has generally demonstrated favorable outcomes, including reduction of significant clinical symptoms. ILF NFB is hypothesized to increase regulatory functioning by providing feedback to the brain on its present functionality that allows for self-correction through a process of “endogenous neuromodulation” (Othmer, Othmer, Kaiser, & Putman, 2013). ILF NFB helps return the brain to a baseline regulatory state of functioning that is thought to strengthen brain connectivity, increase efficiency at the cellular level, and enhance functionality in the nervous system as a whole, similar to the benefits of mindfulness and meditation. Given the recent development of ILF NFB, data have been published from clinical settings, but at present no data from large controlled trials exist to support efficacy of this treatment modality. Research available on EEG NFB more broadly presents intriguing data on efficacy of the intervention, and at the same time has been met with challenges that make it difficult to generalize findings and lead to critiques of comments on efficacy. Some of the key concerns that have been raised include: adequacy of control conditions in being able to isolate the effectiveness of EEG NFB above and beyond that of a placebo effect; difficulty with double-blind research designs, given the nature of the intervention; small numbers of participants and heterogeneity in research design impacting statistical significance and meaningful meta-analyses; and lack of clinical diagnostic outcomes or common measure of treatment efficacy reports. The present discussion will endeavor to highlight critiques of the field and offer possible solutions for the consideration of future research in this area, drawing from review of EEG NFB literature as well as the challenges faced by clinical researchers conducting an ongoing randomized control trial of clinical efficacy of ILF NFB among veterans.
- Hot Topics
- 100% Research
- Discuss the challenges and successes in neurofeedback research;
- Describe the placebo effect and the impact it can have on clinical and research data;
- Apply principles from clinical trials in other diverse areas to neurofeedback research design.
TARGET AUDIENCE: Researchers in the area of EEG neurofeedback or anyone interested in research on EEG neurofeedback
DIVERSITY CONSIDERATIONS: My proposal will address threats to internal and external validity of neurofeedback research, which directly relates to translation of the data on neurofeedback efficacy to clinical application with diverse clientele.
10:30am - 12:00pm 90-MINUTE BREAKOUT SESSIONS - SYMPOSIA
The Use and Misuse of Montages in EEG Analysis
- Tiff Thompson, PhD, R.EEG.T., BCN, QEEG-D, MFT
SESSION SYNOPSIS: The arrangement of EEG channels on the display, defined by the active and reference electrodes, are called montages. There are several montages used commonly in EEG. Because EEG analysis is always relative to its reference, the skilled practitioner must know how to view the data via different montages to gain a clear perspective on their client’s EEG. Certain pathologies and abnormalities can be seen only in certain montages, and neurotypical findings can be viewed erroneously through the wrong montages. This lecture covers the most important and widely-used montages and their utility, as well as the errors and false positives they can create. These findings will be shown in both raw and quantitative analyses. Particular weight will be given to a common error that plagues the field of neurotherapy: linked ears reference contamination creating false measures of coherence. The montages this lecture will cover includes bi-polar (transverse, longitudinal and circumference), common reference, average reference, Laplacian, ipsilateral mastoid, and linked ears montages, revealing strengths and weaknesses of each.
- Basic Science
- 50% Clinical/50% Research
- Participants will be able to differentiate the different montages
- Participants will be able to apply their knowledge of montages in clinical analysis
- Participants will be able to detect errors in their analysis using montages
TARGET AUDIENCE: All Levels
DIVERSITY CONSIDERATIONS: All brains will be taken into consideration in this lecture.
Infraslow Neurofeedback for Affective Disorders
• Tyson Michael Perez, DC
• Mark Smith, LCSW BCN QEEGD
SESSION SYNOPSIS: Infraslow frequencies (ISF) have been associated with autonomic response since Nina Aladjalova (1957) associated ISF with the reparative parasympathetic response in wounded animals over sixty years ago. Since that time, research has demonstrated that ISF determines the excitability cycle of faster frequencies, is central to the establishment of large scale behavior networks, and can be exploited in neurofeedback to shift clients along the autonomic continuum (Balt 2020, Leong 2018). The first portion of this talk will present the foundational behavioral and neurofeedback research that supports a theoretical construct that includes the Central Autonomic Network (CAN) and Triple Network Theories (TNT). This theoretical lens has developed within the collaboration between the ISF neurofeedback community and Dr. Dirk De Ridder’s Lab at Otago University in New Zealand. This collaboration has led to the targeting of the cortical hubs of autonomic response within behavioral networks to address a host of mental and physiological diseases. Further this lens has led us to the question of whether the activation within or connectivity between the triple networks is responsible for a large portion of the mental health disorders currently siloed within diagnostic categories. To clarify these suppositions, Tyson Perez has established the ISAD research project. ISF sLORETA Neurofeedback targets of parasympathetic and sympathetic control in the Salience Network and the Default Mode Network were chosen to study. Tyson will discuss the protocol and preliminary results of his multi-arm, randomized, double-blind, sham-controlled trial investigating the effects of infraslow fluctuation neurofeedback (ISF-NFB) in the treatment of internalizing disorders (IDs). In addition, we will be discussing the results from the dose-response (i.e 6 vs 12 sessions) phase of our trial. This is the first ever trial looking at the potential clinical and neurophysiological impact of source-localized (sLORETA) ISF-NFB in IDs. Primary outcomes include transdiagnostic self-reports (IDAS-II, MEDI, HADS) and EEG (activity and connectivity) modulation.
• Hot Topics
• 60% Clinical/40% Research
• Ascertain if genuine ISF-NFB is more effective than sham in ID populations
• Ascertain if outcomes from genuine ISF-NFB shows a dose-response relationship in ID populations
• The student will be able to predict ROIs within cortex associated with symptom presentation.
• Describe large scale behavioral networks impact on psychopathology
• Apply neurofeedback to improve outcomes in internalizing disorders
TARGET AUDIENCE: Clinicians, Researchers, Patients
DIVERSITY CONSIDERATIONS: The current trial enrolls participants from varying racial and ethnic backgrounds including Maori/Pasifika who are disproportionately affected by IDs
Tyson attained a BSc (Bachelor of Science) in Psychology/Kinesiology from the University of Victoria, BC, Canada) and then went on get a DC (Doctor of Chiropractic) from Southern California University of Health Sciences (SCUHS). Following graduation, he worked as a clinical professor at SCUHS before opening a private practice in Southern California where he practiced for 10 years. He then moved to New Zealand where I did an Honors (BSc Hons) in Neuroscience at the University of Otago and is currently a PhD candidate in Neuroscience at Dirk De Ridder’s lab at the University of Otago studying internalizing disorders, resting-state brain networks, and EEG-neurofeedback.
Mark is an LCSW with a degree from the University of California, Berkeley. His early career was established as the provider of clinical services to nurses, doctors, and staff of NYU Medical Center and Downtown Hospital in New York City. Mark is a leading developer, teacher, and clinician of neurofeedback interventions for a variety of disorders. He is the developer of Infraslow neurofeedback and an early adopter and developer of Zscore and sLORETA training, all now primary interventions in neurotherapy. Mark has taught neurofeedback and QEEG on five continents and continues to educate and train neurofeedback providers in international workshops and conferences. He was the founder and Clinical Supervisor of The Child School's Neurofeedback Program in New York City. He is the founder and Clinical Director of Neurofeedback Services of New York. He has published research and clinical reports in the peer-reviewed literature, and also chapters in books on neurofeedback.
Pain and Heart Rate Variability Biofeedback from Three Perspectives
- Brad Lichtenstein, ND, BCB
- David Hopper, DC, OMT
- Inna Khazan, PhD, BCB
SESSION SYNOPSIS: People experiencing chronic pain may seek help from multiple providers, from physicians, to chiropractors, to mental health professionals. Each discipline addresses chronic pain in their own way. Sometimes, approaches are complimentary and can easily be integrated together, and other times, the patient may feel that they are getting contradictory advice and may not know what to do. It is therefore imperative for providers from different disciplines to coordinate treatment and, ideally, use an approach that unifies the different approaches into a cohesive integrated one. Heart Rate Variability Biofeedback is one such unifying approach. Physicians, chiropractors, and mental health professionals use HRV to help ameliorate symptoms of chronic pain, regulate the functioning of the autonomic nervous system and improve functioning. In this symposium, the audience will have an opportunity to hear from providers of each of these three disciplines on the approach they each take for treating chronic pain while using HRV biofeedback as a central unifying focus.
- Clinical Interventions and Optimal Performance
- 70% Clinical/30% Research
- Describe ways in which physicians, chiropractors, and mental health professionals may approach treatment of chronic pain
- Discuss ways in which HRV biofeedback plays a central role in each approach
- Integrate HRV biofeedback together with other perspectives on chronic pain into their own practice
TARGET AUDIENCE: Anyone interested in expanding their knowledge of biofeedback treatment of chronic pain
DIVERSITY CONSIDERATIONS: This symposium addresses chronic pain treatment from the perspective of 3 different disciplines - the perspective of diversity is already built into the presentation. We will specifically address cultural considerations in pain treatment.
Ethical Principles and Practice Standards in Biofeedback and Neurofeedback
- Donald Moss, BCB, BCN, BCB-HRV, Licensed Psychologist
SESSION SYNOPSIS: This session will review legal and ethical responsibilities of biofeedback and neurofeedback practitioners. Biofeedback professionals are governed in clinical practice by state regulations under the relevant licensing act, professional codes of ethics for his or her home profession, and the Professional Standards and Ethical Principles of Biofeedback (9th rev., May 2016) of the Biofeedback Certification International Alliance (BCIA). The workshop will provide an overview of medical ethics and a review of the most recent AAPB/BCIA Professional Standards and Ethical Principles of Biofeedback. The workshop will also review emerging standards on telemedicine for behavioral health and practice standards for neurofeedback. Violation of standards and guidelines, even when unintended, invites the risk of lawsuit, criminal prosecution, financial penalties, loss of licensure, and expensive and stressful legal and administrative reviews.
- Clinical Interventions and Optimal Performance
- 80% Clinical/20% Research
- Attendees will review and discuss the Professional Standards and Ethical Principles of Biofeedback, published by BCIA, and their interpretation for decisions in biofeedback practice.
- Attendees will explain conflicting jurisdictions of state laws and regulations, professional codes of conduct, BCIA guidelines, and federal regulations.
- Attendees will review and discuss practice standards governing entry level competence, continuing education requirements, and scope of practice.
- Attendees will be informed about guidelines for advertising, marketing, and public statements about Biofeedback and Neurofeedback.
TARGET AUDIENCE: Practitioners in biofeedback and neurofeedback. This workshop provides 1.5 hours of CE needed for licensure in mental health professions.
DIVERSITY CONSIDERATIONS: The author will include discussion of both APA and BCIA guidelines on multicultural awareness, cultural competencies, and diversity sensitivity.
Amplifying Voices: Building Influence thru Social Media for Professionals
- Diane Wilson, LCPC BCN
- Christina Brown-Bocchicchio, PhD
SESSION SYNOPSIS: Whether it’s our jam or not, social media has become an important part of the world of professional communications. It’s a powerful tool for amplifying the voice of our profession and our own professional practices during a time when the world needs us the most. But, is it easy? What are the pros and cons of having a social media presence? How do you do social media, especially Twitter well and not embarrass yourself? Or, not become an Internet addict? Relevant research will be shared. The story of AAPB’s new Twitter launch, beginning in September 2019 and the results of that nine months later will be shared. We will also share experiences from people who contribute to and frequent our AAPB page. You will learn how people use Twitter to develop relationships for mentoring, jobs, research and other professional and business development. You will leave with tips for using Twitter with greater confidence and connection and insights on the world of social media professional communications. These may include how you can better keep in touch with people like you are meeting at the AAPB conference without a major time or financial investment. Together we are stronger. There will be an opportunity for questions and to help shape AAPB’s program your feedback.
- Hot Topics
- 85% Clinical/15% Research
- Describe three advantages for having a social media presence for your job and career.
- List three tips for growing and enhancing an effective social media presence without compromising your professionalism.
- Identify the key signs of Internet Addiction.
- Describe two strategies to keep your Internet engagement in the zone of healthy participation.
TARGET AUDIENCE: Scientists, therapists, academics and students. Professionals and aspiring professionals interested in career development, growing their influence within private practice, clinic settings, hospitals, and/or academic settings and in amplifying the voice of our profession.
DIVERSITY CONSIDERATIONS: Social media can level access to influence. It helps all of us to reach out and connect more easily to situations where we may be excluded or feel excluded. Teaching professionals to build confidence and competence in managing their social media presence -- for amplifying their voices and that of our fields -- is important. Social media is almost universal, let's become skilled at it, more connected as a profession and more capable to use it for the better good.
12:15 pm - 1:15 pm
Special LUNCH AND LEARN SESSION: Neurofeedback: How Your Mind can Change Your Brain OR Exitation and inhibition in the Mammiallion central nervous system as it relates to NF
- Maurice (Barry) Sterman, PhD
SESSION SYNOPSIS: 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.
- Basic Science
- 30% Clinical/70% Research
- 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
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.