Systematic Reviews of Biofeedback

Zusammenfassung

Das Ziel der vorliegenden Arbeit ist es, einen allgemeinen Überblick über die klinische Wirksamkeit von Biofeedback zu geben. Literaturrecherchen wurden durchgeführt, um alle systematischen Reviews zu diesem Thema aufzufinden. Sie wurden gemäß prädefinierter Kriterien evaluiert. 20 Reviews entsprachen den Einschlusskriterien. Ihre Ergebnisse implizieren, dass verschiedene Formen des Biofeedbacks bei folgenden Erkrankungen wirksam sind: Anismus, Stuhlinkontinenz, kindliche Migräne, Rheumatoidarthritis, Schlaganfallrehabilitation und temporomandibuläre Dysfunktion. Die Datenlage ist inkonklusiv für Asthma, chronische Schmerzen, erektile Dysfunktion, gastrointestinale Probleme, Hypertonie, Schlafstörungen, obstruktive Lungenkrankheiten, Stress und Tinnitus. Bei folgenden Indikationen ist die Evidenzlage eindeutig negativ: atopisches Ekzem, Rückenschmerzen, Spannungskopfschmerzen und zervikogene Kopfschmerzen. Es wird der Schluss gezogen, dass Biofeedback bei einer Reihe von Erkrankungen effektiv ist und dass diese Behandlungsform in der Klinik häufiger eingesetzt werden könnte.

Abstract

The aim of this article is to provide a general overview of the evidence on the therapeutic effectiveness of biofeedback. Literature searches were carried out to locate all systematic reviews on this subject. These were evaluated according to predefined criteria. Twenty reviews met the inclusion criteria. Their results suggest that various forms of biofeedback are effective as adjunctive treatments of anismus, faecal incontinence, paediatric migraine, rheumatoid arthritis, stroke rehabilitation and temporomandibular disorders. The evidence is inconclusive for asthma, chronic pain, erectile dysfunction, gastrointestinal disorders, hypertension, insomnia, obstructive pulmonary disease, stress management, and tinnitus. The evidence is clearly negative for atopic eczema, back pain, tension-type headache and cervicogenic headache. It is concluded that biofeedback is an effective therapy for a range of conditions and that clinicians should consider using it more frequently.

Biofeedback - systematisches Review - Wirksamkeit

Biofeedback - systematic reviews - effectiveness

References

• 1 Bilodeau I ME. Information Feedback. In: Bilodeau EA, Bilodeau IMCD (eds) Principles of Skill Acquisition, 5^th ed. New York; Academic 1969
• 2 Ernst E, Pittler M H, Stevinson C, White A R. The desktop guide to complementary and alternative medicine. Edinburgh; Mosby 2001
• 3 Weiner H. Cybernetics: Or Control and Communication in the Animal and the Machine. New York; Wiley 1948
• 4 Hoare C, Wan Po A, Williams H. Systematic review of treatments for atopic eczema.  Health Technology Assessment. 2000;  4 1-191
• 5 Vernon H, McDermaid C S, Hagino C. Systematic review of randomized clinical trials of complementary/alternative therapies in the treatment of tension-type and cervicogenic headache.  Compl Ther Med. 1999;  7 142-155
• 6 Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache.  Pain. 1999;  80 1-13
• 7 Huntley A, White A R, Ernst E. Relaxation therapies for asthma: a systematic review.  Thorax. 2002;  57 127-131
• 8 Hek H Van der, Plomp H N. Occupational stress management programmes: a practical overview of published effect studies.  Occup Med. 1997;  47 133-141
• 9 Astin J A, Beckner W, Soeken K, Hochberg M C, Berman B. Psychological interventions for rheumatoid arthritis: a meta-analysis of randomized controlled trials.  Arthritis & Rheumatism. 2002;  47 291-302
• 10 Kruif Y P de, Wegen E E van. Pelvic floor muscle exercise therapy with myofeedback for women with stress urinary incontinence: a meta-analysis.  Physiotherapy. 1996;  82 107-113
• 11 Moore K N, Dorey G F. Conservative treatment of urinary incontinence in men: a review of the literature.  Physiotherapy. 1999;  85 77-87
• 12 Morin C M, Culbert J P, Schwartz S M. Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy.  Am J Psychiatry. 1994;  151 1172-1180
• 13 Devine E C, Pearcy J. Meta-analysis of the effects of psychoeducational care in adults with chronic obstructive pulmonary disease.  Patient Education & Counseling. 1996;  29 167-178
• 14 Moreland J D, Thomson M A, Fuoco A R. Electromyographic biofeedback to improve lower extremity function after stroke: a meta-analysis.  Arch Phys Med Rehab. 1998;  79 134-140
• 15 Dorey G. Conservative treatment of erectile dysfunction 2: clinical trials.  Br J Nursing. 2000;  9 755-762
• 16 Tulder M W van, Koes B W, Bouter L M. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions.  Spine. 1997;  22 2128-2156
• 17 Norton C, Hosker G, Brazelli M. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults (Cochrane Review). In: The Cochrane Library, Issue 1, 2003. Oxford; Update Software 2003
• 18 Coulter I D, Favreau J T, Hardy M L, Morton S C, Roth E A, Shekelle P. Biofeedback interventions for gastrointestinal conditions: a systematic review.  Alt Ther Health and Med. 2002;  8 76-83
• 19 Hermann C, Kim M, Blanchard E B. Behavioral and prophylactic pharmacological intervention studies of pediatric migraine: an exploratory meta-analysis.  Pain. 1995;  60 239-255
• 20 Dobie R A. A review of randomized clinical trials in tinnitus.  Laryngoscope. 1999;  109 1202-1211
• 21 Devine E C, Reifschneider E. A meta-analysis of the effects of psychoeducational care in adults with hypertension.  Nurs Res. 1995;  44 237-245
• 22 Crider A B, Glaros A G. A meta-analysis of EMG biofeedback treatment of temporomandibular disorders.  J Orofacial Pain. 1999;  13 29-37
• 23 Ernst E, Resch K L. A meta-analysis of biofeedback treatment for anismus.  Eur J Phys Med Rehab. 1995;  5 157-159