InnerWave Center Outcome Analysis September 2014 using NeurOptimal Neurofeedback
—A retrospective chart review
NeurOptimal neurofeedback is designed to interface with the central nervous system as a Non-Linear Complex Dynamical Adaptive System, meaning…. the central nervous system has billions of building blocks(neuron/synapses) that are interconnected, interdependent, adaptive and produces emergent behavior without a ‘central controller’. Complex Dynamical Systems are self-correcting, self-organizing and self-rewarding.
NeurOptimal retrains the underlying turbulence in the nervous system, which is the source of most mental/behavioral complaints, rather than treating diagnostic categories at the neuron-synapse level. Since extraneous turbulence creates the emergent behaviors that categorize diagnostic dysfunctions, calming the turbulence allows improved global quality of life by improving outcomes across diagnostic categories, and therefore this chart review is diagnostic agnostic. No matter the diagnosis, all brains can figure out how to reorganize themselves as self-organizing, self-correcting, self-rewarding Complex Systems. It doesn’t give one a new brain but training with NeurOptimal allows the emergent behavior of each brain to operate as efficiently as possible.
Over the past seven years, InnerWave Center’s clients have been asked to subjectively rate a checklist of mental/behavioral symptoms at intake, then after 7-10 sessions and between 15-30 sessions, they were asked again to fill out the same checklist. The checklist includes 58 items rated for intensity of each item, on a scale of 1-10 where 10 is the high end; and frequency of each item, on a scale of 1-4 where 4 = daily; 3 = 1xweek; 2 = more than once a month but less than weekly; 1 = once a month or less. The clients were also asked to rate their stress level on a scale of 0-10, where 10 is high. The same checklist is used for all clients irrespective of their diagnostic category except for those clients on the autistic spectrum or ADHD who had an autistic or ADHD appropriate checklist using only intensity measures, 1-10 and usually filled out by the caregiver.
All clients who had an intake and at least one follow-up checklist were included in this clinical review, i.e. not randomly selected but all clients who had two checklists that could be compared for before/after results. 106 clients met this standard.
The self rated numbers for each item on the checklist were then tallied separately in three categories: 1)stress level, 2)intensity of symptoms, and 3)frequency of symptoms. The intake & follow-up checklists could then be compared numerically as to improvement or not in the three categories and a percentage of change from intake to whatever session the second checklist was given. In many cases clients continued NeurOptimal after the last checklist but repeated checklists were not filled out.
Transformation of quality of life is different for each person; for example, given two people with 20% improvement in intensity and frequency on the checklist, one verbally said his total quality of life was only slightly better, but the other person felt his quality of life had been transformed.
To hold the environment as constant as possible, the initial training session included an explanation of how NeurOptimal neurofeedback works and answered client’s questions. Then the environment was maintained in a safe, quiet, warm, friendly, softly lit room. It was also explained to the client that the intent of training was to meet their personal and internal needs, which is why the practitioner avoided as much as possible verbal feedback.
*Of the 106 clients reviewed unadjusted for number of sessions, 99 or 93% improved in one of the three categories: Stress level, Intensity of symptoms or Frequency of symptoms. And 64%,(68/106) improved 35% or more in one of the three categories. (30% is often thought of as a placebo effect in those who believe in a given healing modality.)
Breaking down the 106 clients into number of sessions they trained:
*Of 42 clients who had between 6 &10 sessions, 22/42 (52%) improved 35% or more in one of the three categories.
*Of 27 clients who had between 11&15 sessions, 19/27 (70%) improved 35% or more in one of the three categories.
*Of 37 clients who had between16 & 32 sessions, 27/37 (75%) improved 35% or more in one of the three categories.
*It was not unusual to see 50% to 80% improvement in some clients(46/106=43%).
In Conclusion, 75% of InnerWave’s clients who trained as recommended, improved their symptoms significantly better than could be expected with a placebo no matter what diagnosis they came for training.
Joan Cross, PT, MPH www.innerwavecenter.com 360-708-1516 LaConner, Wa
75% of InnerWave's clients improved their symptoms significantly!