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Title:

Clinical Review of Biofeedback Stress Therapy with the QXCI biofeedback device

Chief Editor:

N. Vilmos, M.D.; Independent Medical Editor; Budapest, Hungary

Developed By:

Authors:

Garnet Dupuis LBT. 1011 Fifth str. Suite #4, Santa Monica, Calf, USA, 90403 William Cunningham LBT, Boulder, Colorado, USA Lynne Crawford registered Homeopath, Hale Clinic, Regent's Park, London, Eng.

© IJMSH 2000

Abstract: This article reviews the clinical results and experiences of users of the QXCI biofeedback device. The practice of biofeedback dates back several decades. The technique of using biofeedback devices to diagnose stress and treat stress is receiving more attention in our ever increasingly stressful world. In this article we review the positive results achieved from clinical experience treating patients on a day to day basis. In over two thousand patient visits the QXCI was over 80% successful in reducing stress. Key Words: Biofeedback, stress, stress reduction

Introduction: Stress is the most incipient killer of people today. Stress is responsible for 70 to 80 percent of the disease in America. Stress reduction is a must in today's society for longevity, health and happiness. Stress awareness begins with recognition or awareness. As we become aware of stress, we can begin to deal with it. The "ostrich" technique of stress reduction never works. Humans resist change. Whether change occurs in the body, mind, social, spirit or environment, most humans will resist. To learn to relax, we must learn to break our old habits of stress reaction and substitute more productive reactions such as clear thinking, calm headed and relaxed understanding. To change requires perseverance, positivity, proper goals and beneficial rewards. Whether changing eating habits, exercise routines, stress reactions or social skills, change requires work, but the rewards of a healthy body and mind for you and your family are worth it. Although biofeedback is an effective clinical procedure, it is not used in isolation from other therapeutic techniques. Since many of its clinical applications focus on the reduction of anxiety or physiological arousal, relaxation procedures have been used with biofeedback to maximise this effect. The patient undergoing biofeedback treatment is often introduced to a relaxation technique prior to receiving biofeedback. Clinicians using biofeedback frequently develop their own individual relaxation procedures. Most of these modified techniques are based on the progressive relaxation method originally developed by Jacobson in 1958 .

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Standardised relaxation techniques are effective for most patients. If the patient has difficulty, the therapist must be certain that the patient's failure to relax is not due to a misconception or to therapeutic resistance. For example, some patients try too vigorously to relax, which results in increased tension. This may occur with Jacobson's technique because patients spend too much time tensing muscles and too little time relaxing. If a well-motivated patient, however, cannot adjust to the standard relaxation procedure, other methods are available. Biofeedback therapists must be familiar with alternative procedures when a standard technique fails to generate the desired response (i.e. Lowered arousal). We define arousal as it is commonly used in the field of psychology; i.e. an excess level of muscular tension and or hyperactivity to stress. Garnet Dupuis is a professional Biofeedback Therapist and Stress Consultant practising in the Los Angeles area of California , USA. He has been using the QXCI device as his principle biofeedback tool for approximately two and a half years. The focus of Mr. Dupuis' work is on stress reduction which involves in-depth stress testing , analysis and the biofeedback therapies found in the QXCI process. The intention is to identify unresolved stressful conflicts which are then reduced and resolved through a series of biofeedback sessions. Mr.Dupuis has conducted over one thousand sessions in the past two and a half years using the QXCI device. One thousand and eleven appear in this study. Some patients received multiple sessions while some received a single Comprehensive Initial Sessions involving an extensive stress analysis, biofeedback therapy and a program for self guided stress reduction techniques based on the stress profile as indicated by the QXCI processes. William Cunningham is a LBT practising in Boulder Colorado. He has seen over two thousand patients and one thousand four hundred and fifty have participated in this study. Lynne Crawford is a registered Homeopath working in London Eng. With emotionally challenged and over shy clients. She has calculated 756 clients for this study. In this article we will concentrate on the results of using the QXCI device in a clinical setting. Methods and Materials: In each of our practices a stress survey (sample in Appendix 1). Patients fill out the survey when they start the therapy. On the first visit there is a discussion of the term of therapy needed to meet the needs of the patient. The consequent visits will range of two to possibly ten. At the end of the negotiated time a reassessment is performed for purposes of determining progress. Patients with only one visit are not included in this study. In total over three thousand plus patients were assessed. In Lynne Crawford's clinic in London the speciality is with overly shy children and socially retarded. The stress reduction of the interpersonal contact anxiety has been very helpful with this population. Results: 3

An evaluation of the positive results from QXCI biofeedback in relation to stress reduction is encouraging and impressive. In an attempt to quantify the degree of benefit concerning stress reduction, it would be appropriate to view the patient base in three categories : 1-Comprehensive Initial Session and one follow up (stress analysis, biofeedback therapy and self guided program ) 2-Short Series of ongoing QXCI biofeedback sessions (3-5 sessions ) 3-Long Series of ongoing QXCI sessions (6 or more sessions ) 1) The Comprehensive Initial Sessions is an exciting therapeutic process for most every patient because of the opportunity to explore and evaluate the experience of stress which typically is difficult to appreciate except for its generalized negative effects. Of all patients whom have chosen the single Comprehensive Initial Sessions , 50-60% have been motivated to make life-style changes which have significantly reduced their stress levels. Many report increased understanding of the importance of their daily choices and actions and see this understanding as a strong too to modify their experience of stress. 2) The Short Series of QXCI sessions has a similar 50-60 % level of stress reduction with the added benefit of measurable positive changes in stress indicators such as improved quality to sleep , digestion and decreased muscle tension . Other markers such as stress related headaches showed a short but significant period of improvement in 20-30 % of patients in this category. 3) The Long Series of QXCI sessions exhibits the greatest level of stress reduction with 85 % of patient reporting significant improvement. Positive mood and personality changes typically accompany improved physical well-being .Stress reduction and increased levels of awareness and responsibility are reported . Individuals report increased efficiency at their jobs, more positive personal relationships and increased levels of self-esteem. An increased sensitivity to their own natural stress-sensing mechanisms is reported allowing for continued, self-guided attempts at stress reductions. In the collective experiment there were 2523 participants. The average first visit score on the pretest stress interview was 3.7. The post test score is 2.9. the significance of the data meets alpha factors of .5. There was significant evidence of the QXCI device ability to reduce stress. Discussion: Stress is a part of all disease pictures and stress reduction should be a part of all medicine. The QXCI or in fact any biofeedback can be helpful for stimulating awareness, control, responsibility and return of health. The techniques tested in this paper were shown extremely helpful in reducing stress.

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In conclusion, the authors views the QXCI as an important biofeedback tool useful in many stages of stress reduction-oriented therapy and would encourage allied professionals and regulatory bodies to recognize its value.

BIBLIOGRAPHY

1. Mirella Fischer - Williams, M. D., Alfred J. Nigl, David L. Sovine, M. D. Textbook of Biological Feedback, Human Science Press (1981) N. Y. 2. Andreassi, J. L, Psychophysiology: Human Behavior and Physiological Response (1995) (Biofeedback Certification Institute of America) 3. Striefeld, S. Practical Guidelines and Standards for Providers of Biofeedback and Applied Psycho-physiological Services (Biofeedback Certification Institute of America) 4. Hatch J. P, Fisher J. G. & Rugh J. D. Biofeedback: Studies in Clinical Efficacy (1987) (American Biotec Corporation) 5. James R. Evans & Andrew Abarbanel ed. Introduction to Quantitative EEG and Neurofeedback (American Biotec Corporation) 6. Jr. Cram & G. Kasman Introduction to Surface EMG (American Biotec Corporation) 7. Jr. Cram & J. Holtz Intro to Electrode Placement: Strategies for Clinical Applications (American Biotec Corporation) 8. Gaarder, K. & Montgomery, P. S. Clinical Biofeedback: A Procedural Manual (1981) 9. Basmajian, J. V. Biofeedback: Principles and Practice for Clinicians (1989) 10. Loring, D. W. Neuropsychological evaluation in epilepsy surgery. Epilepsia, 38. (Suppl. 4) (1997) 11. Meador, K. J. Cognitive and behavioral assessments in antiepileptic drug trials (1998)

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In J. French, M. Dichter, and I. Leppik (Eds.) Antiepileptic drugdevelopment. Advances in neurology (Vol. 76) Philadelphia 12. H. J. Wieringa MEG, EEG and the integration with magnetic resonance (1993) 13. W. C. Nelson Immune, Basic Biofeedback (1995) 14. W. C. Nelson International Journal of Science of Homeopathy: Reactivity (November 1997) 15. W. C. Nelson EAV as Evoked Potential (November 1997)

APPENDIX 1

DETERMINING THE SOURCES AND EXTENT OF STRESS IN YOUR LIFE THE SOURCES OF STRESS IN YOUR LIFE Stress that is not handled properly can affect you in many ways. It can impair your ability to function mentally at home and at work. You can experience a variety of physical symptoms that can range from headaches to gastrointestinal upsets. Everyone experiences the negative effects of stress at various points in their lives. The danger lies in chronic stress overload. When your body is constantly in the fight or flight mode, you are bound to blow a fuse at your body's weakest point. For some people the end result is a serious mental or physical illness. This survey is designed to help you determine: 1) 2) 3) 4) Your general level of stress. Your level of stress at work. Your physical symptoms of stress. Your level of stress in interpersonal situations.

Take a look at the checklists that follow to see how stressed you are. How Stressed Are You? Directions: Indicate how often your feelings agree with the statements below. Scoring for each item is based on the following scale: I = Never feel that way 2 = Seldom feel that way 3 = Sometimes feel that way

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4 = Frequently feel that way 5 = Always feel that way How Stressed Are You? (General Feelings) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. I worry a lot. I feel unhappy. All kinds of worrisome thoughts run through my mind. There are times when I feel like crying for no reason. I don't know what's the matter with me. I'm so irritable. 1 have lost my ability just to sit around and do nothing. 1 feel like I'm living inside a pressure cooker and about to explode. Lately I'm bored with my life, job, friends and even my loved ones. Deep inside, I'm dissatisfied and I don't know why. I forget things.

Total Score =

How Stressed Are You? (Work Performance) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. I have trouble concentrating on my work. It takes me forever to make decisions. 1 can't seem to stick to a job. From the time I get there until I leave, I'm plain fidgety. I overreact to things at work. 1 let minor things get to me. 1 procrastinate. 1 can't seem to get organized. I'm unclear about my role at work. I do a lot of paper shuffling.

Total Score =

How Stressed Are you? (Physical Symptoms) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. My heart races or pounds. I have trouble catching my breath. 1 get diarrhea. 1 have headaches. 1 have to urinate frequently. 1 get dizzy for no reason. I spend my nights awake, or it takes forever to fall asleep. I'm tired. My throat and/or mouth is often dry. My stomach is tense. I have no energy. I'm chilly. My neck (or shoulders, eye, chest, lower back, throat, hands) is sore, stiff or painful. Lately I seem to have one bug or cold after another.

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15. 16.

In the afternoon I run out of steam. My posture is terrible.

Total Score =

How Stressed Are You? (Interpersonal Relations) 1. I startle easily when people come up on me. 2. Around people, I can't speak correctly. 3. 1 can't stand to be around a particular person (or group). 4. I can't stand to be around people when they are emotional. 5. I can't tell anyone how I feel. 6. I don't feel anything. 7. 1 can't laugh at myself. 8. Down deep, I'm not happy with my sex life. 9. I don't trust anybody. 10. I need help (food or drink) to be social. Total Score =

SCORING Category

No. Items

Total Score (Add Up All Items)

Average Score (Divide Total Score by Number of ltems)

General Work Physical Interpersonal ALL SCALES

10 10 16 10 46

To compute overall average score, add up your total scores for each scale and divide by 46. 5 is the highest score, 1 the lowest.

APPENDIX 2

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Research Participation in Study Consent Form

I am aware of the study for stress reduction and biofeedback. I am willing to fully co-operate and participate in this study.

Signature

Date

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