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Doctors Statements about RFBDr. B. from Oberndorf"Since I work in a rural area, my clientele consists primarily of workers, part-time farmers, about 10% foreign workers and their dependents. Many patients are prejudiced against medication. When they come to my office with medical complaints, many of them do not have the prerequisites for autogenous training, but Rfb is suitable for them. . - The patients response/resonance to the Rfb treatment greatly exceeds my original expectations. -Indeed, the fact that over 80% of the patients, who have gained just a little experience with Rfb, often arrive punctually after travelling many miles for their relaxation session speaks for itself..." - "At last after the tenth session, after which another consultation takes place, I observe an increasing self-confidence, tranquillity and a more realistic attitude by the majority of my patients. Even skeptics repeatedly express this opinion: "As simple as the method is, it helps me."My colleague further described a case of crisis intervention with Rfb: "A highly agitated middle-aged man came into my practice while I was making house calls. He panicked because no one could give him the necessary sedative injection. In this situation it was possible for my technician to talk him into undergoing Rfb. As I arrived about 35 minutes later, he said, "I'm O.K. now, I don't need an injection any more." Dr. W. from Wuppertal (general practitioner)"I have been working with this method for more than two years and I cannot imagine working without this psychiatric therapy spectrum. Insomnia, agitated depression and neuroses, psychiatric complaints arising during withdrawal from, e.g., alcohol and nicotine, nervous behavioral disturbances and any other disorders are readily and lastingly susceptible to Rfb. Our own statistics show that much more than 90% of our patients have (first) remained for the total therapy period of 20 sessions ... and (second) that after completing the therapy the patients spontaneously expressed their enthusiasm about its success. All of my patients who have been treated with Rfb either no longer need medication, such as tranquillizers, or that they are motivated to stop using them. So-called "quitters" are extremely seldom. In spite of the great amount of time required for this therapy (one hour 2-3 times per week), none of the patients have ever complained... Both in terms of the method and the effect, Rfb is located between autogenous training and hypnosis. This has been particularly confirmed by the patients who had previously attended autogenous training courses. The dropout rate of AT courses is known to be much higher. These patients consider Rfb to be distinctly more effective. Rfb is also very useful as an adjuvant in psychotherapy.This method does not directly require an intensive investment of the doctor's time, but it does mean a not inconsiderable burden for the operation of practice: a room which is nearly soundproof and a comfortable variable-position couch must be made available... The physician must keep track of the success of each completed session, so that he may correctively intervene if necessary. In difficult cases the physician must also ... suggestively influence the program." William Shearouse RRT, Respiratory Associates Inc. West Palm Beach, FloridaIntroduction: I sought to determine whether patients suffering from COPD would benefit from respiratory biofeedback (RFB). RFB is accomplished by using an amplifier that feeds the respiratory rhythm to the reticular formation found in the brain. The biofeedback loop starts at the sensor that scans the patient's breathing rhythm. The sensor is connected to an amplifier that converts the electrical impulses into acoustical and visual outputs. These outputs are transferred to the patient by a headpiece, which is made up of an eyeshield with lights and stereo earphones. Outputs increase and decrease in volume and intensity as the patient inhales and exhales.Methods: 10 patients were treated using the RFb 5000 (RFB Technologies, Boca Raton FL). I measured O2 saturation (SpO2) via a Nellcor N-200 before, during, and after treatment. Patients' dyspnea scores (ATS Grade) were evaluated before and after therapy. The patients were given 12 treatments, each lasting 30 min. Results: All patients had improvements in both their O2 saturations and their ATS dyspnea scores. Mean (SD) SP O2 was 90 (2) %, increasing to 95 (2) % post-therapy. The average dyspnea score of 4.5 decreased to 2.5. One patient who had been confined to bed for 3 mo with an O2 saturation of 88% (on 4 l/ min nasal cannula) increased her O2 saturation to 96% on 2 l/ min nasal cannula. Since her therapy, she has been ambulatory with portable O2. Conclusion: The intensity of dyspnea is clearly related to conscious perception of the effort involved in breathing. Dyspnea may arise from the inappropriate relationship between the force of contraction of respiratory muscles and the volume of air exchange. It is my belief that this modality realigns this relationship and decreases the work of breathing. Further studies are warranted. Biofeedback |