Characterization of EEG patterns in brain-injured subjects and controls after a Snoezelen(®) intervention

Comput Methods Programs Biomed. 2016 Nov:136:1-9. doi: 10.1016/j.cmpb.2016.08.008. Epub 2016 Aug 16.

Abstract

Background and objective: The aim of this study was to assess the changes induced in electroencephalographic (EEG) activity by a Snoezelen(®) intervention on individuals with brain-injury and control subjects.

Methods: EEG activity was recorded preceding and following a Snoezelen(®) session in 18 people with cerebral palsy (CP), 18 subjects who have sustained traumatic brain-injury (TBI) and 18 controls. EEG data were analyzed by means of spectral and nonlinear measures: median frequency (MF), individual alpha frequency (IAF), sample entropy (SampEn) and Lempel-Ziv complexity (LZC).

Results: Our results showed decreased values for MF, IAF, SampEn and LZC as a consequence of the therapy. The main changes between pre-stimulation and post-stimulation conditions were found in occipital and parietal brain areas. Additionally, these changes are more widespread in controls than in brain-injured subjects, which can be due to cognitive deficits in TBI and CP groups.

Conclusions: Our findings support the notion that Snoezelen(®) therapy affects central nervous system, inducing a slowing of oscillatory activity, as well as a decrease of EEG complexity and irregularity. These alterations seem to be related with higher levels of relaxation of the participants.

Keywords: Biomedical signal processing; Brain-injury; Electroencephalography (EEG); Non-pharmacological therapies; Snoezelen(®).

MeSH terms

  • Adult
  • Brain Injuries / physiopathology*
  • Case-Control Studies
  • Electroencephalography / methods*
  • Female
  • Humans
  • Male
  • Middle Aged