Tests and Procedures

Biofeedback

Overview

Biofeedback is a technique you can use to learn to control some of your body's functions, such as your heart rate. During biofeedback, you're connected to electrical sensors that help you receive information about your body.

This feedback helps you make subtle changes in your body, such as relaxing certain muscles, to achieve the results you want, such as reducing pain. In essence, biofeedback gives you the ability to practice new ways to control your body, often to improve a health condition or physical performance.

Types of biofeedback

Your therapist might use a variety of biofeedback methods depending on your health problems and goals. Biofeedback types include:

  • Brain waves. This type uses scalp sensors to monitor your brain waves using an electroencephalograph (EEG).
  • Breathing. During respiratory biofeedback, bands are placed around your abdomen and chest to monitor your breathing patterns and respiration rate.
  • Heart rate. This type uses finger or earlobe sensors with a device used to detect blood volume changes (photoplethysmograph). Or sensors placed on your chest, lower torso or wrists use an electrocardiograph (ECG) to measure your heart rate and how your heart rate varies.
  • Muscle contraction. This type involves placing sensors over your skeletal muscles with an electromyograph (EMG) to monitor the electrical activity that causes muscle contraction.
  • Sweat gland activity. Sensors attached around your fingers or on your palm or wrist with an electrodermograph (EDG) measure the activity of your sweat glands and the amount of perspiration on your skin, alerting you to anxiety.
  • Temperature. Sensors attached to your fingers or feet measure blood flow to your skin. Because your temperature often drops when you're under stress, a low reading can prompt you to begin relaxation techniques.

Biofeedback devices

You can receive biofeedback training in physical therapy clinics, medical centers and hospitals. A growing number of biofeedback devices and programs also are being marketed for home use, including:

  • Interactive computer programs or mobile devices. Some types of biofeedback devices measure physiological changes in your body, such as your heart rate activity and skin changes, by using one or more sensors attached to your fingers or your ear. The sensors plug into your computer.

    Using computer graphics and prompts, the devices then help you master stress by helping you to pace your breathing, relax your muscles and think positive self-statements about your ability to cope. Studies show that these types of devices might be effective in improving responses during stress and inducing feelings of calm and well-being.

    Another type of biofeedback therapy involves wearing a headband that monitors your brain activity while you meditate. It uses sounds to let you know when your mind is calm and when it's active to help you learn to control your stress response. The information from each session can be stored on your computer or mobile device so that you can track your progress over time.

  • Wearable devices. One type involves wearing a sensor on your waist that monitors your breathing and tracks your breathing patterns using a downloadable app. The app can alert you if you're having prolonged tension, and it offers guided breathing activities to help restore your calm.

The Food and Drug Administration (FDA) has approved a biofeedback device, Resperate, for reducing stress and lowering blood pressure. Resperate is a portable electronic device that promotes slow, deep breathing.

However, the FDA doesn't regulate many biofeedback devices marketed for home use. Before trying biofeedback therapy at home, discuss the types of devices with your care team to find the best fit.

Be aware that some products might be falsely marketed as biofeedback devices, and that not all biofeedback practitioners are legitimate.