Evidence map›Paper›PMID 25610390›Full record

ArticleFrontiers in human neuroscience2014

Near-infrared spectroscopy (NIRS) neurofeedback as a treatment for children with attention deficit hyperactivity disorder (ADHD)-a pilot study.

Anna-Maria Marx, Ann-Christine Ehlis, Adrian Furdea, Martin Holtmann, Tobias Banaschewski, Daniel Brandeis, Aribert Rothenberger, Holger Gevensleben, Christine M Freitag, Yvonne Fuchsenberger and 2 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02572180 naunknown statusnot on this mapstarted 2015, after this paper: background citation

A Biofeedback Training in Schoolchildren With an Attention-Deficit/Hyperactivity Disorder (ADHD): Differential Effects of Training in a 2D or 3D Environment

TypeinterventionalSponsorUniversity Hospital TuebingenRan2015Enrolled90ConditionsAttention-deficit Hyperactivity Disorder of Childhood or Adolescence NosArmsEMG-based biofeedback training, NIRS-based neurofeedback training
NCT07149974 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Developing an EEG-fNIRS Neurofeedback Application for Brain Training for Autistic Children

TypeinterventionalSponsorEducation University of Hong KongRan2025 to 2026Enrolled30ConditionsAutism, Autistic Disorders Spectrum, Neurofeedback, EEGArmsEEG and fNIRS, EEG, fNIRS
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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  10. Frontiers in psychology · 2026
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  15. From lab to life: challenges and perspectives of fNIRS for haemodynamic-based neurofeedback in real-world environments.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Anna-Maria MarxInstitute for Medical Psychology and Behavioral Neurobiology, University of Tuebingen Tuebingen, Germany.
Ann-Christine EhlisDepartment of Psychiatry and Psychotherapy, Psychophysiology and Optical Imaging, University of Tuebingen Tuebingen, Germany.
Adrian FurdeaInstitute for Medical Psychology and Behavioral Neurobiology, University of Tuebingen Tuebingen, Germany.
Martin HoltmannLWL-University Hospital for Child and Adolescent Psychiatry, Ruhr-University Bochum Hamm, Germany.
Tobias BanaschewskiDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim of the University of Heidelberg Mannheim, Germany.
Daniel BrandeisDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim of the University of Heidelberg Mannheim, Germany ; Department of Child and Adolescent Psychiatry, University of Zuerich Zuerich, Switzerland.
Aribert RothenbergerClinic for Child and Adolescent Psychiatry, University Medical Center of Goettingen Goettingen, Germany.
Holger GevenslebenClinic for Child and Adolescent Psychiatry, University Medical Center of Goettingen Goettingen, Germany.
Christine M FreitagDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Goethe-University Frankfurt am Main Frankfurt am Main, Germany.
Yvonne FuchsenbergerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Goethe-University Frankfurt am Main Frankfurt am Main, Germany.
Andreas J FallgatterDepartment of Psychiatry and Psychotherapy, Psychophysiology and Optical Imaging, University of Tuebingen Tuebingen, Germany.
Ute StrehlInstitute for Medical Psychology and Behavioral Neurobiology, University of Tuebingen Tuebingen, Germany.
University of Tübingen · DEGoethe University Frankfurt · DECentral Institute of Mental Health · DELWL-Universitätsklinik Hamm · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this pilot study near-infrared spectroscopy (NIRS) neurofeedback was investigated as a new method for the treatment of Attention Deficit-/Hyperactivity Disorder (ADHD). Oxygenated hemoglobin in the prefrontal cortex of children with ADHD was measured and fed back. 12 sessions of NIRS-neurofeedback were compared to the intermediate outcome after 12 sessions of EEG-neurofeedback (slow cortical potentials, SCP) and 12 sessions of EMG-feedback (muscular activity of left and right musculus supraspinatus). The task was either to increase or decrease hemodynamic activity in the prefrontal cortex (NIRS), to produce positive or negative shifts of SCP (EEG) or to increase or decrease muscular activity (EMG). In each group nine children with ADHD, aged 7-10 years, took part. Changes in parents' ratings of ADHD symptoms were assessed before and after the 12 sessions and compared within and between groups. For the NIRS-group additional teachers' ratings of ADHD symptoms, parents' and teachers' ratings of associated behavioral symptoms, childrens' self reports on quality of life and a computer based attention task were conducted before, 4 weeks and 6 months after training. As primary outcome, ADHD symptoms decreased significantly 4 weeks and 6 months after the NIRS training, according to parents' ratings. In teachers' ratings of ADHD symptoms there was a significant reduction 4 weeks after the training. The performance in the computer based attention test improved significantly. Within-group comparisons after 12 sessions of NIRS-, EEG- and EMG-training revealed a significant reduction in ADHD symptoms in the NIRS-group and a trend for EEG- and EMG-groups. No significant differences for symptom reduction were found between the groups. Despite the limitations of small groups and the comparison of a completed with two uncompleted interventions, the results of this pilot study are promising. NIRS-neurofeedback could be a time-effective treatment for ADHD and an interesting new option to consider in the treatment of ADHD.

Indexed as

attention deficit hyperactivity disorder (ADHD)childrenfNIRSnear-infrared spectroscopy (NIRS)neurofeedbackprefrontal cortex (PFC)

Identifiers

PMID25610390
PMCPMC4285751
OpenAlexW2109869928

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.