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2016 | 12 | 157-175
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Aktywność elektrodermalna w metodzie biofeedback – zastosowanie kliniczne na przykładzie padaczki

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EN
Electrodermal activity (EDA) is one of the most widely used response systems in psychophysiology. Research involving EDA has been reported since the second half of the 19th century. It was observed at that time that human’s skin and especially its areas with a high density of sweat glands, could change the resistance. These resistance shifts were linked to subjective emotional responses of individuals undergoing EDA measurements. EDA serves as an index of peripheral autonomic arousal. It had been observed more than 40 years before Hans Berger discovered bioelectrical activity of the human brain and made the first electroencephalographic (EEG) recording. Nevertheless, the interests in therapeutic use of EDA is increasing noticeably just over the last several years. These interests are mainly conditioned by rapid development of neuroimaging techniques which enable a better understanding of mechanisms which underlie EDA and indicate these areas of the brain that are directly related to its regulation. These achievements contribute to an increasing use of EDA biofeedback, both in diagnosis and treatment. Of particular note is the use of this technique complementarily in some chronic medical conditions, such as drug resistant epilepsy
PL
Aktywność elektrodermalna stanowi jeden z najczęściej wykorzystywanych parametrów w psychofizjologii. Początki jej pomiarów sięgają drugiej połowy XIX wieku. Już wtedy zaobserwowano, że skóra człowieka, szczególnie w tych miejscach, w których znajduje się wiele gruczołów potowych, zmienia swoją oporność, a zmiany te mają związek z subiektywnymi reakcjami emocjonalnymi osób poddawanych pomiarom. Aktywność elektrodermalna jest wskaźnikiem obwodowego pobudzenia autonomicznego. Została zaobserwowana ponad czterdzieści lat przed tym, jak Hans Berger udokumentował aktywność bioelektryczną mózgu ludzkiego, dokonując pierwszego zapisu elektroencefalograficznego. Mimo to, zainteresowanie jej terapeutycznym wykorzystaniem wzrasta zauważalnie dopiero na przestrzeni ostatnich kilkunastu lat. Zjawisko to uwarunkowane jest między innymi dynamicznym rozwojem metod neuroobrazowania, dzięki którym możliwe jest dokładniejsze opisanie i zrozumienie mechanizmów leżących u podstaw aktywności elektrodermalnej oraz wskazanie na te obszary mózgu, które są bezpośrednio związane z jej regulacją. Osiągnięcia te przyczyniają się do coraz szerszego zastosowania metody biofeedback opartej na aktywności elektrodermalnej zarówno w diagnozie, jak i w procesie leczenia. Na szczególną uwagę zasługuje wykorzystanie tej techniki pomocniczo w schorzeniach przewlekłych, na przykład w padaczce lekoopornej.
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12
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157-175
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References
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