Cognitive Remediation Journal 2021, 10(2):1-8 | DOI: 10.5507/crj.2021.003

Coping with Stress Reactions Using Biofeedback Therapy in Elite Athletes: Case Report

G. Kloudova
Sport Research Institute of the Czech Armed Forces, Prague, Czech Republic

Professional athletes very often struggle with stress and anxiety throughout their careers, which can affect their overall performance in competitions. Biofeedback can provide them with an easy-to-use tool that allows them to control their emotional reactions and learn how to decrease their physiological reactions to the stress of their body. Excessive arousal can lead to overthinking and both mental and physical exhaustion. This case study describes the specific case of a professional athlete who had problems with high emotionality which interfered with the quality of training and competitive performance as well. The therapy consisted of six sessions, including a stress profile. The stress profile was performed to identify the reactions of different bodily functions (breathing, heart activity, muscle tone, electrodermal activity, peripheral temperature) on the variations of stressors. It also included education on the possibility of influencing the psychophysiological state and the principles of stress reactions. Subsequent biofeedback training focused on the features indicated. In the final session, a retest was performed using the stress profile, and an evaluation of the therapy success was conducted. After biofeedback therapy, a significant improvement occurred regarding the control of the bodily functions and lowered anxiety. The athlete's overall welfare also improved, and it resulted in better training and competition performance.

Keywords: Biofeedback, Athletes, Sport psychology, Psychophysiology

Published: November 22, 2021  Show citation

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Kloudova G. Coping with Stress Reactions Using Biofeedback Therapy in Elite Athletes: Case Report. Cogn. Remediat. J. 2021;10(2):1-8. doi: 10.5507/crj.2021.003.
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    References

    1. Balyan, K. Y., Tok, S., Tatar, A., Binboga, E., & Balyan, M. (2016). The relationship among personality, cognitive anxiety, somatic anxiety, physiological arousal, and performance in male athletes. Journal of Clinical Sport Psychology, 10(1), 48-58. Go to original source...
    2. Barletta, G. M., Flynn, J., Mitsnefes, M., Samuels, J., Friedman, L. A., Ng, D., & Furth, S. (2014). Heart rate and blood pressure variability in children with chronic kidney disease: a report from the CKiD study. Pediatric Nephrology, 29(6), 1059-1065. Go to original source...
    3. Cowings, P., & Toscano, W. (2013). Psychophysiology of Spaceflight and Aviation. Moffett Field, CA: NASA Ames Research Center. Go to original source...
    4. Derrick, K., Green, T., & Wand, T. (2019). Assessing and responding to anxiety and panic in the Emergency Department. Australasian emergency care, 22(4), 216-220. Go to original source...
    5. Dupee, M., & Werthner, P. (2011). Managing the stress response: The use of biofeedback and neurofeedback with Olympic athletes. Biofeedback, 39(3), 92-94. Go to original source...
    6. Friedman, B. H. (2007). An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone. Biological Psychology, 74(2), 185-199. Go to original source...
    7. Gilbert, C. (2005). Better chemistry through breathing: the story of carbon dioxide and how it can go wrong. Biofeedback, 100-104.
    8. Hautschildt, M., Peters, M., Moritz, S., & Jelinek, L. (2011). heart rate variability in response to affetive scenes in posttraumatic stress disorder. Biological Psychology, 88(2), 215-222. Go to original source...
    9. Choudhary, R., Trivedi, V., & Choudhary, S. G. (2016). Effect of heart rate variability biofeedback training on the performance of track athlete. International Journal of Therapies and Rehabilitation Research, 4, 166-174. Go to original source...
    10. Jerath, R., Crawford, M. W., Barnes, V. A., & Harden, K. (2015). Self-regulation of breathing as a primary treatment for anxiety. Applied psychophysiology and biofeedback, 40(2), 107-115. Go to original source...
    11. Kemp, H., Quintana, D., Gray, M., Felmingham, K., Brown, K., & Gatt, J. (2010). Impacto of depression and antidepressant treatment on heart rate variability: a review and neta-analysis. Biological Psychiatry, 67(11), 1067-1074. Go to original source...
    12. Khanin, I. L. (2000). Emotions in sport. Human Kinetics.
    13. Khazan, I. (2013). The Clinical Handbook of Biofeedback. John Wiley & Sons. Go to original source...
    14. Khazan, I. (2018). Breathing, overbreathing, and mindfulness. Biofeedback, 46(1), 2-8. Go to original source...
    15. Lehrer, P. (2007). Biofeedback training to incrase heart rate variability. V P. Lehrer, R. L. Woolfolk, & W. E. Sime, Principles and Practice of Stress Management (227-248). New York: Guilford Press.
    16. Licht, C., de Geus, E., van Dyck, R., & Penninx, B. (2009). Assosiation between anxiety disorders and heart rate variabilityy in the Netherlands Study of Depression and Anxiety (NESDA). Psychosomatic Medicine, 71(5), 508-518. Go to original source...
    17. Litchfield, P. (2010). CapnoLearning: respiratory fitness and acid-base regulation. Psychophysiology Today, 7(1), 6-12.
    18. Marker, R. J., Campeau, S., & Maluf, K. S. (2016). Psychosocial stress alters the strength of reticulospinal input to the human upper trapezius. Journal of Neurophysiology. Go to original source...
    19. Mueller, K., Williams, P. S., Haley, L., & Heick, J. (2019). Heart Rate Variability Biofeedback Improves Sports Performance in an Elite Female Athlete. Cardiopulmonary Physical Therapy Journal. Go to original source...
    20. Najström, M., & Högman, L. (2003). Skin Conductance Response in Swedish United Nations Soldiers Exposed to Fear-Relevant Stimuli. Cognitive Behaviour Therapy, 32(4), 161-165. Go to original source...
    21. Ortega, E., & Wang, J. C. (2018). Effectiveness of an integrated mental skills and biofeedback training program on sport shooters. International Journal of Sport Psychology, 49(1), 35-54.
    22. Peper, E., Booiman, A., Tallard, M., & Takebayashi, N. (2010). Surface electromyographic biofeedback to optimize performance in daily life: improving physical fitness and health at the worksite. Japanese Journal of Biofeedback Research, 37(1), 19-28. Go to original source...
    23. Peper, E., Nemoto, S., Lin, I. M., & Harvey, R. (2015). Seeing is Believing: Biofeedback as a Tool to Enhance Motivation for Cognitive Therapy. Biofeedback, 43(4), 168-172. Go to original source...
    24. Porges, S. W. (1995). Orienting in a defensive world: Mammalian modifications of our evolutionary heritage. A polyvagal theory. Psychophysiology, 32(4), 301-318. Go to original source...
    25. Ptacek, R., & Novotny, M. (2017). Biofeedback in Theory and Practice. Grada Publishing.
    26. Pusenjak, N., Grad, A., Tusak, M., Leskovsek, M., & Schwarzlin, R. (2015). Can biofeedback training of psychophysiological responses enhance athletes' sport performance? A practitioner's perspective. Physician And Sportsmedicine, 43(3), 287-299. Go to original source...
    27. Rijken, N. H., Soer, R., de Maar, E., Prins, H., Teeuw, W. B., Peuscher, J., & Oosterveld, F. G. (2016). Increasing performance of professional soccer players and elite track and field athletes with peak performance training and biofeedback: a pilot study. Applied psychophysiology and biofeedback, 4, 421-430. Go to original source...
    28. Salafi, T., & Kah, J. C. (2015). Design of Unobtrusive Wearable Mental Stress Monitoring Device Using Physiological Sensor. 7th WACBE World Congress on Bioengineering 2015 (11-14). Springer International Publishing. Go to original source...
    29. Shinba, T., Kariya, N., Matsui, Y., Ozawa, N., Matsuda, Y., & Yamamoto, K. (2008). Decrease in heart rate variability response to task is related to anxiety and depressiveness in normal subjects. Psychiatry and Clinical Neurosciences, 62(5), 603-609. Go to original source...
    30. Shokri, A., & Nosratabadi, M. (2021). Comparison of Biofeedback and Combined Interventions on Athlete's Performance. Applied Psychophysiology and Biofeedback, 1-8. Go to original source...
    31. Schroeder, E., Liao, D., Chambless, L. E., Prineas, R., Evans, G., & Heiss, G. (2003). Hypertension, blood pressure, and heart rate variability: the Artherosclerosis Risk in Communities (ARIC) study. Hypertension, 42(6), 1106-1111. Go to original source...
    32. Schultz, M., & Schultz, J. (2014). The biofeedback stress test. Develompents in Business Simulation and Experiential Learning, 29-35.
    33. Schwartz, M. S., & Andrasik, F. (2003). Biofeedback: a practicioner´s guide. New York: The Guilford Press.
    34. Sime, W. A., Allen, T., & Fazzano, C. (2001). Optimal functioning in sport psychology: Helping athletes' fid zone of excellence. Biofeedback, 28(5), 23-25.
    35. Taylor, D. B. (2010). Depression, heart rate related variables and cardiovascular disease. International Journal of Psychophysiology, 78(1), 80-88. Go to original source...
    36. Thurber, M., Bodenhamer-Davis, E., Johnson, M., Chesky, K., & Chandler, C. (2010). Effects of heart rate variabilitz coherence biofeedback training and emotional management techniques to decrease music performance anxietz. Biofeedback, 38(1), 28-39. Go to original source...
    37. Tonhajzerova, I., Ondrejka, I., Javorka, K., Calkovska, A., & Javorka, M. (2011). Cardiac vagal control in depression and attention deficit/hyperactivity disorder. Acta Medica Martiniana, 11, 46-51. Go to original source...
    38. Vashisth, S., Khan, M., Vijay, R., & Salhan, A. K. (2016). A review of high G-stress induced problems and their solutions. International Journal of Medical Engineering and Informatics, 9(1), 47-60. Go to original source...
    39. Zahir, N. E., Saha, S., & Huda, F. (2016). Enhanced Motor Ability, Coordination and Psychobiological Competence in Predicting High Soccer Performance. International Medical Journal, 23(5), 1-5.
    40. Zavodna, E. (2007). Physiological and pathological changes in baroreflex sensitivity in humans. Doctoral dissertation, Masaryk University, Faculty of Medicine.

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