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Neurologist Biofeedback Report

  • Writer: Holly Wild
    Holly Wild
  • Sep 5
  • 2 min read

Updated: Sep 24

TBI Biofeedback Report
TBI Biofeedback Report

Patient: John D. Sample

DOB: 03/14/1984

Date of Evaluation: 08/28/2025

Referring Provider: Attorney Paul Ajlouny, Esq.

Neurologist: Dr. Sarah Mitchell, MD


Reason for Referral

Patient was referred for biofeedback report and treatment following a motor vehicle accident on 05/10/2025 that resulted in a mild traumatic brain injury (mTBI). The purpose of this evaluation is to assess autonomic nervous system regulation, cognitive function, and physiological stress responses, with attention to potential implications for rehabilitation progress and medico-legal review.


Methods & Procedures


  1. EEG Biofeedback (Neurofeedback): Brainwave activity recorded from frontal and parietal lobes.

  2. Heart Rate Variability (HRV) Monitoring: Assessment of autonomic balance (sympathetic vs parasympathetic).

  3. Electromyography (EMG) Biofeedback: Muscle tension measurements (forehead, trapezius).

  4. Skin Conductance Response (SCR): Measurement of stress reactivity to auditory and visual stimuli.


Findings


  • EEG Biofeedback:

    • Increased theta activity (4–7 Hz) noted in frontal lobe during sustained attention tasks.

    • Decreased beta activity (15–20 Hz) associated with slowed cognitive processing.

    • Findings consistent with post-concussive syndrome.

  • HRV Monitoring:

    • Reduced HRV (SDNN = 26 ms; below normative range 50–100 ms).

    • Indicates autonomic dysregulation and chronic sympathetic over-activation.

  • EMG Biofeedback:

    • Elevated resting muscle tension in trapezius (6.2 µV; normal <3 µV).

    • Patient demonstrates difficulty reducing tension despite relaxation cues.

  • SCR Testing:

    • Heightened skin conductance response to mild stressor stimuli.

    • Suggests hypersensitivity and delayed recovery to baseline levels.


Clinical Impression


The biofeedback data supports the presence of neurophysiological dysregulation consistent with mTBI. Impaired autonomic control, heightened stress reactivity, and abnormal brainwave patterns correlate with the patient’s self-reported symptoms of difficulty concentrating, headaches, anxiety, and fatigue.


These findings provide objective evidence of ongoing neurological impairment and are relevant to both clinical management and legal proceedings.


Biofeedback
Biofeedback

🩺 Clinical / Attorney-Facing


“Biofeedback is a therapeutic technique that uses sensors to monitor heart rate, breathing, and muscle activity, providing objective data patients can use to regulate their physiological responses.”


🙂 Patient-Friendly


“Biofeedback is a way to train your body by watching how it reacts. With small sensors, you can see your heart rate, breathing, and muscle tension in real time — and learn how to control them.”


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