HEAD-POSITION TRAINING THROUGH BIOFEEDBACK: PROSTHETIC OR CURE?

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Abstract
The effectiveness of biofeedback in the treatment of poor head-positioning in patients with cerebral palsy is investigated. Patients were given feedback of head position using a head-position trainer: 2 were given 20 sessions and the other 2 were given 10 sessions followed by 10 sessions of social reinforcement. Biofeedback produced significant changes in head control during therapy but these did not transfer well to other situations, nor did it result in long-term positive improvement. The use of social reinforcement produced excellent and long-term gains. These results are discussed in terms of stimulus properties and reinformcement conditons. General implications of this study in relation to the generalization and maintenance of behavior change are also discussed.