Biofeedback and Self-regulation

, Volume 1, Issue 1, pp 105–112 | Cite as

Effects of an EMG biofeedback relaxation program on the control of diabetes

A case study
  • Jane E. Fowler
  • Thomas H. Budzynski
  • Richard L. VandenBergh
Case Reports And Training Techniques


It was hypothesized that EMG biofeedback relaxation training, applied to a diabetic patient, would result in a decreased level of insulin with fewer episodes of ketoacidosis. A 20-year-old female, diabetic since age nine, kept daily records of insulin doses and rated herself on an emotionality and a diabetic scale. A full-semester baseline was taken. This was followed by a semester-long training program during which the patient practiced relaxing her frontalis muscle with a portable EMG feedback unit which produced a geiger-counter-like click feedback. A cassette-tape series was used along with the portable EMG. The patient was encouraged to practice twice each day and to attempt to maintain a relaxed state even when not in the practice situation. The daily use of the portable unit was terminated at the end of the semester. In addition, the patient ceased practicing twice daily with the cassette tape. Daily insulin averaged 85 units for the six-week baseline and 59 for the final six weeks of the training period. Moreover, at the end of the training period the average dose had reached 43 units. During the training period the patient rated herself as decreasing in emotionality and in diabetic fluctuations.


Diabetic Patient Training Program Health Psychology Training Period Insulin Dose 
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  1. Baker, L., Barcai, A., Kaye, R., & Haque, N. Beta adrenergic blockade and juvenile diabetes: Acute studies and long-term therapeutic trial.Journal of Pediatrics 1965,75 19–29.Google Scholar
  2. Budzynski, T. H. Biofeedback procedures in the clinic.Seminars in Psychiatry 1973,5 537–547.Google Scholar
  3. Budzynski, T. H., & Stoyva, J. M. Biofeedback techniques in behavior therapy. In N. Birbaumer (Ed.),Neuropsychologie der Angst. Reihe Fortschritte der Klinischen Psychologie. Bd. 3. Munchen, Berlin, Wien: Verlag Urban & Schwarzenberg, 1973. Republished in D. Shapiro et al. (Eds.),Biofeedback and self-control: 1972. Chicago: Aldine Publishing Company, 1973.Google Scholar
  4. Budzynski, T. H., Stoyva, J. M., & Adler, C. S. Feedback-induced muscle relaxation: Applications to tension headache.Behavior Therapy and Experimental Psychiatry 1970,1 205–211.Google Scholar
  5. Budzynski, T. H., Stoyva, J. M., Adler, C. S., & Mullaney, D. EMG biofeedback and tension headache: A controlled outcome study.Psychosomatic Medicine 1973,35 484–496.Google Scholar
  6. Hinkle, L. E. The influence of the patient's behavior and his reaction to his life situation upon the course of diabetes.Diabetes 1956,5 406.Google Scholar
  7. Montgomery, D. D., Love, W. A. Jr., & Moeller, T. A. Effects of electromyographic feedback and relaxation training in blood pressure in essential hypertension. Paper presented at the Biofeedback Research Society Annual Meeting, Colorado Springs, Colorado, February, 1974.Google Scholar
  8. Sargent, J., Green, E., & Walters, E. D. Preliminary report on the use of autogenic feedback training in the treatment of migraine and tension headaches.Psychosomatic Medicine 1973,35 129–135.Google Scholar
  9. Stoyva, J. M., & Budzynski, T. H. Cultivated low arousal—An anti-stress response? In L. V. DiCara (Ed.),Recent advances in limbic and autonomic nervous systems research. New York: Plenum, 1974.Google Scholar
  10. VandenBergh, R. L., Sussman, K. E., & Malburg, B. J. Effects of the stress of final examinations on university students with diabetes mellitus, 1968. Unpublished manuscript.Google Scholar
  11. VandenBergh, R. L., Sussman, K. E., & Titus, C. C. Effects of hypnotically induced acute emotional stress in carbohydrate and lipid metabolism in patients with diabetes mellitus.Psychosomatic Medicine 1966,28 383.Google Scholar
  12. VandenBergh, R. L., Sussman, K. E., & Vaughn, G. D. Effects of combined physical-anticipatory stress on carbohydrate lipid metabolism in patients with diabetes mellitus.Psychosomatic Medicine 1967,8 16.Google Scholar
  13. Weller, C., Linder, M., Nuland, W., & Kline, M. V. The effects of hypnotically-induced emotions on continuous uninterrupted blood glucose measurements.Psychosomatics 1961,2 375.Google Scholar

Copyright information

© Plenum Publishing Corporation 1976

Authors and Affiliations

  • Jane E. Fowler
    • 1
  • Thomas H. Budzynski
    • 2
  • Richard L. VandenBergh
    • 2
  1. 1.University of DenverUSA
  2. 2.University of Colorado Medical CenterDenver

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