An Innovative Tool to Create Neurofeedback Games for ADHD Treatment

  • Miguel A. Teruel
  • Elena Navarro
  • Dulce Romero
  • Mario García
  • Antonio Fernández-Caballero
  • Pascual González
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10337)


One of the most frequent disorders in childhood is the attention-deficit/hyperactivity disorder (ADHD). The symptoms of ADHD are present in approximately 5% of children and adolescents with a strong over-representation of boys, irrespectively of their cultural background. There are different treatment approaches but conventional therapies and pharmacological proposals have proved to be insufficient to supply an effective rehabilitation in all cases. The most promising therapies make use of neurofeedback to train attention self-regulation in children with ADHD. In this paper, a new tool that enables therapists to design their own therapies by creating specific neurofeedback videogames adapted to each child is presented.


ADHD Symptom ADHD Child Execution Environment Authoring Tool Biofeedback Training 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



This work was partially supported by Spanish Ministerio de Economía y Competitividad (MINECO)/FEDER EU under TIN2016-79100-R grant.


  1. 1.
    Benedetti, F., Catenacci Volpi, N., Parisi, L., Sartori, G.: Attention training with an easy–to–use brain computer interface. In: Shumaker, R., Lackey, S. (eds.) VAMR 2014. LNCS, vol. 8526, pp. 236–247. Springer, Cham (2014). doi: 10.1007/978-3-319-07464-1_22 Google Scholar
  2. 2.
    Blandón, D.Z., Muñoz, J.E., Lopez, D.S., Gallo, O.H.: Influence of a BCI neurofeedback videogame in children with ADHD. Quantifying the brain activity through an EEG signal processing dedicated toolbox. In: 2016 IEEE 11th Colombian Computing Conference (CCC), pp. 1–8. IEEE (2016)Google Scholar
  3. 3.
    Duvinage, M., Castermans, T., Petieau, M., Hoellinger, T., Cheron, G., Dutoit, T.: Performance of the Emotiv Epoc headset for P300-based applications. Biomed. Eng. Online 12(1), 56 (2013)CrossRefGoogle Scholar
  4. 4.
    Gingerich, K.J., Turnock, P., Litfin, J.K., Rosén, L.A.: Diversity and attention deficit hyperactivity disorder. J. Clin. Psychol. 54(4), 415–426 (1998)CrossRefGoogle Scholar
  5. 5.
    Hocking, J.: Unity in Action: Multiplatform Game Development in C# with Unity 5. Manning Publications, Greenwich (2015)Google Scholar
  6. 6.
    Kamiya, J.: Biofeedback and self-control: an Aldine reader on the regulation of bodily processes and consciousness. Aldine (1971)Google Scholar
  7. 7.
    Lim, C.G., Lee, T.S., Guan, C., Fung, D.S.S., Zhao, Y., Teng, S.S.W., Zhang, H., Krishnan, K.R.R.: A brain-computer interface based attention training program for treating attention deficit hyperactivity disorder. PLoS ONE 7(10), e46692 (2012)CrossRefGoogle Scholar
  8. 8.
    Mondéjar, T., Hervás, R., Johnson, E., Gutierrez, C., Latorre, J.M.: Correlation between videogame mechanics and executive functions through EEG analysis. J. Biomed. Inform. 63, 131–140 (2016)CrossRefGoogle Scholar
  9. 9.
    Nooner, K.B., Leaberry, K.D., Keith, J.R., Ogle, R.L.: Clinic outcome assessment of a brief course neurofeedback for childhood ADHD symptoms. J. Behav. Health Serv. Res. 1–9 (2016). doi: 10.1007/s11414-016-9511-1
  10. 10.
    Pigott, H.E., Bodenhamer-Davis, E., Davis, R.E.: The evidence-base for neurofeedback as a reimbursable healthcare service to treat attention deficit/hyperactivity disorder. International Society for Neurofeedback and Research (2013). pdf
  11. 11.
    Pope, A.T., Stephens, C.L., Gilleade, K.: Biocybernetic adaptation as biofeedback training method. In: Fairclough, S.H., Gilleade, K. (eds.) Advances in Physiological Computing. HIS, pp. 91–115. Springer, London (2014). doi: 10.1007/978-1-4471-6392-3_5 CrossRefGoogle Scholar
  12. 12.
    Rubia, K.: The dynamic approach to neurodevelopmental psychiatric disorders: use of fmri combined with neuropsychology to elucidate the dynamics of psychiatric disorders, exemplified in adhd and schizophrenia. Behav. Brain Res. 130(1), 47–56 (2002)CrossRefGoogle Scholar
  13. 13.
    Rubio, G., Navarro, E., Montero, F.: APADYT: a multimedia application for SEN learners. Multimedia Tools Appl. 71(3), 1771–1802 (2014)CrossRefGoogle Scholar
  14. 14.
    Satapathy, S., Choudhary, V., Sharma, R., Sagar, R.: Nonpharmacological interventions for children with attention deficit hyperactivity disorder in India: a comprehensive and comparative research update. Indian J. Psychol. Med. 38(5), 376–385 (2016)CrossRefGoogle Scholar
  15. 15.
    Thomas, K.P., Vinod, A., Guan, C.: Enhancement of attention and cognitive skills using EEG based neurofeedback game. In: 2013 6th International IEEE/EMBS Conference on Neural Engineering (NER), pp. 21–24. IEEE (2013)Google Scholar
  16. 16.
    Wagner, B.J.: Attention deficit hyperactivity disorder: current concepts and underlying mechanisms. J. Child Adolesc. Psychiatr. Nurs. 13(3), 113–124 (2000)CrossRefGoogle Scholar
  17. 17.
    Weiler, M.D., Bernstein, J.H., Bellinger, D.C., Waber, D.P.: Processing speed in children with attention deficit/hyperactivity disorder, inattentive type. Child Neuropsychol. 6(3), 218–234 (2000)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Miguel A. Teruel
    • 1
  • Elena Navarro
    • 1
    • 2
  • Dulce Romero
    • 3
  • Mario García
    • 1
  • Antonio Fernández-Caballero
    • 1
    • 2
  • Pascual González
    • 1
    • 2
  1. 1.Instituto de Investigación en Informática de AlbaceteUniversidad de Castilla-La ManchaAlbaceteSpain
  2. 2.Departamento de Sistemas InformáticosUniversidad de Castilla-La ManchaAlbaceteSpain
  3. 3.Departamento de PsicologíaUniversidad de Castilla-La ManchaToledoSpain

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