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Audio-visual entrainment (AVE), a subset of
brainwave entrainment Brainwave entrainment, also referred to as brainwave synchronization or neural entrainment, refers to the observation that brainwaves (large-scale electrical oscillations in the brain) will naturally synchronize to the rhythm of periodic externa ...
, uses flashes of lights and
pulses In medicine, a pulse represents the tactile arterial palpation of the cardiac cycle (heartbeat) by trained fingertips. The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the nec ...
of tones to guide the
brain A brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as vision. It is the most complex organ in a v ...
into various states of brainwave activity. AVE devices are often termed light and sound machines or
mind machines A mind machine (aka ''brain machine'' or ''light and sound machine'') uses pulsing rhythmic sound, flashing light, or a combination of these to alter the frequency of the user's brainwaves. Mind machines can induce deep states of relaxation, conc ...
. Altering brainwave activity is believed to aid in the treatment of
psychological Psychology is the scientific study of mind and behavior. Psychology includes the study of conscious and unconscious phenomena, including feelings and thoughts. It is an academic discipline of immense scope, crossing the boundaries between t ...
and physiological disorders.


Introduction

All of our senses (except smell) access the brain's
cerebral cortex The cerebral cortex, also known as the cerebral mantle, is the outer layer of neural tissue of the cerebrum of the brain in humans and other mammals. The cerebral cortex mostly consists of the six-layered neocortex, with just 10% consisting of ...
via the
thalamus The thalamus (from Greek θάλαμος, "chamber") is a large mass of gray matter located in the dorsal part of the diencephalon (a division of the forebrain). Nerve fibers project out of the thalamus to the cerebral cortex in all directions, ...
, and because the thalamus is highly innervated with the cortex, sensory stimulation can easily influence cortical activity. In order to affect brain (neuronal) activity, sensory stimulation must be within the
frequency Frequency is the number of occurrences of a repeating event per unit of time. It is also occasionally referred to as ''temporal frequency'' for clarity, and is distinct from ''angular frequency''. Frequency is measured in hertz (Hz) which is eq ...
range of roughly 0.5 to 25
hertz The hertz (symbol: Hz) is the unit of frequency in the International System of Units (SI), equivalent to one event (or cycle) per second. The hertz is an SI derived unit whose expression in terms of SI base units is s−1, meaning that on ...
(Hz) . Touch, photic and auditory stimulation are capable of affecting brain wave activity. A large area of skin must be stimulated to affect brainwaves, which leaves both auditory and photic stimulation as the most effective and easiest means of affecting brain activity. Therefore, mind machines are typically in the form of light and sound devices. Auditory or visual stimulation (AVS) can take a variety of forms, generating different subjective and clinical effects. The simplest form of stimulation is to present a series of random light flashes and/or sound pulses to a subject, such as from watching TV or cars drive by, and investigate the resulting subjective experiences or
electroencephalography Electroencephalography (EEG) is a method to record an electrogram of the spontaneous electrical activity of the brain. The biosignals detected by EEG have been shown to represent the postsynaptic potentials of pyramidal neurons in the neocortex ...
(EEG) effects. AVE, however, involves organized, repetitive stimulation at a particular frequency for a specific period of time, and the frequency of stimulation is reflected within the EEG. This is called "open loop" stimulation, or free-running entrainment, and is not contingent on monitoring brainwaves in any way. "Close loop" AVE would involve visual and auditory stimulation in ''response'' to one's EEG.


History


Physiology


Effects

AVE effects on the EEG are found primarily over the sensory-motor strip, frontally, and in the parietal lobe (somatosensory) regions and slightly less within the prefrontal cortex. It is within these areas where motor activation,
attention Attention is the behavioral and cognitive process of selectively concentrating on a discrete aspect of information, whether considered subjective or objective, while ignoring other perceivable information. William James (1890) wrote that "Atte ...
,
executive function In cognitive science and neuropsychology, executive functions (collectively referred to as executive function and cognitive control) are a set of cognitive processes that are necessary for the cognitive control of behavior: selecting and succe ...
, and
somatosensory In physiology, the somatosensory system is the network of neural structures in the brain and body that produce the perception of touch (haptic perception), as well as temperature (thermoception), body position (proprioception), and pain. It is ...
(body) awareness is primarily mediated. Auditory entrainment (AE) is the same concept as visual entrainment, with the exception that auditory signals are passed from the cochlea of the ears into the thalamus via the medial geniculate nucleus, whereas visual entrainment passes from the retina into the thalamus via the lateral geniculate nucleus. Eyes-closed AVE at 18.5 Hz has been shown to increase EEG brainwave activity by 49% at the vertex. At the vertex (with the eyes closed) AE has been shown to increase EEG brainwave activity by 21%. Successful entrainment leads to a meditative, peaceful kind of dissociation, where the individual experiences a loss of somatic and cognitive awareness. However, it is possible for visual entrainment to trigger seizures.


Evidence of sensory effects

Huxley and Walter were among the first to articulate the subjective correlates of photic stimulation. They described subjective experiences of incessantly changing patterns, whose color was a function of the rate of flashing. Between ten and fifteen flashes per second, Walter reported orange and red; above fifteen, green and blue; above eighteen, white and grey. Huxley also described enriched and intensified experiences when subjects were under the effects of
mescaline Mescaline or mescalin (3,4,5-trimethoxyphenethylamine) is a naturally occurring psychedelic protoalkaloid of the substituted phenethylamine class, known for its hallucinogenic effects comparable to those of LSD and psilocybin. Biological sou ...
or
lysergic acid Lysergic acid, also known as -lysergic acid and (+)-lysergic acid, is a precursor for a wide range of ergoline alkaloids that are produced by the ergot fungus and found in the seeds of '' Turbina corymbosa'' (ololiuhqui), '' Argyreia nervosa'' ...
. In his view, the rhythms of the lamp interacted with the rhythms of the brain's electrical activity to produce a complex interference pattern, which is translated by the brain's perceptual circuits into a
conscious Consciousness, at its simplest, is sentience and awareness of internal and external existence. However, the lack of definitions has led to millennia of analyses, explanations and debates by philosophers, theologians, linguisticians, and scien ...
pattern of
color Color (American English) or colour (British English) is the visual perceptual property deriving from the spectrum of light interacting with the photoreceptor cells of the eyes. Color categories and physical specifications of color are associ ...
and
movement Movement may refer to: Common uses * Movement (clockwork), the internal mechanism of a timepiece * Motion, commonly referred to as movement Arts, entertainment, and media Literature * "Movement" (short story), a short story by Nancy Fu ...
. Glicksohn also reported on altered states of consciousness from photic driving and its relationship of self-perceived creativity.


Research

A review of 20 studies on brainwave entrainment found that it is effective in improving cognition and behavioral problems, and alleviating stress and pain. The results of a study on children with
attention-deficit disorder Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by excessive amounts of inattention, hyperactivity, and impulsivity that are pervasive, impairing in multiple contexts, and otherwise age-inap ...
found that AVE was more effective than neurofeedback for treating ADD symptoms. A migraine headache study involving seven patients with migraine found that AVE sessions reduced migraine duration from a pretreatment average of six hours to a posttreatment average of 35 minutes. Measuring 50 of the participants' migraines, 49 migraines decreased in severity and 36 were stopped when using AVE. Another clinical study showed declines in depression, anxiety and suicidal ideation following a treatment program using AVE. A study by Berg and Siever used audio-visual entrainment devices on women with seasonal affective disorder. Both depression and anxiety symptoms were reduced in participants, as compared to a placebo phase. Participants also reported improvements in their social lives, with increased happiness and sociability, decreased appetite, increased energy and weight loss. A study by Cantor and Stevens found significant decreases in depression scores in participants after four weeks of using AVE. A study by Thomas and Siever showed that many people with chronic
temporomandibular joint disorder Temporomandibular joint dysfunction (TMD, TMJD) is an umbrella term covering pain and dysfunction of the muscles of mastication (the muscles that move the jaw) and the temporomandibular joints (the joints which connect the mandible to the skull ...
(TMD) brace up when asked to relax. AVE at 10 Hz produced deep masseter muscle relaxation and finger warming within six minutes. Audio entrainment has shown promise as a singular therapeutic modality for treating jaw tension and TMD pain. AVE has been used to reduce jaw pain, patient anxiety and heart rate during dental procedures.


References

{{Reflist, 30em Mind–body interventions