Hi EJ, at the moment, there hasn’t been any research to give an indication of how long you should or shouldn’t listen for. Over time, I’ve seen people use my tracks for longer and longer. I started off providing 30-minute study tracks, but through demand, I extended them to 3-hours. I know from the many thousands of comments I’ve had on YouTube that a large number of people play those 3-hour tracks on repeat, or listen to different ones, one after the other throughout the day. I’ve also seen apps where you can play tracks like mine on continuous repeat. So it’s common for people to listen to them all day while they are studying.
When delta waves are present, our awareness of the external world decreases and shuts off. People with ADD have problems with delta waves occurring when they are trying to focus, and focus and attention become increasingly impossible with stronger delta waves. Studies show a reduction of anxiety, improvements in insomnia, and elimination of headaches when people engage in sessions of delta brainwave entrainment.
When your mind is all over the place, organizing your thoughts into a quick to-do list can help transfer the burden from your brain to paper. But for some people, seeing a long list of tasks can increase stress. Miller has another idea: a “stressor and action” sheet. “Fold a piece of paper in half length wise, and on the left column write ‘stressor’ and on the right hand column write ‘action,’” she says. “You will find as you write down thoughtful action steps to the things that are stressing you out, you regain authority over circumstance.” These are the signs you’re more stressed than you realize.
As a trader, having focus is not a luxury, it’s a necessity for making the best decisions under pressure. The music and meditations allow me to bring my best game each and every day. I am more tuned into work for longer and better and with a steady energy and calmness. I am also a writer with a fairly high demand on output meaning I need to get a quality 700 to 1800 words of analysis created daily. And again I rely on TrypnauralMediations.com to put my mind at it' most clear and creative. It delivers every time.
If you want the most results in the least amount of time, a well balanced approach is to listen to IQ Increase and Beta Relaxed Focus once or twice per day, and then use one of the 30 or 60 minute meditation tracks once during the day and again as you are going to sleep. That means a maximum of FOUR entrainment sessions per day. Trust me, that is a LOT of entrainment for your brain.
We may use the term “to meditate” as a convenience, but always keep in mind, what is really meant is that we enter into a state of meditation. It’s an important point to distinguish because if we get caught in the trap of regarding meditation “as a verb” it leads into all sorts of problems and misunderstandings. If a person incorrectly believes meditation is a verb, they generally also confuse whatever technique they use to arrive at a state of meditation as being meditation in and of itself.
When you hit a tuning fork, tuned to a particular sound frequency such as the note B, and hold it close to the strings of a guitar, you will notice that the B string on the guitar will vibrate because it has entrained on to the same frequency of the tuning fork. Interesting enough, the other strings will not vibrate. Only the one with the same tuning as the tuning fork.
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How does brainwave entrainment work? Consistent, precisely engineered audio frequencies in the form of binaural beats cause the brain’s frequencies to match the stimulus. Your brain perceives two beats with slightly different frequencies (which are inaudible to the ear) through your headphones. It takes the difference between the two, and matches its own frequency to it. This is called the “frequency following” response.

Brain wave entrainment is a real phenomenon and is useful as one method of investigating how the brain works. But there is no evidence, nor any theoretical basis, for any long lasting effect on brain function or that there is any benefit of any kind. Despite this, there is a huge industry of devices that claim to train your brain waves and have a beneficial effect. I wouldn’t waste a dime on any such device.
Gaia Meditation Delta programs are specifically designed to: improve sleep and healing process. Effects happen at a very deep subconscious level, ideal for powerful reprogramming. If you’re in lack of sleep because you’re a busy business man or because you have insomnia etc., a few hours of our Delta waves programs will trick your brain into thinking it had all the restorative sleep it needs.
Maybe a favorite popular song, a certain piece of Classical music, a raucous dance beat, the pulse of Reggae, Indian, or African drums, or the chanting of Gregorian or Tibetan monks, but you probably know how the sound of music, drumming, or chanting is capable of transporting you into an altered and joyous state of mind and uplifting your spirits.

I haven’t seen any research relating to using brainwave entrainment/isochronic tones and bodybuilding, so I’m afraid I don’t know how effective it would be to help with that. I have a few different tracks for increasing energy but I recommend this 1-hour track, which would fit better than my shorter tracks for a training session: https://www.mindamend.com/shop/energy-and-motivation/high-energy-builder/. The effects from these tracks are mainly felt while you listen to them, so I recommend listening to the energy tracks while you are training/lifting weights etc. I don’t currently have any tracks to help trigger the testosterone hormone.
Born in California, TYLER SUSSMAN attended the University of California, Santa Barbara and studied psychology in addition to music. He became fascinated with the mind/body connection and music's impact on the psyche. Tyler moved to New York City in 2008 and founded the Didge Project in collaboration with AJ Block. In 2009, Tyler produced the brainwave entrainment recording entitled “Didgeridoo Meditation: An Odyssey through Consciousness." In 2011, Didge Project released an jazz/world fusion of original music entitled "As One." Tyler's self titled original music debut with his own band "WawaAlchemy" was released in 2014. Tyler has created soundscapes in collaboration with yoga teachers in since 2008 and has performed at Wanderlust Festivals in California, Vermont and Oahu. Tyler works extensively with vocalist Aya creating soundscapes for yoga and meditation. Aya and Tyler released a record entitled "Oshuns of Love" in 2015 and host a weekly Sacred Soundbath Meditation at ISHTA Yoga NYC. Tyler currently resides in Brooklyn, NY.
You’ve heard the “om” sound yogis make when they meditate, right? Well, Joshi says using a buzzing sound is another way to use your voice to calm yourself in the midst of a freakout. “Bhramari, a humming bee sound, can be done by closing the eyes and making the humming sound like a bee,” she says. “These sound vibrations calm down the thought waves and relax the entire nervous system. External sound frequency resonates with the internal rhythm of the body and mind, creating peace and tranquility within.” Research from India has shown Bhramari to improve cardiovascular patterns. Press your ears closed for an even stronger vibration.
Each of us is unique, and what works well for me might be totally useless to you. Generically speaking, there are three types of meditation techniques. There are techniques that take your awareness outwards, techniques that take your awareness inwards, and techniques that do a little of both. People with exceptionally busy minds tend to do better with techniques that take awareness outwards since their minds naturally head that direction anyway. People with more contemplative natures tend to do better with techniques that take you inwards. The combination techniques are a “maybe” for just about anyone, but are usually best used when a person has some experience with meditation under their belt.
This music encourages a state of alpha relaxation. The alpha state is a pleasant state of relaxed alertness. It’s a state that many people experience when they are waking up in the morning or when they are just beginning to drift off to sleep at night. While in a state of alpha relaxation, the mind is quite clear and receptive to information, learning is accelerated and one’s sense of creativity is enhanced. The mind is also very open to positive suggestions during this state.
Theta waves have a frequency between 4 and 7.5 hertz, making them slower than more wakeful alpha but faster than the dreamless slumber of delta. Theta brainwaves are the frequencies of nighttime dreams and REM sleep when the brain goes through bursts of activity and eye movement. People also experience theta waves in a state of light sleep, deep relaxation, during meditation and prayer, and when daydreaming. Theta waves produce an experience of inward wakefulness where we become disengaged from the outside world while engaging in inner activity. At the lower frequencies of theta, sleeping states are experienced, and at the higher range of frequency, awake relaxed states are experienced. 

So to summarize their claim, they're saying that entrainment means that a binaural beat will cause your brain's electroencephalogram to match the pattern of the phantom beat. Well, if it did, entrainment certainly doesn't apply and would not be part of the equation, so we can scratch that off the list. But it doesn't make the claimed observation wrong. We do know that certain electroencephalogram waveforms are often associated with certain kinds of activity. For example, physical activity or REM sleep often produces an electroencephalogram with a sine wave of between 4 and 8 Hz, which we term a theta pattern. Waking relaxation with eyes closed often produces a pattern from 8 to 12 Hz, which is called an alpha pattern. There are only a few characterized patterns, and pretty general descriptions of what kinds of activities go with them. The claim made by the binaural beat sellers depends on much more granular and specific matches. For example, the claim that a binaural beat with a frequency of X produces the same effect in your brain as Vicodin is wholly implausible. Such claims presume that we know the exact frequency of the electroencephalogram in each of these desired conditions, and the fact is that brain waves don't work that way. It is wholly and absolutely implausible to say that desired brain condition X will occur if we get your EEG to read exactly X Hz.
I have many new age, meditation, classical and jazz cds that I use for relaxation. This Steven Halpern cd is now my favorite one. I can listen to it for hours on end while I read, write, use the computer, or just veg out on the couch at home or lounge at the pool. I especially love the tracks with the ocean wave sounds mixed in with the electronic music. I definitely am in the theta brain wave state while listening to it, and I know that's the reason it is so much more soothing than any other cd that I own. It is really great for eliminating any anger or anxiety that I may be feeling. I believe it's also improving my sleep. I give this cd the highest possible recommendation!

Acupuncture has increasingly been used to treat many stress-related conditions, including psychiatric disorders, autoimmune or immunological-related diseases, infertility, anxiety, and depression. Researchers have found that acupunture treatments result in changes in the cardiovascular and immune systems, increasing protective T-cell proliferation and helping with cellular immuno-responses. (8)
Slightly higher-frequency entrainment can lead to hyper suggestive states of consciousness. Still higher-frequency EEG states are associated with alert and focused mental activity needed for the optimal performance of many tasks. Perceived reality changes depending on the state of consciousness of the perceiver (Tart, 1975). Some states of consciousness provide limited views of reality, while others provide an expanded awareness of reality. For the most part, states of consciousness change in response to the ever-changing internal environment and surrounding stimulation. For example, states of consciousness are subject to influences like drugs and circadian and ultradian rhythms (Rossi, 1986; Shannahoff-Khalsa, 1991; Webb & Dube, 1981). Specific states of consciousness can also be learned as adaptive behaviors to demanding circumstances (Green and Green, 1986).  
This extremely popular app features over 90 tones and music to help you achieve your desired state of mind. While other apps focus on sleep, memory and meditation, this app also includes programs for increasing psychic abilities, contacting spirit guides, and enhancing yoga. This subscription-based application is right for you if you’re looking for an experience specifically designed for your health, spiritual and emotional desires.
Social interaction is your body’s most evolved and surefire strategy for regulating the nervous system. Talking face-to-face with a relaxed and caring listener can help you quickly calm down and release tension. Although you can’€™t always have a pal to lean on in the middle of a stressful situation, maintaining a network of close relationships is vital for your mental health. Between sensory-based stress relief and good listeners, you’ll have your bases covered.
The body responds in essentially the same way to made-up imagery as it does to real experiences. Positive, relaxing images can be an effective tool for relieving stress. Try it for yourself with this Guided Imagery podcast from our Founder and Director Dr. James Gordon, or check out Dr. Gordon’s book Unstuck: Your Guide to the Seven-Stage Journey Out of Depression for dozens more techniques, including scripts for guided imagery exercises.

When people begin to believe these kinds of claims it is only half a step further for them to begin to attribute all of their own curious little experiences to entrainment. After all, they reason in the back of their minds, if 3.84Hz can cure an ovarian cyst, isn’t it just as reasonable that listening to a track at 8Hz might cause the room to appear to spin and change colors? There is an old saying that suggests that the more outrageous a claim is, the more people will be inclined to believe it. Don’t fall for outrageous, ridiculous claims. If you do you’re heading for disappointment, guaranteed.
Passively listening to binaural beats may not spontaneously propel you into an altered state of consciousness. One's subjective experience in response to binaural-beat stimulation may also be influenced by a number of mediating factors. For example, the willingness and ability of the listener to relax and focus attention may contribute to binaural-beat effectiveness in inducing state changes. "Ultradian rhythms in the nervous system are characterized by periodic changes in arousal and states of consciousness (Rossi, 1986).
Some research suggests that the benefits from brainwave entrainment can last a lot longer, and still be seen for some time after you've stopped using it.  Study participants have still maintained improved test scores a few weeks after the stimulation had ceased.  Research on the long-term benefits has so far been minimal though, so how long the effects last is still up for debate.
However, with this integration will come upheavals as the mind is forced to integrate areas of the brain that were previously sequestered. Repressed memories and unpleasant emotions from the past will often rise to the surface of the mind to be processed and healed. This is sometimes referred to as "processing the shadow" within one's mind and emotions.

For example, according to Wikipedia, if you take one frequency in one speaker in a pair of headphones, say, 300Hz, and the other speaker for your other ear has a frequency of 310Hz, the resulting difference of 10Hz would be the rate that the pulse, or beat, plays at. 10Hz (Alpha Waves) would correspond to what the brain puts out when you are generally relaxed. So, in effect, listening to a 10Hz binaural beat for a certain amount of time should take the edge off.
It’s important to keep in mind; a person’s own experiences will be somewhat relative to their starting point. If you are a person who is completely stressed out, burned out, hanging on the ragged edge, experiencing total adrenal fatigue, and you’ve been at that point for awhile, then to you even a small degree of mental quiet and physical relaxation that meditation and brainwave entrainment bring will feel like a tsunami of relief.
How does acupuncture work? Acupuncture is an alternative therapy that involves inserting thin needles into targeted areas of the body. Some believe that this balances a person’s vital energy, while others point to a neurological effect. Acupuncture may relieve pain and a range of other symptoms. Here, learn about uses, risks, and what to expect. Read now
Gamma brainwaves occur during creative thinking and processing of memory and language and in many learning activities. These brainwaves are not present at all when a person is under anesthesia, but return as soon as the person becomes conscious again. Multiple scientific studies have shown gamma brainwave entrainment to be helpful for reducing distractibility, improving short-term memory, improving motor coordination, and relieving migraine headaches.

Writing or talking about the things that prey on you—in a diary, with friends, in a support group or even a home computer file—helps you feel less alone and helpless. One study, published in The Journal of the American Medical Association, looked at people who had either rheumatoid arthritis or asthma— conditions known to be stress-sensitive. One group chronicled in a perfunctory manner the things they did each day. The other group was asked to write daily about what it was like, including fears and pain, to have their disease. What researchers found: People who wrote at length about their feelings had far fewer episodes of their illness.
I would personally stay away from higher frequencies (such as Gamma tracks) if the issue is overly-developed upper chakras. Perhaps try lower frequencies such as Delta as they help you to stay more in your body. And yes, if you move onto other pages, provided that the link you originally came from was from our site, a small commission will still be issued at no extra cost to you. :) As for your question about the deep meditation track, you might like to directly get in touch with the creators (as they will be more qualified to answer your question): https://www.binauralbeatsmeditation.com/contact/ I hope this helps, Kim!
In fact just having a particular range of brainwaves running through our grey matter is also not “meditation”. Brainwaves are not the cause of the meditative state. They are only an indicator that we might be in a meditative state. And then again we might be in some other state as well. Those exact same brainwave frequencies are present during many different activities and states of consciousness, not just during meditation.
This is not to say that entrainment cannot produce some physical effects, particularly negative ones. It is possible to induce epileptic seizures using entrainment, especially visual entrainment that employs flashing lights. That’s why people with seizure disorders are uniformly told to consult with their health care provider before using entrainment if they have a seizure disorder or some other serious medical condition.
There are general recommendations for stress management that can be applied in most situations. However, keep in mind that there are individual differences and preferences, so a “cookie cutter” approach should be avoided when making recommendations. A comprehensive stress management program will include specific techniques prescribed on an individual basis, but general stress management recommendations are presented in Table 2.
Researchers advise that people who suffer from epilepsy or seizures should ask for professional insight first before using binaural beats. Pregnant women are also advised to seek the advice of their physicians. However, I haven’t heard anything about binaural beats impacting those who have had heart attacks negatively. That being said, I encourage you to do extra research.
First, go to the restroom and then drink a glass of water so your body won't be a distraction during the process. Choose a quiet spot and make sure no one is going to disturb you for the 30-60 minutes that your chosen track will last for. Get into a comfortable seated position (don't lay down) so that you will be able to stay awake for the whole process.
Taking five minutes to reflect on how you pulled through other stressful situations like your last breakup or when you switched jobs can help you reconnect with your resilient side. In the moment, it may feel as though you'll never get over your present problem, but when you look back, you realize that you felt similarly before and found a way to overcome it. If you're going through a divorce or recently lost a loved one, you also may want to seek out a support group: Research on grieving presented by the Center for the Advancement of Health in Washington, D.C., suggests that talking with peers is even more beneficial than one-on-one counseling in the initial months after a loss.
Theta waves have a frequency between 4 and 7.5 hertz, making them slower than more wakeful alpha but faster than the dreamless slumber of delta. Theta brainwaves are the frequencies of nighttime dreams and REM sleep when the brain goes through bursts of activity and eye movement. People also experience theta waves in a state of light sleep, deep relaxation, during meditation and prayer, and when daydreaming. Theta waves produce an experience of inward wakefulness where we become disengaged from the outside world while engaging in inner activity. At the lower frequencies of theta, sleeping states are experienced, and at the higher range of frequency, awake relaxed states are experienced. 
Isochronic tones work by influencing your brainwave activity and they can’t directly affect the body. That said, the brain does control the body, so sensations and feelings can sometimes be felt in the body after stimulating your brainwave activity. Some people who are new listeners of this type of audio can sometimes feel tingling sensations in their body. Not everyone feels this and these sensations usually stop once you get more used to using the audios. Isochronic tones are considered as a safe technology. However, sometimes they can leave you feeling temporarily fatigued, especially if you listen to them for an extended period (hours) when you first start using them. If you felt fatigued, I would recommend using them for a much shorter period while you are getting used to them and ensure you are well-hydrated.
Infra-Low brainwaves (also known as Slow Cortical Potentials), are thought to be the basic cortical rythms that underlie our higher brain functions. Very little is known about infra-low brainwaves. Their slow nature make them difficult to detect and accurately measure, so few studies have been done. They appear to take a major role in brain timing and network function. 
For those who accept that we are spiritual beings currently experiencing a physical existence, with consistent practice of meditation and brainwave entrainment, you get all of the above, plus; a deeper feeling of connection and oneness with all things; a heightened sense of relationship with the Divine, whether you believe in an anthropomorphic God or just an All-Inclusive Presence; more peace and confidence in the Divine and less reliance on dogmatic policies and practices (this is not to say that dogma and ritual do not have their proper time and place!); more freedom from the fear of death; greater hope for that which comes after this life; a greater appreciation for and sense of relationship to others, even when others act in ways that are not in our personal best interests, and much, much more.

So, there’s the deep stuff here, and then there’s the gamma stuff, too. There’s a little bit of 80 Hz, but it’s primarily a 40-Hz gamma track, gamma frequencies that are combined with a pulse, on and off, throughout the recording. I went to some lengths to make this as rich and potent as I could, whilst blending it into the sound of the music. There are these really rich, kind of cat-purr-like vibrations that come through at times, combined with the lulling, deeply relaxing theta brain waves.
Insomnia and PTSD for most of my life are real bears that I wrestle with every night. A brain neural-therapist (for lack of a better description) said that this kind of sound recording may help. It is not music. When I remember to play the disc, I fall asleep within the first 5-8 minutes. One day I played the disc while cleaning and I was very surprised to hear how much of the recording I never recall hearing before. That's why I know how long it takes to fall asleep.
You are using an entrainment product that is not well designed and is not assisting you with your meditative practice. Since we’re focusing on the use of LifeFlow it would be fair to point out that it has shown itself to be highly effective by literally hundreds of users registered on our forum, facebook page and Blog. Its technical attributes have proven themselves over time. There are, of course, other products on the market which are also effective. We can safely say that LifeFlow has demonstrated that it works. Failure to experience its benefits are not due to defects in design or technical specifications.
... One of the possible explanation for insignificant results could be length of exposure to AVS. Our participants were exposed to it for 11 minutes, while some authors (Cruceanu & Rotarescu, 2013) suggest that at least 20 minutes is needed for the positive effects to take place. Furthermore, part of our reserach was also visualization of gymnastic skills, performed after AVS. ...

Brainwave Entrainment is an assisted form of meditation using pulses of sound. Entrainment is a process of synchronizing two different beats to become harmonious. Brainwave entrainment works by pulsing a different sound in each ear to stimulate the brain into altered states of consciousness. Examples including Binaural Beats and Isochronic Tones, which are best experienced with headphones to assist with relaxation, deep sleep and focus.
There are general recommendations for stress management that can be applied in most situations. However, keep in mind that there are individual differences and preferences, so a “cookie cutter” approach should be avoided when making recommendations. A comprehensive stress management program will include specific techniques prescribed on an individual basis, but general stress management recommendations are presented in Table 2.
Maya Mendoza is a published author of 3 personal development books. She has run an NLP / EFT Practice for 29 years helping clients transform problems into personal power. Maya is also a accomplished copywriter and well known Digital Marketing & Social Social Media Strategist - Specializing in Google+ for business. She was named "best marketing consultant" in Glasgow, UK in 2013.  
By exposing an individual to repeatedly external stimulus which can be flashing lights and/or recurring sounds, the entrainment process consists in pushing the brain to adjust to match the frequency provided. Unlike other forms of neurotherapy which require the individual to actively respond to stimulus, entrainment creates an immediate neurophysical response which is instinctive and effortless for the person being provided with the light and/or sound combinations. The key outcome of the sensory stimulation is known as the ‘Frequency Following Response’.
You are already far beyond the need for using an entrainment product as a meditation aid. Those who sincerely believe this to be the case would not have come searching for a meditation site such as Project Meditation to help them learn and practice meditation and brainwave entrainment. They would probably not even bother with using an entrainment aid; hence this entire discussion would be irrelevant to them. The fact that you are here, reading this, seeking to benefit from incorporating meditation and brainwave entrainment to aid in your existing meditation practice suggests you are not one of these folks whose development is so advanced that entrainment is of no use to you.
Social interaction is your body’s most evolved and surefire strategy for regulating the nervous system. Talking face-to-face with a relaxed and caring listener can help you quickly calm down and release tension. Although you can’€™t always have a pal to lean on in the middle of a stressful situation, maintaining a network of close relationships is vital for your mental health. Between sensory-based stress relief and good listeners, you’ll have your bases covered.
You don’t have to run in order to get a runner’s high. All forms of exercise, including yoga and walking, can ease depression and anxiety by helping the brain release feel-good chemicals and by giving your body a chance to practice dealing with stress. You can go for a quick walk around the block, take the stairs up and down a few flights, or do some stretching exercises like head rolls and shoulder shrugs.
Your brain actually has a predominant frequency at which it operates in any given moment; this can be associated with your state of mind. In other words, the emotional state of your mind in any moment, such as feeling happy, sad, frightened, sleepy or excited, can be measured as a frequency and with the right sound technology, you can stimulate the state that you want on command!

As a trader, having focus is not a luxury, it’s a necessity for making the best decisions under pressure. The music and meditations allow me to bring my best game each and every day. I am more tuned into work for longer and better and with a steady energy and calmness. I am also a writer with a fairly high demand on output meaning I need to get a quality 700 to 1800 words of analysis created daily. And again I rely on TrypnauralMediations.com to put my mind at it' most clear and creative. It delivers every time.
If you’re operating in Alpha mode, you’ll feel very present and in the moment. You might be somewhat reactive to the world around you, but you’ll feel like you have time to process what’s going on rather than just react on instinct. This is a wonderful state to achieve when meditating or doing something that requires coordination, focus and learning.
While visual entrainment is more powerful than audio alone for inducing desired brainwave states, more caution is needed when using visual methods. Between 0.3 and 3 percent of the population is susceptible to having seizures from flickering light stimulation, and for other people, flickering visual stimuli simply makes them uncomfortable. People with epilepsy have a greater chance of having a seizure from exposure to flickering light stimulation.
Using a small amount of alcohol in the Pregnancy and Children's lines was a conscious decision. It enables us to keep the strength and efficaciousness of the formula intact but is also gentle and appropriate for women and children. Extracts made with only glycerine or water limit the constituent profile. WishGarden's finished extract contains a minimal amount of alcohol, which, per serving, is at a very low dietary level (similar to what is found in kombucha and ripe bananas). You can also further reduce the alcohol content by stirring your droppers full, or pumps, into hot water or tea for a few minutes.
Theta waves are associated with ➤ Increased sense of inner peace and emotional stability ➤ Deep relaxation ➤ Improved memory ➤ Heightened intuition and inspiration ➤ Calms the chatter of your mind ➤ Increased psychic abilities and sense of spiritual connection ➤ Speed healing, improved physical healing ➤ More restful sleep ➤ Release beneficial hormones related to health and longevity ➤ Reduce mental fatigue ➤ Reduction of anxiety and stress
The objectives and inclusion criteria of the review were clear. Relevant sources were searched for studies, although the restriction to published studies in English meant that the review was prone to publication and language biases. The authors did not state whether steps were taken to minimise the risk of bias and error in the processes of study selection and data extraction (for example, by having more than one reviewer independently make decisions). The authors mentioned which studies were blinded, but it did not appear that study validity was systematically assessed, which made it difficult to judge the reliability of the review findings. The decision to combine studies by narrative synthesis appeared appropriate given the strong clinical heterogeneity between the studies, but the authors failed to quantify the size or statistical significance of the findings reported. The evidence presented appeared to justify the authors’ conclusions that further research was justified, but in view of the dearth of good-quality evidence and problems with methodology and reporting in the review, the conclusions regarding efficacy did not appear reliable.
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