MEDISPA.PRO
Ministry of Health code: — Axis M7 · Neuroplasticity and stress adaptation CEBM: Level B (Neuromodulation and device-based neurology)

Biofeedback (BFB, HRV biofeedback)

Biofeedback Therapy (incl. HRV Biofeedback)

Industry clinical and economic procedure passport. Full biological mechanism (MoA), patient preparation protocol, first-choice equipment fleet, integration into the resort's master treatment rooms and market price benchmarks.

To the procedure catalogue Equipment fleet Integration treatment rooms Rates and economics
Session duration
40 min
Turnover: ~55 min
Recommended course
10 sessions
10 treatments – an assumption for the economic calculation; the course is prescribed by a physician
Throughput capacity
9 pts
per 8-hour shift
Median rate
8 740 ₽
8 740 ₽ – 8 740 ₽
Course cost
87 400 ₽
at market median
Publication volume
Level B
6 publ. in PubMed

Clinical profile

The patient sees their physiological parameters (pulse, heart rate variability, muscle tension) in real time and learns to control them. Meta-analyses show an effect in stress and anxiety, migraine and tension-type headache; in ADHD, group-level neurofeedback results are so far modest.

Every statement links to a publication in the list below. This is a snapshot of published research, not a final assessment of the method: international practice and integrated protocols often run ahead of official publications. Draft based on published research; requires review by a physician. Revision: 2026-10-17.

Where studies show an effect

  • Stress and anxiety: heart rate variability training significantly reduces self-rated levels. [1, 2]
  • Migraine in adults and children: reduced frequency and severity of attacks. [3, 4]
  • Tension-type headache: effective, especially when combined with relaxation and in children and adolescents. [5]

Open questions and study limitations

  • ADHD: neurofeedback brings no significant clinical or neuropsychological benefit. [6]
  • The effect of HRV biofeedback is greater against inactive controls than against active methods. [2]
Contraindications. Contraindications are determined by the physician according to the equipment or drug instructions; they are not given in study abstracts.

Equipment fleet and fit-out

Certified first-choice medical equipment and compatible device systems

Equipment registry
Base configuration (Hero Device)
Biofeedback complex

Device platform with proven validation of the biological response. Includes built-in biofeedback sensor systems, patient protection protocols and precision dosing of exposure.

Certification: Russian Ministry of Health registration certificate / CE Medical Device Directive Class IIa/IIb.
Compatible platforms in the MEDISPA.PRO registry
VOLEM HNJ-7000 pelvic floor muscle rehabilitation and BIOFEEDBACK THERAPY system (CHAIR);
Medical device, Roszdravnadzor registration certificate / CE
In the registry →
Kolibri integrated biofeedback system
Medical device, Roszdravnadzor registration certificate / CE
In the registry →

Architectural integration and treatment rooms

Resort rooms housing the treatment station (with SanPiN norms and MEP loads)

All treatment rooms →
1.1.13 20.0 m² · Class V

Psychotherapist's consulting room

Physicians' consulting and examination rooms · Equipment: 1 150 450 ₽

Treatment room passport →
1.1.8 20.0 m² · Class V

Gynaecological physiotherapy room

Physicians' consulting and examination rooms · Equipment: 1 643 400 ₽

Treatment room passport →
1.1.1 20.0 m² · Class B/V

Neurologist's consulting room

Physicians' consulting and examination rooms · Equipment: 3 183 500 ₽

Treatment room passport →

Unit economics and resort price benchmarks

Market analysis based on a sample of premium sanatoriums, wellness hotels and preventive medicine clinics

Market price corridor
25th percentile (P25) 8 740 ₽
Market median 8 740 ₽
75th percentile (P75) 8 740 ₽

Median of prices in industry facilities' price lists, 2026

Basis of the price benchmark

Prices for this procedure appear in the price lists of 1 industry facilities; the median and interquartile range across facilities are shown (each facility counts once).

Evidence base

Meta-analyses show an effect in stress, anxiety and headache; in ADHD, results of group studies are modest.

Publication level B · Some data
  1. 1.
    The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis.
    Psychol Med, 2017 · Meta-analysis · PMID 28478782
    Heart rate variability training significantly reduces self-rated stress and anxiety.
  2. 2.
    Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis.
    Appl Psychophysiol Biofeedback, 2020 · Systematic review and meta-analysis · PMID 32385728
    HRV biofeedback improves emotional and physical health; useful as an adjunctive treatment.
  3. 3.
    Efficacy of biofeedback for migraine: A systematic review and meta-analysis.
    Complement Ther Med, 2025 · Systematic review and meta-analysis · PMID 40064357
    Migraine: reduced frequency and severity of headache.
  4. 4.
    Biofeedback as Prophylaxis for Pediatric Migraine: A Meta-analysis.
    Pediatrics, 2016 · Meta-analysis · PMID 27462067
    Paediatric migraine: biofeedback is effective for prevention; confidence in the estimate is limited.
  5. 5.
    Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators.
    J Consult Clin Psychol, 2008 · Meta-analysis · PMID 18540732
    Tension-type headache: effective, most of all when combined with relaxation and in children and adolescents.
  6. 6.
    Neurofeedback for Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis.
    JAMA Psychiatry, 2025 · Systematic review and meta-analysis · PMID 39661381
    ADHD: no significant benefit at group level; the authors suggest identifying the patients whom the method helps.

Publications were found in PubMed; titles and journals are given verbatim, conclusions are a brief summary of the abstracts under the conditions of the specific studies. The level shows the volume of published data, not the value of the method: A — Plenty of data: consistent systematic reviews and meta-analyses of RCTs; B — Some data: reviews or several RCTs, results are heterogeneous; C — Little data: single RCTs or controlled studies; D — Scarce data: mainly reviews, observational and experimental studies. The passport is updated as new work is published and with regard to international practice.