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Frontiers Journal

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This study demonstrates that there are options available for people have sports-related post-concussion syndrome, who have tried traditional therapies, and have had their condition for 6 months or greater. It also suggests that healing from a concussion and reducing the symptoms associated with post-concussion syndrome can be substantially reduced in less than a week, if patients are treated as individuals, not with generic protocols. It also suggests that post-concusison disorders may present with physical, emotional, and neurological components, that can be addressed by tailored sensory integration modalities involving vestibular rehabilitation.

We observed that there was strong statistical and substantive significant improvement in all outcome measures for post concussion syndrome patients undergoing EHMT. There were no reported or observed negative consequences or worsening of symptoms. Therefore, we concluded that the addition of EHMT to a post concussion treatment paradigm may demonstrate statistically significant changes in outcome measures and is a low cost, safe, and effective complement to standard treatment. Further investigation EHMT in post-concussion patients is warranted.

Background: A 56 year-old female patient presented to Plasticity Brain Centers with excruciating headaches and head pressure that has been present for 17 years after an head injury. She was unable to walk unassisted when she initially presented into the clinic.

Examination: The patient presented with a symptom count of 23/27 and a symptom severity of 98/162. During balance testing, on a perturbed surface with the head turned to the right with eyes closed, the patient overall stability score was 43.9%. Gaze stability after vertical saccades was greatly affected, with numerous spontaneous movements after each vertical movement. During saccadometry testing, the latency mean of leftward saccades was 225 ms and peak velocity...

A 22-year-old female was examined and treated for 4 days, by Dr. Antonucci and his team. She presented with the main complaint of severe exhaustion/fatigue, anxiety, fogginess, visual disturbances, sound sensitivity, dizziness, and headaches from a traumatic brain injury.

Presentation: A 44 year-old medical physician with a history of increased intracranial pressure  due to sagittal sinus stenosis (managed by a stint), presented with daily pulsating headaches, pulsatile tinnitus, insomnia, and difficulty concentrating.  His most recent opening pressures were normal, ruling out hydrocephalus/ pseudotumor cerebri. Difficulty concentrating was his main complaint. The patient was evaluated diagnostically by the use of C3Logix system. The C3 Logix software was developed by the Cleveland Clinic to be a comprehensive tool to diagnose and evaluate concussions. The C3 Logix measures multiple domains including reaction time, trail making tests, balance, processing speed, visual acui...

Presentation: A 44 year old medical professional with a history of increased intracranial pressure presented with daily pulsating headaches, pulsatile tinnitus, insomnia, and difficulty concentrating. His difficulty concentrating was his main complaint initially. The patient was evaluated diagnostically by the use of saccadometry. Saccadometry is the evaluation of saccadic eye movements using infrared laser technology. The saccadometer quantifies the latency, position, velocity, and amplitude of each eye movement. Each diagnostic session consists of 50 eye movements to the left and 50 to the right.

Methods: The patient was treated over a 4 day span that included three treatment sessions per day that lasted an hour. The t...

Presentation: A 16 year-old high school hockey player presented with headaches and dizziness following a prior mild traumatic brain injury while playing hockey. The patient was evaluated diagnostically by the use of dynamic posturography. Dynamic posturography is a non-invasive specialized clinical assessment that quantifies how well the patient is able to maintain balance and posture. The assessment includes balance tests on perturbed and non-perturbed surfaces, eyes open and eyes closed testing, and testing in different head positions.

Methods: The patient was treated at Plasticity Brain Centers over a 4-day span, which included three 60-minute treatment sessions per day. Each treatment session included non-invasive ne...

Presentation: A 39 year-old, male, medical physician presented with headaches, difficulty concentrating, difficulty remembering, fatigue, feeling “in a fog,” and increased emotionality. Each of these were 6/6 on subjective symptom assessment. The patient was evaluated diagnostically by the use of saccadometry. Saccadometry is the evaluation of saccadic eye movements using infrared laser technology. Saccadometry quantifies the latency, position, velocity, and amplitude of saccade. Each diagnostic session consisted of 50 saccades to the left and 50 to the right.

Methods: The patient was treated over a 4 day span that included three treatment sessions per day that lasted an hour. The treatment consisted of gaze stability ex...

Background: A 30 year-old, active, male professional basketball player in “good health” was experiencing slowness, lower extremity posterior compartment tightness, decreased balance, mild sadness, anxiety, irritability, trouble sleeping, fogginess, and “feeling off.”

His clinical examination revealed inaccurate rightward fast eye movements, inability to maintain

steady gaze-holding, and decreased integrity of eye-tracking. Balance assessment measurements demonstrated decreased stability, and dramatic forward shift in center of pressure. His graded symptom severity was a 25/138. SAC cognition was scored at 26/30. Trail Making Test (TMT) A and B had scores of 37.5 s and 58.3 s, respectively. Static and Dynamic visual acuity...

Background: A 42 year old, male, retired professional football player, with a history of “getting his bell rung many times, and thinking nothing of it,” presented with difficulty of speech, impaired short and long term memory, concentration, and a diagnosis of Logopenic Progressive Aphasia (LPA). Standard Assessment of Cognition (SAC), Trail Making Test (TMT), Digit-Symbol Matching (PS), and Reaction Times were severely compromised.

Methods: A five-day, multi-modal program of neurological rehabilitation was administered three times per day, for one-hour sessions. Each session consisted of non-invasive neuromodulation, neuromuscular reeducation exercises, vestibular rehabilitation exercises, off-vertical axis rotatio...

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