Utilization of Posturography as an Outcome Assessment in mTBI

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 neuromodulation, gaze-stabilization exercises, neuromuscular reeducation techniques, and breathing exercises.

Results: On intake posturography, the patient’s stability score was 62.7% on a perturbed surface with his eyes closed and head turned to the right. On a perturbed surface with his eyes closed and head flexed, the patient scored 53.8%. After 4 days of treatment, the patient scored 81.6% and 76.5% on those assessments, respectively (Improvements: +30%; +42%).

Conclusion: The rapid improvement of dynamic postural control demonstrate a statistically significant patient outcome. The control of balance and posture is mediated by the integration of sensory information provided by the visual, vestibular, and proprioceptive systems that result in motor output commands. These findings suggest that the intensive neurological treatment approach utilized in this case and the diagnostic data provided by dynamic posturography are important clinical aspects in neurological rehabilitation.

Antonucci MM, Sass BJ, Sass CM(2015). UTILIZATION OF DYNAMIC POSTUROGRAPHY IN A MULTIMODAL TREATMENT APPROACH IN A PATIENT WITH MILD TRAUMATIC BRAIN INJURY. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi:10.3389/conf.fneur.2015.58.00078

#balance #posturography #hockey #mTBI #concussion #headache #posterpresentation

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