Behavioral and cognitive changes in a child with a learning disability (LD).
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1
James L. Duffy DC LLC, United States
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2
Carrick Institute, United States
Objective: Demonstrate behavioral and cognitive changes in a LD patient following neuromuscular re-education and vestibular rehabilitation.
Clinical Features: Male subject is 12years old with a history of learning and memory issues since age five. Subject and his mother reported difficulties in cognitive processing, working memory, task initiation and follow through, planning and organizing, time management, speech, mathematics, writing composition, handwriting, reading, and vision. Examination revealed an irregular optokinetic reflex (OKR), severe deficits in pursuits and gaze, mild dysdiadochokinesia (DDK) in the upper extremities, and decreased speed of finger-tapping test (FTT) on the left.
Interventions and Outcomes: Subject seen for two 5 day periods including testing/examination day one, three daily treatment sessions the following four days, and post-treatment evaluation the final day. Home exercises were completed between the five day visits. Neuromuscular rehabilitation was implemented in the clinic and at home including: vestibular rehabilitation, optokinetic exercises, spinal and extraspinal joint manipulation, bilateral complex proximal joint movements, and repetitive peripheral somatosensory stimulation (RPSS). Marked improvement after the first week observed in: OKR, pursuits, gaze stability, rapid alternating movements, and FTT. The family noted great improvement in the deficient areas listed above. Specifically, profound progress observed with an increase in reading by two grade levels and no longer needing corrective lenses.
Conclusions: Intensive rehabilitation addressed functional insufficiencies in a patient with a long-standing learning disability. The subject demonstrated significant improvements subjectively and objectively after each portion of therapy. Further research is needed to determine if results can be replicated.
Keywords:
Learning Disability,
LD,
Vestibular Rehabilitation,
Neuromuscular re-education,
cognitive processing,
working memory,
Functional Neurology
Conference:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.
Presentation Type:
Poster Presentation
Topic:
Case Reports for Poster Presentation
Citation:
Patterson
FE and
Duffy
JL
(2015). Behavioral and cognitive changes in a child with a learning disability (LD)..
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration.
doi: 10.3389/conf.fneur.2015.58.00014
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Received:
01 Nov 2015;
Published Online:
02 Nov 2015.
*
Correspondence:
Dr. James L Duffy, Carrick Institute, Cape Canaveral, United States, jlduffy8272@gmail.com