Event Abstract

Case Series on Neurological Rehabilitation in Patients with Relapsing-Remitting Multiple Sclerosis

  • 1 Plasticity Brain Centers, United States
  • 2 University of Central Florida, United States
  • 3 Carrick Institute, United States

Presentation: Four patients, all females between the ages of 59 and 68 years, presented to Plasticity Brain Centers of Orlando for evaluation and treatment of relapsing-remitting multiple sclerosis (RRMS). All patients reported numbness and tingling, and balance issues, as symptoms. Findings: When asked to rate their numbness and tingling on a graded symptom checklist (GSC) (Simon 2017), on a scale of 0 to 6 (with 0 being none and 6 being very severe), the average intensity was calculated as 4.25. A Comprehensive Assessment of Postural Systems (CAPS®) (Pagnacco 2014) was performed assessing each patient's balance and stability, on both a solid and foamed surface, with their eyes opened, eyes closed, and with multiple head positions. Their average balance score on intake was calculated as 26.14975%. Methods: A 5-day, multi-modal program of neurological exercises was administered in 10 one-hour treatment sessions (Carrick 2017). Each session consisted of repetitive peripheral somatosensory stimuli, neuromuscular reeducation exercises, vestibular rehabilitation exercises (Herbert 2011) (Ozgen 2015), orthoptic exercises, and off-vertical axis rotation (Gdowski 1999) utilizing a multi-axis rotational chair (MARC). Outcome: Upon exit, average numbness and tingling ratings were calculated as 1 (-74.71%), with two patients reporting complete resolution (a score of 0) (-100.00%). Stability scores improved, with the average stability score calculated as 33.2065% (+ 28.1925%). Conclusion: The authors suggest that multi-modal program of neurological exercise may be a viable intervention to address stability and paresthesia in patients with RRMS. The authors also suggest further investigation into multi-modal, intensive neurological approaches for patients with RRMS.


The authors would like to thank and acknowledge the contribution of the clinical team at Plasticity Brain Centers, including Dr. Derek Barton, Dr. Paul Link, as well as the administrative support team. The authors would also like to thank the Carrick Institute for providing the education utilized to create the multi-modal treatments implemented in this case series.


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Keywords: Multiple Sclerosis, Vestibular Rehabilitation, Neurorehabilitation, Orthoptics, Physical Therapy Modalities, chiropractic neurology, balance, Paresthesia, posturography, non-invasive neuromodulation

Conference: International Symposium on Clinical Neuroscience 2018, Orlando, Florida, United States, 24 May - 26 May, 2018.

Presentation Type: Poster

Topic: Clinical Applications in health, disease, and injury to the nervous system

Citation: Kalambaheti ER, Manno MM and Antonucci MM (2018). Case Series on Neurological Rehabilitation in Patients with Relapsing-Remitting Multiple Sclerosis. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience 2018. doi: 10.3389/conf.fneur.2018.60.00004

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Received: 22 Feb 2018; Published Online: 14 Dec 2018.

* Correspondence: Dr. Emily R Kalambaheti, Plasticity Brain Centers, Orlando, FL, United States, Emily.Kalambaheti@gmail.com