Increase in Quantity of Purposeful Fast Eye Movements in Children with Anoxic Brain Injury/Hypoxic Ischemic Encephalopathy Following Neurological Rehabilitation
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1
Plasticity Brain Centers, United States
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2
University of Central Florida, United States
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3
Carrick Institute, United States
Presentation: Five patients, between the ages of 4 and 6 years old, presented to Plasticity Brain Centers of Orlando for evaluation and treatment of Anoxic Brain Injury (ABI)/Hypoxic Ischemic Encephalopathy (HIE). Two children had HIE from birth trauma; One child had ABI from a near-drowning event; Two children had ABI/HIE from other events. Parents on the patients’ behalves reported visual impairments.
Findings: Saccadometer testing was performed on intake with 100 horizontal saccades with red laser targets at 20 degrees apart while in a dark room. It was calculated on average, patients were able to perform 8 eye movements.
Methods: A 5-day, multi-modal program of neurological exercises was administered in 10 one-hour treatment sessions. Each session consisted of repetitive peripheral somatosensory stimuli, neuromuscular reeducation exercises, vestibular rehabilitation exercises, orthoptic exercises, and off-vertical axis rotation (Gdowski 1999) utilizing a multi-axis rotational chair (MARC).
Outcome: Upon exit, saccadometer testing was performed again. It was calculated on average, patients were able to perform 21.2 (+265%) eye movements.
Conclusion: The authors suggest that multi-modal program of neurological exercise may be a viable intervention to increase the quantity of purposeful eye movements in patients with ABI/HIE. The authors also suggest further investigation into multi-modal, intensive neurological approaches for patients with ABI/HIE.
Acknowledgements
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.
References
Gdowski GT, McCrea RA. Integration of vestibular and head movement signals in the vestibular nuclei during whole-body rotation. J Neurophysiol (1999) 82:436–49
Keywords:
Neurorehabilitation,
Pediatrics,
pediatric neurology,
hypoxic-ischemic encephalopathy,
Hypoxic Ischemic Encephalopathy,
anoxic brain injury,
Saccades,
saccadometry
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
M and
Antonucci
MM
(2018). Increase in Quantity of Purposeful Fast Eye Movements in Children with Anoxic Brain Injury/Hypoxic Ischemic Encephalopathy Following Neurological Rehabilitation.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00029
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Received:
28 Mar 2018;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. Emily R Kalambaheti, Plasticity Brain Centers, Orlando, United States, Emily.Kalambaheti@gmail.com