19 year old female with post concussive syndrome improved through functional neurology therapies and spinal manipulative therapy.
-
1
Funksjonellnevrologisk senter, Norway
Objective: The purpose of this study is to demonstrate the use of
chiropractic manipulative therapy, coupled with functional neurology
therapies, to decrease headaches, dizziness, neck pain and
improve memory and focus following concussive blows to the
head.
Background: A 19 year old female presents to Funksjonellnevrologisk senter for treatment. The patient suffered blows to the head on two separate occasions within a relative short time period. August 8th 2017 she was thrown to the floor, striking her head twice during martial arts training. Then two days later she received an elbow to her temple that made her feel as if she was to lose consciousness. The patient reported no prior history of concussions. Since she has been experiencing constant neck pain and headache, reduced visual focus and problems of memory. She describes her headaches as ranging from 3-7/10. They are triggered by mental tasking, light workouts, light and/ or sound. She describes the distribution of her headaches as occipital, frontal and post orbital. Video nystagmography (VNG) demonstrated left beating nystagmus without fixation in the dark. Repeated vertical eye movements (both up and down) without fixation in the dark provoked left beating nystagmus and accommodation spasm.
During posturographic testing she was unable to maintain her balance with eyes
closed during extension of the neck in the head back position on a perturbational surface.
Methods: Interventions include a variety of eye movement and
vestibular exercises, hand eye coordination and reaction time
exercises coupled with electrical non-invasive nerve stimulation and
both spinal and extremity osseous manipulative therapy.
She was treated with a frequency of 4-6 times a day for 5 days, followed by 6-8
weeks of home exercises.
Results: Subjectively she felt a decreased of all
symptoms throughout the first 5 days. Objectively she had a
steady attenuation of her left beating nystagmus and
accommodation spasm as well as an increase in her stability on a
perturbational surface. She continued with home exercises over
the next 8 weeks, with weekly reports and tuning of exercises.
She continued to improved through the 8 weeks and reported
zero symptoms from weeks 6-8. The home exercise plan was
terminated at week 8. This patient was pleased with her progress
and satisfied with her recovery as she reported as being full.
Conclusion: This case study suggests that a multimodal approach
including spinal manipulative therapy may have a favorable result for
the treatment of patients with post concussive syndrome.
Keywords:
concussion,
TBI,
Post concussion syndrome,
Dizziness,
Headache
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:
Andresen
HK
(2018). 19 year old female with post concussive syndrome improved through functional neurology therapies and spinal manipulative therapy..
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00034
Copyright:
The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers.
They are made available through the Frontiers publishing platform as a service to conference organizers and presenters.
The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated.
Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed.
For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions.
Received:
31 Jan 2018;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. Haakon K Andresen, Funksjonellnevrologisk senter, Oslo, Norway, Haakon.kuhnle@gmail.com