Neurorehabilitation improves cognitive performance in 14 year old student
-
1
Bagnell Brain Center, United States
Background: A 50-year-old female diagnosed with Hashimoto’s Thyroiditis presented to a chiropractic functional neurology clinic complaining of difficulty paying attention, memory problems, and brain fog. Self graded assessment of brain functionality revealed difficulty making decisions, difficulty staying focused and concentrating for extended periods of time, lack of motivation and enthusiasm and difficulty remembering events, names, words, and numbers. Medications prescribed included Vyvanse, Buproprion, Levothyroxine, and Cetirizine.
Methods: Neurological testing was performed which included Biodex Biosway Clinical Test of Sensory Integration & Balance (CTSIB) on perturbed and non-perturbed surfaces and saccadometer testing. Clinical Test of Sensory Organization and Balance (CTSIB) evaluation on Biodex Biosway revealed sway indexes >3 standard deviations below normal for age and height matched to a normative database for eyes closed non-perturbed surface and eyes open perturbed surface measuring 2.38 and 1.73 respectively. Head impulse testing revealed an increase in the gain of the left posterior canal. Saccadometer testing initially revealed an increase in latency bilaterally of greater than 200ms. Finger to thumb tapping was graded at +3 bilaterally; gait analysis revealed decreased right arm swing which improved with dual tasking. Finger to nose testing revealed right dysmetria.
Treatment consisted of Interactive Metronome (IM) training for 10 sessions, 12-18 minutes in length over a 5-week period. These twice-weekly sessions consisted of hand clapping to metronome activity and standing or seated stepping with both feet to metronome activity at 54 beats per minute (BPM). The participant performed these tasks over increased time intervals beginning at 2.6 minutes per session and reaching a maximum of 18 minutes. The repetitions performed began with 138 for the initial session and reached a maximum of 972. Patient specific treatment consisted of repetitive Peripheral Somatosensory Stimulation (rPSS) that was applied to the right mandibular and ophthalmic branches of the trigeminal nerve, gaze stability eye exercises, left posterior canal activation exercises, Stroop task, and right brain eye exercises consisting of saccades and pursuits. At the end of the 5-week period, the patient returned to retest the CTSIB and the saccadometer.
Results: Post treatment saccadometer testing demonstrated a significantly improved metric phase plot. CTSIB post testing on perturbed surface, with eyes open improved 23.7%. CTSIB post testing on non-perturbed surface with eyes closed improved 42.7%. Post treatment head impulse testing revealed a normalized gain of the left posterior canal.
Conclusion: This patient showed an improvement of results in all of the post testing after the five-week period of neurorehabilitation treatment. There was a notable improvement in eyes closed testing on the CTSIB. The current case supports multimodal neurological rehabilitation as an effective treatment for the improvement of attention deficit disorder. Further research needs to be conducted and investigated in this field.
Keywords:
Neurorehabilitation,
Students,
cognitive performance,
Neuroscience,
dysautonomia
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:
Irons
H,
Bagnell
DK,
Councilman
S and
Schmidt
M
(2018). Neurorehabilitation improves cognitive performance in 14 year old student.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00036
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:
17 Nov 2017;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. Hannah Irons, Bagnell Brain Center, Miami, United States, hirons131@gmail.com