Multimodal neurorehabilitation improves diagnosed generalized anxiety disorder, inability to focus, and visual disturbances
-
1
Bagnell Brain Center, United States
Background: A 29 year-old male presented to a chiropractic functional neurology clinic with a 6-month history of generalized anxiety disorder, the inability to focus at work, visual disturbances, and sleep disruption. Self graded assessment of brain functionality revealed difficulty finding words, difficulty with writing, less being less efficient, difficulty with visual memory, forgetting where items are placed, difficulty remembering names with faces, difficulty remembering numbers, difficulty remembering to stay or be on time, nausea, car sickness, episodes of dizziness or disorientation, constant nervousness and restless mind, dry mouth or eyes, tendency towards anxiety, sensitivity to bright lights, episodes of racing heart and difficulty with sleeping.
Methods: Neurological testing was performed which included C3 Logix Baseline testing which revealed a score of 32 on symptom severity, a 30.9s on trails A, and a 67s on Digit Symbol Matching. Saccadometer testing initially revealed an increase in latency bilaterally of greater than 200ms, decrease in velocities of less than 300ms, and a dysmetric plot bilaterally. Finger to thumb tapping was +1 bilaterally worse on the left; gait analysis revealed decreased left arm swing which improved with dual tasking; finger to nose testing revealed left sided dysmetria; left sided dysdiadochokinesia was also present.
Patient specific treatment consisted of repetitive peripheral somatosensory stimulation(RPSS) over the mandibular(V3) and maxillary(V2) distributions of the trigeminal nerve bilaterally and bilateral median nerve; left-sided, supine, passive complex movements; cervical and upper thoracic spine chiropractic manipulations upon palpation; right brain eye exercises consisting of saccades and pursuits; Neurosensory Integrator(NSI) consisting of prosaccades for 12 sessions at 3 sets of 50 repetitions; Interactive Metronome (IM) training for 12 sessions, 6-8 minutes in length over a 5-week period. At the end of the 5-week period, the patient returned to retest the C3 Logix and the saccadometer.
Results: Post treatment C3 Logix testing revealed a symptom severity score of 10 which is a 69% improvement, Trails A score of 17.7 which is a 43% improvement, and a Digit Symbol Matching score of 77 which is a 13% improvement; post treatment saccadometer testing demonstrated a significantly improved metric phase plot, improved velocities of greater than 400ms, and a decrease in the latencies of less than 200ms.
Conclusion: This patient showed an improvement of results of the post testing after the five-week period of neurorehabilitation treatment. There was a notable improvement in symptom severity, and different processing speed tasks for the C3 Logix and latencies and velocities of the saccadometer. 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:
Neuroscience,
Neurorehabilitation,
Anxiety Disorders,
Anxiety,
Stress, Psychological
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:
Bagnell
MK,
Irons
H,
Schmidt
M and
Councilman
S
(2018). Multimodal neurorehabilitation improves diagnosed generalized anxiety disorder, inability to focus, and visual disturbances.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00038
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:
20 Nov 2017;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. Hannah Irons, Bagnell Brain Center, Miami, FL, 33157, United States, hirons131@gmail.com