Event Abstract

Improvements in Cognition and a Decrease in Symptom Count and Severity Score after Neurological Rehabilitation for a 67-year-old Male Patient with Mild Cognitive Impairment

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

Presentation: A 67-year-old male patient presented to Plasticity Brain Centers for evaluation and treatment of mild cognitive impairment with the following symptomology: memory loss, fatigue, and frustration. Findings: When asked to rate his symptoms on a graded symptom checklist (GSC) (Simon 2017), he reported a score of 62 with a symptom count of 20. He was unable to complete the digit symbol matching test in the allotted time of 120 seconds, thus giving him a score of 0. 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, cognitive exercises, orthoptic exercises, and off-vertical axis rotation (Gdowski 1999) utilizing a multi-axis rotational chair (MARC). Outcome: Upon exit examination, his symptom severity score was 10 (-83.871%) with a symptom count of 10 (-50.00%). He was able to complete the digit symbol matching test with an increased score of 39 (+100%) in the allotted 120 seconds. Conclusion: The authors suggest further investigation into multi-modal, intensive approaches to increase cognition and decrease symptom count and severity in patients with mild cognitive impairment.


The authors would like to thank and acknowledge the contribution of the clinical team at Plasticity Brain Centers 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 study.


1. Carrick FR, Clark JF, Pagnacco G, Antonucci MM, Hankir A, Zaman R and Oggero E (2017) Head–Eye Vestibular Motion Therapy Affects the Mental and Physical Health of Severe Chronic Postconcussion Patients. Front. Neurol. 8:414. doi: 10.3389/fneur.2017.00414

2. 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

3. Simon M, Maerlender A, Metzger K, Decoster L, Hollingworth A, McLeod TV. Reliability and Concurrent Validity of Select C3 Logix Test Components. Developmental Neuropsychology (2017) Oct; 0: 1-14. Doi: 10.1080/87565641.2017.1383994. Epub 2017 Oct 25.

Keywords: mild cognitive impairment (MCI), Mild Cognitive Impairment, memory loss, Neurorehabilitation, Digit symbol substitution test, digital symbol matching, symptom severity, Neurology, chiropractic neurology, Functional Neurology, Vestibular Rehabilitation, non-invasive neuromodulation, Somatosensory Evoked Potentials (SEP), Cognitive exercises, orthoptic exercises

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). Improvements in Cognition and a Decrease in Symptom Count and Severity Score after Neurological Rehabilitation for a 67-year-old Male Patient with Mild Cognitive Impairment. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience 2018. doi: 10.3389/conf.fneur.2018.60.00111

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Received: 02 Apr 2018; Published Online: 14 Dec 2018.

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