Improvement of Hypothyroid-Related Symptoms Quantified by a Graded Symptom Score After 1 Week of Multi-Modal Neuro-Rehabilitation
Background: A 39-year-old female was referred by her chiropractor and presented with a history of a 10-year gradual onset of weight gain, fatigue, “severe” pain, irritability, nausea, and bowel irritability. Graded Symptom Checklist (GSC) severity score was 83/138. Standard Assessment of Cognition (SAC) was scored at 27/30. Trails A (TA) and Trails B (TB) had scores of 27.6 sec and 40.4 seconds respectively.
Methods: A four-day, multi-modal program of neurological rehabilitation was administered three times per day, for approximately 45 minutes per session. Each session consisted of electrical somatosensory stimulation, neuromuscular reeducation exercises, vestibular rehabilitation, off-vertical axis rotation, and eye exercises.
Results: Following the course of treatment, the patient had an overall decrease in GSC severity (-86.7%), increased SAC score (+7.4%), decreased TA time (- 19.6%), decreased TB time (-3.5%).
Conclusion: Short duration, multi-modal, intensive programs of neurological rehabilitation may be a possible treatment to reduce symptoms and improve cognitive abilities of speed and fluid intelligence, in patients with long-duration hypothyroid-related symptoms.