Neurorehabilitation Improves Patient with Repitive Traumatic Brain Injuries

Background: We describe a 27 year old female who presents with a seven year history of concussions. She complains of headaches, fatigue, memory and concentration problems, nausea, depression and speech difficulties.

Methods: A diagnosis of a centrally maintained vestibulopathy secondary to a mild traumatic brain injury was confirmed by examination. Aberrant gaze fixation, saccades and pursuits were observed and confirmed by videonystagmography. A negative center of pressure with a rightward bias was recorded upon a Comprehensive Assessment of Postural Systems (CAPS) unit. The patient participated in a neurorehabilitation program that included off-vertical-axis-rotation vestibular rehabilitation, somato-sensory evoked potential stimulation of the right trigeminal system, times-one viewing gaze stabilization exercises, specific oculomotor rehabilitation therapies and application of low-level laser over the suboccipital musculature.

Results: The combination of treatment applications produced a profound reduction in all signs and symptoms.

Conclusion: This case of a mild traumatic brain injury showed significant improvements as a result of a multimodal neurorehabilitation regimen as described. The authors suggest further investigation into the mechanisms of the vestibular rehabilitation and brain-based approaches to patient treatment with mild traumatic brain injuries.

Keywords: Traumatic brain injury (TBI), concussion, concussion rehabilitation, Neurorehabilitation, Post-Concussion Syndrome

Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.

Presentation Type: Poster Presentation

Topic: Case Reports for Poster Presentation

Citation:

Carrick FR, Traster DJ, Esposito S and Antonucci M (2015). NEUROREHABILITATION IMPROVES PATIENT WITH REPITIVE TRAUMATIC BRAIN INJURIES. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00117
Received: 02 Sep 2015; Published Online: 02 Nov 2015.

Footnotes:

1 Plasticity Brain Centers, United States

2 Carrick Institute for Graduate Studies, United States

Correspondence:

Prof. Frederick R Carrick, Carrick Institute, Cape Canaveral, United States, drfrcarrick@post.harvard.edu

Dr. David J Traster, Carrick Institute, Cape Canaveral, United States, dtraster3@gmail.com

Dr. Susan Esposito, Life University, Marietta, United States, susan.esposito@life.edu

Dr. Matthew Antonucci, Carrick Institute, Cape Canaveral, United States, mantonucci@carrickinstitute.com