Improvement in symptom severity, cognitive assessment, processing speed, reaction time and visual acuity in a professional hockey player with a prior concussion

Abstract

Event Abstract Back to Event Improvement in symptom severity, cognitive assessment, processing speed, reaction time and visual acuity in a professional hockey player with a prior concussion Matthew M. Antonucci1, 2, 3*, Paul E. Link2, 3, Frederick R. Carrick1, 4 and Derek A. Barton2, 3 1 Carrick Institute, Clinical Neuroscience, United States 2 Plasticity Brain Centers, Neurorehabilitation, United States 3 NeuroSynergy Associates, PA, Neurorehabilitation, United States 4 Harvard Medical School and Harvard-Macy MGH Institute of Health Professions, USA, Medical Education, United States Background: A 23-year-old, male, right hand dominant/left-hand stick holding, hockey player with a history of concussion presents with occasional lightheadedness, fogginess, and a constant feeling of being in a “daze”. His Graded Symptom Checklist (GSC) severity was 48/162. His Standard Assessment of Concussion (SAC) was 26/30, Trails A (TA) 13.6 seconds, Trails B (TB) was 31.2, Trails AB difference (TA-B) was 17.6. His Simple Reaction Time (sRT) was 300 milliseconds, Processing Speed (PS) was 83 symbols matched correctly in 2 minutes, Choice Reaction Time (cRT) latency was 387 milliseconds and his Visual Acuity line difference (VA) was 1.2 on intake. Methods: A five-day, multimodal program of receptor based neurological rehabilitation was administered three times per day, one hour per session. Each session consisted of electrical non-invasive nerve stimulation, neuromuscular reeducation exercises, vision therapy exercises, vestibular rehabilitation exercises, hand-eye coordination exercises, and off-vertical axis rotations. Results: Following conclusion of five days of treatment there were significant improvements in GSC (-95.9%), SAC (+10.4%), TA (-22.1%), TB (34.6%), TB-A (-31.4%), PS (+8.8%), sRT latency (-21.33%), cRT latency (-13.2%), and VA (-83.33%). Conclusion: Short duration, multimodal, intensive programs of receptor based neurological rehabilitation may be a viable method to improve neurological integrity and performance in individuals with Post-Concussive Syndrome. The authors suggest further investigation into short duration, multi-modal, intensive approaches to restoring neurological function in individuals suffering from mild traumatic brain injury (mTBI) Keywords: concussion rehabilitation, standard assessment of concussion, Trail Making Test (TMT), Reaction Time, MTBI Conference: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function, Orlando, United States, 7 Oct - 9 Oct, 2016. Presentation Type: Poster Presentation Topic: Abstracts ISCN 2016 Citation: Antonucci MM, Link PE, Carrick FR and Barton DA (2016). Improvement in symptom severity, cognitive assessment, processing speed, reaction time and visual acuity in a professional hockey player with a prior concussion. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00058 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: 02 Sep 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Matthew M Antonucci, Carrick Institute, Clinical Neuroscience, Cape Canaveral, United States, drnucci@gmail.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Matthew M Antonucci Paul E Link Frederick R Carrick Derek A Barton Google Matthew M Antonucci Paul E Link Frederick R Carrick Derek A Barton Google Scholar Matthew M Antonucci Paul E Link Frederick R Carrick Derek A Barton PubMed Matthew M Antonucci Paul E Link Frederick R Carrick Derek A Barton Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.