MULTIMODAL NEUROREHABILITATION AND CLINICAL NUTRITION PROGRAM IMPROVE PURSUITS AND DRIVING ABILITY IN 69 YEAR OLD FEMALE

Abstract

Event Abstract Back to Event MULTIMODAL NEUROREHABILITATION AND CLINICAL NUTRITION PROGRAM IMPROVE PURSUITS AND DRIVING ABILITY IN 69 YEAR OLD FEMALE David J. Clark1* 1 Carrick Institute of Clinical Neuroscience and Rehabilitation, United States Background: A 69 year old woman presented with chief complaints of difficulty moving the left leg during walking, subjective problems with maintaining balance, back and hip pain, and difficulty driving. Symptoms began twelve years prior subsequent to a fall and head injury. MRI one year prior to presentation discovered extensive and non-specific white matter changes likely secondary to small vessel ischemic disease. Methods: Neurological examination revealed freezing during dual tasking of gait, Grade 2 on the Unified Parkinson’s Disease Rating Scale (UPDRS) on the left side during finger tapping and fist making tests, small amplitude titubation, normal strength and sensation in all 4 limbs. VNG testing revealed large amplitude square wave jerks with a right bias, saccadic horizontal pursuits with gains as follows: 0.1 Hz 0.66, at 0.2 Hz 0.77, and at 0.4 Hz 0.58. VNG showed saccadic vertical pursuits with gains as follows: at 0.1 Hz 0.63, at 0.2 Hz 0.40 and 0.4 Hz 0.22. Patient was treated with a three day multimodal rehabilitation program utilizing a gap stimulus and small amplitude saccades. Then, for two weeks the patient was placed on an anti-inflammatory diet, and supplement protocol featuring turmeric, resveratrol and omega fatty acids. Results: After the initial three days of treatment the horizontal pursuit gains had changed to the following: at 0.1 Hz 62, at 0.2 Hz 75 and at 0.4 Hz 0.73. The amplitude of the square wave jerks had decreased. After two weeks of the anti-inflammatory diet and supplementation the horizontal pursuit gains had improved as follows: at 0.1 Hz 0.82, at 0.2 Hz 0.74, at 0.4 Hz 0.72. The frequency of the square wave jerks was unchanged but the amplitude was smaller than before treatment. The patient reported that driving was no longer difficult. Patient did not exhibit freezing during dual tasking of gait. Fist making and finger tapping tests were Grade 1 UPDRS. Conclusion: The author suggests further investigation into the combination of multimodal forms of neurorehabilitation with anti-inflammatory diet and supplementation in the treatment of patients with saccadic pursuits and square wave jerks subsequent to head injury. Keywords: smooth pursuit eye movements, Head injury, Gait Disorders, Neurologic, Square wave jerks, driving 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: Clark DJ (2016). MULTIMODAL NEUROREHABILITATION AND CLINICAL NUTRITION PROGRAM IMPROVE PURSUITS AND DRIVING ABILITY IN 69 YEAR OLD FEMALE . Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00062 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: 01 Sep 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. David J Clark, Carrick Institute of Clinical Neuroscience and Rehabilitation, Cape Canaveral, FL, United States, mail@doctordavidclark.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 David J Clark Google David J Clark Google Scholar David J Clark PubMed David J Clark 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.