VESTIBULAR OCULAR THERAPY TO OPTIMIZE THE BRAIN OF A YOUNG MAN WITH ASPERGER’S

Abstract

Event Abstract Back to Event VESTIBULAR OCULAR THERAPY TO OPTIMIZE THE BRAIN OF A YOUNG MAN WITH ASPERGER’S Benjamin R. Behrendt1, 2* 1 NeuroWorks Healthcare LLC, United States 2 Carrick Institute, United States BACKGROUND: A 29-year-old male presented with Asperger’s, increased anxiety, difficulty with coordination, tremors and uncontrolled movements, following directions, comprehension, finishing tasks, mental fatigue and fogginess, sound and touch sensitivity. When in a visually busy environment he experiences blurring while “zoning out”. METHODS: An extensive neurological examination and treatment protocol was performed. Significant findings included: camptocormic posture; an accentuated 10-14 Hz tremor that was evident with hand writing and with rest; tachycardia and acceleration of HR from supine to standing. Also occurring was a loss in the ability to pursuit at frequencies approaching .2 and .4 Hz; absent optokinetic (OPK) reflexive eye movements, along with significant decrease in cognitive following OPK eye movements horizontally and vertically while staring into space and significant ptosis; decrease in gain during head impulse bilaterally going from lateral to medial, however not when going medial to lateral. Using the Unified Parkinson’s Disease Rating Scale (UPDRS) he had a grade 1 with facial expression, Luria hand sequencing and foot tap, and a grade 0 finger tap, and there was a positive glabellar sign. Noted was bilateral, dysmetric cerebellar findings with finger-to-nose; alternating hand movements; and heel/shin slide seated and supine; and past pointing. Positive extinction at the shoulder/cheek, loss of graphesthesia with recognizing letters and numbers in the hands and feet was discovered. Patellar reflexes (MSR) were 3+. He had increased instability with Romberg’s, tandem and perturbed stance; an increase in toe off/springing of gait; decreased right arm swing; increased hesitations with stiffening of gait during dual tasking. Therapy targeted the right posterior canal and left anterior canal input centrally utilizing a procedure which combined times-zero viewing into posterior canal plane, pursuing leftward into times-one viewing into the left anterior canal plane; and left anterior canal repositioning to integrate central vestibular with cervical ocular structures. A prescribed set of exercises for home included somatosensory mapping; gait training with large accentuated arm movements; cross crawl multiplanar joint movements; right unilateral multiplanar joint patterning; and orthogonal ocular movements. A return visit consisted of anterior canal reintegration, VOR head movements with head thrust to the right, cerebellar patterning, orthogonal eye movements, as well as, home therapies. RESULTS: Following the initial treatment he had reduced tremor; WNL Glabellar reflex; reduced muscle tone globally; reduced tremor in the hands; reduced light sensitivity; improved OPKs horizontally and vertically; and maintained loss of graphesthesia. Home program improved hand-writing, and reduced tremor. After second treatment he regained graphesthesia and somatosensory localization; no longer felt internal sense of jitters; and was less anxious and more relaxed. CONCLUSION: Connected functional neurological exam and treatment utilizing the vestibular system and somatosensory integration can significantly change the timing of cerebellum and brain output. Further investigation is warranted for the integration of vestibular ocular therapy for brain synchronization. Keywords: Aspergers, cognitive ehnancement, Vestibular Rehabilitation, Neurorehabilitation, Vestibular ocular rehabilitation, Cognition Conference: International Symposium on Clinical Neuroscience, Orlando, United States, 24 May - 26 May, 2019. Presentation Type: Poster Presentation Topic: Clinical Neuroscience Citation: Behrendt BR (2019). VESTIBULAR OCULAR THERAPY TO OPTIMIZE THE BRAIN OF A YOUNG MAN WITH ASPERGER’S. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience. doi: 10.3389/conf.fneur.2019.62.00053 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 Apr 2019; Published Online: 27 Sep 2019. * Correspondence: Dr. Benjamin R Behrendt, NeuroWorks Healthcare LLC, Marietta, United States, drben@neuroworkshealthcare.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 Benjamin R Behrendt Google Benjamin R Behrendt Google Scholar Benjamin R Behrendt PubMed Benjamin R Behrendt Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. 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