Event Abstract Back to Event Utilization of oculomotor therapies in the treatment of vertigo originating from mild traumatic brain injury Beau Arrieta1 and Susan E. Esposito1* 1 Life University, United States Background: A 25-year-old caucasian female chiropractor presented with mild traumatic brain injury following an automobile accident. Subsequent to being struck, her vehicle was thrown into a right multi-rotational spin. The patient complained of extreme vertigo, fatigue, and difficulty falling asleep which collectively precluded her ability to work. Magnetic resonance imaging and computerized tomography scans were unremarkable. Methods: A neurological exam revealed a right accommodation spasm that inhibited normal ocular divergence. It was ascertained that she was able to generate appropriate reflexive responses to optokinetic stimuli up to a maximum distance of 2.5 feet. Notably, optokinetic stimulation at a distance beyond 2.5 feet, administered in any direction, elicited a vertiginous response. Optokinetic stimulation at a distance exceeding 2.5 feet produced a reduction in both fast- and slow-phase eye movements with a positive correlation between distance-to-stimulus and level of diminution. Treatment consisted of weekly 2-hour sessions, for 4 weeks. Numerous oculomotor therapies were utilized including: (1) passively activated times-one viewing vertical gaze stability exercises tracking a distancing target; (2) horizontal pursuits tracking a distancing sinusoidal target; and (3) rightward optokinetic stimulation with an in-phase target coupled with active head rotation in-phase with the optokinetic target. Results: Post-treatment evaluation revealed restoration of normal ocular divergence and reinstatement of appropriate optokinetic reflexes at all distances. Optokinetic stimulation no longer induced vertiginous responses at any distance or in any direction. Additionally, the patient reported that her fatigue and sleeping complications had subsided, and she was able to return to work. Conclusion: The positive outcome of this case demonstrates that the utilization of oculomotor therapies can be efficacious in the treatment of vertigo due to mild traumatic brain injury. We recommend further investigation into the use of oculomotor therapies in the treatment of vertigo originating from mild traumatic brain injury. Keywords: Traumatic Brain Injury, Chiropractic, oculomotor therapy, Vertigo, Fatigue 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: Arrieta B and Esposito SE (2016). Utilization of oculomotor therapies in the treatment of vertigo originating from mild traumatic brain injury. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00005 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: 28 Aug 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Susan E Esposito, Life University, Marietta, Ga, 30144, United States, susanesposito@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 Beau Arrieta Susan E Esposito Google Beau Arrieta Susan E Esposito Google Scholar Beau Arrieta Susan E Esposito PubMed Beau Arrieta Susan E Esposito 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.
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