Event Abstract Back to Event TREATMENT OF POST CONCUSSION SYNDROME (PCS) WITH HEMI-NEGLECT FOLLOWING MILD TRAUMATIC BRAIN INJURY (mTBI) IN A HOCKEY PLAYER: A CASE STUDY Frederick R. Carrick1, 2*, Benjamin R. Behrendt1, 3* and Amber Rayo3 1 Carrick Institute for Graduate Studies, United States 2 University of Cambridge (BCMHR-CU), Senior Research Fellow of Bedfordshire Centre for Mental Health Research, United Kingdom 3 NeuroWorks Healthcare LLC, United States Background: A thirty-seven-year-old professional male hockey player was referred our clinic for ongoing left-sided hemi-neglect syndrome which stemmed from repeated concussions/mTBI injuries during play. Main concussions include: slap shot to his infraorbital area and an elbow blow to his posterior head. His symptoms were perceived as ongoing fogginess, visual field reduction, instability (especially feeling of falling backward), incoordination on stairs, depression, left-sided hemi-neglect including: motor and sensory loss, and stiffness. Methods: Diagnostic, pre/post assessments were performed with videonystagmography (VNG), computerized dynamic posturography (CDP) and neurological physical examinations. Examination confirmed a post concussion syndrome with centrally maintained vestibulopathy. Oculomotor programs, left-sided manipulation procedures, specific hockey drills and complex motor skill training were introduced with a graduated vestibular/brain based protocol utilizing multi-axis labyrinthine and otolithic stimulation (increasing duration and including pitch) over a six-day period intensive multi-day therapy. Results: Stability scores improved mainly with ability to maintain an upright stance with head positioned in extension on a perturbed surface during CDP; improving 47.6%, VNG testing revealed improved oculomotility, on-ice hockey accuracy and drills improved with less fatigue, and left-sided neglect symptoms improved. Conclusion: A brain based rehabilitation program to recalibrate central structures may be used to help improve functional outcomes in individuals who suffer PCS and mTBI. Authors suggest further investigation into this treatment in sports-related concussions. Keywords: Mild Traumatic Brain Injury (mTBI), post concussion syndrome (PCS), Vestibular Rehabilitation, Off Vertical Axis Rotation (OVAR), sports concussion, Hockey Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015. Presentation Type: Poster Presentation Topic: Clinical aspects of TBI and Neurodegeneration Citation: Carrick FR, Behrendt BR and Rayo A (2015). TREATMENT OF POST CONCUSSION SYNDROME (PCS) WITH HEMI-NEGLECT FOLLOWING MILD TRAUMATIC BRAIN INJURY (mTBI) IN A HOCKEY PLAYER: A CASE STUDY. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00041 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: 30 Oct 2015; Published Online: 02 Nov 2015. * Correspondence: Prof. Frederick R Carrick, Carrick Institute for Graduate Studies, Cape Canaveral, FL, 32920, United States, drfrcarrick@gmail.com Dr. Benjamin R Behrendt, NeuroWorks Healthcare LLC, Marietta, GA, 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 Frederick R Carrick Benjamin R Behrendt Amber Rayo Google Frederick R Carrick Benjamin R Behrendt Amber Rayo Google Scholar Frederick R Carrick Benjamin R Behrendt Amber Rayo PubMed Frederick R Carrick Benjamin R Behrendt Amber Rayo 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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