Event Abstract Back to Event Improvement of post-concussion symptoms of migraines, vestibular dysfunction and cognitive impairments with integrated neuro-rehabilitative therapies Elizabeth McNally1, Austin Jones2 and Linda Mullin Elkins2* 1 Portland Chiropractic Neurology, United States 2 Life University; College of Chiropractic, United States Background: A 33-year-old female presented to a chiropractic functional neurology clinic with complaints of extreme fatigue, dizziness, short-term memory loss, migraines, nausea, motion sickness, asthenopia, photophobia and hyperacusis. These symptoms began immediately following a concussion six months previous and remain unresolved. Methods: The patient had a stooped upper body posture with significant anterior translation of the head and shoulders. Computerized Dynamic Posturography (CDP) revealed instability on a hard and perturbed surface with eyes closed. Videonystagmography (VNG) testing was performed. VNG revealed a fast fail on left pupillary response and right hippus, bilateral accommodation spasm and divergence insufficiency. Optokinetic (OPK) stimulation showed minimal to no response in leftward and upward directions. Saccades were hypometric for upward and leftward motion with the head in perceived neutral and then in right yaw. Pursuits showed a breakdown in all fields with disconjugacy due to right oculomotor weakness in all cardinal directions. Utilizing the Movement Disorder Society Unified Parkinson’s Disease Rating Scale, finger tapping yielded a grade 3 for freezing on the left, and a grade 2 for hesitations on the right. Treatment consisted of spinal manipulative therapy, proprioceptive neurofacilitated retraining, myofascial release, intersegmental traction, postural exercises, electrical muscle stimulation and cold laser therapy at a frequency of five times per week for 3 weeks. Results: The application of this unique combination of patient specific therapies yielded resolution of most of the patient’s symptoms. She reported more energy and improved memory. Her dizziness, nausea and motion sickness significantly improved. She was no longer sensitive to light and sound. VNG retesting showed that vertical and left gaze holding were normal but a mild hippus remained. Accommodation, divergence and pupillary responses all markedly improved. Pursuits and saccades were accurate in all cardinal planes. Improvements in all directions of OPK stimulation except downward were seen. Finger tapping improved bilaterally. Repeat CDP demonstrated improved stability with global postural improvements. Conclusion: This case shows significant improvements in chronic persistent symptoms associated with concussion through an integrated neuro-rehabilitation regimen as described. The authors suggest further investigation into brain-based approaches for patient treatments with mild traumatic brain injuries. Keywords: Post-Concussion Syndrome, Traumatic Brain Injury, Chiropractic manipulation, Fatigue, Migraine 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: McNally E, Jones A and Mullin Elkins L (2016). Improvement of post-concussion symptoms of migraines, vestibular dysfunction and cognitive impairments with integrated neuro-rehabilitative therapies. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00015 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. Linda Mullin Elkins, Life University; College of Chiropractic, Marietta, GA, United States, mullin@life.edu 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 Elizabeth McNally Austin Jones Linda Mullin Elkins Google Elizabeth McNally Austin Jones Linda Mullin Elkins Google Scholar Elizabeth McNally Austin Jones Linda Mullin Elkins PubMed Elizabeth McNally Austin Jones Linda Mullin Elkins 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.