Research Reports - Head-eye vestibular motion therapy affects the mental and physical health of severe chronic postconcussion patients

Front Neurol. 2017 Aug 22;8:414. doi: 10.3389/fneur.2017.00414. eCollection 2017.

Carrick FR(1)(2)(3), Clark JF(4), Pagnacco G(2)(5), Antonucci MM(2)(6), Hankir
A(1)(7), Zaman R(1)(8), Oggero E(2)(5).

CONTEXT: Approximately 1.8-3.6 million annual traumatic brain injuries occur in
the United States. An evidence-based treatment for concussions that is reliable
and effective has not been available.
OBJECTIVE: The objective of this study is to test whether head-eye vestibular
motion (HEVM) therapy is associated with decreased symptoms and increased
function in postconcussive syndrome (PCS) patients that have been severely
impaired for greater than 6 months after a mild traumatic brain injury.
DESIGN: Retrospective clinical chart review.
SETTING AND PARTICIPANTS: Tertiary Specialist Brain Rehabilitation Center.
INTERVENTIONS: All subjects underwent comprehensive neurological examinations
including measurement of eye and head movement. The seven modules of the C3 Logix
Comprehensive Concussion Management System were used for pre- and
postmeasurements of outcome of HEVM therapy.
MATERIALS AND METHODS: We utilized an objective validated measurement of physical
and mental health characteristics of our patients before and after a 1-week HEVM
rehabilitation program. We included only PCS patients that were disabled from
work or school for a period of time exceeding 6 months after suffering a sports
concussion. These subjects all were enrolled in a 5-day HEVM rehabilitation
program at our Institutional Brain Center with pre- and post-C3 Logix testing
outcomes.
RESULTS: There were statistical and substantive significant decreases in PCS
symptom severity after treatment and statistical and substantive significant
increases in standardized assessment of concussion scores. The outcomes were
associated with positive changes in mental and physical health issues. This is a
retrospective review and no control group has been included in this study. These
are major limitations with retrospective reviews and further investigations with
prospective designs including a randomized controlled study are necessary to
further our understanding.
CONCLUSION: Head-eye vestibular motion therapy of 5 days duration is associated
with statistical and substantive significant decreases of symptom severity
associated with chronic PCS. 

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