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Brain Injury Awareness

Brain Injury Awareness Month – 2017

It’s All About Resources

Every March, Brain Injury Awareness Month, led by the Brain Injury Association of America, kicks into high gear to educate the public on this major public health crisis. From concussion and mild traumatic brain injury (mTBI) to severe brain injury and stroke; all of these conditions have a far-reaching impact. An impact on the individual who has suffered the injury, families and caregivers, communities, and our ever-burdened health care system.

The greatest challenge for those affected by these unfortunate, and often preventable, events is access to resources. Educational and treatment resources beyond the initial stage of injury is often hard to come by and folks are left to their own devices to put the pieces together for the most productive life possible. This, while being told by so many (including their doctors and family) that there is not much hope for further recovery.

Where to Look For Answers

What follows are links to a host of resources exploring many aspects of brain injury. Content related to understanding why so many continue to experience the symptoms they do. Some resources will explain symptoms in detail and why they occur, and others will look into what tests you can have done to determine what path of treatment is best for you. Most importantly, these resources demonstrate a clear message of hope for so many to get beyond their daily struggles. Be sure to watch the videos of those who have done just that!

We understand that those who have injured their brain digest information in different ways, therefore the content is made available in written (blog), audio (podcast), and video formats. Please enjoy, learn something, act on something; and pass the Brain Injury Awareness word on to others who can benefit and renew their hope.

Brain Injury Awareness Links

 

Concussion Frustration: 7 Reasons Your Doctor Doesn’t Listen to You (And, What to Do About It)

As the Old Saying Goes…

…If I had a dime for every time someone with concussion said “my doctor doesn’t listen to me”. Nearly every day in clinical practice patients report to me one way or another this very real concern. While this is true across all areas of specialty at our center, it is far more prevalent in those suffering the effects of concussion and post-concussion syndrome.

There are several theories as to why many doctors don’t take the time to listen. These can be explored at length with a simple internet search. Here, I will briefly explore some of these more accepted views and, more importantly, what I have come to see is the real truth behind why so many are being ignored, and in many cases dismissed, by their ‘trusted’ health care providers.

The Usual Suspects

  • Time. Most primary care physicians are pressured by the demands of heavy patient loads and declining insurance reimbursements. That leaves you as the patient at the mercy of a provider that may only give you one minute or less to voice your concerns; which for those of you with concussion are often too many to list.
  • Distraction. Electronic records, insurance forms, mobile devices, and excessive patient volume can cause doctors to get caught up in things that are not right in front of them. That is you, the patient. If a doctor is distracted, they will not do a great job at listening.
  • Bias. It has been established that many doctors will spend less time with individuals based on race, gender, and other factors such as socio-economic status. Also, patients that come in with recurring complaints are more likely to be dismissed or ignored.

While I believe these are accurate (although unacceptable) reasons for many being short-changed when it comes to their health care provider’s attention; there are more specific reasons doctors don’t listen when it comes to the laundry list of life struggles that can accompany concussion and post-concussion syndrome.

 The Real Story Doctors Don’t Listen to Those With Concussion

  • Ignorance. This may seem like a harsh term to many (particularly the doctors), although it simply means that most primary care providers lack the knowledge and information necessary to properly question and screen for these types of conditions.
  • Invisible. Concussions are not seen on CT scans or found in blood work. They are silent injuries that result in functional problems with balance, vision, cognitive abilities, and more. Conventional medical approaches are not well suited for these conditions; therefore, doctors are less inclined to listen to problems they cannot treat.  
  • Overwhelming. The number of symptoms and conditions that can result from a hit to the head are staggering (we’ve compiled a list of over 50!). Most doctors when presented with 5, 10, or more complaints may focus only on 1 or 2 as this is what they are accustomed to.
  • Unknown. Even with all the attention given to concussion over the past several years in sports, the media, and movies, this is still uncharted territory for most providers in mainstream medicine. This is also true for many of the doctors those with concussion are being referred to.

So, What’s the Answer?

The internet is full of strategies to get your provider to listen better. This, however, is not the focus of this article. And, it will not serve you well to try and get those that don’t understand concussion to listen to you! What you need to do is seek out the services of a qualified functional neurologist who is well versed in the art of listening. And, who understands the multitude of symptoms those with concussion and post-concussion syndrome experience. Only then will you be able to get answers as to what the best method of treatment will be for you. Concussions are real, and so are the symptoms and solutions!

Resources

For more information please call us at 828.708.5274, or visit any of the following resources:

Brain Training for Addiction and Substance Use Disorders: Non-Medical Breakthrough Therapies for the 21st Century

The Current Situation – Great Cause for Alarm!

There has been a distinct disconnect between the “mind” and “brain” sciences when it comes to addiction, and what is looked at more and more as being at the root of addiction and substance use – learning and behavioral disorders. In her ground-breaking book, Unbroken Brain: A revolutionary new way of understanding addiction, Maia Szalavitz states:

“Our brains are embodied – much of the problem with the debate over addiction and psychiatry more generally is a refusal to accept this and our ongoing need to see “physical”, “neurological”, and “psychological” as completely distinct.”

There is a fundamental flaw with this outdated thinking, a flaw that has in part led to skyrocketing heroin usage (especially among those ages 18-25) and overdose rates that have quadrupled since 2010[1]. According to the National Institute on Drug Abuse, illicit drugs cost the US nearly $200 billion annually, just behind alcohol and tobacco use ($224 and $295 billion, respectively)[2]. Not to mention, the obvious cost of lives lost, fractured relationships, and communities being torn apart.

Clearly, things are getting worse, not better. Substance use is becoming harder than ever to treat given the broad scope of substances being used, increasing potency levels, rates of consumption, varied methods of delivery, decreasing age of usage, and the numerous learning and behavioral issues those with addiction have prior to onset that have not been appropriately treated (or, treated with medications that may lead to, or complicate, the addiction itself).

At the Root of the Problem

ADHD, anxiety, OCD, ODD, anxiety, depression, sensory processing disorders, schizophrenia, and PTSD are just some of the many learning, behavioral, and mental health disorders that cause people to seek balance in their life through use of chemical substances. The long-held belief that addiction is genetic and an inevitable consequence for the affected, or that substance users are damaged and incapable of recovery, is beginning to dissolve. So are many of the tough love and shaming techniques that have been the norm across the addictions treatment arena for well over half a century.    

Time for a Paradigm Shift

To understand that learning dictates behavior, and that impaired learning will lead to behavioral patterns that will set the stage for addiction, is the first step in effectively dealing with substance use disorders. Most learning and behavioral challenges have physical and cognitive manifestations that can be measured (i.e. impaired eye movements, balance, timing, attention, memory, etc.), whether prior to or during the addiction recovery process[3].  

Once these impairments are measured, there are a host of research-backed Brain Training modalities that can be implemented by qualified professionals for correction of deficient function. This will lead to more effective remediation of the learning or behavioral disorder, and, ultimately, the seeking of normalcy through chemical dependence that is hallmark with substance use disorders.

Brain Training for Addiction and Substance Use Disorders

  • Brainwave Optimization – Better known as neurofeedback (NFB), neurobiofeedback, or neurotherapy. NFB, while available since the 1950s, has gained significant popularity in the recovery arena as of late. Through sophisticated computer analysis, one is trained to self-regulate brainwave activity by hearing sounds or other reinforcements that signal a more desirable or efficient state of function within the brain has been obtained.
  • Training of Brain Timing – Temporal processing is the rate at which sounds can be processed in the brain. When one is unable to process at sufficient and accurate rates, learning will be impaired and behavior impacted. Programs like the Interactive Metronome® have been shown to improve learning capacity, attention and focus, and decrease destructive impulsive and repetitive behaviors.
  • Training of Balance – The balance (vestibular) system, which is made up of structures in the inner ear and is directly influenced by systems of vision, posture, and hearing, is directly plugged into our frontal brain[4]. This more “human” part of our brain has a profound influence on learning and behavior and is positively impacted by improvements in balance and coordination.
  • Training of Eye Movements – Fixating on a target in your visual field, moving your eyes slow or fast, watching an object move closer or further away, and certain inborn eye reflexes help to make us uniquely human. Many of the control centers of these functions live in our frontal brain. Correction of certain faults in eye movements can lead to improved cognitive abilities.
  • Neurological Rehabilitation – While training of balance and eye movements fall into this category, they have been given separate explanation given their heavy influence on learning and behavior. Complex motor skills, whole body vibration, electrical stimulation, strength and conditioning, smell and sound therapies, and so much more impact the brain in a positive way to minimize the effects of learning and behavioral issues on one’s life.
  • Metabolic Therapies – To address brain function without paying mind to the numerous nutritional and metabolic factors that go into a properly functioning brain is akin to throwing a bunch of random ingredients together and hoping it turns out like your favorite dish. Blood sugar, stress hormones, neurotransmitters, micronutrients, food allergies, among countless other factors, are just a sampling of what can be evaluated, and in many cases corrected, via dietary shifts and nutraceutical intervention.

A New Era for Addiction and Substance Use Disorders

While mental health therapies have been, and always will be, an integral component of a sound addiction recovery strategy; more is needed. It is abundantly clear that what is in fact needed are scientific, evidence-based strategies to address the underlying learning and behavioral issues that are the hallmark of any addiction profile. What is needed is Brain Training… To measure and manage numerous ‘biomarkers’ of brain function with sophisticated diagnostic testing, and effect positive change in these markers through progressive neurological training modalities. This, in concert with the more traditional mental health options, is what holds the greatest hope for recovery in those battling addiction and substance use disorders!

[1] https://www.cdc.gov/drugoverdose/data/heroin.html

[2] https://www.drugabuse.gov/related-topics/trends-statistics

[3] http://apexbraincenters.com/blog/5-important-tests-to-consider-when-seeking-treatment-for-addiction/

[4] http://journal.frontiersin.org/article/10.3389/fnint.2014.00059/full

5 Important Tests to Consider When Seeking Treatment for Addiction

Addiction way out problem sign. Prevention and cure addiction problem concept.Addiction or, more appropriately, substance use disorder (SUD) is defined as one’s recurrent use of drugs and/or alcohol leading to significant clinical and functional impairment. This impairment may be reflected in the areas of physical and mental health, employment, school, relationships, finances, and more.

One thing is for certain – the vast majority of those struggling with SUD also have underlying challenges with learning and behavior, and may have one or more mental health disorders. While the reasons for these underlying challenges are likely as many as the number of challenges themselves, this shifting of perspective away from the genetic view of addiction offers great hope for those seeking progressive therapies that, in many cases, can have a profound impact on the underlying disorders and the problem behaviors and outcomes associated with SUD.

Newer thinking also dictates that addictive tendencies can be due to factors such as concussion and traumatic brain injury, and metabolic imbalances caused by food allergies, environmental toxicities, nutrient deficiencies, and the like. And let’s not forget stress…  

In order for progressive brain-based modalities to be delivered effectively, which provide a tremendous complement to standard mental health strategies implemented during both in-patient and out-patient programs alike, one needs to understand that SUD is not a disease as we would normally think of one (e.g. cancer, Parkinson’s, etc.), and it is not a moral failing or a character flaw on the part of the user. SUD can affect anyone… of any class, race, gender, and ethnicity.

SUD is in fact a ‘brain problem’ that, in many respects, can be measured and needs to be approached as such for maximum gains. Let us consider 5 areas of measurement related to brain function that reveal a great deal about learning, behavior, and mental health status; and, more importantly, let us realize that something can be done to improve upon function in any or all of these areas:

  • Brainwave Activity (EEG) – In our brain we have networks related to attention, vision, sensations, relaxation, emotions, vital functions, and more. How much delta, theta, alpha, beta, and gamma brainwave activity we have under different circumstances dictates how well various parts of these networks perform. Quantitative EEG (qEEG) is gaining popularity in select mental health circles as an extremely viable diagnostic tool that can enable us to peer into the inner workings of the brain and these brain networks that make us uniquely human.  
  • Cognitive Testing – Executive function, cognitive flexibility, simple and complex attention, and processing speed are just a few of the tests of higher cognitive function that can reveal a great deal about how one’s brain interacts with its environment. They are also excellent diagnostic tools for monitoring progress when treating the various subsets of learning and behavioral issues underlying SUD.
  • Metabolic Function – Blood sugar, amino acids, urine organic acids, food antibodies, heavy metals, environmental toxins, hormones, neurotransmitters, vital nutrients, genetic variants, and so much more are a mix of both classic and progressive ‘biomarkers’ of brain function. How our bodies handle fuel, utilize nutrients, process hormones, and react to toxins in our environments determines how well our brains handle what is presented to them on a moment to moment basis.
  • Eye Movements – Generally ignored in the mental health arena from a diagnostic perspective, eye movements of all types are directly related to the brain regions that control them. From primitive abilities of finding visual targets that involve parts of the brainstem and emotional centers like the amygdala (fear response), to fast eye movements controlled by our higher functioning frontal lobes; eye movements deliver a wealth of information related to SUD and its underlying causes. Videonystagmography (VNG) is one type of diagnostic tool used to measure these types of functions.
  • Balance and Coordination – More and more, addiction based programs are implementing movement based activities such as Tai Chi and yoga. From both balance and relaxation standpoints, there is good reason to do so. Our sense of self is largely influenced by our ability to physically interact with our environment. When one has severe balance or coordination impairment, as is seen in conditions like schizophrenia, mental function and behavior will likely be impaired. Measurement tools such as dynamic posturography and standard tests of movement and coordination can be utilized to measure these abilities.

The inherent beauty of any of these tools, that can reveal a wealth of information about cognitive, behavioral, and mental functions, is that they can in turn be utilized to track progress when one enters into a collaborative treatment program with their mental health specialists and qualified functional neurologist. The blending of the ‘brain’ and the ‘mind’ sciences is long overdue and is proving to be clinically effective with regard to its impact on addiction and SUD, and the underlying disorders that are being shown with greater clarity to be the root cause of them.

A Pilot’s Success Story with Brain Training

ear anatomyJohn’s Story

John is a 66-year-old grandfather and successful businessman from Asheville, NC who plays tennis and counts flying among his favorite hobbies. But he is concerned that his memory is starting to slip. There’s no family history of Alzheimer’s disease or dementia.

John, however, did have a car accident and subsequent skiing accident in which the fall he suffered was so serious that his helmet broke. He also admits that he is often dizzy, fatigued, easily angered, and frustrated over his physical and mental limitations.

Intervention for balance and cognitive decline

John underwent comprehensive Brain Training at a frequency of three times per day over the course of five days. His brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure he was receiving the proper amount of therapy without exceeding fatigue limits that might promote worsening of his symptoms as is often the case in more conventional rehabilitation programs.

Understanding the relationship between physical functions such as balance, timing and eye movements and higher cognitive functions like memory (both major challenges in his case), we implemented the following Brain Training procedures: EEG neurofeedback, Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, electrical stimulation, breathing exercises, lifestyle changes and home care therapies.

Outcomes with Brain Training

John reported midway through his five-day training program that he had “one of his best games of tennis.” He also said he felt less dizzy and improvements in his mood and memory were noticeable to him and others. “I walk better, talk better and feel better,” he said.

Actual measurable, objective improvements recorded with post-intensive diagnostic testing included:

  • Interactive Metronome (Timing): 14% improvement in timing accuracy and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. becoming more ‘in-sync’ with a specified reference tone).
  • Videonystagmography (Eye movements): Significant improvements in numerous aspects of oculomotor functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.
  • Computerized Assessment of Postural Stability (Balance): 24% improvement in balance under the most challenging circumstances (eyes closed on an unstable surface – noted as PSEC on charts below below). Near complete normalization of a hazardous posterior center of pressure (tendency to carry his body or sway to the rear):

Pilot 1

Pilot 2

Implications Following Treatment

After his treatment was completed, John says he was able to recapture the moments of joy and sense of accomplishment he experienced through playing tennis and flying his aircraft, his two favorite hobbies; as well as being more engaged with his family.

He reports his memory has improved, he has fewer symptoms of dizziness and fatigue, and most important – he is now a safer, happier pilot following his specific Brain Training program.

Case Study: Post-Concussion Syndrome – Jackie

concussion ep 43Jackie’s Story

At the time of presentation to APEX Brain centers in Asheville, NC in late 2015, Jackie was a 55-year-old, soon to be retired professional female. Post-concussive symptoms of debilitating headaches, memory loss, learning and behavioral issues, fluctuations in heart rate, and difficulty handling visual stimulation such as driving, busy public places and computer screens were preventing her from leading a normal life. Prior to traveling to APEX from Charlotte, NC, Jackie had sought care from several different doctors in her area. Vestibular therapy and chiropractic care had given her some relief of symptoms, although her other experiences were not so positive. At one point a provider told her that she was mentally ill. Jackie was outraged and, as many with post-concussion syndrome report similarly, she offered this statement: “I’m not crazy. I didn’t have any of these symptoms before I had the injury and I am definitely not making them up”. This is the unfortunate reality of many who suffer with brain injury.   

Intervention for balance and cognitive decline

Jackie underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 15 days (with 2 days off between each week for much needed rest and recovery). Her brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure she was receiving the proper amount of therapy to be effective without exceeding fatigue limits that could potentially promote worsening of her symptoms. Modalities implemented included, but were not limited to: neurofeedback, Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, electrical stimulation, breathing exercises and home care therapies.

Outcomes after Brain Training

Jackie reported prior to brain training that she would have a constant headache of 6 on a 0-10 scale (0 being no pain and 10 being the worst possible pain) that would escalate into an 8-9 of 10 by the end of the day. The week after her program she reported the headaches were finally manageable at a level of 3-4 of 10 and would not escalate. Jackie has had continued success and reported at 3 weeks after her program that she is headache free, unless she spends too much time in front of a screen or in a busy public place. She also reports that when this occurs, her ‘at home’ brain exercises will relieve them. Aside from headaches, Jackie has reported that she no longer feels like she is in a constant brain fog. Her heart rate has also normalized and no longer fluctuates or spikes. 

Actual, measurable objective improvements recorded with post-intensive diagnostic testing include, but are not limited to:

  • Cognitive Testing: Jackie showed an increase in her Neurocognition Index of 11%. This is a standardized overall score of cognitive performance. Significant improvements in specific areas of memory (one of her biggest concerns) are as follows: 65% in composite memory, 33% in verbal memory, and 67% in visual memory.
  • Interactive Metronome: 56% improvement in motor timing accuracy and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. premature response to a specified reference tone).
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.

Implications for others:

Diagnostic and functional tests can be used to direct an effective Brain Training program and improve post-concussion symptoms. Increased sensory and environmental sensitivities are common symptoms of post-concussion syndrome. There are several areas of your brain that process information from your environment and from your body. If these areas are damaged then it becomes difficult for the brain to process sensory input, resulting in fogginess, memory and cognitive issues, impaired processing of pain, and the many other symptoms seen after concussions. The frustration felt by individuals being made to feel they are “crazy”, as Jackie noted, is entirely unnecessary and driven by a health care system that is largely focused on diagnostic testing and lacking significantly in functional treatment options. There is great hope for partial and full recovery in most cases of concussion given a thorough investigation and functional interventions addressing the physical, cognitive, metabolic and lifestyle factors that influence brain health.

If you or someone you care about is experiencing ANY of these symptoms, or anything out of the ordinary related to a head or brain injury, call APEX Brain Centers now at 828.708.5274. You may also email us at [email protected] for more information and to set up a free consultation. 

Case Study: Young Mother With Multiple Concussions Finds Relief Through Brain Training

Ali’s Story

Ali presented to APEX Brain Centers in August of 2015 in search of concussion relief. She was struggling with a host of debilitating complaints due to multiple head injuries and concussions over the years. Headaches, brain fog, memory loss, anxiety, emotional distress, restless legs, tightness in the chest, tingling in her limbs, postural orthostatic tachycardia syndrome (POTS), dizziness, spatial awareness difficulties, loss of muscle mass and hair, gastrointestinal (GI) difficulties and more were all part of her normal daily experience. She was in a constant search for concussion relief. She had been to a host of specialists with limited outcomes; including osteopaths, naturopaths, ENTs, cardiologists, allergists, chiropractors, physical therapists, acupuncturists and massage therapists. She was an exceptional student and athlete prior to her injuries.

Ali traveled from Virginia to seek care at APEX Brain Centers in Asheville, NC in late August, 2015 on referral from a friend who had similar problems with exceptional outcomes at APEX. She underwent an intensive course of Brain Training where she was admitted into in an individualized program directed by extensive diagnostic testing, and led by clinicians highly experienced in functional neurology and functional medicine. What follows is a sampling of some of the cutting-edge clinical interventions and amazing functional gains Ali experienced during her time at APEX.

Intervention for Concussion Relief

Ali underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 10 days (with 2 days off between each week for much needed rest and recovery). Her brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs (particularly important in those with POTS), eye movements, balance, mental and physical timing, and more to ensure she was receiving the proper amount therapy to be effective; but not too much so as to reproduce/amplify symptoms. Laboratory tests were ordered to evaluate for suspected food reactivity, markers of inflammation, altered stress responses and amino acid insufficiencies; among other factors. Modalities implemented included, but were not limited to: neurofeedback (NFB), Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, whole body vibration, electrical stimulation, cognitive training, breathing exercises and home care protocols.

Ali’s Outcomes after Brain Training

Subsequent to her initial Brain Training program, Ali reported subjective improvements in all areas of pre-intensive complaint. What follows are a sampling of Ali’s words describing outcomes in several of these areas:

  • My heart rate is down significantly and I have fewer palpitations
  • I rarely feel unbalanced anymore
  • The tingling in my hands and feet is gone
  • Brain Training has greatly decreased my widespread pain
  • Since leaving APEX I have only had a few minor headaches, and none that have turned into a migraine
  • Now I can really engage with my children for long periods of time
  • My emotions are on a more even keel
  • I can recover from a workout and exercise again the next day
  • My immune function is improved
  • I expect all of my capabilities to return and even excel beyond what they used to be in light of the new and better lifestyle I’ve adapted!

Measurable Changes

  • Cognitive Testing: Increase in her Neurocognition Index of 13%, which is a standardized overall measurement of cognitive performance. Executive function (reasoning) scores were improved by 35%. Increases in various aspects of memory, attention, processing speed and more were as high as 13%.
  • Interactive Metronome: 43% improvement in task average with motor timing and 15% improvement in  hyper-anticipatory timing tendency with motor tasks (i.e. responding prior to a pre-set reference tone).
  • Computerized Assessment of Postural Stability (CAPS): 8.2% improvement in balance on an unstable surface with eyes closed; which brought her from a moderate to mild reduction in balance compared to her age and gender matched peers.
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.

It should be noted that due to the overwhelming success of her first program Ali returned for a second intensive Brain Training program in November of 2015. She experienced further objective and subjective benefit and continues to update us on her progress.

Concussion Relief IS Possible

An alarming number of individuals do not seeking care for head injuries. It is important to recognize the symptoms of these debilitating injuries and that something can be done about them. The ‘wait and see’ approach to concussion and mild traumatic brain injury is no longer acceptable. Early intervention is key! The longer one waits, the more difficult it is to recover and have full engagement with life!

If you or someone you love is experiencing ANY of these symptoms, call APEX now at 828.708.5274. You may also email us at [email protected] for more information, or to set up a free consultation. 

Case Study: Balance and Memory Problems – Roger

Son & Elderly FatherRoger’s story

At the time of presentation to APEX Brain Centers, Roger was a 70-year-old male struggling with severe balance problems, clumsiness, fatigue, and a general disinterest in life. He used to enjoy life as a family man, successful entrepreneur and golfer. Just over 10 years prior he had undergone radiation therapy for cancer that damaged his 8th cranial nerve (the balance and hearing nerve). He had also undergone prism therapies and surgery for eye position abnormalities, which have caused further insult to his ability to maintain good balance and to learn effectively. Although not listed as a primary complaint, he also suffered from significant cognitive decline in several areas as evidenced by very low to low average scores on standardized cognitive testing.

Roger sought care at APEX Brain Centers in Asheville, NC in May of 2015 and underwent an intensive course of Brain Training. He was admitted into in an individualized program directed by extensive diagnostic testing, and led by clinicians highly experienced in functional neurology. What follows is a sampling of some of the cutting-edge clinical interventions and amazing functional gains Roger experienced during his time at APEX.

Intervention for balance and cognitive decline

Roger underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 15 days (with 2 days off between each for much needed rest and recovery). His brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure he was receiving the proper amount therapy to be effective, but not too much so as to be counter-productive. Modalities implemented included, but were not limited to: neurofeedback (NFB), Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, whole body vibration, electrical stimulation, breathing exercises and home care recommendations.

Outcomes after Brain Training

Subsequent to his Brain Training program, Roger reported subjective improvements in the vast majority of his pre-intensive complaints. More profound than that; his wife was quoted as saying, “it’s like I have my old husband back”. She noted that he used to be the life of the party and had been slowly deteriorating over time to the point of sitting in his chair all day and sleeping more and more often. He was finally plugging back into life, putting an end to his isolation and apathy. As is demonstrated by his balance testing, he is also experiencing a renewed ability to maintain balance, allowing him to be safer and more efficient in navigating his physical environment.

Actual, measurable objective improvements recorded with post-intensive diagnostic testing include:

  • Cognitive Testing: Increase in his Neurocognition Index of 48%. This is a standardized overall score of cognitive performance. Increases in various aspects of memory, attention, processing speed and more as great as 21%.
  • Interactive Metronome: 56% improvement in task average with motor timing, and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. responding prematurely to a pre-set reference tone).
  • Computerized Assessment of Postural Stability (CAPS): 20.5% improvement in balance on an unstable surface with eyes closed – bringing him from severe to mild reduction in balance compared to his peers. Elimination of a posterior center of pressure (CoP); significantly reducing his risk of falling backwards.
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.

Takeaway

With an alarming increase in the number of baby boomers and seniors experiencing balance issues and cognitive decline (that are in fact related), it is important to recognize the symptoms of these potentially debilitating disorders and, more importantly, that something can be done about them. Early intervention is key, as the longer one waits and the more function is lost, the more difficult it is to recover and have full engagement with life!

On Demand: Your Free Daily Dose of Brain Goodness

podcastOptimal brain health is not something you achieve overnight.

It is the culmination of the vast number of decisions you make on a daily basis; week after week, month after month, and year after year.

The choices you make today, and every day, will determine how your greatest asset will serve you at any stage of life!

Due to the ever-growing demand for information in this 21st century, and the lightning speed at which it is expected, we are often asked by folks if we have resources to teach them how to ‘Build Better Brains’.

In the absence of a comprehensive Brain Training program, and, in addition to it, it is the small things you do every single day that will dictate how well your brain and body functions well into your golden years. There is no quick fix. I repeat, there is no quick fix! While there are always the unforeseen circumstances that cause our health to decline, our brain and body health is largely well within our control.

Due to this demand for information, and realizing more and more that many folks are truly beginning to care about, and for, their brains; I have launched the ‘Train Your Brain Podcast with Dr. Michael Trayford’. This podcast was designed to deliver practical, everyday tips for building the best brain possible. Some will be familiar and some brand new, although it is the routine application of these tips that will help insulate you from one of the greatest fears of our time – that of a declining brain!

The daily tips will cover evidence-based topics and applications in the areas of physical, cognitive, metabolic, and lifestyle health; all of which impact and dictate the effectiveness of your greatest asset. I hope you will join us, and join in the conversation as we will be taking listener calls and questions, exploring popular topics in greater detail, conducting interviews, and putting listener ideas into action as the series progresses.

So, whether you’re dealing with neurological conditions such as brain injury (TBI), concussion, ADHD, dementia, memory loss, anxiety, depression, MS, Parkinson’s, PTSD, addiction and more; wanting to elevate performance in sports, academics and business; or simply looking to sharpen your mind and prevent or delay cognitive decline – this podcast is for YOU!

You can listen in daily at www.TrainYourBrainPodcast.com and/or subscribe on iTunes by searching for the Train Your Brain Podcast with Dr. Michael Trayford. See you on the air!

Your Brain’s Clock – Timing is Everything

Every breath you take, every move you make (enter the distinct guitar sounds of The Police’s wildly popular 1983 hit) is controlled by your brain’s innate timing system. Whether physical movements or production of thoughts, your brain’s ability to time these magical feats appropriately is the difference between unnoticed normal everyday functioning and disastrous consequences.

Most can relate to the impact timing has on the way we move. We’ve all seen someone with Parkinson’s disease or brain injury, or simply decline in function with aging, struggle with what most of us take for granted (i.e. walking, tying shoes, speaking, etc.). Our ability to effortlessly time movement is taken for granted… Until that ability is lost.

On the other hand, it might be a bit more difficult for one to consider that the disorganized thoughts of those with schizophrenia or similar conditions has anything to do with timing. This is in fact a growing area of research where disorganized or uncoordinated thoughts are being related to uncoordinated motor activity such as walking and speech. When movements are improved through various types of physical training, individuals experience more efficient thought processing and communication of these thoughts. Through this lens it is quite easy to see how our thoughts, and even emotions, can be impaired by improper mental timing.

Can I improve my brain’s timing???

Musicians, dancers and other athletes would tell you… Absolutely! Simply involving yourself in activities that revolve around a regular beat or rhythm (cadence) will help to strengthen your mental timing ability. The obvious here would include activities such as music and dance.

But what if there are problems with my brain???

Previously mentioned brain injury and Parkinson’s disease would be natural barriers to improving timing in the brain. Studies also show that key physical abilities (bio-markers) such as balance and eye movements are impaired in those experiencing cognitive decline with aging. Challenges in these and other abilities will undoubtedly have an impact on our ability to improve timing. Addressing the physical and metabolic aspects of these conditions would be the logical first step in improving mental timing in any situation. For those with severe impairment, and for those looking to be the best they can be, there are other options.

Can my mental timing be measured and improved???

Fortunately, yes! With sophisticated measurement and training tools such as the Interactive Metronome, those with neurological conditions and peak performers alike can have their brain’s timing measured quite accurately. This particular program utilizes auditory (sound) cues to first measure and then train one’s mental timing capacities. Through matching body movements to a standardized metronome beat, the computer software can determine (down to the millisecond) how accurately one is timing. Numerous aspects of timing can be measured including early and late timing tendencies, left vs. right side of body differences, upper vs. lower body timing differences, consistency in timing from one beat to the next, and much more. Armed with this information, experienced clinicians such as those at APEX Brain Centers in Asheville, NC can design and deliver specific Brain Training programs to repair the deficient timing issues to the highest degree possible.

What does this all mean for me???

With intact and efficient mental timing our risk of injury due to falling decreases… Thought processing and problem solving become more efficient… Attention and focus get sharper… Memory formation and retrieval becomes much easier… Certain unwanted behavioral traits improve… Academics and test taking require less effort and produce less anxiety… Our limits of physical performance can skyrocket…

I believe you get the point. There are few aspects of humanism that are not positively impacted by an improvement in our brain’s innate timing abilities. Go exercise that rhythm – your brain will thank you!

APEX Brain Centers is leading the way in neuroplasticity-based brain enhancement programs that are opening new doors for those struggling with addictions, learning and behavioral disabilities, test performance, athletic performance and more.

2 Walden Ridge Drive (STE 80) ~ Asheville, NC 28803 ~ 828.708.5274
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