Post Concussion Syndrome

There is no one size fits all treatment applications for concussions. The symptoms one suffers is dependent on the pre-existing health and number of head injuries. Some may develop dizziness, migraines, vertigo, confusion, brain fog, fatigue, and more. Different areas of the brain control the ‘stability’ of eye movement and you may also suffer from disequilibrium, blurry, or double vision until those specific areas of the brain have been restored to normal function using brain based rehab.

TREATMENT

Vestibular exercises based on your VNG (Vestibular Diagnostic Testing) ex. targeting with moving background to stabilize images to improve blurred images, moving background or objects, balance, nausea and headaches.

Balance & Gait rehab via vestibular and cerebellar exercises

Autonomic Testing and measurements of Vagus and heart rate variability

Neurostimulation to pons (tongue stimulation), Vagus nerve, Trigeminal stimulation for suboccipital neuralgia, nausea, brain fog, fatigue and migraines

Neurosensory integrator – Neurocognitive exercises, visual vestibular eye hand exercises on a 55′ screen progressing on different different surfaces, auditory visual, speed span recognition and more https://www.rkbinstruments.com/

DYSAUTONOMIA & concussion

One of the most common symptoms in concussion are symptoms of dysautonomia via the Vagus nerve. Dysautonomia is a broad term that is used to describe a condition associated with the autonomic nervous system. The most common is Postural Orthostatic Hypotension Syndrome known as P.O.T.S. Patients with P.O.T.S. experience an abnormal jump in their heart rate when elevating from a supine (lying) position in order to get blood to their brain. If this reflex doesn’t respond correctly you could experience dizziness or fainting because of decreased blood flow to the brain. https://en.wikipedia.org/wiki/Vagus_nerve

This relationship between eye and neck muscle activity influences muscle coordination and tone during functional activities, such as reading, walking, cognition and results in muscle spasms resulting in headaches all due to a sensory mismatch.

Symptoms of dysautonomia may include:
Orthostatic Intolerance
Dizziness
Syncope (fainting/near fainting)
Tachycardia (fast heart rate)
Bradycardia (slow heart rate)
Palpitations
Chest Discomfort
Low Blood Pressure
Lightheadedness
Gastrointestinal Problems
Excessive Fatigue
Exercise Intolerance
Nausea
Visual Disturbances
Weakness
Shortness of Breath
Mood Swings
Anxiety
Vertigo
Migraines
Tremulousness
Noise/light sensitivity
Insomnia
Frequent Urination
Temperature Regulation Problems
Brain fog/forgetfulness
Inability to concentrate
Difficulty with recall
Appetite Disturbance
Hypersensitivity to sensory stimulation
New research suggests that this inappropriate response is due to aberrant firing of or denervation at the Nucleus Tractus Solitarius (NTS), located in the brainstem. Symptoms of orthostatic hypotension include exercise intolerance, excessive fatigue, thirst, lightheadedness, dizziness, anxiety, internal tremulous (also known as orthostatic tremor), sweating, nausea, irritable bowel, brain fog, tinnitus, headaches and more. Unfortunately because these symptoms occur most commonly in women they’re often dismissed as Chronic Fatigue Syndrome or an anxiety based panic disorder.

Changes in blood pressure and heart rate can be due to many things. The lack of activation or stimulation which causes changes in a cell is what leads to decreased metabolic activity in the cell. Tilt table testing signals the baroreceptor which fires into the NTS letting it know of the changes so that it can respond by firing into the sympathetic system to steadily increase heart rate and blood pressure accordingly. When a cell is sitting too close to threshold a slight stimulus comes in and the cell responds inappropriately resulting in an inappropriate response.