Treatment

We treat the underlying cause. Research has shown we can grow neuronal pathways using multi-modal applications.

Prepare for an 1.5 hour advanced neurological, vestibular, balance and cognitive exam.  INcluded is VNG tracking to evaluate your entire vestibular system, and right eye testing.

Your Treatment will depend based on all your exam findings.  All medical referrals will receive a detailed report.


TREATMENT INCLUDES –

  • Neuro-Stimulation – PONS  Vagus, Trigeminal, Repetitive Somato Sensory S
  • Neurosensory Integrator
  • Cold laser
  • Trigger point therapy (suboccipital neuralgia)
  • Fit lights
  • take home exercises – vestibular, postural, gait etc.
  • Right Eye testing – Concussion, reading w/comprehension, brain
  • Right eye assigned home exercises
  • Interactive Metronome
  • Vestibular Exercises – prescribed based on VNG findings
  • Optokinetics moving environment w/ stabilized targets
  • Repetitive Peripheral Somatosensory Stimulation (RPSS)Dr. Cramer received training in the United States in these RPSS therapeutic modalities.

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We use PONS, RPSS, transcutaneous vagus (VNS) and trigeminal nerve stimulation for those affected by: vestibular and cerebellar disorders, movement disorders, concussion, Cerebral Palsy, Autism, post-stroke, MS and more.

We use Galvanic Vestibular Stimulation for those affected by balance disorders, post stroke rehab.

Optokinetic Stimulation which is used in gait rehab, concussion, post-stroke, balance etc to metabolically “wake-up” specific areas of the brain that are decreased in function. The most recent research and clinical applications in optokinetic stimulation is showing great promise in the brain-based rehab for disorders of the central nervous system.

Electrical stimulation helps swallowing programs, facial nerve damage

Learning to tame a noisy brain (or how you can use the power of neuroplasticity)

NEUROSENSORY INTEGRATOR – brain training

Interactive Metronome: an auditory-visual platform engages the patient and promotes synchronization within the brain. Did you know that your brain has an “internal clock” that keeps time? Temporal processing (timing in the brain) is responsible for detecting where a sound is coming from as sound hits one ear microseconds before the other for focusing attention, reading comprehension, remembering information, processing speech, motor coordination, and several other human capabilities.

By addressing timing in the brain with Interactive Metronome (IM) alongside functional neurological interventions you are not only addressing areas of ability that impact achievement and independence but also the heart of the problem.  this addresses the deficient neural timing within and between regions of the brain that are underlying many of the problems you are working on in therapy.

We use the Interactive Metronome (IM) for those affected by: ADHD, Dyslexia, Autism, Reading Disorders, Auditory and Visual Processing Disorder, Parkinson’s, traumatic brain injury, stroke, and other conditions. For more information, please visit:  www.interactivemetronome.com and the Neurosensory Integrator

Working Memory Rehab

Working memory is a central problem for those with

Autism, ADHD, learning disorders

Alzheimer’s

auditory and visual processing disorders.

concussions

helps us stay involved in something longer,

pay attention

keep more things in mind while performing a task.

allows us to resist distractions and inhibit impulsive choices. Exercises will include eye hand and cognitive tasks to increase cognitive and mental speed.

associated with low learning outcomes

constitute a high risk factor for educational underachievement for children.  Autistic children will learn how to produce a conversation.

For those with working memory impairments, brain based rehab is absolutely essential to be successful academically and socially. Training builds neuroplasticity in cognitive abilities, processing speed, and comprehension.

RPSS Research:

Wildenberg JC, Tyler ME, Danilov YP, Kaczmarek KA, Meyerand ME.   High-resolution fMRI detects neuromodulation of individual brainstem nuclei by electrical tongue stimulation in balance-impaired individuals.  Neuroimage. 2011 Jun 15;56(4):2129-37.

Wildenberg JC, Tyler ME, Danilov YP, Kaczmarek KA, Meyerand ME.  Altered connectivity of the balance processing network after tongue stimulation in balance-impaired individuals. Brain Connect. 2013;3(1):87-97.

Pope PA, Miall RC.  Restoring cognitive functions using non-invasive brain stimulation techniques in patients with cerebellar disorders.  Front Psychiatry. 2014 Apr 2;5:33.

Engineer CT, Engineer ND, Riley JR, Seale JD, Kilgard MP. Sustained cortical and subcortical neuromodulation induced by electrical tongue stimulation.  Brain Imaging Behav. 2010 December ; 4(3-4): 199–211.

Pairing Speech Sounds With Vagus Nerve Stimulation Drives Stimulus-specific Cortical PlasticityBrain Stimul. 2015 Jan 26.

P, da Silva ME, de Carvalho TC, Cordeiro Q, Brunoni AR, Fregni F.  Transcutaneous vagus and trigeminal nerve stimulation for neuropsychiatric disorders: a systematic review. Arq Neuropsiquiatr. 2014 Jul;72(7):542-7

Engineer CT, Engineer ND, Riley JR, Seale JD, Kilgard MP. Pairing Speech Sounds With Vagus Nerve Stimulation Drives Stimulus-specific Cortical Plasticity. Brain Stimul. 2015 Jan 26. 

Porter BA, Khodaparast N, Fayyaz T, Cheung RJ, Ahmed SS, Vrana WA, Rennaker RL 2nd, Kilgard MP. Repeatedly pairing vagus nerve stimulation with a movement reorganizes primary motor cortex. Cereb Cortex. 2012 Oct;22(10):2365-74.

Shetake JA, Engineer ND, Vrana WA, Wolf JT, Kilgard MP. Pairing tone trains with vagus nerve stimulation induces temporal plasticity in auditory cortex. Exp Neurol. 2012 Jan;233(1):342-9.

Hays SA, Rennaker RL, Kilgard MP.Targeting plasticity with vagus nerve stimulation to treat neurological disease. Prog Brain Res. 2013;207:275-99.

Howland RH. New developments with vagus nerve stimulation therapy. J Psychosoc Nurs Ment Health Serv. 2014 Mar;52(3):11-4.