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• W2517128575 abstract "Event Abstract Back to Event Multimodal brain based therapy in the treatment of chronic episodic headaches David Traster1, Andrew Brodyn2 and Linda Mullin Elkins2* 1 Georgia Chiropractic Neurology Center, United States 2 Life University; College of Chiropractic, United States Background: A middle aged woman presented to a Chiropractic Neurology clinic with the complaint of headaches beginning three years ago. Each episode of headaches would last 2 to 3 weeks without relief. Once the headache would subside, another headache would emerge within 7 days. Methods: Videonystagmography (VNG) revealed large horizontal square wave jerks in all directions of gaze which increased in amplitude and frequency after saccades and during pursuits in all directions. There were pro-saccade errors in an anti-saccade task seven out of ten times. A decrease in vibration sense on the right in comparison to the left was noted throughout the whole body. Moderate dysmetria was seen on rapid alternating hand movements bilaterally which was more pronounced on the right. A right palatal paresis was noted. There was a deficit in graphesthesia on the right. There was decreased pin-prick sensation over all branches of the trigeminal nerve on the left and corneal reflex was decreased on the left. During Weber test sound was only reported by the patient in the right ear, however Rinne test was normal. Finger tapping was graded at 1 bilaterally while finger-to-nose test was dysmetric on the left. Gait examination revealed a right lateropulsion and decreased left arm swing that degraded during dual tasking. A multimodal brain based rehabilitation program was initiated three times a day for three consecutive days. Gaze stabilization, vestibulo ocular reflex (VOR) exercises and convergence-divergence oculomotor tasks were initiated. Electrical stimulation in the trigeminal and median nerve distributions was administered. Other treatment included interactive metronome, myofascial therapy to the neck and jaw, and off-vertical-axis rotation stimulation. The patient was released with at-home exercises including gaze stabilization, VOR exercises and exercises with an interactive metronome. Results: Full resolution of recurrent headaches was reported at a four month follow up. Normalization occurred in deficits of graphesthesia, corneal reflex, gait abnormalities, vibration, pinwheel sense, DDK, dysmetria, finger tap, and Weber tests. Anti-saccades and palatal tone improved. Repeat VNG showed gaze, in all directions, was stabilized without the presence of square wave jerks. Conclusion: The positive outcomes demonstrated in this case warrant further study into patient specific oculomotor function for both diagnosis and treatment of chronic episodic headaches. Keywords: Headache, Chiropractic, human, Eye Movements, vestibulo-ocular reflex 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: Traster D, Brodyn A and Mullin Elkins L (2016). Multimodal brain based therapy in the treatment of chronic episodic headaches. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00009 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, 30060, 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 David Traster Andrew Brodyn Linda Mullin Elkins Google David Traster Andrew Brodyn Linda Mullin Elkins Google Scholar David Traster Andrew Brodyn Linda Mullin Elkins PubMed David Traster Andrew Brodyn 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." @default.
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• W2517128575 title "Multimodal brain based therapy in the treatment of chronic episodic headaches" @default.
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