Sockander Leif

2MULTIMODAL NEUROREHABILITATION TO ENHANCE PERFORMANCE IN 33 -YEAR OLD HOCKEY PLAYER WITH MULTIPLE SPORTS RELATED CONCUSSIONS AND POST CONCUSSIVE SYNDROME

Leif Sockander,Ben Sockander

Event Abstract Back to Event MULTIMODAL NEUROREHABILITATION TO ENHANCE PERFORMANCE IN 33 -YEAR OLD HOCKEY PLAYER WITH MULTIPLE SPORTS RELATED CONCUSSIONS AND POST CONCUSSIVE SYNDROME Leif H. Sockander1*, Benjamin R. Behrendt2, 3 and Ben Sockander1 1 European Brain Center, Sweden 2 NeuroWorks Healthcare LLC, United States 3 Carrick Institute, United States BACKGROUND: A 33-year-old male professional hockey player was diagnosed with multiple sports related concussions (SRC) and maintained post-concussion symptoms (PCS) including difficulties with impulse control, anxiety, clumsiness. Cymbalta was prescribed by his primary care physician. His goal was to return to hockey and regain his life back. METHOD: A thorough bedside neurological examination and neurological testing were performed including comprehensive assessment of postural systems (CAPS) on perturbed and non-perturbed surfaces, Video Oculography (VOG), vestibular head impulse testing (vHIT), and neurocognitive assessment using Cambridge Brain Sciences (CBS). Treatment consisted of a focused neurological rehabilitation plan to reintegrate the cerebellar, vestibular ocular (VOR) responses, mesolimbic and somatosensory systems in 10 sessions over five days. Application of graded vestibular repositioning, orthogonal gaze stabilizing, focused repetitive peripheral somatosensory stimulation (rPSS), optokinetic integration, complex joint patterning, joint manipulation and mesolimbic modulation were utilized. RESULTS: Following the five-day trial of therapy there was an overall stabilization in diagnostic parameters. Of importance was significant, overall improvement in mesolimbic feelings. His family reported a return of calmness and a return of the person who was more interactive and happier. CONCLUSION: Integrating vestibular ocular, mesolimbic, and somatosensory stimulation through neurologically guided examination and neurological testing significantly improved the sport related concussion symptoms in this athlete. The authors recommend further investigation into the examination and rehabilitation of sports related concussion (SRC) and post-concussion syndrome using evidence-based objective testing and comprehensive multimodal neurorehabilitation. Keywords: Concussion and sports, post concussion syndrome (PCS), Concussion assessment, vestibular rehabilitaiton, CENTRALLY MAINTAINED VESTIBULAR SYNDROME, brain rehabilitation Conference: International Symposium on Clinical Neuroscience, Orlando, United States, 24 May - 26 May, 2019. Presentation Type: Poster Presentation Topic: Clinical Neuroscience Citation: Sockander LH, Behrendt BR and Sockander B (2019). MULTIMODAL NEUROREHABILITATION TO ENHANCE PERFORMANCE IN 33 -YEAR OLD HOCKEY PLAYER WITH MULTIPLE SPORTS RELATED CONCUSSIONS AND POST CONCUSSIVE SYNDROME. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience. doi: 10.3389/conf.fneur.2019.62.00032 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: 02 Apr 2019; Published Online: 27 Sep 2019. * Correspondence: Dr. Leif H Sockander, European Brain Center, Kungälv, Sweden, lhsockander@me.com 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 Leif H Sockander Benjamin R Behrendt Ben Sockander Google Leif H Sockander Benjamin R Behrendt Ben Sockander Google Scholar Leif H Sockander Benjamin R Behrendt Ben Sockander PubMed Leif H Sockander Benjamin R Behrendt Ben Sockander 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.

2019Frontiers in Neurology（2019）

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3Orthostatic Intolerance Improved with Multimodal Brain-Based Rehabilitation in Professional Hockey Player

Event Abstract Back to Event Orthostatic intolerance improved with multimodal brain-based rehabilitation in professional hockey player Leif H. Sockander1*, David J. Traster2, Benjamin R. Behrendt3, 4 and Kelsey J. Brenner2 1 European Brain Center, Sweden 2 Private Practice, United States 3 NeuroWorks Healthcare LLC, United States 4 Carrick Institute for Graduate Studies, United States Background: A professional hockey player presented to the clinic with complaints of lightheadedness associated with decreased stability upon elevation. Symptoms have been occurring over the last 2-3 years and have increased with recent head trauma. Methods: A through neurologic examination accompanied by pre/post diagnostic assessments utilizing computerized dynamic posturography (CDP), videonystagmography (VNG), saccadometry (SAC) and video head impulse testing (VHIT) was performed. Neurological examination revealed an increase of heart rate of 36 points from laying to standing which correlated with the perception of lightheadedness. The patient performed seven therapy sessions in four days which included canal repositioning maneuvers (CRP), vestibulo-ocular rehabilitation, somatosensory evoked potential (SSEP) stimulation, non-invasive vagal nerve stimulation, oculomotor therapy, myofascial work, tilt table therapy with active muscle recruitment and spinal and extra-spinal manipulations. Results: As a result of this therapeutic intervention the patient no longer experienced any lightheadedness. The patient was 66% stable on computerized posturography with eye closed, perturbed surface with his head in extension where as he fell immediately in this position pre therapy. Conclusion: This outcome supports the notion of multimodal brain-based rehabilitation strategies for patients with dysautonomia. The authors support further research into a multimodal brain-based approach for dysautonomia. Keywords: Performance optimization, posturography, stability analysis, Canal Repositioning, vestibular therapy, Vestibular ocular rehabilitation, Postural Orthostatic Tachycardia Syndrome, Multimodal Brain-Based Rehabilitation, dysautonomia 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: Sockander LH, Traster DJ, Behrendt BR and Brenner KJ (2016). Orthostatic intolerance improved with multimodal brain-based rehabilitation in professional hockey player. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00105 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: 16 Jul 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Leif H Sockander, European Brain Center, Kungälv, S-442 31, Sweden, lhsockander@me.com 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 Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Scholar Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner PubMed Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner 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.

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4Changes in Vestibular Function Following Non-Invasive Multimodal Brain Stimulation.

Event Abstract Back to Event Changes in vestibular function following non-invasive multimodal brain stimulation. Leif H. Sockander1*, David J. Traster2, Benjamin R. Behrendt3, 4 and Kelsey J. Brenner2 1 European Brain Center, Sweden 2 Private Practice, United States 3 NeuroWorks Healthcare LLC, United States 4 Carrick Institute for Graduate Studies, United States Title: Changes in vestibular function following non-invasive multimodal brain stimulation. Background: We describe a 29 year old male professional hockey player who presented for performance enhancement. Methods: A thorough neurological exam was performed with pre and post-therapy diagnostics including computerized dynamic posturography (CDP), Videonystagmography (VNG), video head impulse testing (vHIT), and Saccadometry (SAC). A brain-based therapeutic plan was applied combining vestibular, oculomotor, visual, proprioceptive and auditory rehabilitation. Results: The patient went through seven therapy sessions over a period of 4 days. Post therapeutic diagnostics revealed improvement in vHIT testing from 19% asymmetry to 10% in the RALP testing. Over 5% improvement in stability was seen in computerized posturography measurements for testing of perturbed surface eyes closed, head neutral, head right, head left, and head extended. Conclusion: Multi-modal brain-based rehabilitation techniques positively impacted vestibular function as evidenced by the objective diagnostic testing. It would be logical that improved vestibular function would result in improved athletic performance, however the authors suggest more research comparing multimodal vs unimodal forms of rehabilitation and performance enhancement. VOR integration is paramount to everyday activity and is vital in sport. A functional neurological integrated approach based off one’s neurological state can produce change. Change that can be seen diagnostically. This change can also equate to better functioning neurology and reflexogenic systems which may lead to increased performance. This optimization may also decrease chances of injury. The authors suggest further investigation into neurological approaches that can optimize performance. Keywords: Video head impulse test, vestibular therapy, Vestibular Repositioning, Hockey, concussion, Vestibular ocular rehabilitation, Vestibular ocular reflex, performance opitmization 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: Sockander LH, Traster DJ, Behrendt BR and Brenner KJ (2016). Changes in vestibular function following non-invasive multimodal brain stimulation.. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00106 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: 16 Jul 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Leif H Sockander, European Brain Center, Kungälv, S-442 31, Sweden, lhsockander@me.com 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 Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Scholar Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner PubMed Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner 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.

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5Performance Optimization for Enhanced Learning in the Classroom: Utilizing the Vestibular System to Affect Change

Event Abstract Back to Event Performance optimization for enhanced learning in the classroom: utilizing the vestibular system to affect change Leif Sockander1*, David J. Traster2, Benjamin R. Behrendt3, 4 and Kelsey J. Brenner2 1 European Brain Center, Sweden 2 Private Practice, United States 3 NeuroWorks Healthcare LLC, United States 4 Carrick Institute for Graduate Studies, United States Background: Graduate law school student and athlete presented to the clinic to optimize performance in regards to her focus while studying. Methods: A thorough neurological examination was performed and monitored along with pre/post diagnostic parameters including dynamic posturography (CDP), videonystagmography (VNG), saccadometry (SAC) and video head impulse testing (VHIT). Three therapy sessions in five days were performed and included therapies such as vestibular rehabilitation, repetitive somatosensory evoked potential stimulation (SSEP), non-invasive vagus stimulation and spinal and extra-spinal joint manipulation. Results: Post therapy, the VNG revealed a decreased square-wave jerk (SWJ) activity with gaze holding and during pursuits. CDP testing increased specifically from fall with perturbed stance eyes closed (PSEC) head left and PSEC head extension to 63% and 54% stability respectively. Conclusion: The patient had improved balance and gaze stability with only three therapy sessions. The authors suggest continued research in a multimodal brain-based rehabilitation approach to monitor any impacts on improved focus. Keywords: Performance optimization, Vestibular Repositioning, posturography, Vestibular ocular rehabilitation, postural stability, Multimodal Brain-Based Rehabilitation, school performance, learning and memory, Focus and attention 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: Sockander L, Traster DJ, Behrendt BR and Brenner KJ (2016). Performance optimization for enhanced learning in the classroom: utilizing the vestibular system to affect change. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00103 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: 15 Jul 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Leif Sockander, European Brain Center, Kungälv, S-442 31, Sweden, lhsockander@me.com 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 Leif Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Leif Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Scholar Leif Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner PubMed Leif Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner 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.

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6Multi-modal Post-Stroke Rehabilitation Improves Spasticity During Gait.

Event Abstract Back to Event Multi-modal post-stroke rehabilitation improves spasticity during gait. Leif H. Sockander1*, David J. Traster2, Benjamin R. Behrendt3, 4 and Kelsey J. Brenner2 1 European Brain Centers, Sweden 2 Private Practice, United States 3 NeuroWorks Healthcare LLC, United States 4 Carrick Institute for Graduate Studies, United States Background: Retired female presented for post-stroke rehabilitation in efforts to increase stability during gait. Over past two years she has had 4 episodes of syncope, where one episode resulted in the need for surgical intervention to mend ankle fracture in three locations. She states her left side of body has improved since the stroke, however she still has problems with stability and ambulation. Methods: Thorough neurological exam performed along with diagnostic testing which included computerized dynamic posturography (CDP), Videonystagmography (VNG), Saccadometry (SAC). The patient underwent three therapy sessions in four days which included combinations of therapies such as vestibular canal re-positioning maneuvers, vestibular ocular reflex (VOR) exercises, multi-axial joint movements, non-invasive vagus nerve stimulation, low level laser, repetitive somatosensory evoked potential. Results: Post therapy examination revealed improved spasticity and stability during gait. Rapid alternating movements improved, as did neck and back pain/stiffness. Conclusion: Employing a multimodal brain-based therapy plan improved this patient’s ability to ambulate and improved every day function. The authors suggest further investigation into multi-modal rehabilitation in post-stroke rehabilitation. Keywords: stroke rehabilitation, Spasticity, Gait rehabilitation, Multimodal Brain-Based Rehabilitation, Vestibular Rehabilitation, Vestibular ocular rehabilitation 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: Sockander LH, Traster DJ, Behrendt BR and Brenner KJ (2016). Multi-modal post-stroke rehabilitation improves spasticity during gait. . Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00102 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: 16 Jul 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Leif H Sockander, European Brain Centers, Kungälv, S-442 31, Sweden, lhsockander@me.com 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 Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner Google Scholar Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner PubMed Leif H Sockander David J Traster Benjamin R Behrendt Kelsey J Brenner 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.

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7RECALIBRATION OF SEMICIRCULAR CANAL INTEGRATION THROUGH REPOSITIONING TO AID IN RECOVERY FOLLOWING MILD TRAUMATIC BRAIN INJURY (Mtbi)

Sockander Leif, Rayo Amber

Event Abstract Back to Event RECALIBRATION OF SEMICIRCULAR CANAL INTEGRATION THROUGH REPOSITIONING TO AID IN RECOVERY FOLLOWING MILD TRAUMATIC BRAIN INJURY (mTBI) Benjamin R. Behrendt1, 2*, Leif Sockander3 and Amber Rayo2 1 Carrick Institute for Graduate Studies, United States 2 NeuroWorks Healthcare LLC, United States 3 Kungälvs Kiropraktor Center AB, Sweden Background: Young man with on going post concussion symptoms following a head trauma. His symptoms are debilitating to the point where he can only perform a couple of hours of work before becoming exhausted. He has symptoms of fatigue, head pressure, dizziness, feelings of fogginess which is worse at night. When sleeping he feels dizzier when lying on stomach. Medications included thyroid and growth hormones. Objective: A neurological examination was performed including dynamic computerized posturography (CDP) and videonystagmography (VNG). Of significance he had diaphoresis of the feet more than hands, positive percussion myotonia, hypertensive blood pressure, and within normal limits (WNL) heart rate (seated, supine, standing), pendular patellar reflexes, decreased right arm swing with gait, and feet, right convergence spasm. He had a negative Dix-Hallpike maneuver when testing posterior canal involvement. His balance reduced with head extension testing. VNG testing had little abnormality. CDP did not support anterior canal involvement with head flexed testing (despite being dizzy when laying on stomach). Bead string, complex cerebellar active and gaze stabilization were given along with, anterior repositioning exercises secondary to symptoms. Results: Anterior canal repositioning maneuver helped reduce autonomic involvement with diaphoresis of palms and feet, his arm swing returned and his sensorium felt better. This along with bead string saccadic exercises his convergence spasm was corrected. He was less fatigued and able to concentrate better, although minor symptoms lingered. Conclusion: Canal repositioning maneuvers may help to reset cortical and brainstem integration. Further investigation should be performed to evaluate recalibration through graded repositioning of semicircular canals. Acknowledgements Authors would like to give thanks to Michael Drzewiecki for helping with this case. Keywords: Vestibular Rehabilitation, semicircular canal, recalibration, Repositioning maneuver, Mild Traumatic Brain Injury (mTBI), dysautonomia Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015. Presentation Type: Poster Presentation Topic: Clinical aspects of TBI and Neurodegeneration Citation: Behrendt BR, Sockander L and Rayo A (2015). RECALIBRATION OF SEMICIRCULAR CANAL INTEGRATION THROUGH REPOSITIONING TO AID IN RECOVERY FOLLOWING MILD TRAUMATIC BRAIN INJURY (mTBI). Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00008 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: 01 Nov 2015; Published Online: 02 Nov 2015. * Correspondence: Dr. Benjamin R Behrendt, Carrick Institute for Graduate Studies, Cape Canaveral, FL, United States, drben@neuroworkshealthcare.com 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 Benjamin R Behrendt Leif Sockander Amber Rayo Google Benjamin R Behrendt Leif Sockander Amber Rayo Google Scholar Benjamin R Behrendt Leif Sockander Amber Rayo PubMed Benjamin R Behrendt Leif Sockander Amber Rayo 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.

2015Frontiers in Neurology（2015）

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