Remediating Brain Instabilities in a Neurology Practice

Legarda, Stella B.

doi:10.4324/9780429275760-8

Cited by 2 publications

(2 citation statements)

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“…In each successive training session, the frequency selected for reinforcement is lowered. The goal of decreasing the reinforcement frequency is to train wider and more intrinsic connectivity in the brain; the slower the reinforcement frequency the more likely the client engages with their earliest networks and adaptive neuroplasticity dynamics ( Legarda, 2020 ). An optimal reinforcement frequency is realized in some patients wherein lowering the frequency training further is not tolerated.…”

Section: Methodsmentioning

confidence: 99%

“…Our study sought to investigate for efficacy of ILF training in PPCS and to provide comparative discernment to treatment as usual paradigms, a method lacking in most postconcussion neurofeedback research. A concussion protocol developed in our lab, following careful observation and successive responses to ILF training in one of our patients with severe PPCS ( Legarda, 2020 ) and thereafter adopted generally for patients with PPCS, was assessed for any additional efficacy.…”

Section: Introductionmentioning

confidence: 99%

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Use of Novel Concussion Protocol With Infralow Frequency Neuromodulation Demonstrates Significant Treatment Response in Patients With Persistent Postconcussion Symptoms, a Retrospective Study

Legarda¹,

Lahti²,

McDermott³

et al. 2022

Front. Hum. Neurosci.

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IntroductionConcussion is a growing public health concern. No uniformly established therapy exists; neurofeedback studies report treatment value. We use infralow frequency neuromodulation (ILF) to remediate disabling neurological symptoms caused by traumatic brain injury (TBI) and noted improved outcomes with a novel concussion protocol. Postconcussion symptoms (PCS) and persistent postconcussion symptoms (PPCS; >3 months post head injury) are designated timelines for protracted neurological complaints following TBI. We performed a retrospective study to explore effectiveness of ILF in PCS/PPCS and investigated the value of using this concussion protocol.MethodPatients with PCS/PPCS seen for their first neurology office visit or received their first neurofeedback session between 1 August 2018 and 31 January 2021 were entered. Outcomes were compared following treatment as usual (TAU) vs. TAU with ILF neurotherapy (TAU+ILF). The study cohort was limited to PPCS patients; the TAU+ILF group was restricted further to PPCS patients receiving at least 10 neurotherapy sessions. Within the TAU+ILF group, comparisons were made between those who trained at least 10 sessions using concussion protocol (TAU+ILF+CP) and those who trained for at least 10 sessions of ILF regardless of protocol (TAU+ILF-CP).ResultsAmong our resultant PPCS cohort (n = 59) leading persistent neurological complaints were headache (67.8%), memory impairment (57.6%), and brain fog (50.8%). PPCS patients in TAU+ILF+CP (n = 25) demonstrated greater net (p = 0.004) and percent (p = 0.026) improvement of symptoms compared to PPCS subjects in TAU (n = 26). PPCS patients in TAU+ILF-CP (n = 8) trended toward significant symptom improvements compared to TAU, and TAU+ILF+CP trended toward greater efficacy than TAU+ILF-CP.ConclusionPPCS patients who received TAU+ILF+CP demonstrated significantly greater improvement as a group when compared to TAU. When used as an integrative modality to treatment as usual in managing patients with PPCS, ILF neuromodulation with use of concussion protocol provided significant symptom improvements.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%