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Case Study: Brain Stem Injury

🕑 2 minutes read
Posted February 25, 2016

Associate’s Name:
Diane Droescher, P.T.

Associate’s Discipline:
Physical Therapy

Name of Organization:
Integrated Pediatric Therapies

Presenting Problem:
Unable to tolerate noisy or crowded environments. Balance mildly impaired.

Therapeutic Goals:
Decrease auditory sensitivity; improve balance; enable client to return to pre-injury social activities.

60-year-old female with history of brain stem injury sustained in a car accident in 1993. Other diagnoses: asthma, high blood pressure; fibromyalgia; reflux and depression.

iLs Program Used:
November: Sensory Motor Protocol with 0 bone conduction (client unable to tolerate), as home program 5 days per week with clinic follow-up every 7-10 days through February.

In July, client returned to see if further progress was possible. She then did the Reading/Auditory Process Protocol, gradually increasing the bone conduction to .5 3-5 days per week.

Summary of Changes:
After 60 one-hour iLs sessions combined with Physical Therapy over a period of 3 months

SCAN Graph - Summary of Changes - iLs Case Study

Conclusions and Recommendations:
As of September 2011, in addition to the objective changes on the SCAN-A, client is now able to attend church, go to restaurants and attend meetings. Balance has improved enormously and client has been taking a Zumba class and notes that her coordination has also improved. At her most recent optometry exam she needed new glasses because her vision had improved. Client promises to return for a repeat SCAN-A as soon as she returns from her trip to Nepal!

Comment From iLs Clinical Director, Ron Minson, MD:  “The response of this 60-yr old women 18 years post-TBI exemplifies the resiliency of the brain in mature adults.  It is also a great example of the neuroplasticity of the brain stem, as well as the brain.”

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