1. Clinical Outcomes of a Novel Cranial Movement Therapy (CMT) in Post-Traumatic Brain Injury: A Case Report
- Author
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Mohammad Hadadzadeh, Luke Senko, Jessica Tierney, Madeline Berger, Charles Simkovich, and Kristine Grubler
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,Traumatic brain injury ,business.industry ,Rehabilitation ,Psychological intervention ,Physical Therapy, Sports Therapy and Rehabilitation ,Cognition ,medicine.disease ,Palpation ,Cognitive training ,Private practice ,Concussion ,medicine ,Physical therapy ,Headaches ,medicine.symptom ,business - Abstract
Research Objectives To describe potential effects of a novel Cranial Movement Therapy (CMT) on long-lasting post-Traumatic Brain Injury (TBI) symptoms. Design Case report. Setting Specialized private practice on concussion and TBI. Participants A 57-year-old female with sustaining post-TBI symptoms for 2 years, with a new incident 2 weeks prior to initial visit. Interventions A novel technique of CMT was originally developed to improve post-TBI symptoms by potential restoration of the cranial bones’ position and optimization of CSF and blood flow. This approach consists of a detailed history of the mechanism of injury, systematic evaluation including palpation, assessment, and manipulation of the cranial bones, cervical spine and surrounding musculature. Each session, symmetry, mobility, and tonicity of cranial structures and soft tissues were assessed. Treatment protocol consisted of 5 consecutive sets of proposed CMT technique on the palate and other osseous cranial structures found with deficits, of 1 session every 20 minutes, over the course of 4 days with added home-based cognitive training program. Follow-up was repeated for 2 months post-initial treatment. Main Outcome Measures Primary outcomes were severity of headache and cognitive dysfunction on a 0-10 scale and frequency of occurrence. Results Following receiving CMT, the participant reported 80% decrease in headache severity (5/10 to 1/10) and complete resolution (100% decrease) of cognitive dysfunction (6/10 to 0/10) at the conclusion of treatment on day 4 with no recurrence after 2 months of follow up. Conclusions This case report successfully documented a significant reduction in severity and frequency of headaches, complete elimination of cognitive difficulties following application of this novel CMT technique in a patient experiencing long-lasting post-TBI symptoms. Findings warrant future randomized controlled investigation of this approach in the treatment of patients with post-TBI symptoms. Author(s) Disclosures Primary authors (CS) who has originally developed this novel technique foresees potential financial conflict of interest since he is the CEO/owner of the facility this case is treated. All other authors declare that they have no relevant financial or non-financial competing interests to report.
- Published
- 2021