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Improvements in Stability Scores and Attenuation of Primitive Reflexes after Neurological Rehabilitation for an 11-year-old Female Patient with Autism Spectrum Disorder and Tourette's Syndrome

Paul E. Link1*, Megan Manno2, Matthew M. Antonucci1, 3 and Emily R. Kalambaheti1*
  • 1 Plasticity Brain Centers, United States
  • 2 University of Central Florida, United States
  • 3 Carrick Institute, United States

Presentation: A 11-year-old female patient presented to Plasticity Brain Centers for evaluation and treatment of symptoms relating to her previously diagnosed Autism Spectrum Disorder (ASD) with a co-morbidity of Tourette's Syndrome. Findings: Upon intake examination, the following primitive reflexes were found to be present: Moro Response and Symmetrical Tonic Neck Response (STNR). A Comprehensive Assessment of Postural Systems (CAPS®) (Pagnacco 2014) was performed assessing balance and stability, on a solid and foamed surface, with eyes opened and closed with head in multiple positions. The average stability score was 24.373%. Methods: A 5-day, multi-modal program of neurological exercises was administered in 10 one-hour treatment sessions (Carrick 2017). Each session consisted of repetitive peripheral somatosensory stimuli, neuromuscular reeducation exercises (Antonucci 2016), vestibular rehabilitation exercises, orthoptic exercises, and off-vertical axis rotation (Gdowski 1999) utilizing a multi-axis rotational chair (MARC). Outcome: Upon exit examination it was found that the following primitive reflexes were attenuated: Moro Response and STNR. Stability scores improved, with the average stability score of 64.091% (+162.96%). Conclusion: The authors suggest further investigation into multi-modal, intensive approaches to increase stability scores and attenuate primitive reflexes in patients with ASD with the co-morbidity of Tourette's Syndrome.

Acknowledgements

The authors would like to thank and acknowledge the contribution of the clinical team at Plasticity Brain Centers as well as the administrative support team. The authors would also like to thank the Carrick Institute for providing the education utilized to create the multi-modal treatments implemented in this case study.

References

1. Antonucci MM, Link PE, Barton DA and Carrick FR (2016). Improvement in muscle tone, coordination, balance, ocular-motor function, and communication in a 6-year-old male with developmental delays after 5 days of ReceptorBased treatment. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00067

2. Carrick FR, Clark JF, Pagnacco G, Antonucci MM, Hankir A, Zaman R and Oggero E (2017) Head–Eye Vestibular Motion Therapy Affects the Mental and Physical Health of Severe Chronic Postconcussion Patients. Front. Neurol. 8:414. doi: 10.3389/fneur.2017.00414

3. Gdowski GT, McCrea RA. Integration of vestibular and head movement signals in the vestibular nuclei during whole-body rotation. J Neurophysiol (1999) 82:436–49

4. Pagnacco G, Carrick FR, Wright CH, Oggero E. In-situ verification of accuracy, precision and resolution of force and balance platforms. Biomed Sciences instrumentation (2014) 50:171-8

Keywords: Autism Spectrum Disorder, Tourette Syndrome, Tourette’s Syndrome, Neurorehabilitation, Functional Neurology, chiropractic neurology, Vestibular Rehabilitation, stability score, primitive reflexes integration, Primitive reflex, Off-vertical axis rotation

Conference: International Symposium on Clinical Neuroscience 2018, Orlando, Florida, United States, 24 May - 26 May, 2018.

Presentation Type: Poster

Topic: Clinical Applications in health, disease, and injury to the nervous system

Citation: Link PE, Manno M, Antonucci MM and Kalambaheti ER (2018). Improvements in Stability Scores and Attenuation of Primitive Reflexes after Neurological Rehabilitation for an 11-year-old Female Patient with Autism Spectrum Disorder and Tourette's Syndrome. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience 2018. doi: 10.3389/conf.fneur.2018.60.00099

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Received: 01 Apr 2018; Published Online: 14 Dec 2018.

* Correspondence:
Dr. Paul E Link, Plasticity Brain Centers, Orlando, United States, plink@plasticitybraincenters.com
Dr. Emily R Kalambaheti, Plasticity Brain Centers, Orlando, United States, Emily.Kalambaheti@gmail.com