Diagnostics

We utilize cutting-edge, gold-standard diagnostics and examination procedures to identify the underlying causes of people’s neurological problems. Our diagnostics allow us to precisely quantify the neurological dysfunction in our patients. This allows us to develop innovative and individualized treatment plans that address the unique needs of our patients. We can find the specific therapies, provide them at the correct time, and with the exact frequency and intensity needed to generate the best outcomes.

 

Videonystagmography (VNG) allows us to record and quantify eye movements. Impaired eye movements are an important part of the clinical picture in most neurological conditions. Eye movements are impaired in concussions,  traumatic brain injuries, vertigo, movement disorders, Alzheimer’s disease, Parkinson’s disease, neurodevelopmental disorders, and virtually all points in between. Proper objective analysis of eye movements is usually the critical step in restoring neurological function.

There are numerous classes of eye movements, and they work together to help you create a coherent picture of your world. The various classes of eye movements are generated by specific parts of the brain. Analysis of these movements helps us to determine which parts of the brain are working well, which parts are not, and what we need to do to make all of them work well again. Unlike conventional neurological imaging, videonystagmography allows us to assess the differing rates of neurological fatigability in individual brain regions. Rebuilding neurological  endurance is one of the critical steps in the NeuroRestoration program, and  videonystagmography gives us a precise way to evaluate functional endurance.

 

Vestibular Head Impulse Testing (VHIT) allows us to gain critical insight into the inner workings of your inner ear’s vestibular system. The vestibular system is one of the key mechanisms by which we determine where we are in space. It allows us to make sense of our relationship with gravity and head motion, and compare that with feedback from eyes muscles, and joints. This allows us to localize ourselves in the world. There are several functional parts to the vestibular system, including the six semicircular canals. These canals act as sensors to detect head motion and head position. They provide input that the brain uses to fire core stabilizing muscles. They work with the brainstem and cerebellum to generate vestibulo-ocular reflexes, which help us stabilize our gaze and know where the visual world is as our head moves. Impairment of these reflexes is usually the primary driver of dizziness and vertigo. Damage to these reflexes is extremely common in concussions and traumatic brain injuries, and functional imbalances in these systems can be  involved in everything from movement disorders and neurodegenerative diseases to psychiatric conditions. VHIT testing allows us to precisely quantify the function and fatiguability of all six vestibular canals and their associated reflexes. This is another critical part of your unique NeuroRestoration program.

 

Saccadometry allows precise evaluation of a specific class of eye movements called Saccades. These are the primary system you use to generate your visual map of the world. They are generated by the frontal lobes, and are thus impacted in a cost of cognitive disorders. They are very commonly impacted in concussions and traumatic brain injuries, and are a critical part of our rehabilitation strategies for most every condition we treat.  The unique patterns of saccades seen with saccadometry can help us to better localize your neurological dysfunction. They help us devise the correct strategy for ultimate NeuroRestoration.

 

Computerized Dynamic Posturography (CDP) allows us to measure your ability to balance in a number of different conditions. We use the CAPS system, which is sensitive enough to read your heartbeat through your feet. Measurement of whole-body sway in different sensory conditions is the best way to see how your brain makes sense of input from your eyes, your vestibular system, and your proprioceptive feedback from muscles and joints. More importantly, it lets us see how your brain integrates these inputs, and gives us a way to tell when these inputs do not match properly. It also gives us wonderful measure of neurological fatigue, and is a tremendous tool for tracking your progress towards complete NeuroRestoration.