Traumatic Brain Injury (TBI)

The treatment of traumatic brain injury (TBI) is critical; it is estimated that between 3.2 and 5.3 million Americans live with permanent disabilities as a direct result of a TBI (1). TBI’s typically result in cognitive impairments such as cognitive inflexibility, memory loss, and motor issues to name a few (2).

Extivita Therapies for TBI:

  • Hyperbaric Oxygen Therapy
  • Neurofeedback
  • IV Therapy
  • Bemer

Traumatic Brain Injury (TBI)

The treatment of traumatic brain injury (TBI) is critical; it is estimated that between 3.2 and 5.3 million Americans live with permanent disabilities as a direct result of a TBI (1). TBI’s typically result in cognitive impairments such as cognitive inflexibility, memory loss, and motor issues to name a few (2).

Extivita Therapies for TBI:

  • Hyperbaric Oxygen Therapy
  • Neurofeedback
  • IV Therapy
  • Bemer

Extivita Therapies Traumatic Brain Injury Recovery:

Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy

Neurofeedback

Hyperbaric Oxygen Therapy

Supplements

Hyperbaric Oxygen Therapy

IV Therapy

Pulsed Electromagnetic Field Therapy (PEMF)

Bemer

Hyperbaric Oxygen Therapy (HBOT):

Hyperbaric Oxygen Therapy - Chapel Hill

Hyperbaric oxygen therapy (HBOT) has been shown to improve cognitive impairments and quality of life in patients who experienced mild TBI months to years after injury (3). Additionally, HBOT results in improved cognitive function (in multiple categories) in the case of moderate and severe TBI as well. These improvements were correlated with increased activity in the brain regions associated with each cognitive impairment (2). HBOT induces these positive changes by increasing injured neurons’ ability to repair, as well as stimulating the growth of new blood vessels that supply nutrients to damaged tissue (3).

HBOT has shown improvement to:

  • Memory loss (most improvement)
  • Attention problems (high improvement)
  • Executive Function
  • Information Processing Speed
  • Motor skills
  • Visual Spatial Processing

Effects of HBOT on Traumatic Brain Injury:

Grows New Blood Vessels

New Blood Vessel Formation

Hyperbaric oxygen therapy stimulates the formation of new blood vessels, healing injured tissues that were unable to get nutrients and oxygen.

Increases Stem Cell Production

Increased Stem Cell Activity

Hyperbaric oxygen therapy mobilizes stem progenitor cells (SPCs) from the bone marrow, creating the opportunity for tissue regeneration.

Decreases Inflammation

Decreased Inflammation

Hyperbaric oxygen therapy reduces systemic inflammation by increasing anti-inflammatory gene expression and decreasing proinflammatory genes.

Hyperbaric Oxygen Therapy - Chapel Hill

Neurofeedback:

Research suggests that neurofeedback can improve the cognitive impairments that occur following a traumatic brain injury (4). Trends towards improvement in categories such as anxiety, depression, and mood have been observed following neurofeedback training (5). Additionally, training beta waves have been shown to improve difficulties with attention in individuals with a past TBI (6).

Learn more about Neurofeedback…

IV Therapy:

Vitamin C (ascorbic acid) is an important antioxidant molecule in the body and the brain. It’s functions in the brain are numerous and include participation as co- factors in neurotransmitter and collagen production, and HIF-1a regulation. Ascorbate (reduced form of vitamin C) scavenges free radicals, recycles other antioxidants, protects brain cells from cell damage/death. (7) Vitamin B12 has been reported to promote nerve repair after TBI. (8)

Learn more about IV Therapy…

Hyperbaric Oxygen Therapy - Chapel Hill

Hyperbaric Oxygen Therapy - Chapel Hill

Bemer:

Micro vessels play a big role in overall course of vascular diseases. Dysfunction to this system has been linked to a multitude of illnesses. The Bemer device has been shown to optimize the microcirculatory system, increasing perfusion to tissues and organs. When used in conjunction with HBOT, oxygen rich blood can be delivered to these areas, where healing can begin (12).

Recent TBI News & Research:

References
  1. Traumatic Brain Injury In the United States: Epidemiology and Rehabilitation. Accessed June 2, 2019. https://www.cdc.gov/traumaticbraininjury/pdf/tbi_report_to_congress_epi_and_rehab-a.pdf.
  2. Hadanny A, Abbott S, Suzin G, et al. Effect of hyperbaric oxygen therapy on chronic neurocognitive deficits of post-traumatic brain injury patients: retrospective analysis. BMJ Open 2018;8:e023387. doi: 10.1136/bmjopen-2018-023387 https://bmjopen.bmj.com/content/bmjopen/8/9/e023387.full.pdf
  3. Boussi-Gross R, Golan H, Fishlev G, et al. Hyperbaric oxygen therapy can improve post concussion syndrome years after mild traumatic brain injury – randomized prospective trial. PLoS One 2013;8(11):e79995 https://www.ncbi.nlm.nih.gov/pubmed/24260334
  4. May, Geoffrey, et al. “Neurofeedback and Traumatic Brain Injury: A Literature Review.” Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists, vol. 25, no. 4, Nov. 2013, pp. 289–96.
  5. Gray, Sarah N. “An Overview of the Use of Neurofeedback Biofeedback for the Treatment of Symptoms of Traumatic Brain Injury in Military and Civilian Populations.” Medical Acupuncture, vol. 29, no. 4, Aug. 2017, pp. 215–19. PubMed Central, doi:10.1089/acu.2017.1220.
  6. PhD, Ingo Keller. “Neurofeedback Therapy of Attention Deficits in Patients with Traumatic Brain Injury.” Journal of Neurotherapy, vol. 5, no. 1–2, Routledge, Oct. 2001, pp. 19–32. Taylor and Francis+NEJM, doi:10.1300/J184v05n01_03.
  7. Harrison, Fiona E, and James M May. “Vitamin C function in the brain: vital role of the ascorbate transporter SVCT2.” Free radical biology & medicine vol. 46,6 (2009): 719-30. doi:10.1016/j.freeradbiomed.2008.12.018
  8. Wu, Fangfang et al. “Vitamin B12 Enhances Nerve Repair and Improves Functional Recovery After Traumatic Brain Injury by Inhibiting ER Stress-Induced Neuron Injury.” Frontiers in pharmacology vol. 10 406. 24 Apr. 2019, doi:10.3389/fphar.2019.00406