A stroke occurs when blood flow to an area of the brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost. How a person is affected by their stroke depends on where the stroke occurs in the brain and how much of the brain is damaged.
Signs and Symptoms
Stroke survivors often suffer from loss of strength, sensation, and function on one side of the body. Symptoms of strokes are caused by changes in blood flow to areas of the brain resulting in damage. Other symptoms commonly reported by stroke survivors include difficulty walking, impaired balance, difficulty speaking, fatigue, brain fog, impaired memory, extremity in a flexed position, difficulty focusing or concentrating.
What Is A Stroke?
A stroke occurs when proper blood flow to an area of the brain has changed, and/or when brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost. There are two main types of stroke, ischemic and hemorrhagic. An ischemic stroke is when blood flow to any area of the brain is interrupted and the area beyond the blockage is prevented from receiving blood. A hemorrhagic stroke is a brain bleed where the damage caused is due to leaked fluid suffocating the tissue.
A stroke is a medical emergency. Early treatment with medications like tPA (clot buster) can minimize brain damage. Other treatments focus on limiting complications and preventing additional strokes. At Revive we focus on recovery.
Revive's Treatment Options for Stroke
Level 1 Stroke Treatment Package: Revive’s Standard Treatment Suite
Neurological Rehabilitation Treatments
– Specialized Supplement Package
– At-Home Exercise Videos
– Dietary Recommendations
– Follow-Up Phone Calls, Video Call, Coaching
Our Approach to Diagnostics and Testing
Revive utilizes research-based diagnostics to evaluate function in specific areas of the brain. Looking at eye movements, motor function, sensory function, cranial nerves, cognitive function, balance, and gait allows us to better understand which areas have been affected by the stroke. This allows us to develop a treatment plan that targets those regions and networks to make them stronger and more efficient.
- The Videonystagmography (VNG), or testing of eye movement, gives us a representation of the function of eye muscles, cranial nerves, brainstem nuclei, cerebellum and cortical regions. By measuring things like gaze stabilization, smooth pursuits, saccades, and optogenetics, we can differentiate the areas of weakness.
- Motor function analysis enables us to see the strength, tone, and coordination of the movement of muscle groups so we can better understand the regions and networks of involvement. Networks that are utilized in a movement or the coordination of movement involve the frontal lobes, parietal lobes, and the cerebellum.
- In our office, the physical examination is focused on not only finding definitive signs of functional deficits, but also catching the subtle changes which give us greater insight into the physiology and function. These findings are often considered irrelevant or ‘within normal limits’ in most conventional clinical settings.
- Cognitive testing is utilized as a baseline marker to measure and monitor patient outcomes. These quantifiable tests validate results in many different avenues. Our testing encompasses depression screening, anxiety screening, verbal memory, psychomotor speed, processing speed, simple attention, and motor speed.
- Balance test or vestibular testing gives us an insight into the function of networks that are needed for standing, walking, and even riding in a car. We look at the three main factors of balance (vestibular, proprioception, and vision) together and individually to isolate the areas of involvement.
Our Approach to Care
At Revive we specialize in providing treatment to the neurological regions affected by stroke. Your treatment can include balance, gait, and eye training; as well as hand-eye coordination, repetitive transcranial magnetic stimulation (rTMS), hyperbaric oxygen, diet, and supplements.
We offer a unique process that is built to maximize time and results. To reach your personal healthcare goals, it is imperative that your physicians and care providers precisely know your individual story and desires. Your individual goals are the focal point of the comprehensive treatment plan which is based off your exam, diagnostics, and lab results.
Beyond the neurological system, there are many factors that can impact the presentation of stroke: the immune system, diet, sleep, and stress (to list a few). By integrating knowledge of the brain and influence of these factors, we are able to be very specific with targeted therapies which create lasting neurological changes. Your treatment plan is designed specifically for you and is not a protocol.
This plan is executed over 5-10 days. Patients see measurable improvement during their time in our office and continue to make gains once they leave. To help ensure success on your journey of healing, we create and define a plan for you when you go home. This plan may include sourcing local specialist for a safe and effective continuum of care. Our goal is to see each patient continue to build upon the initial results they achieved in our office.
Research on Our Treatments
Repetitive Transcranial Magnetic Stimulation (rTMS) sends a magnetic waveform through the skull that depolarizes the brain cells. rTMS can be directed at specific regions of the cortex to cause activation of the neurons in the area.
- Enhancing memory performance with rTMS in healthy subjects and individuals with Mild Cognitive Impairment: the role of the right dorsolateral prefrontal cortex
- Non-invasive Brain Stimulation in the Treatment of Post-stroke and Neurodegenerative Aphasia: Parallels, Differences, and Lessons Learned
- The treatment of fatigue by non-invasive brain stimulation.Role of the Human Medial Frontal Cortex in Task Switching: A Combined fMRI and TMS Study
- Transient Storage of a Tactile Memory Trace in Primary Somatosensory Cortex
- Effects of Low Frequency Repetitive Transcranial Magnetic Stimulation (rTMS) on Gamma Frequency Oscillations and Event-Related Potentials During Processing of Illusory Figures in Autism
- Low-Frequency Repetitive Transcranial Magnetic Stimulation (rTMS) Affects Event-Related Potential Measures of Novelty Processing in Autism
- Transcranial magnetic stimulation provides means to assess cortical plasticity and excitability in humans with fragile X syndrome and autism spectrum disorder
- Adults with cerebral palsy: a workshop to define the challenges of treating and preventing secondary musculoskeletal and neuromuscular complications in this rapidly growing population
- rTMS: Updates in the Treatment of Spasticity Associated With Cerebral Palsy
- Interhemispheric Balance in Parkinson’s Disease: A Transcranial Magnetic Stimulation Study
- Cognitive Training and Noninvasive Brain Stimulation for Cognition in Parkinson’s Disease: A Meta-analysis
- Effectiveness of high-frequency repetitive transcranial magnetic stimulation in patients with depression and Parkinson’s disease: a meta-analysis of randomized, controlled clinical trials
- Using non-invasive transcranial stimulation to improve motor and cognitive function in Parkinson’s disease: a systematic review and meta-analysis.
- Follow up study: The influence of rTMS with high and low frequency stimulation on motor and executive function in Parkinson’s disease.
- Repetitive transcranial magnetic stimulation combined with cognitive training for the treatment of Alzheimer’s disease
- Treatment of Alzheimer’s Disease with Repetitive Transcranial Magnetic Stimulation Combined with Cognitive Training: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study.
- Repetitive Transcranial Magnetic Stimulation as an Alternative Therapy for Cognitive Impairment in Alzheimer’s Disease: A Meta-Analysis
- Effects of noninvasive brain stimulation on cognitive function in healthy aging and Alzheimer’s disease: a systematic review and meta-analysis
- Modulation of a brain-behavior relationship in verbal working memory by rTMS
Hyperbaric oxygen therapy (HBOT) is the medical use of oxygen in a pressurized environment, at a level higher than 1 atmosphere absolute (ATA). Increased pressure allows for oxygen to dissolve and saturate the blood plasma (independent of hemoglobin/red blood cells), which yields a broad variety of positive physiological, biochemical and cellular effects. This noninvasive therapy is the most trusted way to increase oxygen levels to all organs of the body. The typical treatment lasts for 60-90 minutes, during which the patient lies down and breathes normally. HBOT has been demonstrated in several clinical studies to enhance the body’s innate ability to repair and regenerate. It is used as an adjunct therapy to complement and enhance the healing process in both chronic and acute conditions.
Hyperbaric Oxygen Therapy (HBOT) has been shown to increase oxygen saturation to tissues and increase the amount of stem cell production and circulation. This allows for the greatest potential for healing in the brain.
- Hyperbaric oxygen therapy for brain injury, cerebral palsy, and stroke.
- Hyperbaric oxygen – its mechanisms and efficacy
- Hyperbaric oxygen therapy may improve symptoms in autistic children
- Randomized trial of hyperbaric oxygen therapy for children with autism
- Study the effect of hyperbaric oxygen therapy in Egyptian autistic children: A clinical trial
- Neuroprotective effect of combined therapy with hyperbaric oxygen and madopar on 6-hydroxydopamine-induced Parkinson’s disease in rats
- Hyperbaric Oxygen Pretreatment Improves Cognition and Reduces Hippocampal Damage Via p38 Mitogen-Activated Protein Kinase in a Rat Model
- Hyperbaric Oxygen and Ginkgo Biloba Extract Ameliorate Cognitive and Memory Impairment via Nuclear Factor Kappa-B Pathway in Rat Model of Alzheimer’s Disease.
- Hyperbaric oxygen therapy for multiple sclerosis.
- Regional gray matter atrophy and neuropsychologcal problems in relapsing-remitting multiple sclerosis.
Functional Movement exercises and whole body vibration have shown tremendous results in increasing strength and self-awareness, while activating the cerebellum and areas of the parietal lobes.
- Effects of physical activity on children’s executive function: Contributions of experimental research on aerobic exercise
- Exercise and Children’s Intelligence, Cognition, and Academic Achievement
- Preliminary results on the mobility after whole body vibration in immobilized children and adolescents
We utilize Electrical Stimulation (E-stim) in many different waveforms to increase strength, increase self-awareness, decrease spasticity, and active brainstem neurons.
AL-TENS is a form of hyperstimulation described by Sjölund and colleagues in the 1970s. The intention of AL-TENS is to stimulate small diameter, high threshold peripheral afferents (A-delta) in order to activate extrasegmental descending pain inhibitory pathways. Non-painful muscle twitches occur during stimulation causing activity in small diameter muscle afferents. Electrodes are positioned over myotomes, trigger points, and acupuncture points. The term AL-TENS is used loosely in literature making the synthesis of research findings difficult.
In effect, the ReBuilder acts like a pacemaker works for your heart’s electrical signals. If the pacemaker does not send exactly the right signal, then the four chambers of the heart may not pump in the right order and if the signal is too fast or too slow, the heart stops. So, too, the ReBuilder’s precisely controlled waveform coaxes your nerves to transmit their signals in the proper order. Although designated as a TENS relative to the FDA’s regulations, the ReBuilder’s signals are vastly more controlled and precise.
The ReBuilder is typically used on patients as a neurological intervention to help with cortical remapping. If the brain is unsure of where the feet are in space after a stroke or other biomechanical event, the ReBuilder can help strengthen those signaling pathways. Additionally, vagal stimulation or gait protocols may be used for similar reasons.
- Clinical Use of Neuromuscular Electrical Stimulation for Children With Cerebral Palsy, Part 1: Lower Extremity
- THE USE OF THERAPEUTIC ELECTRICAL STIMULATION IN THE TREATMENT OF HEMIPLEGIC CEREBRAL PALSY
- Effect of Neuromuscular Electrical Stimulation during Gait in Children with Cerebral Palsy
- Action mechanisms of transcranial direct current stimulation in Alzheimer’s disease and memory loss.
- Temporal cortex direct current stimulation enhances performance on a visual recognition memory task in Alzheimer disease.
- Non-invasive neuromodulation to improve gait in chronic multiple sclerosis: a randomized double blind controlled pilot trial
- Transcutaneous Vagal Nerve Stimulation (tVNS): a new neuromodulation tool in healthy humans?
- Working memory improvement with non-invasive brain stimulation of the dorsolateral prefrontal cortex: a systematic review and meta-analysis
- Effects of functional electrical stimulation on gait in people with multiple sclerosis – A systematic review.
- Management of the symptoms of multiple sclerosis using functional electrical stimulation and exercise.
- Effects of functional electrical stimulation on gait in people with multiple sclerosis – A systematic review.
- A Multimodal, Nonpharmacologic Intervention Improves Mood and Cognitive Function in People with Multiple Sclerosis.
- The effects of vagus nerve stimulation therapy in patients with intractable seizures and either Landau–Kleffner syndrome or autism
Sensory Motor Integration (SMI) can help increase reaction time and motor skills. SMI is strongly researched in the world of developmental delays and can be adapted to affect many different disorders.
Cold Laser Therapy, also known as Low Level Laser Therapy (LLLT), has shown increases in mitochondria production in cells, helping to decrease inflammation and increase healthy cellular activity. When the cold laser is utilized as a transcranial (through the skull) therapy we see an increase in brain activation to the targeted areas.
- Transcranial infrared laser stimulation produces beneficial cognitive and emotional effects in humans
- Treating cognitive impairment with transcranial low-level laser therapy
- Cognitive enhancement by transcranial laser stimulation and acute aerobic exercise
- Role of Low-Level Laser Therapy in Neurorehabilitation
Vestibular/Rotational Therapy is a very powerful tool in the world of neurological rehabilitation. When we look at brain development we see that movement drive brain growth and one of the most important areas for sensing movement is the vestibular system. When we utilize rotational therapy to active the vestibular system we see an increase in activating in several cortical regions. Our multi-axis rotational device (GyroStim) utilizes the otolithic and vestibular system to stimulate and strengthen projections throughout the brain. By utilizing a controlled directional spin in our multi-axis rotational device, we can activate specific regions of the brain in order to affect a variety of different disorders.
At lower levels of motion intensity, the multi-axis rotational device is used by those recovering from physical and cognitive dysfunction as a result of a concussion, traumatic brain injury, PTSD, autism, aging, and other conditions. At higher levels of intensity, GyroStim is used by active individuals, athletes, and others with fast-paced, demanding, high-stress lifestyles to maintain and enhance peak performance.
- Functional brain imaging of peripheral and central vestibular disorders
- Studies of caloric vestibular stimulation: implications for the cognitive neurosciences, the clinical neurosciences, andneurophilosophy
- Effects of vestibular and cerebellar deficits on gaze and torso stability during ambulation
- Vestibular stimulation influence on motor development in infants
- Effects of vestibular stimulation on motor development and stereotyped behavior of developmentally delayed children
- Effects of Vestibular Stimulation on Motor Development of Cerebral-palsied Children
- The influence of rotational exercises on freezing in Parkinson’s disease
- Gaze and viewing angle influence visual stabilization of upright posture.
- Vestibular stimulation influence on motor development in infants
What Our Stroke Patients Are Saying
“We are so grateful for treatment that we received at this clinic in May of 2018. The staff was very professional and we experienced great gains in Stroke Recovery. Our only issue is that we wish we had found them sooner. We are home now and implementing several therapies that we learned while being treated in their offices.
It does require much hard work & commitment. The after care has been amazing as well! What a great team!”
– Lori C.
“The Functional Neurologists at Revive Treatment Centers are experts on brain function, the connected systems AND body mechanics. With a variety of simple and extensive tests, we were able to confirm things that were suspected and learned some new things as well. Revive provides unique and effective treatments that focus on healing function at the deepest levels in the body, to eliminate all the dysfunction. It’s all connected! I have spent years spinning my wheels with traditional exams and “treatments” with no improvement. At Revive, I have had the most thorough testing, good treatment visits and my body is healing! The staff is also helpful, knowledgeable and nice!”
– Leslie Ashley
“The Revive doctors and staff work as an incredible team to discern problems and areas of the brain and body that need realigning, rebooting, fixing, and healing. They have seen and helped 3 members of our family in significant ways. They have a keen understanding of how the brain works and integrates with our body so they have the ability to deal with our whole body health!”
– Janice H.