Diagnostic Testing

Revive utilizes research-based diagnostic testing 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 brain injury or stroke. This allows us to develop a treatment plan that targets those regions and networks to make them stronger and more efficient.

Videonystagmography (VNG)

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 optokinetics, we can differentiate the areas of weakness to inform our treatment programs. Since different eye movements are controlled by different parts of the brain and brain stem, these VNG findings provide our clinical team with a non-invasive snapshot of the identify with precision the areas of the neuraxis that are underfunctioning.

Difficulty performing these movements is associated with: concussion, traumatic brain injury, stroke, neurodegenerative disorders, anxiety, vertigo, and more.

The results will be thoroughly discussed with you. It is important that you have an understanding of how your eye movements are impacting your symptoms and function. During your last day of treatment, you will be retested to evaluate progress. The results will be used to create a program you will perform at home for the next 3 months.

woman in green light
pair of eyes examined vng
Brain treatment equipment
neurocom treatment

Computerized Posturography (EquiTest)

The SMART EquiTest® system utilizes a dynamic force plate with rotation and translation capabilities to quantify the vertical forces exerted through the patient’s feet to measure center of gravity position and postural control; and a dynamic visual surround to measure the patient’s use of visual information to maintain balance. This diagnostic testing provides assessment and retraining capabilities with visual biofeedback on either a stable or unstable support surface and in a stable or dynamic visual environment.

 

The ears allow for interacting with the environment through sound and movement. In the inner ear is a system for reflexogenic balance called the vestibular system. The vestibular system is stimulated by any motion. Improper function of the vestibular system will impact balance, walking, and eye movements.

Information sent from the joints and muscles of the leg and feet are sent to the brain. Damage to the joints, muscles, or part of the brain that receives the information can occur from injuries, neuropathy, diabetes, stroke, traumatic brain injury, cerebral palsy, or concussions will impact balance. The lack of information from the joints and muscles is one reason you will see patients will neuropathy use a wide-based stance.

The visual system is dominant for most people and usually, compensates for decreased function of the others. Problems arise though when it is dark or the visual system is no longer able to process environment as quickly. There are many causes for a disturbance in the visual system, but here are a few: concussion, multiple sclerosis, diabetes, Parkinson’s, cerebral palsy, vertigo, dizziness, migraines, traumatic brain injury, and stroke.

CNSVS – Neurocognitive & Psychiatric Assessment

CNSVS is an elite method of neurocognitive and psychiatric diagnostic testing, powered by CNS Vital Signs neurocognitive assessment technologies; the leader in clinical use with over 7000 clinical users and over 2000 clinical investigators and researchers in 52 countries. Cognitrax enables an objective longitudinal assessment of a patient’s “CORE” neurocognitive function using computerized neuropsychological tests. It can assist in the recognition and evaluation of Neurodegenerative Disorders.

 

Cognitrax automates the precise psychometric (speed and accuracy of responses with no rater bias) measurement of a patient’s neurocognitive function. Cognitrax domain scores are presented as Subject (raw) Scores, Standard Scores, and Percentile Ranks computed from calculations using the data values of individual subtests and are simply the number of correct responses, incorrect responses, and reaction times. Cognitrax grades the severity of impairment based on an age-matched normative comparison database with lifespan norms from ages 8 to 90.

Diagnostic Testing document

Research on our Treatments

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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.

We utilize Electrical Stimulation (E-stim) in many different waveforms to increase strength, increase self-awareness, decrease spasticity, and active brainstem neurons.

AL-TENS/SSEP
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.

ReBuilder
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.
Sensory Integration Therapies for Children With Developmental and Behavioral Disorders

Occupational therapy using a sensory integrative approach for children with developmental disabilities

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 Concussion / PCS Patients Are Saying

“I have had 4 concussions, that I know of, and my last one happened 10 months ago. After months of not feeling right, and extreme nausea 24/7, I decided to give Revive Treatment Center in Denver a try, on the suspicion that I had PCS (Post Concussive Syndrome). Within a few hours of Day 1 of treatment, I had a better understanding of what was going on in my brain and why I was feeling the way I was (finally!!). The doctors immediately jumped into action and developed a plan for the next 9 days. By day 3, the nausea that I suffered with for 6 months, was gone! I learned so much during treatment about my PCS and how I can battle the symptoms.

 

The 10 day treatment has returned the “function” to my life and I cannot be more grateful to the entire Revive staff for their help. I now have a plan for the rest of my life and have absolutely no regrets about my decision to travel to Denver. If anyone is on the fence about whether or not they should take this leap, I would say they should check out the Revive website. It is very informative about their treatment and different conditions that affect the brain (ie hormones and nutrition). If they have further questions, call Revive! They are here to help, and really care about giving you the tools to heal. It’s a big, life-changing decision, but I will never look back!”
– Kristin C.

“The treatment, the love, the care, the therapists, the therapy, the infusions, the education all lead to a more joyful, happier, brain fog free, mentally healthier me! My old self is coming back!

Thank you Revive, Wheat Ridge CO!”
– Alicia K.

“Very good knowledgeable Doctors and staff. Highly recommend for any neurological issues.”
– Kacie G.

“Revive has forever changed our family’s lives. Both my son and I have recently gone through customized 10-day programs for different concerns.

My son was seen for a traumatic brain injury that occurred more than two years prior. After seeing over 22 physicians, neurologists, therapists and other specialists, there was very little improvement. While at Revive we learned he had mold toxicity, which led to leaky gut and a downward spiral in becoming immunocompromised…all of which had impeded his healing. Prior to our visit he suffered from headaches and nausea that worsened with movement, loud sounds or concentrating. He’s been unable to successfully participate in school for 2 years. We felt hopeless, exhausted, and at the end of our rope.

Fifteen years ago I was diagnosed with hypothyroidism and had a string of acute and chronic illnesses. Just before heading to Denver I was diagnosed with Hashimoto’s. I thought feeling tired and worn out all the time was normal. During my visit we discovered my thyroid issues were likely also caused by mold toxicity, leaky gut and a compromised immune system.

After one week of treatment my husband said, “I feel like I’m getting my wife back!” Since our visit, my long-time brain fog is clearing and fatigue diminishing. Even better, we’re seeing my son’s personality coming back to life with more smiles and laughter than we’ve seen in two years. He notices reduced headaches, improved sleep, increased stamina and most importantly…hope.

Finding Revive Treatment Centers has been an answer to years of prayers and a tremendous blessing. These people are some of the most brilliant and compassionate physicians, nurses, therapists and staff we’ve ever met. They are researchers, problem solvers, deep thinkers, and listeners. Having this group on your “team” is a total game changer. We are so grateful! Much love to all of you!”
– Caroline S.