Traumatic Brain Injuries (TBI)
Traumatic Brain Injuries are injuries that cause damage to brain tissue. The severity ranges from a concussion (mild) to brain bleeds and axonal injuries (severe). Mild forms of TBI result in minor cell changes in the brain and often are not visible in imaging. More severe TBI may show changes in blood flow, swelling, and noticeable cell death on MRI and/or CT. These injuries often result in cognitive, physical, neurological, and metabolic symptoms.
Signs and Symptoms
Symptoms of TBI range from mild to severe and are the result of shear forces and blunt trauma to the brain. The severity of brain injury typically dictates initial symptoms. Commonly reported symptoms include cognitive impairment, post-traumatic seizures, dis-coordination of movement, balance disorders, loss of speech, loss of swallowing, and visual changes, to name a few. Other symptoms include fatigue, nausea, vomiting, ringing in the ears, irritability, anxiety, impulsivity, depression, and sensitivities to light, sound, and smell.
What Is A TBI?
Traumatic brain injuries (TBIs) are injuries that cause damage to brain tissue. The severity ranges from a concussion to brain bleeds and axonal injuries. Mild forms of TBI result in minor cell changes in the brain and often are not visible in imaging. More severe TBI may show changes in blood flow, swelling, and noticeable cell death on MRI and/or CT. These injuries often result in cognitive, physical, neurological, and metabolic symptoms. There are different grades of TBI, from mild – which includes concussions – to severe, and they are usually defined by how severe the deficits and damage are from an isolated event.
TBI severity can be described using several different tools. The Glasgow Coma Scale (GCS), a clinical tool designed to assess coma and impaired consciousness, is one of the most commonly used severity scoring systems. Persons with GCS scores of 3 to 8 are classified with a severe TBI, those with scores of 9 to 12 are classified with a moderate TBI, and those with scores of 13 to 15 are classified with a mild TBI. We require that a patient has minimum GCS of 9 and be off of all life-sustaining devices before booking treatment at Revive.
Our Approach to mTBI
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 concussion. This allows us to develop a treatment plan that targets those regions and networks to make them stronger and more efficient.
We specialize in providing treatment to the neurological regions affected by the mTBI. Offering a unique process that is built to maximize results in a condensed period of time. To reach your personal healthcare goals, it is imperative that your physicians and care providers 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 mTBI: the immune system, diet, sleep, mindset 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 your brain’s needs.
This plan is executed over 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 a 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.
Revive's Treatment Options for TBI
Level 1 TBI Treatment Package: Revive’s Standard Treatment Suite
Neurological Rehabilitation Treatments
– Repetitive Transcranial Magnetic Stimulation (rTMS)
– Eye Therapy
– Electrical Stimulation (ReBuilder, SSEP)
– Functional Movement Therapy
– Vestibular Therapy (GyroStim)
– Cold Laser Therapy (Low Level Laser Therapy – LLLT)
– Sensory Motor Integration (SMI)
– Meditation / Breathing Coaching
– Hyperbaric Oxygen Therapy (HBOT)
– Specialized TBI Supplement Package
– At-Home Exercise Videos
– Dietary Recommendations
– Follow-Up Phone Calls, Video Call, Coaching
What Our mTBI Patients Are Saying
“Revive has helped me more than I could possibly describe in writing. The doctors here have presented my brain and its function and dysfunction in a completely different light so I could understand it better. They have helped myself and my family work through so many different issues related to my TBI that we wouldn’t have been able to do on our own. Revive has a relaxed yet professional atmosphere with unbelievably smart and progressive staff. Anybody suffering from the stress and changes brought on by any neurological issues, inquire within. They gave me my life back.”
– Logan P.
“We exhausted all treatment options in our area for our son. He suffered a traumatic brain injury in a car accident a few years ago. The neurologists and other physicians in our home State said he would not improve any more. The team at Revive carefully reviewed his case, gave him a thorough evaluation, and produced a comprehensive treatment plan that combined treatment at their Center with ongoing treatment options at home? Do not skim lightly over the term “team”. This group provides integrative treatment based on a master-mind team approach. Additionally, the treatment plan was realistic and monitored, allowing for appropriate changes when necessary. The results have been remarkable.”
– Cheryl A.
“I am a brain injury survivor who now works to improve the standard model of neurorehabilitation, and this place has the most comprehensive assessment and treatment tools I have seen. They utilize safe and effective modalities that are well researched and are able to target specific brain pathways by using functional movements, vestibular stimulation, and visual processing tasks to drive neuroplastic change. They also pay attention to nutrition and ongoing lifestyle to bring about the best possible outcome for those who have sustained a concussion, more serious brain injury, stroke, or other neurological conditions.”
– Cavin B.
“The team at Revive has been the most crucial piece to my recovery! (a TBI). I know I would not be at this stage of recovery without their treatment and guidance. Thank you team Revive for getting me out of the TBI rut and for helping me stay out of it!”
– Luke A.
“I wasn’t too sure when I walked in the door for the first time, but after my time at Revive I noticed a difference in my life. The therapy was explained in detail before during and after. It gives you more comfort knowing what is going on at all times during the treatment. The staff was great, they brought out my personality that had been masked by PTSD and TBI from Iraq. Take it from a former negative and critical Veteran, this place is worth your time and money.”
– Codi S.
“Revive Treatment Center saved my life! Period. End of story! This was the second brain treatment center I have been to. Before going to Revive, I stayed in the hospital for 25 days with no hope or cure. The only thing I left with from the hospital was 37 different medications that didn’t help at all.
When I had the pleasure of being introduced to the wonderful doctors from Revive Treatment Center, it was literally minutes before they were able to start identifying some of my issues. Later, these issues were proven by multiple different test that they performed. I was seen by the best ENT in Texas and was told nothing was wrong with me. Further testing later proved that not to be true. When I first met the doctors, I was in a wheelchair and had a severe case of dizziness that left my total body impaired. Going through their treatment program, and following their advice, brought me to a whole new state of health. Now I’m off all 37 medications, and have been since the beginning of my treatment at Revive and am only taking three vitamins, that help me more than any other medication I’ve ever taken. I’m also no longer in a wheelchair, and am healthier than I’ve ever been.
I can’t thank the staff and doctors at Revive enough!! I have my life back, and more importantly my wife and kids have their husband and daddy back. THANK YOU SO MUCH!!!”
– Nick P.
Research on Our Treatments
- 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 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
- 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