Written by Dr. Keri Chiappino, DC DACNB BCN
Neurofeedback is emerging as a promising therapy for individuals dealing with post-concussion syndromes, offering hope for alleviating persistent symptoms and improving overall quality of life. Post-concussive syndrome, often abbreviated as PCS, refers to a complex set of symptoms that can persist after a concussion or mild traumatic brain injury (TBI). While symptoms and their severity can vary widely among individuals, neurofeedback has shown potential in addressing these challenges through non-invasive brain training techniques.
Table of Contents
What is Post-Concussion Syndrome?
Post-concussion syndrome encompasses a range of physical, cognitive, and emotional symptoms that persist beyond the typical recovery period from a concussion or mild TBI. These symptoms can include
- headaches,
- dizziness,
- fatigue,
- difficulty concentrating,
- memory problems,
- irritability,
- anxiety, and
- sleep disturbances.
While many individuals recover fully within weeks to months after a concussion, some continue to experience symptoms for an extended period, affecting daily life and overall well-being. When the symptoms persist, traditionally, patients are told that there is nothing that can be done after the initial treatment period. In our Smithtown clinic, we use neurofeedback therapy as a holistic post-concussion syndrome treatment option with great results.
How Neurofeedback Works
Neurofeedback, also known as EEG biofeedback, is a therapeutic technique that aims to regulate brain activity through real-time monitoring and feedback of brainwaves. It is based on the principle that individuals can learn to modify their brainwave patterns, leading to improved brain function and symptom relief. During a neurofeedback session, electrodes are placed on the scalp to measure brainwave activity, which is then displayed on a monitor. Through visual or auditory feedback, individuals learn to adjust their brainwave patterns towards more desirable states, such as reducing excessive slow waves or increasing specific frequencies associated with alertness and cognitive function.
Post Concussion Syndrome Symptoms That Can Improve with Neurofeedback
Neurofeedback has shown promise in alleviating various symptoms associated with post-concussion syndrome. These improvements may include:
- Cognitive Function: Enhanced attention, concentration, and memory.
- Emotional Regulation: Reduction in anxiety, irritability, and mood swings.
- Physical Symptoms: Decreased frequency and intensity of headaches, dizziness, and fatigue.
- Sleep Disturbances: Improved sleep quality and regulation.
Neurofeedback Therapy for Post-Concussion Syndrome Patient Case Study
Dealing with post-concussion syndrome can be challenging for anyone. One of our recent patients was an officer who prided himself on his exceptional memory and ability to recall details that others could not. This skill was crucial in his line of work, as he could remember the names of friends, spouses, children, and other details that significantly advanced his investigations.
Unfortunately, he was involved in a severe car accident and had been unable to work for over a year. The accident left him struggling with his executive function, memory, and sleep. He would even forget to eat, indicating a significant impairment in his cognitive abilities. Despite his efforts, he couldn’t fully heal and was unable to return to work.
After about six weeks of neurofeedback therapy in our Smithtown office, he was able to return to his job. His memory and executive function were restored, allowing him to resume his duties effectively.
This is just one of the examples of a patient with PCS. In our office, we see many patients suffering from PCS, both children and adults. Here are some of the most common causes of concussions that lead to PCS symptoms:
- Car Accidents. Sudden head impact from collisions, like in the officer’s case above.
- Falls. Particularly common in older adults and children, resulting in head injuries.
- Sports Injuries. Contact sports like football, soccer, and hockey can lead to concussions. Sport-related concussions are very common in young athletes.
- Physical Assault. Direct blows to the head during altercations.
- Workplace Accidents. Falling objects or head trauma in physical labor environments.
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QEEG Findings in Neurofeedback
Quantitative Electroencephalography (QEEG) is often used in conjunction with neurofeedback to assess brainwave patterns and guide treatment protocols. QEEG provides detailed information about the brain’s electrical activity, identifying abnormalities or dysregulations that may contribute to symptoms of PCS. By analyzing QEEG data, clinicians can tailor neurofeedback sessions to target specific brain regions and frequencies, optimizing treatment outcomes for each individual.
Is Neurofeedback Effective for Post Concussive Syndrome Treatment in Children and Adults?
Both children and adults can benefit from neurofeedback therapy for post-concussive syndrome.
- In children, neurofeedback may help improve academic performance, behavior, and social interactions affected by PCS symptoms.
- For adults, neurofeedback can enhance cognitive abilities, reduce emotional distress, and promote better overall functioning in work and daily activities.
Can Neurofeedback Help Anyone Experiencing Post Concussion Syndrome?
Neurofeedback can be beneficial for individuals with post-concussive syndrome, but it may not help everyone. The first step is a thorough consultation, which includes a neurological examination and a QEEG (quantitative electroencephalogram). By analyzing this objective information, we can determine if neurofeedback is suitable for addressing the specific symptoms the individual wants to improve. If there is no evidence of dysregulation in the areas of concern, neurofeedback might not be a viable option. Therefore, the decision to use neurofeedback is based on a comprehensive data evaluation.
How Neurofeedback Works for PCS Treatment
Step 1. Assessment
The process begins with an assessment of the individual’s brainwave activity through a brain mapping called a QEEG (Quantitative Electroencephalography). Sensors are placed on the scalp to measure the electrical patterns in the brain.
Step 2. Training Sessions
During a neurofeedback session, the individual is engaged in a task or activity (such as watching a video or playing a game) that requires concentration and focus. The neurofeedback system provides feedback, typically in the form of visual or auditory signals, based on the individual’s brainwave patterns.
Step 3. Reinforcement
Positive changes in brainwave activity are reinforced through this feedback, encouraging the brain to adopt healthier patterns over time.
Step 4. Progress Tracking
As sessions progress, improvements in symptoms and brainwave patterns are monitored and adjusted as necessary. Future brain mapping will objectively measure what changes have been made.
Current Research Supports Neurofeedback as an Effective Treatment Option After Concussion
Recent studies have investigated the effectiveness of neurofeedback in managing symptoms of post-concussive syndrome, both in children and adults. Research published in the Journal of Head Trauma Rehabilitation highlighted significant improvements in cognitive function, attention, and emotional regulation among individuals undergoing neurofeedback therapy post-concussion.
Another study in Frontiers in Human Neuroscience found that neurofeedback led to reductions in symptoms such as headaches, sleep disturbances, and cognitive deficits in participants with persistent PCS symptoms.
Neurofeedback holds promise as a non-invasive and effective treatment option for individuals experiencing persistent symptoms of post-concussive syndrome. By targeting dysregulated brainwave patterns, neurofeedback helps to restore normal brain function and alleviate symptoms such as cognitive deficits, emotional instability, and physical discomfort. Current research supports the use of neurofeedback in both children and adults, demonstrating its potential to enhance quality of life and facilitate recovery from concussions and mild traumatic brain injuries.
As ongoing studies continue to refine techniques and protocols, neurofeedback remains a hopeful avenue for individuals seeking to regain their health and well-being after experiencing a concussion.
Benefits of Neurofeedback for Post-Concussion Syndrome
Neurofeedback offers several potential benefits for individuals suffering from post-concussion syndrome. Here are some key advantages:
- Symptom Reduction: Neurofeedback can help alleviate many of the symptoms associated with PCS, such as headaches, cognitive difficulties, and emotional disturbances. By promoting optimal brain function, individuals often experience a reduction in symptom severity.
- Non-Invasive and Drug-Free: Unlike some traditional treatments, neurofeedback is a non-invasive, drug-free approach. This makes it an appealing option for individuals who prefer to avoid medications or are concerned about potential side effects.
- Personalized Treatment: Neurofeedback is tailored to each individual’s unique brainwave patterns. This personalized approach ensures that the treatment targets specific areas of dysfunction, leading to more effective results.
- Improved Cognitive Function: Many individuals report enhanced cognitive abilities, including improved focus, memory, and problem-solving skills, after undergoing neurofeedback training.
- Emotional Regulation: Neurofeedback can help stabilize mood and reduce anxiety and depression, contributing to an overall improvement in quality of life.
- Long-Lasting Effects: Unlike some treatments that provide temporary relief, the benefits of neurofeedback are often long-lasting. As the brain learns to function more efficiently, the improvements can persist even after the completion of the training sessions.
Neurofeedback for Post-Concussion Syndrome Treatment on Long Island
Post-concussion syndrome can significantly impact an individual’s quality of life, but with the right treatment, recovery is possible. Neurofeedback offers a personalized approach to addressing the complex symptoms of post-concussion syndrome, empowering individuals to achieve better brain health and a more fulfilling life beyond their injury. If you or a loved one is struggling with post-concussion syndrome, consider exploring the benefits of neurofeedback therapy.
By investing in neurofeedback, you are taking a proactive step toward recovery and regaining control over your life!
About the Author
Dr. Keri Chiappino, DC DACNB BCN
Dr. Keri Chiappino offers a unique, expanded approach to alternative healthcare. With the combination of neurological, orthopedic and chiropractic care, Dr. Chiappino works to restore normal nerve function to the body, promoting optimum health and wellness. Dr. Chiappino has distinguished herself as one of 1000 doctors worldwide achieving Diplomatic status on the American Chiropractic Neurological Board (ACNB), with more than 1000 hours in Chiropractic Neurological coursework. In addition to traditional Chiropractic and Chiropractic Neurological care, Dr. Chiappino also offers BrainCore neurofeedback therapy and our Smithtown office is an authorized BrainCore neurofeedback clinic in Smithtown, NY.
