Treatment for Children and Adolescents with Traumatic Brain Injury (TBI) and PCS

Children and adolescents experiencing the effects of traumatic brain injury (TBI), post-concussion syndrome, and other brain performance problems have the opportunity for a better future with the right approach to treatment. Explore an effective treatment for TBI offered by Aviv Clinics Dubai:

Aviv Clinics Dubai Launches Highly Specialized Youth Medical Program to Assess and Treat TBI and Brain Performance Problems in Children and Adolescents

• • The program uses Hyperbaric Oxygen Therapy (HBOT) to improve cognitive, emotional, and behavioral symptoms of youth suffering from specific brain-related issues.

• • The new youth treatment program is backed by a first-of-its-kind study validating the Aviv HBOT protocol as an effective treatment for children suffering from persistent post-concussion syndrome.

• • The youth program can also help improve the quality of life in children, aged between 8 to 15 years, suffering from cerebral palsy, Traumatic Brain Injury (TBI) and stroke.
    
    

Aviv Clinics Dubai, a wholly-owned subsidiary of DP World, has opened a new wing at its JLT-based specialty brain health and performance center dedicated to a breakthrough Youth Medical Program that uses hyperbaric medicine to treat specific brain injuries in children and youth between the ages of 8 and 15. 

The program specializes in the treatment of multiple disorders including cerebral palsy (a childhood motor disorder in childhood caused by brain injury due to lack of oxygen or blood supply), Traumatic Brain Injury (sudden damage to the brain caused by a blow or jolt to the head), and strokes (when the blood supply to part of the brain is cut off, because of a blockage or a blood vessel rupture). 

The Aviv Youth Medical Program is the focus of a new study, published in Nature Scientific Reports, which shows the effectiveness of Hyperbaric treatment in healing damaged brain tissue and alleviating symptoms in children experiencing persistent post-concussion syndrome (PPCS), where concussion symptoms continue beyond the expected recovery period. 

The study, conducted at the Sagol Center for Hyperbaric Medicine and Research at Shamir Medical Center, suggests that HBOT improves cognitive and behavioral function, as well as quality of life in pediatric patients suffering from PPCS, even years after receiving their traumatic injury.

The Aviv Youth Medical Program treatment starts with a comprehensive three-day medical, physiological, and mental assessment carried out by Aviv-certified medical staff including pediatricians, pediatric neuropsychologists, physical therapists, speech therapists, occupational therapists, and nurses. This includes the most advanced brain imaging tests suited to the child’s needs, such as perfusion MRI, and SPECT.

After analyzing the results of the in-depth assessment, children undergo HBOT sessions five days a week for 12 weeks – 60 consecutive one-hour sessions in total. Alongside the HBOT sessions, the patient will receive personalized cognitive and physical training designed to maximize the effects of the rehabilitation.  At the end of the treatment, tests are repeated and compared with the results of the initial assessment.

“The diagnosis and treatment of post-concussion syndrome in children is a critical issue that physicians and researchers have struggled with, to the detriment of the children,” said Dr. Shai Efrati, Medical Director of the Sagol Center for Hyperbaric Medicine and Research and Shamir Medical Center, and Chair of Aviv Scientific’s Medical Advisory Board.

“For the first time, we have demonstrated an effective treatment for pediatric PPCS, whether the injury occurred six months or 10 years ago. This discovery and the launch of our new Youth Medical Program offers hope to thousands of families watching their children suffer from unrelenting symptoms.”

Upon completion of the study, researchers found that children treated with HBOT experienced a significant improvement in cognitive function, including the general cognitive score, memory, and executive function (ability to plan, prioritize tasks, and complete complex goal-directed behaviors), compared to the untreated children. 

Other PPCS symptoms that improved include behavioral symptoms such as hyperactivity, and, perhaps most strikingly, the study revealed parallel structural brain changes, as seen on MRI, in the areas of the brain known to be affected by TBI leading to cognitive dysfunction and other symptoms of PPCS.

“Working in collaboration with DP World, we are able to bring to Dubai and the UAE medical community this highly specialized brain performance program grounded in more than 15 years of research and powered by truly state-of-the-art technology. As this study shows, we have the potential to give new hope to our young people and their families through the ability to diagnose and treat what can be debilitating symptoms of TBI, as well as other common brain disorders such as Cerebral Palsy and strokes. At the same time, we are able to contribute to advancing both Dubai’s and the UAE’s positions as global innovators and hubs for med tech and medical tourism,” said Mike Frayne, CEO of Aviv Clinics Dubai. 

The same treatment protocol conducted during this study will be adopted in the youth wing at Aviv Clinics in Dubai. It will be administered under the same strict protocols, with additional comprehensive cognitive and physical training support for the various conditions and symptoms addressed by Aviv including concussion and TBI, and more.  Aviv Clinic’s new Youth Medical Program is located in a dedicated wing of the 7,000-square-meter, state-of-the-art brain health and performance clinic in Dubai’s JLT. 

If your child needs treatment for TBI symptoms or other brain conditions, we encourage you to learn more about the Youth Medical Program at Aviv Clinics Dubai by DP World.

 

Your Comprehensive Guide to Post-Concussion Syndrome (PCS) Symptoms

If you or your loved one believes they have post-concussion syndrome (PCS), rest assured, the Aviv Clinics team is here to help. We understand how debilitating living with PCS symptoms can be. We also understand how challenging it can be to find answers and solutions.

In this comprehensive guide, you’ll find essential research-backed details intended to help you better comprehend your condition and the types of treatment options available to you. If you have any questions along the way, reach out to our team.

What Is PCS?

PCS is a condition where concussion symptoms continue beyond the expected recovery period.
According to Aviv’s medical team, when concussion symptoms last longer than two weeks, doctors will typically diagnose this as PCS.

PCS can develop after a mild, moderate, or severe traumatic brain injury (TBI) from activities such as a vehicle accident, fall, sports injury, and more.

What Are the Symptoms of PCS?

The symptoms of PCS can be divided into four categories:

1. Physical

Physical PCS symptoms are the most commonly recognized signs. Individuals with PCS may experience debilitating pain and discomfort such as:

• Headaches
• Dizziness
• Nausea
• Vomiting
• Trouble balancing
• Vision problems

2. Cognitive

Cognitive issues are often the PCS symptoms that compel patients to seek medical advice. Cognitive PCS symptoms include:

• Feeling mentally foggy
• Feeling slowed down
• Having difficulty concentrating
• Having trouble remembering
• Being forgetful of recent information and conversations
• Experiencing confusion about recent events
• Answering questions slowly

3. Psychological/Emotional

Psychological and emotional symptoms can often be difficult to identify and associate with head injuries. Many people tend to overlook these emotional changes when in reality, these changes can be a manifestation of PCS. These psychological/emotional changes include:

• Irritability
• Sadness
• Nervousness
• Anxiety
• Depression
• More emotional in general

4. Sleep

Last but not least, PCS symptoms can manifest in your sleeping patterns. For example, those with PCS may:

• Feel drowsier than normal
• Sleep more than usual
• Sleep less than usual
• Have trouble falling asleep

If you are experiencing PCS symptoms, contact our team of certified medical professionals today.

PCS Symptoms: Why and How They Happen

When someone experiences a traumatic brain injury (TBI), this blow or jolt to the head makes the head and brain move back and forth rapidly causing sheer force trauma to connective blood vessels and cells in the brain. This sudden movement can:

• Disrupt blood flow to specific brain regions
• Trigger chemical changes in the brain
• Stretch and damage brain cells
• These activities put stress on your brain and inhibit it from functioning normally.

Where the damage takes place also plays a relevant role in the type of PCS symptoms that occur.

For example, when head trauma inflicts damage to the frontal lobe of your brain—the area that manages emotional expression, focus, attention, and memory—this may stimulate emotional/behavioral changes and cognitive shifts.

How Soon Can Symptoms of PCS Start?

Symptoms of PCS start to show weeks after concussion when a concussion or TBI survivor just isn’t getting better. Over time, symptoms may not go away or may exacerbate. Symptoms can also appear later on in life.

How Long Can Symptoms of PCS Last?

PCS symptoms can last anywhere from weeks to years. The sooner you address your symptoms and get help, the more likely you’ll be able to get back to your normal activities, and for some people, get back to your normal personality traits. There are risks of waiting too long to treat your post-concussion syndrome, which brings us to our next point.

What Are the Consequences of Waiting Too Long to Treat PCS Symptoms?

PCS symptoms can turn permanent if not addressed soon enough. According to Aviv’s team of certified physicians, usually, after three months, PCS turns into persistent PCS. And after a year, PCS symptoms can turn chronic. Keep in mind, it doesn’t matter where or how you receive your head injury—these factors do not necessarily impact the severity of your PCS.

As Dr. Mohammed Elimar, MD, FACP, states, “The brain does not discriminate over what is causing the injury, and it doesn’t really discriminate the injury itself.”

Thus, staying aware of your body is essential. Speak with a doctor if you feel anything out of the ordinary. As we noted earlier, when concussion symptoms last for over two weeks, that’s your cue to seek medical consultation.

What Are the Different Forms of Treatment for PCS Symptoms?

The good news is, there are various treatments available to help mitigate your PCS symptoms. Each method holds unique strengths that may target the specific symptoms you are experiencing.

Vision Therapy

Vision therapy involves a variety of techniques that train your visual system. Those who may benefit from this are people who experience eye pain, vision problems, dizziness, and headaches.

Clinical studies show patients who have post-concussion vision issues notice improvement after participating in vision therapy.

Neuro-Optometric Rehabilitation (NOR)

Neuro-optometric rehabilitation (NOR) therapy uses therapeutic prisms, lenses, and filters to stimulate parts of the brain that are not functioning properly. Those suffering from visual injuries and complications may find relief through NOR.

There is growing evidence NOR can enhance visual skills and reduce post-concussion visual symptoms.

Physical Therapy (PT)

Physical therapy (PT) is a form of care that aims to ease pain and help you move and live better. This may include massage, range of motion stretching, exercises, and heat treatments.

PT may be good for those who struggle with physical symptoms of PCS. One small study where participants averaged 6.8 PT sessions reported that their physical symptoms became more manageable after treatment.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a psychological treatment that addresses problems such as depression and anxiety. CBT generally strives to change thinking and behavioral patterns. Studies indicate CBT may be an effective treatment method for improving anxiety and depression in those with TBI.

Neuropsychology

Neuropsychology is a subset of psychology that focuses on how the brain and nervous system influence your thoughts and behaviors. It takes an educational approach, teaching patients about their minds and engaging in unique exercises.

Neuropsychology may be ideal for those with memory and concentration issues as well as anxiety and depression. Research notes neuropsychology may play a vital role in helping better understand the link between the area of injury in the brain and their PCS condition.

Hyperbaric Oxygen Therapy (HBOT)

Hyperbaric oxygen therapy (HBOT) is a treatment method that increases oxygen levels in the brain and body.

Here’s how HBOT works:

• Patients enter a room called a hyperbaric oxygen chamber, or suite, and receive treatment for one to two hours. In this suite, the air is pressurized 10 – 15 times higher than normal air levels.
• Patients breathe in 100% pure oxygen via a mask while in the suite.
• Patients keep the oxygen mask on for 20 minutes and then spend five minutes with the oxygen mask off.

Studies illustrate that HBOT delivered in this way encourages neuroplasticity—the ability of the brain to modify and adapt based on environmental interactions—essentially rewiring itself, which may:

• Repair chronically damaged brain functions and tissues
• Improve the overall quality of life for patients with PCS

Additional research shows HBOT can significantly improve “memory, executive functions, information processing speed, and global cognitive scores.”

For more research insights, explore the data and studies conducted by The Sagol Center.

Aviv Clinic’s Treatment for PCS Symptoms

Aviv’s Medical Program takes a holistic approach that encompasses several of the areas we discussed above. We leverage the expertise of a diverse team of medical professionals based on your health assessment.

Aviv takes a three-step approach:

1. In-depth medical assessment: We start with a comprehensive health assessment with advanced brain imaging exams (perfusion MRI, fMRI, SPECT, etc.). The goal is to attain a holistic and accurate understanding of your mind and body and to map a treatment plan that will maximize the program’s results.
2. Tailored treatment program: The Aviv medical team will craft a personalized treatment program based on your medical assessments. This may entail brain and physical training, HBOT sessions, and a nutritional regimen. The goal is to maximize your body’s healing process.
3. Post-treatment assessment: The Aviv team will repeat the medical assessment to measure your progress and make relevant recommendations moving forward.

Benefits of our program include improved:

• Cognitive and motor functioning
• Physical performance (fitness, strength, coordination, balance)
• Immune system
• Stem cell growth (the building blocks of tissue rejuvenation)
• Neuronal blood flow

At Aviv, our multidisciplinary medical team of physicians, neuropsychologists, physiologists, physical therapists, dieticians, and more ensures you’re provided with the thorough medical treatment you deserve.

The Bottom Line

Before you pursue a treatment plan, keep three things in mind:

• Speak with a physician first about your symptoms and health history. This can help them gain a comprehensive assessment and provide a personalized treatment plan.
  You can speak to an Aviv physician at the clinic or over a virtual meeting, for free.
• Be patient. Finding the right combination of therapies that work for you may take some time, but don’t give up. With the right medical program, you can receive the holistic treatment you deserve and find some relief.
• TBI and concussion can affect everyone of all ages. Thus, there is no standard/solid timeline for recovery. It may take a few weeks or more to see improvement.
• Read about using HBOT to address TBI and concussion.

Feel Your Best with Aviv

There is hope. If you feel you’ve been experiencing symptoms of PCS, contact Aviv Clinics. We’ll put you in touch with our certified team of physicians who can help craft a customized plan to aid in your healing process. Focused on service, safety, and comfort, Aviv Clinics is your first stop in getting back to optimal health and back to life.