Category: Brain Injury; Pain Rehabilitation; Complementary Integrative Rehabilitation Medicine
Objective : To investigate the clinical outcomes through a retrospective chart review of a convenience sample
Design : Compare intake data to current and/or discharge status utilizing standard pain reporting and occupational performance in daily activities that changes as a direct result of these interventions. Follow up study conducted through a blinded patient survey using the Concussion Symptom Checklist and Quality of Life assessment.
Setting : Community-based private practice.
Participants (or Animals, Specimens, Cadavers) : All clients with concussion over 10 years receiving manual therapies for individualized complaints. Exclusions include: internal bleeding, risk of ICP and neurosurgical interventions.
Interventions : Upledger-CranioSacral Therapy (advanced levels). A gentle and noninvasive treatment of meningeal fascia system; promotes the exchange of fluids. Chikly-Lymphatic Drainage - based upon precise anatomy-physiological flow of lymph fluids through network of lymphatic vessels. Manual evacuation requires precise knowledge of flow direction and impacts upon inter-nodular valves.
Main Outcome Measure(s) : Individualized perceptions of pain and use of Concussion Symptom checklist will be recorded and analyzed. Standardized pain recordings in the usual and customary intake process.
Results : The results will show data gathered from a 10-year medical chart review in addition to a followup survey of 'lived experiences' to the treatments. The chart review will also highlight specifically the techniques used, the frequency and duration of treatment, and client's perception of outcomes to promote interest in future in clinical research of such methods.
Conclusions : Little published data exists on these treatments for persistent concussion symptoms. LD massage is readily recognized in management of Lymphadema, but not head injuries. CST has emerged as a major innovative method and the beginnings of data to support clinical use for other diagnostic groups exists. Witnessing multiple cases of quality of life, neurological, and pain improvements prompts the author to use this platform to share clinical experiences.
Susan Kratz– Clinical Director, Special Therapies, Inc., Waukesha, Wisconsin