HOW CAN WE EVALUATE THE BRAIN?

Facts:

Eli Lilly has the only drug with FDA approval to treat adults with ADD (Strattera). Lilly has aimed an ADD education campaign at internists and family physicians, who often know little about diagnosing and treating ADD. General practitioners who often have minutes with patients will misdiagnose ADD. 

Answering positively on a Web-based quiz or survey from a doctor doesn’t mean you have ADD, it suggests you might.  Here are some examples of questions on a web-based quiz (yes answer suggests having a problem):

  • I can't seem to get started on school assignments until the last minute.

  • My room is very messy.

  • I can't seem to get started on school assignments until the last minute.

  • Even when I try to listen in class my thoughts start wandering.

Certainly any child might answer yes to questions like these!

We use objective tests to determine the real cause of the problem...

Neurological Examination

It is imperative to perform a meticulous history and neurological evaluation to determine the function of the nervous system in each individual. Tests performed in the Connecticut Chiropractic Neurology Center include neurophysical examination, computerized blindspot analysis, brain mapping, computerized videonystagmography (VNG), and radiography. It is through this test battery that we are able to define the brain asymmetry and processing deficits.

Neurophysical Examination

Neurophysical examination assesses and compares certain functions of the brain from one side to the other.  Blood pressure, sweat, heart rate, respiratory rate, pupil size, muscle tone, eye movements, coordination, reflexes, sound localization, taste, smell, memory, etc. are all parameters that define brain asymmetry.

Computerized Blindspot Analysis

Blindspot analysis reveals asymmetries in the way your brain sees your world. Because the brain relies heavily on vision, it is a must to compare what each brain sees.

 

Videonystagmography

Videonystagmography uses an infrared camera system that records eye movements during specific testing procedures. Because the eyes are a reflection of brain function, information provided by these tests aids in the discovery of the brain asymmetry.

 

Electronystagmography

This technology involves a highly specialized infrared camera system that records the movements of the eyes during Optokinetic, Vestibuloocular, and Fixation testing.

 

 

Eye Testing

Vestibuloocular tests are specific for the cerebellum and the complex control of balance.  Most children with ADD/ADHD have difficulty staying “fixed” on a theme resulting in a lack of concentration and attention. 

Fixation tests assess whether an individual can lock his or her eyes onto a target that is moving with them while they are in spin.  Patients who cannot fixate commonly express decreased function of the frontal lobe and decreased attention span.

Optokinetic tests provides an assessment of multiple systems at once including the parietal lobe, the frontal lobe and the cerebellum.

Interactive Metronome

The Interactive Metronome is a state-of-the-art computer generated program that utilizes sounds to improve the timing and sequencing of brain impulses. It is also used to evaluate the processing speed of the cerebellum and cortex.

When a child demonstrates a deficit in motor planning and sequencing, it is typically accompanied by problems in learning, coordination, or behavioral control. Prior to the development of Interactive Metronome, there was no system for measurable assessment and improvement.

Today we know how to measure a child’s motor planning and sequencing abilities, and we can show measurable improvement in a short period of time.

 

Continue to next section: Treatment

 

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