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Neuro-Exam

High-Tech Diagnostic Tests

Laboratory Testing

The Neuro-Exam

The most informative Exam that contributes to your personalized therapy plan.

There are three phases of our Neuro-Exam: Autonomic, Structural, and Neurological. This exam is done in a private room with you and your dedicated Doctor. The Neuro-Exam is a very detailed and thorough exam that utilizes a mix of personal interviews, assessments, high tech diagnostic tools and sometimes even laboratory testing or additional imaging. It is so in-depth it can lead to the discovery of previously undiagnosed or overlooked conditions and many patients comment on how detailed it is.

Autonomic Assessment

The Neuro-Exam will always start with an autonomic function assessment to uncover underlying Dysautonomia. Here we’ll test your heart rate, blood pressure, pupil size, oxygenation, and breathing mechanics.

structural exam

In the structural exam, we'll start by identifying pain generators, muscular imbalances, and focusing on the area of complaint (headache - head/neck, TMJ assessment).

Neurological assessment

In this phase we are looking to identify regions in the nervous system that have been injured or have dysfunction. Specifically in your cerebellum, vestibular system, balance, gait, Cranial nerves, eye movements.

High-Tech Diagnostic Tests

VNG - Videonystagmography

Balance problems, dizziness, and other issues associated with the vestibular system can be assessed through videonystagmography (VNG) testing. VNG consists of a series of tests to evaluate how well the eyes respond to information from the vestibular system. During the tests, you will wear a set of infrared goggles that record eye movements as your eyes follow moving targets. In addition to enabling your team of doctors to detect signs of central nervous or neurological problems, VNG can indicate whether the vestibular system is responding correctly to stimulation. VNG testing is considered the standard for testing vestibular function, because it tracks eye movements directly, rather than measuring movements based on the muscles surrounding the eyes, as other testing does.

Test takes 5 minutes.

Virtual Reality

Virtual Reality is used to help identify real-life situations that might lead to symptoms of dizziness and imbalance. A typical test that might be included in your Diagnostic Assessment is “subjective visual vertical,” which assesses your brain’s perception of up and down. 

VR as Therapy

D2 Light Board

The D2 is an interactive light board that can test visual, cognitive, and motor functions to help your team of doctors to get objective data on your hand-eye reaction times. Many people with frontal lobe and cognitive dysfunction will have slowness in hand-eye coordination. If you are participating in an Intensive Program, the D2 tests will be reevaluated on Wednesday and Friday. 

Test takes 1 minute

D2 as Therapy

Computerized Dynamic Posturography

The BTrackS™ Assess Balance System is a widely used clinical tool for a variety of balance assessment and training applications. Force plate technology is used to graph out balance, sway patterns, instability, eyes open/vs. eyes closed, on flat and foam surfaces to uncover if there are issues in your proprioception vs. vestibular system vs. problems with the cervical spine.

Test takes 10 minutes.

Right Eye

Using advanced, eye-tracking technology, the RightEye system uncovers issues that an observation-only exam cannot. This advancement is game-changing: it’s now possible to pinpoint vision and brain health issues, identify the root cause of reading problems, and improve athletic performance.

Test takes 8 minutes.

Brain EQ

Brain EQ is a game-based app to help test and track your brain functions. These simple tests can be run once to establish base performance or daily overtime to track improvements. Download the app before your appointment to start monitoring your brain health today.

Laboratory Testing

Based on the findings in your Bedside Exam we may order additional lab work and medical imaging tests as part of the assessment. Lab tests help determine recommendations for nutritional supplementation for brain health and are run through VibrantAmerica Labs. Most often, we run a customized panel that assesses your comprehensive metabolic panel, thyroid, fatty acid, micronutrients, lipid panel, vitamin D, and inflammatory markers. (See Sample Lab Results) If you are participating in an Intensive Program we will order labs on the second to last day of your program. The results will take 7-10 days and are reviewed with you on your initial post-care check-in.

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Patient Testimonials

"Everyone here is so friendly, great people and they make you feel very comfortable. I think that was the biggest thing for me, it was awesome. A great experience!"

Alex, Denver CO

Concussion from Fall

"I hadn't been shooting (basketball) for two months because whenever I would jump my head would spin and then hurt a lot. Then after the first two days of the week Intensive I started shooting again for an hour a day with my dad and it's felt great.

Jayton, Stillwater MN

Multiple Concussions from Sports
Subtraction symbol Subtraction symbol What should I expect from a VNG test?
The test takes only a few minutes to complete and is based on an involuntary eye movement called nystagmus. During the test you will wear video goggles on your head that will allow your doctor to observe and measure eye movements that are associated with your inner ear & brain mechanism that controls balance.
Subtraction symbol Subtraction symbol Is there a connection between ears and eyes?
Yes - The inner ear and the muscles that move your eyes are intimately connected through a reflex called the vestibulo-ocular reflex or VOR. For some people who have very poor inner ear function in both ears, they just cannot see clearly whenever they are in motion.
Subtraction symbol Subtraction symbol If my doctor orders Lab Testing, when will I get my results?
Laboratory tests are ordered at the end of your Intensive Program and the results take 7-10 days to arrive. You and your doctor will review your results together during you first post-intensive follow up call.
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