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280 W River Park Drive Suite 110 Provo, UT

 

Patient Outcomes

Third-Party Research Study

 

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77% of Patients Report a Return to Normal Function

Improvements in anxiety, depression, fatigue, sleep problems, vestibular-ocular functioning, neurocognitive functioning.

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94% Reported Reduction in Symptoms

In a study at University Medical Center Groningen, 94% reported a reduction in symptoms after treatment.

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85% Improvement-Cognitive Issues (Fatigue, Brain Fog)

Between treatment and the six-month follow 85% of patient treated report improvement in fatigue and brain fog.

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No improvement or regression.

Approximately 6% of the patients that we treat see no improvement or temporary regression after treatment.

Read The Study

Functional Brain Scan

 

  • 1-hour brain scan with active tasks while in the MRI machine.

 

  • Determine what brain areas are receiving the correct amount of blood flow.

 

  • Compare your brain activation and blood flow pattern to a database of healthy brains.

fmri Control vs Conccusion TBI
Final FMRI comparison image healthy vs injured post concussion

Personalized Treatment Plan

 

  • Utilize brain region activation and brain region connectivity to the treatment plan.

 

  • 10 Years of experience and machine learning algorithms help create a precise treatment plan.

Treatment Approach

 

 

  • 1-2 Weeks of intensive all-day targeted therapy.

 

  • 14 different doctors, therapists, and technicians.  20+ medical treatment devices

 

  • Exit fMRI scan to determine the effectiveness of treatment and focus for any post-care.

Specialists

The Most Effective Therapy for Post Concussion 

Treatment Results

 

  • 77% of patients significantly improve and return to normal cognitive baseline testing.

 

  • 85% Reduction in brain fog and fatigue symptoms.

 

  • Independent Third-Party Research of our treatment approach.

Assesment of short term change cognitive fx
Treatment vs No Treatment vs Healthy Patient
Assesment of long term change Cognitive FX

Lasting Treatment Improvement

Cognitive FX Treatment Outcomes

77% Normalized Brain Function after treatment.  Average time since injury 4 years.

Patient Reviews

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Frequently Asked Questions

How confident should I be that I will get better if I come for treatment?

Third-party and our internal tracking show that roughly 75% of patients will get significantly better with treatment.  The remainder will see some improvement in symptoms but not return to pre-injury levels.  Between 5% and 7% of patients will see no improvement with treatment or a temporary regression of symptoms.  We are improving at identifying what types of brain injuries don't respond to our treatment.

Hero Image Get Started (2)

 

How does the fMRI allow you to customize my treatment?

All patients begin with an fMRI of their brain before we begin treatment. This allows us to examine how your brain activates when performing standard tasks. We compare that with a database of healthy brains. From the scan, we can determine which brain areas are not working as they should. We can then customize the Prepare, Activate, Recovery protocol for your specific needs.

Verbal Processing fMRI Report

 

How is Cognitive FX different than other clinics?

Instead of conducting interviews with the patient about their symptoms, we take a more accurate approach and scan the brain, looking for differences between an injured brain and a normal brain.

 

Symptoms don't match up with the area of the brain that needs treatment.  Hyperactivation across brain regions results in fatigue and headaches, even though it may just be a few overactive regions that are causing all the symptoms. On the other hand, hypoactivation (low brain activation) can result in brain fog, taking longer to think, etc.  Without knowing what areas are impaired, it is hard to know where to focus treatment.

 

Secondly, during the week, we promote brain plasticity and stress the brain so it will try to remodel the neural pathways it had preinjury.  To do that effectively, you can't have one or two appointments a week.  The brain typically won't change 6 months after an injury without some serious work.

 

Symptoms mTBI Cognitive FX

 

What is treatment like, and what kinds of treatment will I get?

Treatment will last 1 or 2 weeks depending on your injury severity and, to a lesser degree, age.  Treatment is between 6-9 hours every day for the week, with a shorter day on Friday to accommodate an exit scan.  We follow a Prepare, Activate and Recovery strategy for treatment.  The types of therapy you could receive are: physical therapy, occupational therapy, speech therapy, cognitive therapy, vision therapy, massage, vestibular therapy, brain wave entrainment, CO2 therapy, dynavision, NSI, Righteye, TOMAR, REAX Board, HIIT, psychology.

The activation portion of the treatment is the most individualized.  The Prepare phase is based on increasing the blood flow and creating neurochemicals (BDNF, dopamine, acetylcholine, etc.) that help with brain plasticity and neurogenesis.

 

Neurochemical Pathways

 

How do I know if Cognitive FX is right for me and my injury?

If you have been dealing with symptoms for over 9 months, the research shows that without intervention, the likelihood of recovery is very low.  The above data shows that 77% returned to normal SCAT 5 testing results. The average patient was over 4 years post-injury, so there is hope.

 

If you are longer than 6 months post-injury and symptoms aren't improving or worsening, you are an ideal patient.  If you have had multiple concussions and have severe symptoms and you are less than 6 months old, you are also an ideal treatment candidate.  If you have only had one concussion and are less than 6 months continue with your local treatment or see if you will recover.  If, after 6-9 months, you haven't improved, reach out to us.

 

Longitudinal Study of Postconcussion Syndrome_ Not Everyone Recovers _ - www.ncbi.nlm.nih.gov

 

Will I be able to do treatment with my symptoms?

We have treated thousands of patients that have post-concussion syndrome or a mild TBI.  We have lots of techniques that will help lessen any flair-up in symptoms.  We also schedule recovery sessions in your schedule so you can rest and prepare for the next activation window. 

When Treatment Makes Sense

 

 

  • The greatest predictor of recovery is the number of symptoms. More symptoms lead to a lower chance of recovery without intervention.

 

  • The second most important factor is the time since your injury and the length of time you have had symptoms.

 

  • The third most relevant factor is the number of brain injuries you have sustained over your life.


    Study Link

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Recovery curves for patients reporting based on numbers of reported symptoms. The number of symptoms associated with each curve is shown to the right colored numbers.  (Hiploylee, et al. 2017)
Time Required to Recover from Post Concussion
Time required to recover and duration of persisting postconcussion syndrome Note that the patient's chance of recovery by just waiting is unlikely at 2 years post-injury.  Our approach can still get results even after long periods of time. (Hiploylee, et al. 2017)
Symptoms Post-concussion Patients Have

Most common reported symptoms of patients that are suffering from post concussion injury. 

Hiploylee, et al. 2017

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