Neuromodulation is an exciting set of technologies that work by stimulating or ‘modulating’ cells in the brain and other parts of the nervous system and cause natural biological responses to be optimized. Neuromodulation is effective based on the principle of neuroplasticity (the fact that the brain has a modifiable nature which allows it to adapt and change with the right kind of repeated exposures). Neuromodulation technologies can thus enhance (or suppress) activity of the brain and nervous system to optimize different neural networks and hence improve brain and nervous system function.
Neuromodulation is used to treat a wide range of neurologic and neuropsychiatric conditions. These include depression, anxiety, OCD, ADHD, language disorders, impaired cognition, traumatic brain injury/concussions, headaches, pain, seizures, stroke, movement disorders and more. In our clinic we focus on neuromodulation therapies that are non-invasive and that utilize the power of electrical impulses, sound, light and electromagnetic signals (see below). The ultimate success of neuromodulation, as used at BRC, depends on 3 factors:
1. First making sure all prior neurochemical, gastrointestinal, metabolic, toxicologic, hormonal, immunological and nutritional problems that may be present are addressed as fully as possible.
2. Obtaining accurate neurodiagnostic tests including brain mapping.
3. Implementing and integrating the right combination of safe neuromodulation therapies for synergy in a rationale way to improve brain function (the goal being to rewire the brain, balance neurotransmitters and regulate brainwave functions long term).
Transcranial Direct Current Stimulation (tDCS)
This is a type of brain stimulation that uses direct electrical currents to stimulate a particular part of the brain. The current used is of low intensity (not to be confused with electroshock or electroconvulsive therapy that uses extremely high current levels). The stimulation used can act to either excite neuronal activity (‘anodal stimulation’) or reduce neuronal activity (‘cathodal stimulation). Each session typically lasts between 20- 30 minutes. There are 2 types of tDCS that we use:
tDCS for various Neurological and Neuropsychiatric conditions (depression, anxiety, pain, Parkinson’s disease); General overview – https://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/tdcs.html
tDCS studies for the treatment of Obsessive-Compulsive Disorder (OCD)
Transcranial Direct Current Stimulation for Obsessive-Compulsive Disorder: A Systematic Review – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836056/
tDCS studies for the treatment of ADHD
Transcranial direct current stimulation in attention-deficit hyperactivity disorder: A meta-analysis of neuropsychological deficits – https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215095
tDCS studies for Memory
tDCS studies for Depression
A randomized, double-blind clinical trial on the efficacy of cortical direct current stimulation for the treatment of major depression. – https://www.ncbi.nlm.nih.gov/pubmed/17559710
tDCS for Fibromyalgia, Depression and Cravings
tDCS studies for pain, cognition in addition to depression
The Safe and Sound Protocol (SSP)
This is a sound-based intervention that is done over 5 consecutive days (an hour each day) to calms emotional and physiological states and hence reduces stress and auditory sensitivities. This allows improvement in various sensory, emotional and cognitive areas. Specific conditions that are shown to benefit from SSP include:
- Social and emotional difficulties
- Auditory sensitivities
- Anxiety and trauma-related challenges
- Stressors that impact social engagement
Summary and overview of SSP by Dr. Stephen Porges –
Auditory Processing in autism – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3610863/
Auditory Hypersensitivities in autism – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117928/
To provide comprehensive, customized and compassionate care for all patients with neurological problems. We utilize a broad range of safe, innovative therapies to restore maximal neurologic function and improve overall health and well-being
Physical Vascular Therapy
This is a type of therapy that works on the microcirculation (the smallest blood vessels in the body) to improve its function. This is accomplished by the use of a pulsed electromagnetic field or ‘PEMF’. This signal allows proper blood flow in the microcirculation (capillaries) that is vital for health.
Use in musculoskeletal disease – https://pubmed.ncbi.nlm.nih.gov/26078768-bemer-therapy-combined-with-physiotherapy-in-patients-with-musculoskeletal-diseases-a-randomised-controlled-double-blind-follow-up-pilot-study/
Use in Complex Regional Pain Syndrome – https://pubmed.ncbi.nlm.nih.gov/29985719-bio-electro-magnetic-energy-regulation-bemer-for-the-treatment-of-type-i-complex-regional-pain-syndrome-a-pilot-study/
Effect of BEMER Magnetic Field Therapy on the Level of Fatigue in Patients With Multiple Sclerosis: A Randomized, Double-Blind Controlled Trial – https://pubmed.ncbi.nlm.nih.gov/19422286-effect-of-bemer-magnetic-field-therapy-on-the-level-of-fatigue-in-patients-with-multiple-sclerosis-a-randomized-double-blind-controlled-trial/
Photobiomodulation (Low Level Laser Therapy – LLLT)
This is a type of light therapy (non-thermal) where a laser is used to stimulate tissues in the body resulting in reduction of inflammation and pain, immunomodulation and promotion of tissue regeneration. The mechanism that allows light therapy to be therapeutic is its effect on the mitochondria (cytochrome c oxidase) leading to improvement in cellular function.
LLLT for brain disorders and overall overview –
LLLT in autism –
HRV biofeedback (training)
HRV (heart rate variability) biofeedback is a type of cardiorespiratory (heart-lung) training where beat by beat heart rate data is provided via slow breathing maneuvers. The net effect is optimization of the so-called ‘respiratory sinus arrhythmia (RSA) where the heart rate variability (‘R-R interval on an EKG) in synchrony with respiration is shorted during inspiration and prolonged during expiration. This intervention is used for a wide variety of conditions (ranging from medical to neuropsychiatric).
What is HRV Biofeedback? How and why does it work? – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4104929/
HRV Training and Stress Management – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5900369/
Biofeedback uses technology to provide individuals with real-time information (“feedback”) on their body’s automatic systems (“bio”). By becoming consciously aware of what is going on inside the body, one is able to gain more control over physical, mental, and emotional states. Biofeedback can specifically apply to the brain (‘neurofeedback’) or heart (‘HRV biofeedback’) – see below.
Through interaction with the computerized program, an individual is able to train the mind to control bodily functions to improve health. Research shows that neurofeedback can improve memory, attention span, pain and can lower stress among other things
Overview of Neurofeedback – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4892319/
Neurofeedback and ADHD- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538574/
Neurofeedback for Anxiety, PTSD and depression – https://www.ncbi.nlm.nih.gov/books/NBK531603/
At BRC, we use a variety of tools including:
- Rational use of pharmaceuticals (that we deem safe based on pharmacogenetic or DNA testing) Click here
- Nutraceuticals (dietary supplements) including some of our BRC supplements e.g. Total Brain Restoration that supports total brain health and recall ability, provides nutrients that support antioxidant and mitochondrial mechanisms as well as protein and amino acids for neurotransmitter production.
- Electroceuticals (cutting edge therapeutic agents which act by targeting the neural circuits of organs and modulating them, that is providing neuromodulation)
To better understand the above, see the following links:
- Jean-Ronel Corbier- From Nutrition to Neuromodulation: How to Restore Brain Function in Autism at AutismOne Conference
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Indian Land, SC 29707