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Acute Traumatic Brain Injury and Post Stroke (acute)

Keywords Acute Concussion, acute TBI, acute traumatic brain injury, post stroke rehabilitation

Treatment Plan

Daily for 5 days, then twice weekly for 3 weeks, then weekly for 2 months, Space out treatment as patient responds if further treatment is still needed. if not starting to respond after 6 sessions, treat three times a week

Intention

Stimulate blood flow to CNS

Stimulate central nervous system

glymphatics to reduce inflammation, assist

drainage

Heal injuries and reduce inflammation

Probe

LED Cluster LED Cluster LED Cluster

Pulse 2.5Hz 2.5Hz 2.5Hz

Tx Time 1 Min 1 Min 1 Min

Tx Targets

Bilateral internal carotid arteries and vertebral arteries

Sigmoid sinus and Jugular foramen bilaterallyExternal occipital protuberance / confluence of sinuses and transverse sinuses bilaterally.Along saggital suture

Treat affected lobe (s)

The colours represent which probe to use and where to place it

NEVER USE LASER on or near the eye (you can use LED THROUGH CLOSED EYES)

Area of injury

Specific Evidence:

Javad T. Hashmi, MD, Ying-Ying Huang, MD, Bushra Z. Osmani, MD, Sulbha K. Sharma, PhD, Margaret A. Naeser, PhD, LAc, and Michael R. Hamblin, PhD. Role of Low-Level Laser Therapy in Neurorehabilitation, PM R. 2010 Dec; 2(12 Suppl 2): S292–S305. doi:  10.1016/j.pmrj.2010.10.013

Naeser MA, Saltmarche A, Krengel MH, Hamblin MR, Knight JA. (2011) Improved cognitive function after transcranial, light-emitting diode treatments in chronic, traumatic brain injury: two case reports. Photomed Laser Surg. May; 29(5): 351-8. http://www.ncbi.nlm.nih.gov/pubmed/21182447

Lampl Y (2007) Laser treatment for stroke. Expert Rev Neurother 7: 961–965 [PubMed]

Naeser MA, Hamblin MR (2011) Potential for transcranial laser or LED therapy to treat stroke, traumatic brain injury, and neurodegenerative disease. Photomed Laser Surg 29: 443–446 [PMC free article] [PubMed]

Detaboada L, Ilic S, Leichliter-Martha S, Oron U, Oron A, et al. (2006) Transcranial application of low-energy laser irradiation improves neurological deficits in rats following acute stroke. Lasers Surg Med 38: 70–73 [PubMed]

Naeser MA, Zafonte R, Krengel MH, Martin PI, Frazier J, Hamblin M, Knight JA, Meehan W, Baker EH. Significant improvements on cognitive performance post- transcranial, red/near-infrared LED treatments in chronic, mild TBI: Open-protocol study. J Neurotrauma 2014 Feb 25  http://www.ncbi.nlm.nih.gov/pubmed/?term=24568233

Oron A, Oron U, ,Streeter J, De Taboada L, Alexandrovich A, Trembovler V, Shoami E, Low-Level Laser Therapy Applied Transcranially to Mice following Traumatic Brain Injury Significantly Reduces Long-Term Neurological Deficits J Neurotrauma, Vol 24, Number 4, 2007 Pp. 651–656 DOI: 10.1089/neu.2006.0198

Khuman J, Zhang J, Park J, Carroll JD, Donahue C, et al. (2012) Low-level laser light therapy improves cognitive deficits and inhibits microglial activation after controlled cortical impact in mice. J Neurotrauma 29: 408–417

Wu Q, Xuan W, Ando T, Xu T, Huang L, et al. (2012) Low-level laser therapy for closed-head traumatic brain injury in mice: effect of different wavelengths. Lasers Surg Med 44: 218–226

Huang YY, Gupta A, Vecchio D, Arce VJ, Huang SF, et al. (2012) Transcranial low level laser (light) therapy for traumatic brain injury. J Biophotonics 5: 827–837

Quirk BJ, Torbey M, Buchmann E, Verma S, Whelan HT (2012) Near-infrared photobiomodulation in an animal model of traumatic brain injury: improvements at the behavioral and biochemical levels. Photomed Laser Surg 30: 523–529

Ando T, Xuan W, Xu T, Dai T, Sharma SK, et al. (2011) Comparison of therapeutic effects between pulsed and continuous wave 810-nm wavelength laser irradiation for traumatic brain injury in mice. PLoS One 6: e26212

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THOR logo 450 WIDE.pdf 26/9/07 22:55:23