A Vision of Brain Injury Rehabilitation | A.M. Barrett | TEDxHerndon

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Dr. Barrett discusses how we move through the world. Her Talk identifies new methods for brain injury rehabilitation.

A.M. Barrett, MD, is a cognitive neurologist, specialized in neurorehabilitation and brain injury medicine, and Director of Stroke Rehabilitation Research at Kessler Foundation. She is also the Chief, Neurorehabilitation Program Innovation, Kessler Institute of Rehabilitation, and Professor of Physical Medicine & Rehabilitation (PM&R) at Rutgers New Jersey Medical School. Her clinical and research focus is on brain-behavior relationships in neurological and neuropsychological recovery.

This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx

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Deb Blackmore says:

Spot on keep going doing amazing things stay strong stay safe everyone thanks for sharing well done I have hypoxia brain injury I died 26minutes spent weeks months in coma rehab hospital learning talk walk again been a recovery massive discovery never ever give up on yourself many will never yourselves keep going doing amazing things amazing sending luck hugs prayers most of all love from headway Nottingham UK takecare xxx

Matty P says:

I honestly think these prism goggles to improve proprioception is a crutch. Creating new neuro pathways and cueing proprioceptors I feel is much more effective. Nifty gimmick though

hertersarel says:

The world needs more people like you 🙌

United Bros says:


nguyen huy says:

so touching for an excellent video

Hòa Lê says:

so touching for an excellent video

Enrique TOPO Rodriguez says:

FANTASTIC Dr Barrett, keep on keeping on! WONDERFUL findings, best regards.
Enrique, Founder and General Convener ISSF (iss-forum.net) – Sydney, Australia

Theresa Guthrie says:

Is it possible to do something like that for people with TBI's that have double vision? So they don't have double vision any more?

Karl 'Kajomo' Moritz says:

The USA health Care system absolutely sucks for people with a Brain Injury!

Purshottam Patel says:

What hospitals use this??

Alain Pfaeffli says:

It’s very exhausting explaining people why you forget things so fast and why you didn’t see the person on the left side. After Years you start to compensate that, but still annoying

amusedbouche says:

An interesting exploration of spatial neglect.

Joanna M says:

Neurosurgeon and a poet awesome!!

ds electroshock says:

I am a level one trauma nurse of many years that worked at leading facilities. I was going to be a flight nurse. I give this background to let you know I am familiar with trauma. I am no longer a trauma nurse which was my passion, secondary to consenting to this procedure I was told was safe and effective.I am addressing those in rehabilitation medicine. I am asking for help in addressing these brain injury outcomes, now proved around devices in the California courts. The issue is electroshock or ECT. We have sustained repeated brain injuries at the hands of trusted providers. We are now sustaining further damages from providers, in trying to find help, and this is where I turn to your profession.Since providers do not want to implicate other providers nor facilities, never mind their risk their medical career if they were to expose this, we as victims of this are greatly suffering. I do not like to use the word victim, but here it applies. I am diligent with my own care in trying to recover from this and am far from silent when I cannot access needed resources. I am lucky in this way to be outspoken and to have a background that is well aware of testing needed and what has transpired around this. I am met with the same as my peers often in spite of this. We are TBI survivors just as any other survivor, only our mechanism of injury being electrical was delivered by physicians hands. We struggle daily to maintain our lives after not just one head injury, but multiples. We are told we have not been harmed. We are gas lighted when our reality is already skewed by traumatic brain injury. We ask for help, but doctors ignore and minimize us. We cannot access testing nor services, because reason for same would have to be acknowledged, and better to ignore than have your name as a provider in the notes exposing this battery at best. My peers are killing themselves because we are discounted in our suffering and actually in many instances treated with overt contempt when trying to find help from doctors and staff.Below is an outcome that is mine. I have been now identified with damages to my frontal lobes, cerebellum, and temporal lobes by a TBI specialist secondary to electroshock. It is is the medical records. I ask you in rehabilitation medicine to have these conversations with others so we can address this harm and get help to those that desperately need it. Expose this and shine a light as the public is at great risk. You are familiar with our struggles. We are just like any other TBI patient that needs your help and recognition please.

There is a test called the VNG that is used to identify concussions and other brain injuries. It is the in office test similar to the on field test the NFL players now get called the I-PASS. Below are damages recorded in notes by TBI specialist to outcomes of electroshock. Perhaps this test  may be used to identify TBI in ECT patients, as it is used for TBI in the NFL. These below findings around ECT are resulting from VNG testing. Patients are also showing changes on MRI, EEG, neuro/cog testing, and SPECT. 
3.    Mild L ptosis4.    R hypertropia worse in L lateral gaze5.    L exophoria6.    L upper and R lower facial paresis7.    L roll had tilt8.    Olfactory recognition impaired bilateral9.    VA ration horizontal square wave jerks R:2:1 L: down-beat nystagmus 2:110.  Saccade testing reveals latencies increased all planes except U/L11.  Marked cervical substitutions with pursuits in all planes with intrusive saccades worsening in L prusuites12.  Pursuits downward reveal intorsional glissades13.  Gait testing reveals mild decrease inR arm swing: with dual tasking, gait becomes slightly wide-based and arm swing slightly decreases.14.  Finger-nose past pointing R>L15.  Somatic pinwheel perception diminished L L516.  Vestibular head impulse testing: Moderately decreased in LARP plane17.  Saccadometry: Prosaccade 20 degree : intrusive saccades to the R18.  Anti saccade 10 degree: 79 percent directional error rate19.  Nystagmus: High frequency right beat and down beat nystagmus20.  Central gaze: Head movement, L pstosis and nystagmnus21.  Horizontal gaze L 24 degree Notable pitch plane head movement22.  Horizontal gaze R 24 degree: Increased fatigue, decreased stability23.  Upward gaze 14 degree: Notable pitch plane head movement24.  Downward gaze 14 degree: Notable pitch polane head movement.25.  Horizontal optokinetics 25 dps: L optokinetics provoked dysconjugate gaze. Reflex failed with R otokinetics26.  Horizontal optokinetics with volitional targeting: Worsens27.  Vertical pursuits 10 degrees: Intrusive saccades with downward pursuits28.  Random vertical saccades: Upward intrusive saccades, cannot maintain downward gaze29.  Vertical optokinetics 25 dps: Reflex failed.30.  Vertical optokinetics with volitional targeting: Worsens31.  Repeated random horizontal saccades; Latencies increased significantly bilaterally
Please see ectjustice now owned by law firms participating in national product liability suit. My gratitude for any exposure you can bring to this issue.

Marco Barde says:

Didn't know Kirk Hammett was a neurologist

1965GAL says:

Why couldn’t the caregiver train them and then phase out gradually

Wanda Cornell Cornell says:

I wonder if this treatment for those born with Cerable parsley like my best friend was though she is a strong inspiration to me she is very strong and and how she compinsates with her injury and does What she is able to do and does
It would be wonderful if could help those with Cerable parsley.

Javier says:

Amazing, thank you for sharing.

Emily J Lima says:

Will your an inspiration and I know you have a wonderful future ahead! Good luck! 😊❤️

Tiffany Wolfson says:

I strongly advise anyone that rides bike, skateboard, snowboard, ski to wear a helmet. Stay safe!

Linda J Jackson says:

My heart genuinley goes out to people with brain injuries. It's the most important organ but we'll only ever truly realise that until it's too late

Jenny Hughes says:

I got no correct diagnosis nor rehab of any kind after my brain injury. I worked very hard trying to relearn things alone & I'm proud of what I achieved. But life now is full of uncertainty: lost my fit strong body, my health, my job, my home, my relationships… The lucky few (what %?) get access to the best treatments and aftercare, the rest of us are left to rot. I WISH everyone could easily access all of it and most importantly: adapted safe hosing for LIFE = security.

nedeljko84 says:

I enjoyed every minute of this wonderful presentation. You rock Dr Barrett, keep up the good work!

doug major says:

It is great effective treatment. Dr Barrett describes that she was the discoverer of using YOKED PRISM and then MONITIZES it to her benefit.($3000) Use of YOKE PRISM for prism adaptation has been used since the 1970's by Developmental Optometrists…SHE COMPLETELY ignores the work of American Optometrists. Contact NORA the neuro optometric rehabilitation association and find out for yourself! Find a trained rehab optometrist…save some money…get better!

Julia Miller says:

Thanks for sharing such important information on traumatic stress.

Lisa M. Marquis says:

Great perspective, very clear. Thanks.

Frances Campbell says:

Well now i know I'm very traumatized

Jesse Games says:

The best example and solution cure I have ever seen. Thanks

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