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

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 ted.com/tedx

[@lindajjackson630]

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

[@InvinciblePepe]

😭

[@lostmysteak9444]

It all changes in a matter of seconds

[@hertersarel]

The world needs more people like you 🙌

[@donnas.dugger7624]

What an inspiration for anyone out there struggling with brain injury issues.

[@jennyhughes4474]

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.

[@lovingfreedom5794]

Hi. Can you share more jow you overcame this situation?

[@shaneoleary4589]

@@lovingfreedom5794 Hi, I have been concussion 30 plus times, and have survived 6 or 8 TBI's. Sorry but I lost count of concussions, and can't remember exactly how many TBI's, I sustained in the last 35 years. If I can be of any help, find a way to contact me. I don't know how. But I am pretty sure I can help.

[@jamesmcgowan9622]

Excellent presentation about visual/spatial neglect, and the treatment protocol using prismatic goggles. Dr. Barrett has a talent for explaining very complex disorders in terms understandable by anyone. I see this engaging video as an attempt to spread an important treatment option to as many rehabilitation centers as possible to benefit the greatest number of patients. The personal touches she added illustrate the often overlooked creative and artistic aspects of delivering medical care. I hope she continues to make videos to reach an a larger audience.

[@caolainmccreaanor6588]

What a beautifully simplistic and practical solution to such a damaging problem. Brilliant!

[@nix954]

IKR?! 😃😃 Astounding. 😍😍

[@jessegames4404]

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

[@kerrysmith5461]

I liked what you said about "the speed of trust;" of course the rest was fantastic as well. Thank you!

[@nixiafemme3273]

Everyone in the world needs to know this!

[@debblackmore7460]

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

[@leonbrette4438]

so touching for an excellent video

[@martind.haskins4298]

Wow. Brings back memories of my TBI

[@TheBushRanger.]

You recovered?

[@jjconc]

You're the best Dr B. TBI 2004.

[@nix954]

Absolutely incredible, mind-blowing, and tremendously inspiring. 😌

[@emilyjlima3994]

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

[@laraibia360]

Very inspiring. I hope to contribute to brain injury rehabilitative techniques as shown in the near future.

[@nedeljko84]

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

[@lisam.marquis8973]

Great perspective, very clear. Thanks.

[@dselectroshock1010]

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.

[@RyanODonnell2814]

That was so flipping cool. Way to go DOC!

[@consuelop.northrup1969]

My heart out to those who can't afford such therapy

[@raditpc3067]

Wow!!! Very inspiring story! Thanks for putting it out there.

[@ASLTheatre]

I had a brain injury in 2011. For years I was having problems similar to this. It was vision therapy that got me back on my feet. Vision Therapy used some of the same techniques that were mentioned here. If you want more information about this I would be glad to let you know.

[@judeshepard6380]

TJ Thomas yes helping my brain injured brother, need this for him, wow, im sure this will reconnect the disconnect...in Michigan

[@lovingfreedom5794]

Hi Thomas, can I have more info about the vision therapy?

[@lav856]

Stay strong and don't let negative thoughts work on you 🤜🏻 🤛🏻👍🏻

[@ASLTheatre]

@@lovingfreedom5794 Did I give you information? Sorry if I didn’t.

[@lovingfreedom5794]

@@ASLTheatre no I did not have information on the vision therapy.

[@superduperjoi6800]

Neurosurgeon and a poet awesome!!

[@superduperjoi6800]

back again Very underrated woman of color!

[@brendaj.trujillo4002]

It was good to hear this testimony.

[@gregoryg.johnson8878]

I'm so impressed with what her said

[@Javier-kw9yw]

Amazing, thank you for sharing.

[@theresaguthrie2212]

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?

[@PatriciaJLevin]

What an inspiring story! You rock Doc!!

[@mylespemberton2931]

That was a great video. Very emotional.

[@amusedbouche9258]

An interesting exploration of spatial neglect.

[@meganinabinet1334]

Great story!

[@juliacardosopereira5737]

Great speech!!!

[@wandacornellcornell1814]

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.

[@KAST96]

I think you mean Cerebral Palsy.

[@smca7271]

after my injury...I spent 4 hours trying to draw a circle in the ,middle of a plate...no one even told me I had a brain injury...oncologists dont really care till you turn up in the ER.

[@Acaciakali]

Did I just got a good day for the rest of the year

[@benjagonzalez8485]

good video

[@glaubhafieber]

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

[@purshottampatel8859]

What hospitals use this??

[@Ramo3627]

Nice

[@Scientist]

Interesting

[@yungpirela7223]

nice

[@1965GAL]

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

[@N3monia]

Cool

[@andreseduardoaguilera1182]

cool

[@shaungaddy4907]

contra cue for me how does that matter

[@marielg9143]

People do not know of options

[@marcobarde9127]

Didn't know Kirk Hammett was a neurologist

[@karlkajomomoritz2816]

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

[@HeribertoRebolledo]

LIKE

[@francescampbell5930]

Well now i know I'm very traumatized

[@PLAYFUN-ri3uz]

Like

[@tiffanywolfson2192]

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

[@tonylopez9910]

s

[@JHONNYJOIS]

wwow

[@kayodeodunuyi8586]

lol is what people shoudnt be saying

[@mattyp7582]

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

[@kayodeodunuyi8586]

lol

[@Albokosguy]

Frist comment

[@unitedbros460]

あなたの最初の誕生日プレゼントは何ですか？

[@lilmann7516]

comment

[@amelianywhere]

zzz

[@nguyenhuy-gj2td]

so touching for an excellent video

[@videotrailerofficial4688]

Nice

[@Dan-rc6zz]

nice