The Cognitive FX Blog

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Education & Resources

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What Makes Cognitive FX Unique?

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Cognitive FX Team

Quite often we are asked what makes Cognitive FX unique in relation to clinics that have a background in functional neurology, including Brain Plasticity Centers. Here we review 8 key ways we are unique. 1- Our key founders have a degree in neuroscience or have been to medical school. Two of our founders hold a PhD and two of our founders is an MD. The founders brought together a team of multidisciplinary accredited therapists and trainers, each in their own discipline, to standardize a unique imaging and treatment protocol to effectively treat post-concussion symptoms. This includes neuroscientists, speech-language pathologists, psychologists, athletic trainers, licensed massage therapists, occupational therapists, and other professionals. 2- The thing that makes us the most unique is our objective imaging. Functional Neurocognitive Imaging (fNCI) looks at different regions of the brain and gives you a clear view of which brain regions are working correctly and which ones are not working as they should. This imaging is looking directly at your brain, not at any other parts of the body. When a doctor only looks at symptoms to try to figure out what is going on in the brain, things can be missed or misdiagnosed. The fact that we treat the source of symptoms rather than the symptoms alone is very important. This empowers our multidisciplinary therapists and trainers to have a clear direction and create a plan to help you make significant improvements.

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Concussions

Education & Resources

Diagnosing Concussion with functional NeuroCognitive Imaging

By:

Cognitive FX Team

What imaging is used to diagnose a brain injury? After a concussion or any hit to the head, you go to the doctor, and they tell you might have a concussion, but that it is no big deal because your symptoms will just go away with some rest right? Sometimes, but not usually. It would be nice to know exactly how you are feeling to provide the best overall treatment and a new imaging technology can do that. A Functional Magnetic Resonance Image (fMRI) is an imaging technique used to diagnose concussion and recognizes changes in the brain while you are asked to engage in cognitive tasks. Most people have heard of an MRI and but fewer have heard of a functional MRI (fMRI). So what are they and what is the difference between them? MRI produces static images of the anatomy of the brain and a functional MRI produces images of what is going on inside the brain as it is working. Functional NeuroCognitive Imaging (fNCI) fNCI is a unique form of a fMRI that uses specific tests to measure how the brain is functioning. fNCI is over 98% accurate at diagnosing concussions. In the past, concussions have been subjectively diagnosed by either giving the individual a post-concussion symptom scale (PCSS) to rate the severity of their symptoms or by asking the patient if they went unconscious after getting hit.

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Concussions

Education & Resources

Post Concussion Treatment

Connection Between Concussion Symptoms and Brain Function

By:

Cognitive FX Team

The brain loves taking the path of least resistance. This is true for blood flow and also for sending the communication signals in the brain when neurons are firing. Even a simple task requires different brain regions to work, or function, together at whatever you are trying to accomplish, be it reading this post, driving, writing, singing a song, or doing something as simple as opening your eyes, yawning, or breathing. Overall, when we are talking about brain function, we are talking about the ability for the neurons, the blood flow, and other systems in your brain to work and communicate with one another to do their job. After mTBI, injured regions of the brain can swell. Because the brain wants to take the path of least resistance, it will use different neuronal pathways to avoid the areas where there is inflammation. This change restricts blood flow in one or more regions of your brain, causing other regions to compensate for the regions that are injured. This means that different regions are over-exerting themselves to complete the work of the injured brain regions. Think of it as a receptionist who, on top of completing her own responsibilities, now has to do the job and work of the accounting department and the CEO. This imbalanced blood flow is what we call dysregulation, or dysfunction.

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Brain Safety & Care

10 Summer Self-Care Tips

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Cognitive FX Team

Self-care is something we all forget about—until we push ourselves too far. We want to give you a new perspective on self-care as you continue to enjoy this summer. Often, we see or hear that self-care is taking a bubble bath or taking a nap, which could be part of self-care for you. These are relaxing, but here when we talk about self-care we are not just talking about relaxing. Another way to see self-care is taking care of your well-being. When we see the connection between self-care and well-being, we can recognize it as the foundation to have a life we want. This adds a new level of importance to taking care of ourselves and those we love. When creating a summer routine, here are 10 things to consider incorporating into your life to support you and your family. When we take care of our well-being this makes us available to support others in their well-being as well.

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Mental Health Support After a Brain Injury

Journaling Techniques and Ideas After a Brain Injury

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Guest Author – Aimee Mortensen

Journaling is one of the greatest therapeutic techniques available. Journaling is free, confidential, and convenient. It offers you the opportunity to be your own therapist. You might think journaling must be done sitting down and writing in a diary-type book. If that doesn’t sound appealing, you may be excited to learn there are numerous types of journaling. You can find a style of journaling that is fun and stress relieving at the same time. Journaling offers you a way to process something and let it go. It can be incredibly helpful after a brain injury! After a brain injury, it can feel hard to express yourself and journaling is one way that can empower you to share yourself in a creative way. Discover some of the different types of journals below. Try several. If you find one you love, stick with it. If one doesn’t necessarily click for you, don’t force yourself into it. Keep experimenting until you find one that gives you emotional expression, release, or relief. Types of Journaling Write it Out Daily life and experiences: This is the type of journal many typically think of when discussing journals. Write about your day chronologically. The entries don’t have to be exhaustive. Try writing a little bit each day. Just put a pen to paper and write for a specified length of time or for a certain number of pages. Quick journal: Write one sentence a day. One word essence journaling: Write one word to summarize the day. Question a day: Answer your own questions or be guided by prompts or predetermined topics. I loved my “Q&A a Day: 5 Years Journal” I purchased on Amazon. Meditation or transition journal: After work, before you transition to home, write out all your thoughts to assist you in letting go of the stresses of the day and transition into a more relaxed state.

Blog Feature

Life After EPIC Treatment

Perspective After Brain Injury Throughout Recovery

By:

Cognitive FX Team

Everything Changed After My Brain Injury Past patient, Anna Empey shares her experiences in a series of blog posts including “10 Things I Wish I had known Before my Brain Injury”, “Journaling Through Recovery” and here in this post. I lived with post-concussion symptoms, from two separate brain injuries, for almost five years. It was one of the hardest periods in my life, trying to make it through each day, dealing with the migraines, and fighting to live a somewhat typical life. My second injury, which was about three years into recovering from the first injury, had pretty intense impacts on my life. I pretty much quit everything I was doing. I had to keep my job and focus on working 40 hours a week, dealing with constant exhaustion and fatigue. I started avoiding crowds and people in my daily life, and, eventually, I stopped communicating much with anyone because finding words was hard. I also lived with light and sound sensitivity along with short and long-term memory problems. At this point, it was hard to see the glass half full, and I pretty much lived like my glass was half empty.

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Mental Health Support After a Brain Injury

Bargaining After a Brain Injury

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Guest Author – Aimee Mortensen

Many believe the five stages of grief last weeks or months, but according to Elisabeth Kübler-Ross and David Kessler, the stages of grief are responses to feelings that can last for minutes or hours as we flip in and out of one and then another. As a reminder, we do not enter and leave each individual stage in a linear fashion. We may experience one, then another, and back again to the first one. Let each stage happen. Embrace it, learn from it, and then keep going. What is bargaining? Bargaining is a stage in the grief process that is helpful when you feel powerless over circumstances, especially after a brain injury. Bargaining is an attempt to regain control. Bargaining is frequently done with God, or a higher power, that you feel has some control over the situation. Bargaining is similar to negotiation. “I promise I’ll do this, or be this, if I can just go back in time—or have five more minutes or have one more day.” It’s interesting because you know all the bargaining in the world won’t help, but it doesn’t prevent you from trying, begging, “Please? I’ll do anything. I just want my brain back. I want me back! The way I was.” You want to go back in time—stop the accident from happening, put on protective gear, yield to that stop sign, put on your seatbelt. If only, if only, IF ONLY.

Blog Feature

Patient Stories

EPIC Concussion Treatment – Aimee’s Day to Day Experience at CFX

By:

Guest Author – Aimee Mortensen

Everyone’s experience is different. Anyone experiencing a concussion or TBI has a different story, different outlook on life, and different symptoms, their experience of EPIC Treatment is going to be different as well. With that said, here’s my experience. I was injured 17 years before I received treatment, and you can read more about how I got my injury in another post here if you are interested. Hopefully, my story validates some of your experience, gives hope, and provides direction. To begin with, I was surprised my schedule wasn’t more packed with activities. I questioned if this would work. I received over 25 hours of treatment during the week when I was expecting a 40 hour week. By the end of the week, I appreciated that I didn’t have a 40-hour schedule because I don’t think my brain could have handled it. Day One: I walked into the office on Monday morning. I was handed the check-in questionnaire. I filled out the Post Concussion Symptom Scale (PCSS) check-in and check-out questionnaire each day of treatment. CFX uses the questionnaires to monitor symptoms throughout the week, and is used as a measurement in their research. As I sat down to complete the simple form, I started to cry. I’m not against crying, but it takes a lot to push me to tears. I wasn’t sure what was going on. I called my husband. He said a quick “Focus, give it your best, and I love you.” Then I met Porter. Porter is one of the Patient Care Coordinators and I really felt support from him while I was at Cognitive FX. I didn’t have any idea what to expect. I was nervous. He gave me a tour, and we got started. *Sometimes you might also have an fNCI on your first day. I got my first scan done before I started treatment for my brain injury.

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Cognitive FX News

Post Concussion Treatment

How Cognitive FX Got Started

By:

Cognitive FX Team

Long before Cognitive FX was created, Dr. Mark Allen, PhD, and Dr. Alina Fong, PhD began searching for a greater understanding of the brain. Their focus has been on how the brain works and how each region of the brain contributes to functionality. As they began searching for answers, they began to understand how the brain functions, and its subtle but powerful abilities. Over time after collecting a wealth of data, they established a strong foundation of what a normal brain should function like and created an objective scale where we can measure where individuals should be for optimal brain functioning. Clinical Application of fNCI Begins After years researching and applying the technology of fMRI and adapting it they started a company with key partners called Notus, which provided the technology known as Notus Functional NeuroCognitive Imaging or fNCI. Notus started applying this technology in the clinical setting as interest grew in the community. This technology is now used in military hospitals, clinics, private hospitals, and more. Clinicians see that fNCI is useful as a diagnostic tool to understand what is happening with their patients in ways they could not understand before. fNCI inspects over 60 distinct regions of the brain. For example, physicians can better understand a complex brain injury by understanding which brain regions are not working instead of using a one word summary “concussion”.

Blog Feature

Life After EPIC Treatment

Establishing a New Daily Routine

By:

Cognitive FX Team

By Brittany Prijatel, Sports Psychology Consultant With the new year comes new changes. I would like to give you 6 ways to help you identify changes that you want to make and how to fit them into a current daily routine or schedule. 1- Have a clear idea of what it is that you want to incorporate into your daily routine. How much time do I want/have to commit to this activity each day/week? 2- Map out what your current schedule is like during the day/week. It is always easier to do this with someone else so that you do not criticize and instead you analyze. There are many ways you can map out a daily routine. One way is to start with a piece of paper and write the hours from 7 am to 11 pm down the side (Hours may vary depending on your schedule). Then block out the time for each activity you are doing that day. Then you can easily see where time is going, where to add in the things you want to incorporate and what to adjust.

Blog Feature

Brain Safety & Care

Concussions

Education & Resources

Know Your Concussion Myths and Facts

By:

Cognitive FX Team

We know that there are millions of individuals who suffer from concussions yearly. There is no better time than now to expand our knowledge and application of research to help individuals recognize there is hope and recovery when addressing brain injury. There is a lot of information available about concussions and mTBI (mild Traumatic Brain Injury) and we want to share what recent research has taught us when it comes to concussion myths and facts. Concussion Myth: To get a concussion one must pass out or hit their head. mTBI is defined as “the result of the forceful motion of the head or impact causing brief change in mental status (confusion, disorientation or memory loss) or loss of consciousness for less than 30 minutes.” Notice here the definition mentions forceful motion OR impact OR loss of consciousness. Concussion Fact: You can get a concussion without passing out and/or without hitting your head. Since the brain is essentially floating in water and connected to our spinal cord via the brain stem one can get a concussion from forceful motion of the head, like whiplash. Yes, hitting your head can increase your risks of having a concussion but you do not have to pass out or receive a hard hit to sustain a concussion.