Services

Services We Offer

Our highly experienced team of Speech-Language Pathologists and Occupational Therapists work together to provide an individualized neurorehabilitation treatment plan for each patient.

At CNS, cognitive rehabilitation uses a combination of direct therapy, home programming, community-based services, and telerehabilitation in a person-centered, family-involved team approach.

Telerehabilitation provides another dimension to our clinic-based services when mobility, transportation, or pandemics interfere with coming into the clinic. Our team’s experience with telerehab permits continuity of services and maintains our patient’s progress in treatment.

CNS has been at the forefront of integrating other rehabilitation services, including vestibular rehabilitation, vision therapy, and audiology, into our programming, coordinating these treatments in our community and yours.

In those situations where more extensive interventions are required, CNS incorporates external providers for Counseling Services, Transcranial Magnetic Stimulation, Hyperbaric Oxygen Therapy, and Acupuncture to ensure a treatment plan that is patient-specific.

Comprehensive Evaluation and Plan of Care

Effective intervention begins with a thorough understanding of the person’s abilities and challenges pre-event combined with a detailed examination of those factors known to influence outcome following brain injury.

This intensive 4-5 hour initial encounter concludes with the patient and his family having an understanding of the current needs and preliminary comprehensive plan of care.

Diagnostic Testing

Concussion Treadmill Test
First developed at the SUNY-Buffalo Sports Medicine facility where CNS staff were trained in its use, cardiovascular tolerance after concussion provides critical information regarding recovery potential and treatment options.

APDM MobilityLab®
Miniature sensors positioned on the patient permits the recording of subtle changes in static and dynamic balance aiding in the diagnosis and treatment of gait disorders, movement disorders, and hydrocephalus.

NeuroQuant®
Computer-assisted measurement of structures inside the skull detects changes undetectable by the human eye. Detection of ventricular enlargement (hydrocephalus) following a brain injury can occur earlier using this technology. More detailed analysis of structural changes than a standard MRI can be obtained by this technology.

Macrilen® (macimorelin) Testing
Abnormalities of hormonal functioning occur in 18% of individuals after concussion/mild traumatic brain injury and presents as the triad of depression, fatigue, and cognitive dysfunction. Assessment for Growth Hormone Deficiency is critical to establish an effective treatment plan in these individuals. Challenge testing using Macrilen® involves drinking the liquid stimulant of growth hormone release followed by blood testing over a 2½ hour period.

BrainCheck®
BrainCheck is a computerized cognitive assessment aid, a prescription Software as a Medical Device (SaMD) that uses an individual’s score(s) on a battery of cognitive tasks to provide an interpretation of their current level of cognitive function. It is registered as a Class II medical device with the U.S. Food and Drug Administration (FDA). (Registration number: 3014129043) BrainCheck is a diagnostic aid used by the clinician, not a stand-alone diagnostic.

Treatments Available Through CNS

Innovative post-traumatic headache management:
Cefaly®- non-invasive Trigeminal Nerve neurostimulator applied to the forehead for treatment of migraine.

Occipital Nerve Blocks- injections done in the office for diagnostics and headache pain management.

Vagal Nerve Stimulator- settings management of an implanted device used for the treatment of seizure disorders and treatment-resistant depression.