Diagnosis of decreased hemisphericity by AK muscle t esting

Seung Won Lee, MD, PhD, DC, DACNB, DIBAK, FACFN

AK Clinic, Seoul, Korea

Hyun Dong Jang, MD

Department of Neurosurgery, Hyun Hospital, Incheon, Korea

Decreased hemisphericity

Means an imbalance between right and leftcerebral cortex Right or left hemisphere deficit Functional disconnection hemisphericity

The outcome of right or left hemisphere deficit (Functional Disconnection Hemisphericit Dysfunctions and/or disease of the vari y) ousareas controlled by motor, sensory,

auto- nomic nervous system, hormonal and im-mune system as well as cogniti ve function.

Specific problems due to the lateralizati on of the brain function such as autism spectrumdisorder due to decreased fun ction of righthemisphere and arrhythmia due to left he-misphere, etc.

Left shunt instability due to de crea-sed function of the left h emisphere

Transient ischemic attack of ri ght hemisphere

Arrhythmia due to left decreased hemisphericity

Diagnosis of the decreased hemisphericity

Neurological examination EEG brain mapping CT, MRI, MRA (pathological lesion) AK Muscle testing

Diagnosis of decreased hemisphericity by AK muscle t esting

Place four finger ti ps, 2.5 cm apart, i n a strai-ght line o n the sternum TL on the scalp Test indicator mus cle

Procedure-Dx of hemispherici ty

Brain Electrical Activity Mappin g

(Background EEG Diagnostic Sys tem)

Quantitative values of theta, al pha and beta waves.

Alpha mapping

Theta mapping

Beta mapping

Left hemiparesis, 67 year old male

Decreased function on left cerebellum a nd right cerebral cortex in AK muscle te sting

total segmental occlusion of ri ght MCA in MRA

EEG mapping

Success

Error

Cog. strength

Response

Concentration Workload

Lt Brain Activity Rt Brain Activity

Treatment

Intravenous injection of platelet aggregati oninhibitors (Ozagrel sodium, 80mg injec tion mixed with 100cc normal saline for 2 hours,2 times in every 12 hours) Manipulation Nutritional supplements Physiotherapy and rehabilitation

After complete recovery

Dizziness and ataxia, 60 year old female

Onset: 2weeks ago Neurological exam: Romberg test+, difficulty in tandem gait, minimal aberr ancyof finger to nose, heel to shin more on the right side Impression: decreased function of right cerebellum and left cerebral cortex in this method of muscle testing.

Focal infarction of right cereb ellar hemisphere in MRI

Semi-coma with complete rig ht hemiparalysis, 46 femal Decreased function of left hemisphere i e
n this muscle testing

Lt parietotemporal ICH

Open craniectomy with decompr ession and evacuation of hemat oma

Cranioplasty

Conclusion

Decreased function of cerebral hemisph ereand cerebellum can be assessed by this method of muscle testing. It has been confirmed by the EEG mapp ing,CT, MRI, and MRA according to the lesion of the patients. This methodology is empirically useful b ut should be verified by the objective, cr itical,and statistical analysis.

References

Frank V. TBM manual module 1 p 39 (ca rdiaccirculation, arterial circulation) Carrick FR. Changes in Brain Function a fter Manipulation of the Cervical Spine. J Manipu-lative Physiol Ther. 1997 Oct; 20(8):529-45 Melillo R, Leisman G. Autistic spectrum disor-ders as functional disconnection syndrome. Rev Neurosci. 2009;20(2):1 11-31.