[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-209039-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-209039-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","physical-therapy-treatment-of-a-person-exposed-to-directed-energy-a-case-report","Physical Therapy Treatment of a Person Exposed to Directed Energy - A Case Report","","Directed energy exposure has been reported by U.S. and Canadian government employees, with symptoms resembling mild traumatic brain injury (concussion). A 43-year-old male assigned by the Department of State in Guangzhou, China, developed progressively worsening headaches, dizziness, auditory/vestibular complaints, balance problems, sleep difficulty, and cognitive/emotional issues after suspected exposure. This manuscript outlines and discusses his physical therapy care to deepen understanding of management. It also provides ideas for future diplomats and government employees who experience dizziness, visual concerns, and balance problems. Coordinated multidisciplinary care with functional benchmarks prior to deployment is recommended.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/physical-therapy-treatment-of-a-person-exposed-to-directed-energy-a-case-report/209039/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/physical-therapy-treatment-of-a-person-exposed-to-directed-energy-a-case-report/209039.png","ImageObject",300,407,{"name":42,"@type":43},"Caleb Sterling","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-21","2026-09-05",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What symptoms did the patient develop after suspected directed energy exposure?","Question",{"text":63,"@type":64},"The patient experienced progressively worsening headaches, dizziness, auditory/vestibular symptoms, balance problems, sleep difficulty, and cognitive/emotional complaints.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Why is the document relevant to mild traumatic brain injury (mTBI)?",{"text":68,"@type":64},"Reported directed energy exposure symptoms resemble mTBI/concussion, including dizziness, imbalance, headache, visual complaints, cognitive deficits, sleep difficulty, and anxiety.",{"name":70,"@type":61,"acceptedAnswer":71},"What does the paper recommend for future care and preparedness?",{"text":72,"@type":64},"It advises coordinated multidisciplinary care and functional benchmarks before deployment for future diplomats and government employees with similar symptoms.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},209039,1788608600,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":107,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":80,"read_time":144},962084925290,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Physical Therapy Treatment of a Person Exposed to Directed  \nEnergy: A Case Report  \nSusan L. Whitney, DPT, PhD *; LTC Carrie W. Hoppes, SP, USA􀁂†; Karen H. Lambert, DPT‡;  \nBrooke N. Klatt, DPT, PhD *  \nABSTRACT Directed energy exposure is a phenomenon that has been reported in Cuba and China by both U.S. and Canadian government employees. Persons exposed to directed energy report symptoms that resemble mild traumatic brain injury (concussion). No single case has been reported in the literature. A 43-year-old male with suspected directed energy exposure developed progressively worsening headaches, dizziness, auditory/vestibular symptoms, balance problems, difficulty sleeping, and cognitive/emotional complaints while assigned by the Department of State to Guangzhou, China. His physical therapy care is outlined and discussed to provide an in-depth understanding of his care and additional ideas that might benefit future diplomats and government employees who experience dizziness, visual complaints, and balance problems after suspected directed energy exposure. Coordinated multidisciplinary care with benchmarks of function before deployment is advised by the National Academies of Sciences.  \nINTRODUCTION  \nDirected energy exposure is a phenomenon that has been reported in Cuba and China by both U.S. and Canadian government employees.1 , 2 In the National Academies of Sciences, Engineering, and Medicine 2020 report, the committee suggested that the symptoms that the Department of State employees experienced were similar to what would be expected after exposure to directed, pulsed microwave energy.3 The Frey effect has been described as producing pressure, dizziness, and sounds such as knocking or buzzing in the head after exposure to radio frequency energy in hearing and deaf persons.3  \nJauchem and Cook described three categories of potential effects of audible, acoustic energy: (1) aural effects (temporary or permanent effects on hearing),(2) extra-aural effects due to activation of the sympathetic nervous system (increased heart rate and blood pressure), and (3) nonaural effects (pain, vertigo, nausea, and vomiting) .4 The possible effects of infrasonic and low-frequency acoustic energy were less clear.4  \nThere is no standardized methodology for testing exposure to directed energy, so it remains unclear how directed (microwave) energy affects the human brain.1 , 5 Typical symptoms that resemble mild traumatic brain injury  \n*Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA 15219, USA  \n†U.S. Army Medical Center of Excellence, Army-Baylor University Doctoral Program in Physical Therapy, Fort Sam Houston, TX 78234, USA  \n‡Hearing Center of Excellence, Lackland Air Force Base, TX 78236, USA  \nThe views and information presented are those of the authors and do not represent the official position of the U.S. Army Medical Center of Excellence, U.S. Army Training and Doctrine Command, Hearing Center of Excellence, Department of the Army, Department of the Air Force, Defense Health Agency, Department of Defense, or U.S. Government.  \ndoi:[https://doi.org/10.1093/milmed/usab256](https://doi.org/10.1093/milmed/usab256)  \n© The Association of Military Surgeons of the United States 2021 . All rights reserved. For permissions, please e-mail: journals. [permissions@oup.com](permissions@oup.com).  \n(mTBI; concussion), including dizziness, imbalance, headache, visual complaints, cognitive deficits, difficulty with sleep, and anxiety, have been reported by the U.S. and Canadian employees who were exposed to directed energy.6 Twenty-five diplomatic personnel reported dizziness, unsteadiness, cognitive impairments, otalgia, tinnitus, and hearing loss following the suspected sonic attack in Cuba.2 Although aggregate data have been published, 1–3 , 6 , 7 no single case has been reported in the literature.1 , 2 , 6–9 The purpose of this manuscript is to describe the presentation and course of care for a person exposed to dir","cbCaijT4SXlarRW0","https://ap.wps.com/l/cbCaijT4SXlarRW0","pdf",1659456,"English","# Abstract\n# Introduction\n# Case Report\n## Six Months After Symptom Initiation\n# Table I. Overview of the Patient’s Major Signs and Symptoms following Exposure to Directed Energy","[{\"question\":\"What symptoms did the patient develop after suspected directed energy exposure?\",\"answer\":\"The patient experienced progressively worsening headaches, dizziness, auditory/vestibular symptoms, balance problems, sleep difficulty, and cognitive/emotional complaints.\"},{\"question\":\"Why is the document relevant to mild traumatic brain injury (mTBI)?\",\"answer\":\"Reported directed energy exposure symptoms resemble mTBI/concussion, including dizziness, imbalance, headache, visual complaints, cognitive deficits, sleep difficulty, and anxiety.\"},{\"question\":\"What does the paper recommend for future care and preparedness?\",\"answer\":\"It advises coordinated multidisciplinary care and functional benchmarks before deployment for future diplomats and government employees with similar symptoms.\"}]","Physical Therapy Treatment of a Person Exposed to Directed Energy - A Case Report | PDF",18]