GRILLED ZUCCHINI WITH PARMESAN INGREDIENTS • 2 cloves garlic, finely chopped
One of the most common concerns in patients with dizziness and vertigo who complete a vestibular rehabilitation program is, “Will my results last?” Research suggests that, with the proper post-therapy exercise, patients who successfully complete vestibular rehab will maintain their positive results long after leaving a physical therapist’s office. WHAT HAPPENS NEXT? The aim of vestibular rehab is to improve function and balance while reducing dizziness. This is especially important in older patients who already bear a higher risk of falls as a result of age-related neuropathy, vestibular dysfunction and a host of other conditions. As a result, those who have experienced a positive outcome as a result of vestibular rehab are often reluctant to leave the care of clinicians. To assuage this anxiety and extend the outcome of rehab, physical therapists will often prescribe a home-based exercise program that reinforces therapeutic processes. THE MODE DOESN’T MATTER In a study published in Rehabilitation Research and Practice, elderly patients who completed vestibular rehabilitation were randomly assigned a print-based exercise program or a computer-based exercise program to determine which mode helped patients preserve function, reduced dizziness and improved the patient’s quality of life. Patient compliance was equivalent in both modes and patients achieved no noticeable differences in outcomes. What researchers did observe was that an at- home exercise program is vital to the patient’s quality of life three months after being discharged from the hospital or other therapeutic setting. PATIENT OUTCOMES DON’T IMPROVE ON THEIR OWN Bottom line, patients who are experiencing dizziness and vertigo will not experience improvement without intervention. This is especially true in elderly patients whose functional outcomes are vital to their quality of life. Vestibular rehabilitation as performed by a physical therapist is the most effective way of providing these outcomes and a home-based exercise program upon release from physical therapy is the best way to maintain them over time. Source: Smaerup, Michael, et al. “The Use of Computer-Assisted Home Exercises to Preserve Physical Function after a Vestibular Rehabilitation Program: A Randomized Controlled Study.” Rehabilitation research and practice 2016 (2016) MAINTAINING RESULTS WHAT HAPPENS AFTER VEST IBULAR REHABI L I TAT ION?
BALANCE AWARENESS WEEK SEPTEMBER 13TH -19TH The Vestibular Disorders Association began Balance Awareness Week to highlight just how much of an impact inner ear and brain disorders can have on an individual’s daily life. Patients who suffer from balance issues associated with vestibular disorders often experience chronic physical, mental, and emotional pain. Examples include intense dizziness, ringing of the ear, vertigo, and even depression. During the week of September 13-19 make it a point to familiarize yourself with the many issues that Balance Awareness Week tackles. • ¼ teaspoon crushed red pepper, or to taste • ½ cup whole-wheat panko breadcrumbs • 2 ounces Parmesan cheese, grated ( ½ cup) • 1½ teaspoons fresh thyme leaves or 1 teaspoon dried thyme, crushed • 1 teaspoon lemon zest • ¼ teaspoon salt • 2 large zucchini, halved lengthwise • Lemon wedges for serving DIRECTIONS Combine oil, garlic and crushed red pepper in a small skillet over low heat. Cook, stirring often, until the garlic is softened and light golden, 3 to 4 minutes. Remove from heat; let cool for 5 minutes. Stir in panko, Parmesan, thyme, lemon zest and salt. Preheat grill to very high (at least 500°F). Oil the grill grates, using tongs to hold an oil-soaked paper towel. Place zucchini, cut-sides down, on the oiled grates; grill, uncovered, until tender-crisp, about 5 minutes per side. Flip the zucchini so they are cut-side up; spoon the panko mixture evenly on top. Grill, covered, until the topping is golden brown in spots, 2 to 3 minutes. Carefully transfer to a serving platter. Serve with lemon wedges.
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