Teton PT: Vestibular Rehab

Newsletter Health &Wellness

Move Forward Without Fear Of Falling By Seeking VESTIBULAR REHABILITATION

Vestibular rehabilitation is a dynamic approach to treating patients who are feeling dizzy, loss of balance, light headed, suffer from migraines, or are experiencing vertigo. These symptoms often originate from the inner ear and can be addressed with specific physical therapy techniques. In February of 2018 Lindsay Tolle PT, DPT, AIB VR/CON (Lead Inpatient PT), Margaret Blair PT, DPT, AIB VR/CON (Outpatient DPT), and Jessica Robinson PTA, AIB VR/CON (Outpatient PTA) attended a vestibular rehabilitation and concussion certification in Mesa, Arizona. This certification course was provided by The American Institute of Balance (AIB). From the AIB website “The AlB was founded in 1992, and is among the country’s largest multi-specialty centers for evaluation and treatment of dizziness and balance disorders. The Institute is internationally known

for its expertise in evaluation, treatment, and rehabilitation. The institute’s therapy programs are used by physicians, audiologists, and therapists worldwide”. This four-day certification course educated therapists on identification of vestibular pathologies, concussion severity, and related rehabilitation management. These three therapists are now certified and working with speech language pathologists in an interdisciplinary focus to develop an evidence based vestibular and concussion management program to help community members and athletes recover comprehensively from injuries. Teton Physical Therapy and Rehabilitation therapists are currently accepting patients with vestibular pathologies and refining our concussion rehab program. We are very excited to be offering this service to the community. Please look for more information in the near future or call for details.

Newsletter Health &Wellness

INSIDE: • Home Safety Checklist For Fall Hazards • Patient Success Spotlights

• Healthy Recipe • Sudoku Puzzle

OUTPATIENT REHAB CALL FOR AN APPOINTMENT OCCUPATIONAL THERAPY DEVELOP INDEPENDENCE SPEECH THERAPY COMMUNICATION & MORE PHYSICAL THERAPY INCREASE PERFORMANCE

VESTIBULAR REHAB

Oneof themostcommonconcerns inpatientswith dizziness and vertigo who complete a vestibular rehabilitation program is, “Will my results last?” Researchsuggeststhat,withtheproperpost-therpay 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 thecareof clinicians.Toassuage this anxiety and extend the outcome of rehab, physical therapists will often prescribe a home- basedexerciseprogram 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,patientswhoareexperiencingdizziness andvertigowillnotexperience improvementwithout intervention.This isespeciallytrue inelderlypatients whose functionaloutcomesarevital to theirquality of life. Vestibular rehabilitation as performed by a physical therapist is the most effective way of providing these outcomes and a home-based exerciseprogramuponreleasefromphysicaltherapy is the best way to maintain them over time. Now is the time to consider physical therapy for elderly patients who are experiencing vertigo and dizziness. Not only will vestibular rehabilitation in particular improve their balance and gait, it will provide them with lasting results that will impact their quality of life long-term.

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Is thereclutter (clothes, shoes, books,etc.)on the floor? Is itcommon togetupmany timesduring thenight touse the bathroom?

Removeclutter fromwalkways to reduce the chancesof trippingover it. Placeaportablecommodenear thebed to eliminatenighttime trips to thebathroom.

HOME SAFETY CHECKLIST FOR FALL HAZARDS Home Safety Checklist for Fall Hazards This room-by-room checklist highlights possible fall hazards. If you mark “Yes” to any of these questions, consider the suggestions to help reduce your chances of falling. PossibleHazard Yes Suggestions Are there floormatsor rugs in the kitchen? Remove throw rugsor secure them to the floor with slip-resistantbacking. Is itnecessary to reach far,bend over,orclimbona stool toget commonly-used kitchen itemsand foods? Rearrangecupboardsanddrawers so that items usedmostoftenarewaisthigh.Usea sturdy step stoolwithagrabbar to reach items stored overhead.Neveruseachairasa step stool. Is there liquid, food,grease,orother clutteron the floor? Sweepoftenandwipeup liquid immediately to reduce thechancesof slipping. Kitchen This room-by-room checklist highlights possible fall hazards. If you mark “Yes” to any of these questions, consider the suggestions to help reduce your chances of falling.

Living Areas LIVING AREA

Bathroom BATHROOM

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Possible Hazard

Yes Suggestions

Possible Hazard

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Remove damaged floor coverings or secure them well with double-sided tape, nails, etc. It’s important to have a flat, sturdy walkway. The best thing to do is to remove throw rugs. Put double-sided tape on them so they don’t slip. Higher chairs and armrests are helpful for easing into a sitting position. Keep a phone nearby so you don’t have to get up quickly if the phone rings. Cordless phones are helpful. Keep a phone close to the floor in order to call for help in the event of a fall. Tape cords and wires to the wall or have an electrician install additional outlets. It’s best to have a straight path, clear of furniture. Rearrange furniture to provide for obstacle-free walking. Install longer cords or link ceiling lights/fans to a light switch on the wall to eliminate the need to look and reach up. Remove clutter from walkways to avoid tripping.

Do carpets, rugs, and floor coverings have frayed corners or rolled-up edges? Are there throw rugs in walkways? Are chairs and couches low to the ground? Is it necessary to get up to answer the phone? Do you have to walk over or around electrical cords or wires? Are there newspapers, boxes, shoes, etc. on the floor? Do you need to walk around furniture to get through the living area? Do you have to reach up to pull cords to lights or ceiling fans?

Is the path from the bedroom to the bathroom dark? Are towel racks used to balance or grab onto while getting in or out of the bathtub/shower?

Nightlights can be helpful in lighting the way.

Towel racks may not be mounted well enough to support a person’s weight. Install grab rails in the appropriate places. A shower seat allows older adults to shower without getting tired of standing or risking a fall because of dizziness.

Is it difficult to stand during a shower?

Is the shower floor and/or bathtub slippery?

Install non-skid strips or a non-slip mat.

Patch leaks with caulk or other appropriate materials. Wipe up water immediately to prevent slipping. Use a bath mat with a slip resistant backing. A shower/bath storage unit that attaches to the side of the tub or shower wall can reduce the need to reach or turn around to get things. It may be helpful to raise the seat and/or install handrails. Replace the toilet with a higher toilet and/or install handrails.

Is there any water on the floor after a bath/shower? Are there leaks from the tub/ shower?

Is it necessary to reach far or turn around to get towels, shampoo, and soap? Is it difficult to get on and off the toilet?

October is National Physical Therapy Month!

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1111 North Fairfax Street Alexandria, VA 22314-1488

NO BAKE CHOCOLATE PEANUT BUTTER ENERGY BALLS

For information about physical therapy or to find a physical therapist near where you work or live, visit www.moveforwardpt.com

INGREDIENTS • 2 cups of old-fashioned rolled oats • ½ cup of ground flax seed • 1 tablespoon of black chia seeds • 1 teaspoon of cinnamon 3

• ½ cup of raw honey • ½ cup of peanut butter • 1 teaspoon of vanilla extract • 1 scoop vanilla whey protein powder • ½ cup of dark chocolate chips

DIRECTIONS Add rolled oats, ground flax seed, chia seeds, cinnamon, honey, peanut butter, vanilla extract, and vanilla protein powder to food processor. Pulse until ingredients are blended (about 7-9 times). Add mixture to a large bowl, add in chocolate chip. Stir to combine. Form energy bite mixture into 1” balls and place on parchment paper lined baking sheet. Cover and place in refrigerator for 2 hours. Serve!

Author: Krista @ https://www.joyfulhealthyeats.com/no-bake-chocolate-peanut-butter-energy-balls/

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Patient Success Spotlight

Am happy to be back! “Wow, your remodel looks great! I haven’t been here in a while and the place looks very nice and your new staff are wonderful! I was hesitant about getting PT again, but am happy to be back!” - B.D. I was 100% satisfied with my experience! “Sandeep and Jessica were professional and courteous and were a great asset for my recovery. This was my 2nd knee replacement and I was 100% satisfied with my experience. Thank you!” - R.C.G. Always attentive and informative! “I am very pleased with the SIGNIFICANTprogress that Chris made with my swallowing issue. He was always attentive and informative and also very motivating! “ - Anonymous

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If you know someone suffering with aches and pains give the gift of health. Refer them to Teton Physical Therapy & Rehabilitation today. Pass along this newsletter or have them call us directly to schedule an evaluation! Why You Need To Come in For Another Check Up: � Improve communication � Complete daily activities without pain � Balance confidently and securely � Enjoy activities of daily living � Walk for long distances � Resolve problems swallowing 1 9 5 3 4 7 6 9 7 2 4 9 8

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Relieve Knee Pain In Minutes Try this movement to help with balance.

Sudoku Puzzle

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SINGLE LEG STANCE Stand on one leg and maintain your balance. Next, hold your leg out in front of your body. Then return to original position. Maintain a slightly bent knee on the stance side. Improves Balance www.simpleset.net

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