Empower PT and Fitness_Vestibular Rehabilitation

Empower PT and Fitness_Vestibular Rehabilitation

Empower PT & Fitness Staff Hosts SAM’S FALL SEMINAR Health & Fitness The Newsletter About Your Health And Caring For Your Body

What is the leading cause of injury for seniors? Falls. 30-40% of Elderly people living in a community fall. 50% of falls result in injuries. So what age related factors can lead to a fall? • Balance • Strength • Postural Stability • Vision • Speed of Movement • Side effects of Medication Good news though, it is possible to minimize age related changes through exercise and functional training. Empower Physical Therapy is going to be hosting a falls prevention clinic on February 13th at 5:30 pm at our Hall Road location in Clinton Township. At the clinic our physical therapist, Sam Wenson, will go over different ways to prevent falls, a few exercises and tests you can try, and proper form and technique. Reserve your spot today! (586) 868-7000 or through our website empowerptandfitness.com.

Find out how to get a chance to win a $10 gift card! Details Inside! Call In &Win: MISSPELLED EDITION

Health & Fitness The Newsl tter About Your Health And Caring For Your Body

Tired Of Being Too Insecure To Use The Stairs? VESTIBULARREHABILITATION

Inside:

• Home Safety Checklist For Fall Hazards

• Win A $10 Target Gift Card

• Relieve Knee Pain In Minutes

• Patient Success Spotlight

One of the most common concerns in patients with dizziness and vertigo who complete a vestibular rehabilitation program is, “Will my results last?” Researchsuggests that,with theproperpost-therpayexercise,patientswho successfully complete vestibular rehab will maintain their positive results long after leaving a physical therapist’s office. What Happens Next? Theaimofvestibularrehab is to improvefunctionandbalancewhilereducing dizziness. This is especially important in older patients who already bear a higherriskoffallsasaresultofage-relatedneuropathy,vestibulardysfunction 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,physicaltherapistswilloftenprescribeahome-basedexerciseprogram that reinforces therapeutic processes. The Mode Doesn’t Matter Inastudypublished inRehabilitationResearchandPractice,elderlypatients who completed vestibular rehabilitation were randomly assigned a print- basedexerciseprogramoracomputer-basedexerciseprogram todetermine

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 researchersdidobservewas thatanat-homeexerciseprogram isvital 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 improvementwithout intervention.This isespeciallytrue inelderly patientswhosefunctionaloutcomesarevital to theirqualityof life.Vestibular rehabilitationasperformedbyaphysical therapist is themosteffectiveway of providing these outcomes and a home-based exercise program upon release from physical therapy 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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Placeaportablecommodenear thebed to eliminatenighttime trips to thebathroom.

Is itcommon togetupmany timesduring thenight touse the bathroom?

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

Yes Suggestions

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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HEALTHY RECIPE 1111 North Fairfax Street Alexandria, VA 22314-1488

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Call IN & Win! WIN A $10 TARGET GIFT CARD

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

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HOW TO ENTER OUR DRAWING! You could be the winner of a $10 Target gift card! Find the misspelled word in this newsletter and call in the correct answer in order to be placed in our drawing!

Roquefort Pear Salad INGREDIENTS • 1 head leaf lettuce • 3 pears • 5 ounces Roquefort cheese • 1 avocado • 1/2 cup sliced green onions • 1/4 cup white sugar • 1/2 cup pecans • 1/3 cup olive oil

• 3 tbsp red wine vinegar • 1 1/2 tsp white sugar • 1 1/2 tsp prepared mustard • 1 clove garlic, chopped • 1/2 tsp salt • Black pepper to taste

INSTRUCTIONS In a skillet over medium heat, stir 1/4 cup of sugar together with the pecans. Continue stirring gently until sugar has melted and caramelized the pecans. Carefully transfer nuts onto waxed paper. Allow to cool, and break into pieces. For the dressing, blend oil, vinegar, 1 1/2 teaspoons sugar, mustard, chopped garlic, salt, and pepper. In a large serving bowl, layer lettuce,pears,bluecheese,avocado,andgreenonions.Pourdressing over salad, sprinkle with pecans, and serve.

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REGENERATIVE MEDICINE SEMINAR

Scientists have discovered how to harness the human body’s natural ability to heal and direct those cells to stimulate regeneration of chronically injured

tissues. These procedures are far less invasive than their surgical alternatives, resulting in significantly less pain following the procedure and far faster recovery times. Using these procedures, Dr. Thomas Nabity has successfully treated patients suffering from:

Think Empower PT & Fitness First Why You Need To Come Back In For Another Check Up: • Move without pain • Bend and move freely • Balance confidently and securely • Sit for long periods comfortably • Walk for long distances • Live an active and healthy lifestyle

• Spinal Disc Herniations • Rotator Cuff Disorders • “Whip-Lash” Type Neck Pain

• Plantar Fasciitis • And Much More

Find out more at Dr. Thomas Nabity’s Seminar on January 18th, 2018 at 7:00 pm at our Hall Road location. To sign up please call us at (586) 868-7000 or email us at [email protected].

TAKE CARE OF YOUR ACHES & PAINS BEFORE IT’S TOO LATE!

Vestibular Rehabilitation Vestibular Rehabilitation

ALT STEP TOUCH Stand “tall”, with sturdy step stool positioned in front. Step one foot at a time onto the stool. Alternate legs. Repeat 5 times. Relieve Knee Pain In Minutes Try this movement if you are experiencing knee pain.

Common Symptoms That Can Be Helped With Vestibular Rehab: • Dizzinessorblurry visionwith headmovements • Neck tightness, stiffness,and/ orpain • Imbalanceor theneed tohold ontoobjectswhenwalking • Headaches • Frequent falls • Generalized “dizziness, woozinessand foggyhead” feelings • Vertigo/spinning Common Symptoms That Can Be Helped With Vestibular Rehab: • Dizzinessorblurry visionwith headmovements • Neck tightness, stiffness,and/ orpain • Imbalanceor theneed tohold ontoobjectswhenwalking • Headaches • Frequen fall • Generalized “dizziness, woozinessand foggyhead” feelings • Vertigo/ pinning How is Dizziness defined? • Feelingsofunsteadiness • Wooziness (swimming feeling inhead) • Lightheadedness • Spin ing • Flo ting • Swaying • Tilti • Whirling (sensatio sknownas vertigo) How is Dizziness defined? • Feelingsofunsteadiness • Wooziness (swimming feeling inhead) • Lightheadedness • Feelingsofpassingout • Sensationsofmoving • Spinning • Floating • Swaying • Tilting • Whirling (sensationsknownas vertigo) • Feelingsofpassingout • S nsati nsofmovi g

VestibularRehabilitation:

VestibularRehabilitation: Evidencehas shown that vestibular rehabilitation canbeeffective in improving symptoms related tomany innerear/balancedisorders. Peoplewith vestibulardisordersoftenexperienceproblemswith vertigo,dizziness, visualdisturbance,and/or imbalance. Evidencehas shown that vestibular rehabilitation canbeeffective in improving symptoms related tomany innerear/balancedisorders. Peoplewith vestibulardisordersoftenexperienceproblemswith vertigo,dizziness, visualdisturbance,and/or imbalance. HowCanVesibularRehabilitationHelp? Vestibular rehabilitationexercisesarea seriesofeyeandhead movementswhich lead todecreased sensitivityof thenerves within the innerearand subsequent improvement. These specifich admovements lead tomovementof the loose crystals (canaliths)within the innerear.By repositioning these crystals, they c us less irri ation to th inn rearand symptoms can resolv . HowCanVesibularRehabilitationHelp? Vestibular rehabilitationexercisesarea seriesofeyeandhead movementswhich lead todecreased sensitivityof thenerves within the innerearand subsequent improvement. These specificheadmovements lead tomovementof the loose crystals (canaliths)within the innerear.By repositioning these crystals, they cause less irritation to the innerearand symptoms can resolve.

Strengthens Balance

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METRO PARKWAY METRO PARKWAY 15501 Metro Pkwy Ste. 102 Clinton Twp, MI 48036 (586)228-7000

HALL ROAD 20554 Hall Rd Clinton Twp, MI 48038 (586)868-7000

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HALL ROAD