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	<title>Wendy Webb Schoenewald, PT, OCS, Author at WWSPT.Com</title>
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		<title>Understanding Vestibular Agnosia: A Comprehensive Overview</title>
		<link>https://wwspt.com/understanding-vestibular-agnosia-a-comprehensive-overview/</link>
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		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Mon, 10 Jun 2024 18:19:45 +0000</pubDate>
				<category><![CDATA[balance]]></category>
		<category><![CDATA[Benign Paroxysmal Positional Vertigo]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[BPPV]]></category>
		<category><![CDATA[brain]]></category>
		<category><![CDATA[coordination movement problems]]></category>
		<category><![CDATA[Dizziness]]></category>
		<category><![CDATA[Epley maneuver]]></category>
		<category><![CDATA[inner ear]]></category>
		<category><![CDATA[motion perception]]></category>
		<category><![CDATA[Neurological condition]]></category>
		<category><![CDATA[neurology]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[Vertigo]]></category>
		<category><![CDATA[Vestibular Agnosia (VA)]]></category>
		<category><![CDATA[vestibular disorders]]></category>
		<category><![CDATA[Vestibular Rehabilitation]]></category>
		<category><![CDATA[Vestibular System]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4419</guid>

					<description><![CDATA[<p>Introduction Vestibular agnosia is a rare and intriguing neurological condition that affects the brain&#8217;s ability to process vestibular information, which is critical for balance and spatial orientation. Understanding vestibular agnosia is crucial for medical professionals, researchers, and those affected despite its rarity. This blog aims to provide a detailed overview of vestibular agnosia, including its [&#8230;]</p>
<p>The post <a href="https://wwspt.com/understanding-vestibular-agnosia-a-comprehensive-overview/">Understanding Vestibular Agnosia: A Comprehensive Overview</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><strong>Introduction</strong></p>
<p>Vestibular agnosia is a rare and intriguing neurological condition that affects the brain&#8217;s ability to process vestibular information, which is critical for balance and spatial orientation. Understanding vestibular agnosia is crucial for medical professionals, researchers, and those affected despite its rarity. This blog aims to provide a detailed overview of vestibular agnosia, including its symptoms, causes, diagnosis, and treatment options.</p>
<p><strong>What is Vestibular Agnosia?</strong></p>
<p>Vestibular agnosia is a neurological disorder characterized by the inability to recognize or process vestibular stimuli. The vestibular system in the inner ear plays a fundamental role in maintaining balance, spatial orientation, and coordinating movement. Individuals with vestibular agnosia have intact vestibular function but cannot consciously perceive or interpret vestibular information, leading to significant difficulties in everyday life.</p>
<p><strong>Symptoms of Vestibular Agnosia</strong></p>
<p>The symptoms of vestibular agnosia can vary widely but often include:</p>
<ul>
<li><strong>Balance Issues</strong>: Difficulty maintaining balance, especially in low-visibility conditions.</li>
<li><strong>Spatial Disorientation</strong>: Challenges in navigating through space or identifying one&#8217;s body position in relation to the environment.</li>
<li><strong>Motion Perception Problems</strong>: Inability to perceive or respond appropriately to movement, such as feeling unstable when walking or turning.</li>
<li><strong>Vertigo</strong>: Sensations of spinning or dizziness without an apparent cause.</li>
<li><strong>Coordination Problems</strong>: Difficulty coordinating movements, leading to clumsiness or frequent falls.</li>
</ul>
<p><img fetchpriority="high" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/06/Agnosia-Science-Direct.png" alt="" width="800" height="530" /></p>
<p><strong>Causes and Risk Factors</strong></p>
<p>The precise cause of vestibular agnosia is not fully understood. Still, it is typically associated with damage or dysfunction in the brain areas responsible for processing vestibular information, such as the parietal lobes or the temporoparietal junction. Potential causes and risk factors include:</p>
<ul>
<li><strong>Brain Injury</strong>: Trauma to the head can disrupt vestibular pathways.</li>
<li><strong>Neurological Disorders</strong>: Conditions such as stroke, cerebral small vessel disease, Parkinson&#8217;s Disease, Alzheimer&#8217;s disease, or brain tumors can affect vestibular processing.</li>
<li><strong>Infections</strong>: Certain infections can damage the brain regions involved in vestibular perception.</li>
<li><strong>Genetic Factors</strong>: There may be a genetic predisposition to developing vestibular agnosia, although this is still under investigation.</li>
</ul>
<p><strong>Diagnosis</strong></p>
<p>Diagnosing vestibular agnosia involves a comprehensive evaluation by a Neurologist or a Vestibular Physical Therapist specializing in vestibular disorders. The diagnostic process typically includes:</p>
<ul>
<li><strong>Clinical History</strong>: Detailed assessment of symptoms and medical history.</li>
<li><strong>Physical Examination</strong>: Tests to evaluate balance, coordination, and spatial orientation.</li>
<li>Positional testing for <strong>Benign paroxysmal positional Vertigo</strong> (BPPV)</li>
<li><strong>Vestibular Testing</strong>: Specialized tests such as electronystagmography (ENG) or videonystagmography (VNG) to assess vestibular function, Video head thrust Testing(vHIT)</li>
<li><strong>Neuroimaging</strong>: MRI or CT scans to identify any brain lesions or abnormalities.</li>
</ul>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/03/Wendy_examining_patient_Micromedical__Infrared_Goggles-copy.png" alt="" width="801" height="556" /></p>
<p><strong>Treatment and Management</strong></p>
<p>Currently, there is no cure for vestibular agnosia, but several treatment approaches can help manage the symptoms and improve quality of life:</p>
<ul>
<li><strong>Vestibular Rehabilitation Therapy (VRT)</strong>: A customized exercise program to improve balance and spatial orientation. Provide treatment to resolve BPPV</li>
<li><strong>Medications</strong>: Drugs to alleviate symptoms like vertigo and dizziness.</li>
<li><strong>Cognitive Behavioral Therapy (CBT)</strong>: Psychological support to help patients cope with the emotional and psychological impact of the condition.</li>
<li><strong>Assistive Devices</strong>: Tools such as canes or balance aids to enhance safety and mobility.</li>
</ul>
<p><strong>Conclusion</strong></p>
<p>Vestibular agnosia, while rare, presents significant challenges for those affected. We can enhance our understanding and management of this complex condition through continued research and advancements in diagnostic and therapeutic techniques. Healthcare professionals must remain vigilant in recognizing the signs of vestibular agnosia to provide timely and effective support for their patients.</p>
<p>Raising awareness and improving education about vestibular agnosia can contribute to better outcomes and quality of life for individuals living with this condition. Suppose you suspect that you or a loved one may be experiencing symptoms of vestibular agnosia. In that case, seeking professional medical advice for a comprehensive evaluation and appropriate management is essential. Contact <a href="https://wwspt.com">WWSPT</a> for additional information on Vestibular agnosia and/or to schedule an evaluation,</p>
<p>Wendy Webb Schoenewald, PT, OCS,<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.</p>
<p>(215) 489-3234</p>
<p>&nbsp;</p>
<p>The post <a href="https://wwspt.com/understanding-vestibular-agnosia-a-comprehensive-overview/">Understanding Vestibular Agnosia: A Comprehensive Overview</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4419</post-id>	</item>
		<item>
		<title>About Vestibular Agnosia (VA)</title>
		<link>https://wwspt.com/about-vestibular-agnosia-va/</link>
					<comments>https://wwspt.com/about-vestibular-agnosia-va/#respond</comments>
		
		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Wed, 05 Jun 2024 23:15:41 +0000</pubDate>
				<category><![CDATA[balance]]></category>
		<category><![CDATA[Benign Paroxysmal Positional Vertigo]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[BPPV]]></category>
		<category><![CDATA[BPPV treatment]]></category>
		<category><![CDATA[brain]]></category>
		<category><![CDATA[Dizziness]]></category>
		<category><![CDATA[Vertigo]]></category>
		<category><![CDATA[Vestibular Agnosia (VA)]]></category>
		<category><![CDATA[vestibular disorders]]></category>
		<category><![CDATA[Vestibular Rehabilitation]]></category>
		<category><![CDATA[Vestibular System]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4417</guid>

					<description><![CDATA[<p>Vestibular Agnosia (VA)is a newly recognized condition in the brain that results in loss of vertigo perception and postural imbalance. This means there is a disconnect in the brain&#8217;s electrical wiring; the white matter tissue has reduced transmission, and therefore, the brain doesn’t recognize dizziness symptoms. VA can cause vertigo and balance problems, spatial and [&#8230;]</p>
<p>The post <a href="https://wwspt.com/about-vestibular-agnosia-va/">About Vestibular Agnosia (VA)</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Vestibular Agnosia (VA)is a newly recognized condition in the brain that results in loss of vertigo perception and postural imbalance. This means there is a disconnect in the brain&#8217;s electrical wiring; the white matter tissue has reduced transmission, and therefore, the brain doesn’t recognize dizziness symptoms. VA can cause vertigo and balance problems, spatial and motion perception issues, and coordination problems.</p>
<p>&nbsp;</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/06/Vestibular-BPPV.png" alt="" width="800" height="533" /></p>
<p>In the case of Benign Paroxysmal Positional Vertigo (BPPV), the brain doesn’t acknowledge vertigo-spinning symptoms. However, patients can still have a postural imbalance that can be associated with a fall. BPPV is associated with an increased incidence of falls, especially in our elderly population. Patients with BPPV normally have an attack of vertigo and feeling off balance. Patients with VA who may have BPPV don’t get that warning spinning and have sudden falls or changes in postural control because the brain isn&#8217;t providing the proper signals to interpret vestibular input and prevent a fall.</p>
<p>To rule out BPPV, it is important to get a thorough Vestibular evaluation on anyone with sudden falls. Though the perception of vertigo is not present in these patients, the neurological response of nystagmus is apparent on evaluation, and your Vestibular Therapist can effectively treat it with an Epley maneuver in the same way normal BPPV is treated.</p>
<p>Wendy Webb Schoenewald, PT, OCS,<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.</p>
<p>(215) 489 -3234</p>
<p>The post <a href="https://wwspt.com/about-vestibular-agnosia-va/">About Vestibular Agnosia (VA)</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></content:encoded>
					
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		<post-id xmlns="com-wordpress:feed-additions:1">4417</post-id>	</item>
		<item>
		<title>Research in Vestibular Therapy, Thank you, Dr. Anne K. Galgon, PT, MPT, Ph.D!</title>
		<link>https://wwspt.com/research-in-vestibular-therapy-thank-you-dr-galgon-pt-ph-d/</link>
					<comments>https://wwspt.com/research-in-vestibular-therapy-thank-you-dr-galgon-pt-ph-d/#respond</comments>
		
		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Thu, 29 Feb 2024 19:41:32 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Dizziness]]></category>
		<category><![CDATA[Vertigo]]></category>
		<category><![CDATA[vestibular disorders]]></category>
		<category><![CDATA[Vestibular Rehabilitation]]></category>
		<category><![CDATA[Vestibular System]]></category>
		<category><![CDATA[video head impulse test (vHIT)]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4335</guid>

					<description><![CDATA[<p>We&#8217;re grateful for the opportunity to participate in research about Physical Therapists&#8217; ability to learn and use new technology in clinical practice. Thanks to Anne K. Galgon, PT, MPT, Ph., from St Joseph University, for keeping us involved and being one of the great teachers and leaders in Vestibular Therapy!  Anne K. Galgon, PT, MPT, [&#8230;]</p>
<p>The post <a href="https://wwspt.com/research-in-vestibular-therapy-thank-you-dr-galgon-pt-ph-d/">Research in Vestibular Therapy, Thank you, Dr. Anne K. Galgon, PT, MPT, Ph.D!</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<div></div>
<div><strong>We&#8217;re grateful for the opportunity to participate in research about Physical Therapists&#8217; ability to learn and use new technology in clinical practice. Thanks to Anne K. Galgon, PT, MPT, Ph., from St Joseph University, for keeping us involved and being one of the great teachers and leaders in Vestibular Therapy! </strong></div>
<div></div>
<div><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2017/10/Anne-G.jpg" alt="Anne Galgon, PT, Ph.D., " width="200" height="200" /></div>
<div></div>
<div>
<div>Anne K. Galgon, PT, MPT, Ph.D,  completed this study in our WWSPT clinic with our Physical Therapy Saff, learning about new technology,  Video head Impulse testing  ( vHIT), and how to use the information to improve our diagnostic assessment and measure progress in improving VOR gain of the Vestibular system with neuromuscular retraining. It gave us an excellent start on using vHIT, and we appreciate the learning experience.</div>
</div>
<div></div>
<div><img decoding="async" src="https://wwspt.com/wp/wp-content/uploads/2024/02/CSM_header-1.png" alt="" /></div>
<div>
<div>
<div></div>
<p>We look forward to the upcoming publication of the Phase One study and our participation in Phase Two in May 2024.</p>
</div>
</div>
<div>
<div>If you want to learn more about the <strong>Video Head Impulse Test (vHIT)</strong> and how we at <strong>WWS Physical Therapy and Vestibular Rehabilitation,</strong> Doylestown, use this test for more accurate vestibular diagnosis, visit  <a href="https://wwspt.com/vestibular-diagnostics/vestibular-diagnostic-technology/">Vestibular Diagnostic Technology</a> on our website!&#8221;</div>
</div>
<div></div>
<p>&nbsp;</p>
<div>Wendy Webb Schoenewald, PT, OCS,<br />
WWS Physical Therapy And Vestibular Rehabilitation<br />
Doylestown, PA.<br />
(215) 489-3234</div>
<p>The post <a href="https://wwspt.com/research-in-vestibular-therapy-thank-you-dr-galgon-pt-ph-d/">Research in Vestibular Therapy, Thank you, Dr. Anne K. Galgon, PT, MPT, Ph.D!</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4335</post-id>	</item>
		<item>
		<title>Exercises to Try for a Healthy Spine</title>
		<link>https://wwspt.com/exercises-to-try-for-a-healthy-spine/</link>
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		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Thu, 08 Feb 2024 14:48:11 +0000</pubDate>
				<category><![CDATA[alignment]]></category>
		<category><![CDATA[back flexibility]]></category>
		<category><![CDATA[back pain]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Exercise]]></category>
		<category><![CDATA[Health and Wellness]]></category>
		<category><![CDATA[Healthy Aging]]></category>
		<category><![CDATA[LBP]]></category>
		<category><![CDATA[Low BackPain]]></category>
		<category><![CDATA[lumbar spine]]></category>
		<category><![CDATA[orthopedic treatment]]></category>
		<category><![CDATA[Pain]]></category>
		<category><![CDATA[physical activity]]></category>
		<category><![CDATA[Physical Therapist]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[posture]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4295</guid>

					<description><![CDATA[<p>Here are some simple exercises to maintain or improve your back flexibility and decrease back pain. Aerobic exercise: take a short walk daily to interrupt sitting, take long strides, and keep your head and eyes up. When you wake in the morning, do some simple spinal exercises to loosen up the joints and muscles around [&#8230;]</p>
<p>The post <a href="https://wwspt.com/exercises-to-try-for-a-healthy-spine/">Exercises to Try for a Healthy Spine</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Here are some simple exercises to maintain or improve your back flexibility and decrease back pain.</p>
<p>Aerobic exercise: take a short walk daily to interrupt sitting, take long strides, and keep your head and eyes up.</p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/02/Walking-long-stride.jpg" alt="" width="501" height="803" /></p>
<p>When you wake in the morning, do some simple spinal exercises to loosen up the joints and muscles around the spine. Repeat these throughout the day.</p>
<p>Try flexion: knee-to-chest exercises or child&#8217;s pose yoga stretches to open the vertebra and stretch muscles. When you stand, bend over and touch your toes slowly several times. This flexes your spine and improves the flexibility of the hamstrings and buttocks.</p>
<p>&nbsp;</p>
<p>Try extension: Physical therapists call this exercise a press-up, or in yoga, it’s called an upward dog pose. While lying prone (on your stomach), use your arms and hands at shoulder level to press the chest up to arch the back, letting the hips sag toward the ground. Hold this for about 10 seconds, then return to lying flat. Alternately, when you stand, place your hands in the small of the back and lean backward in an arching motion, hold for 5-10 seconds, and repeat at least five times. This is good to repeat throughout the day to offset prolonged sitting.</p>
<p>&nbsp;</p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/02/Extention-exercise.png" alt="" width="728" height="561" />Physical therapy is known to be valuable and effective in managing acute and chronic low back pain, and recent studies suggest that therapy could be most beneficial when used earlier in the care process. Ask your primary care provider about coming to see WWSPT&#8217;s skilled clinicians and choose physical therapy first in your care.</p>
<p>The post <a href="https://wwspt.com/exercises-to-try-for-a-healthy-spine/">Exercises to Try for a Healthy Spine</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4295</post-id>	</item>
		<item>
		<title>Lifestyle changes PTs recommend to prevent or manage Lower Back Pain</title>
		<link>https://wwspt.com/lifestyle-changes-pts-recommend-to-prevent-or-manage-lower-back-pain/</link>
					<comments>https://wwspt.com/lifestyle-changes-pts-recommend-to-prevent-or-manage-lower-back-pain/#respond</comments>
		
		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Thu, 08 Feb 2024 00:02:49 +0000</pubDate>
				<category><![CDATA[back pain]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[dynamic stretching]]></category>
		<category><![CDATA[ergonomic chair]]></category>
		<category><![CDATA[Exercise]]></category>
		<category><![CDATA[Health and Wellness]]></category>
		<category><![CDATA[Healthy Aging]]></category>
		<category><![CDATA[LBP]]></category>
		<category><![CDATA[lumbar lordosis support]]></category>
		<category><![CDATA[Musculoskeletal Issues]]></category>
		<category><![CDATA[orthopedic treatment]]></category>
		<category><![CDATA[physical activity]]></category>
		<category><![CDATA[Physical Therapist]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[postural alignment]]></category>
		<category><![CDATA[posture]]></category>
		<category><![CDATA[spine]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4284</guid>

					<description><![CDATA[<p>What lifestyle changes would PTs recommend to prevent or manage Lower Back Pain (LBP)? Physical Therapists assess lifestyle risk factors that might predispose or aggravate LBP and educate patients about better choices. The most common adjustment is to be aware of sitting with good postural alignment, avoiding slouching, and actively sitting up straight.  Sitting and [&#8230;]</p>
<p>The post <a href="https://wwspt.com/lifestyle-changes-pts-recommend-to-prevent-or-manage-lower-back-pain/">Lifestyle changes PTs recommend to prevent or manage Lower Back Pain</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>What lifestyle changes would PTs recommend to prevent or manage Lower Back Pain (LBP)?</p>
<p>Physical Therapists assess lifestyle risk factors that might predispose or aggravate LBP and educate patients about better choices. The most common adjustment is to be aware of sitting with good postural alignment, avoiding slouching, and actively sitting up straight.  Sitting and scrolling on our phones is a good example where slouching is common, i.e., head down, shoulders rounded, and spine flexed. Try sitting up straight and gazing down at your phone instead.</p>
<p>Avoid being sedentary. Prolonged sitting is common in many offices or work-from-home settings but is easily corrected with an ergonomic chair and lumbar lordosis support to create an extension of the spine as you lean back in the chair. For those at a computer, using a standing desk intermittently throughout the day is an effective way to decrease time spent sitting. When your work day ends, avoid sitting. Yes, you can lie on the couch and unload your spine!</p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/02/The-big-slouch.png" alt="" width="801" height="535" /></p>
<p>Often, people sit slouched without pain, but when they go to get up, they have trouble straightening without pain because the tissues of the spine are overstretched into the flexed or slouched posture and are strained. When this happens, it’s good to do some backward bending and walk with long strides to balance the spine with some extension movements.</p>
<p>Driving long distances can cause the same symptoms, so ensuring your vehicle&#8217;s seating alignment is the best for your size and height is important. Cars often have lumbar support built into the seat, which you can adjust for comfort. Another trick is to make sure you sit straight, then align your rear-view and side mirror so when you start to slouch, you won’t be able to see your mirrors, and it will be a reminder to use good posture. Luckily, today, our cars remember these settings for us!</p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/02/Car-Posture.png" alt="" width="799" height="533" /></p>
<p>Use proper body mechanics when lifting objects from the floor. A straight back and bent knees are best to prevent lumbar muscle strains or spinal strains. Proper sit-to-stand movement is very helpful, and I find I need to teach this to patients with any lower leg or lumbar problem. Commonly, people round forward and stay flexed to stand; however, to stand properly, you should look up, erect, and lift with your hips and legs.</p>
<p>Walking is good for your back, so take a short walk before or after a meal or lunch break. Other factors that lower the risk for LBP include maintaining good health habits of aerobic exercise training, whether walking daily or getting to a gym 3-4 times a week performing strengthening and aerobic exercise. Keeping your weight in the normal range and avoiding smoking are additional factors that reduce risk.</p>
<p>Physical therapy involves patient education, manual therapies, and strengthening exercises that focus on trunk muscle activation and building endurance to reduce pain. Physical therapy is known to be valuable and effective in managing acute and chronic low back pain, and recent studies suggest it is most beneficial when used earlier in the care process. Ask your primary care provider about coming to see WWSPT&#8217;s skilled clinicians and <strong>choose physical therapy first</strong> in your care.</p>
<p>Wendy Webb Schoenewald, PT, OCS,<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.<br />
215-489-3234</p>
<p>The post <a href="https://wwspt.com/lifestyle-changes-pts-recommend-to-prevent-or-manage-lower-back-pain/">Lifestyle changes PTs recommend to prevent or manage Lower Back Pain</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4284</post-id>	</item>
		<item>
		<title>Balance Awareness Week &#8211; The Balancing Stick</title>
		<link>https://wwspt.com/balance-awareness-week-the-balancing-stick/</link>
					<comments>https://wwspt.com/balance-awareness-week-the-balancing-stick/#respond</comments>
		
		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Thu, 21 Sep 2023 01:44:28 +0000</pubDate>
				<category><![CDATA[balance]]></category>
		<category><![CDATA[Balance Stick]]></category>
		<category><![CDATA[Balanec Awareness Week]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Drishti]]></category>
		<category><![CDATA[Fitness]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<category><![CDATA[Yoga]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4216</guid>

					<description><![CDATA[<p>I consider myself a yogi, (a person who has practiced yoga with intention). I practice yoga because it calms my mind, strengthens my muscles, and improves my balance. As we age, we need to work on our balance. Certain tasks, such as practicing single-leg balancing, are easy to work on daily. My favorite balance poses [&#8230;]</p>
<p>The post <a href="https://wwspt.com/balance-awareness-week-the-balancing-stick/">Balance Awareness Week &#8211; The Balancing Stick</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>I consider myself a <em><strong>yogi,</strong></em> (a person who has practiced yoga with intention). I practice yoga because it calms my mind, strengthens my muscles, and improves my balance.</p>
<p>As we age, we need to work on our balance. Certain tasks, such as practicing single-leg balancing, are easy to work on daily.</p>
<p>My favorite balance poses for my patients is called the <strong>balancing stick</strong>.</p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/09/balancing-stick-copy.png" alt="" width="800" height="624" /></p>
<p>Shift your weight to your right foot and grip the floor with your toes; this is called <strong>grounding</strong>. It helps all the leg muscles engage. Stare at a point in front of you, or in yoga, called a Drishti, to help stabilize.</p>
<p>Lift your left foot, point your toe forward about 30° angle from your hip, and hold this position for 10 seconds gripping the floor.</p>
<p>Then, step forward onto your left foot, grounding with the floor, lift your right foot backward about the same 30° angle, and lean forward, staring at your Drishti; hold this position for 10 seconds, tighten your core, grip the floor, and raise your arms forward.</p>
<p>Repeat, starting with your left foot first. Work up to 30 seconds, and then you can progress leaning forward with your body. It works all your muscles while you hold your balance. Try it!</p>
<p>Wendy Webb Schoenewald PT OCS<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.<br />
(215) 489-3234</p>
<p>University of Delaware</p>
<p>The post <a href="https://wwspt.com/balance-awareness-week-the-balancing-stick/">Balance Awareness Week &#8211; The Balancing Stick</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4216</post-id>	</item>
		<item>
		<title>Balance Awareness Week &#8211; Aging Well Tips From Wendy</title>
		<link>https://wwspt.com/balance-awareness-week-aging-well-tips-from-wendy/</link>
					<comments>https://wwspt.com/balance-awareness-week-aging-well-tips-from-wendy/#respond</comments>
		
		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Thu, 21 Sep 2023 01:27:13 +0000</pubDate>
				<category><![CDATA[aging process]]></category>
		<category><![CDATA[balance]]></category>
		<category><![CDATA[Balanec Awareness Week]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Brain Health]]></category>
		<category><![CDATA[Fitness]]></category>
		<category><![CDATA[Health and Wellness]]></category>
		<category><![CDATA[injury prevention]]></category>
		<category><![CDATA[movement]]></category>
		<category><![CDATA[muscles]]></category>
		<category><![CDATA[physical activity]]></category>
		<category><![CDATA[squats]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<category><![CDATA[Yoga]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4213</guid>

					<description><![CDATA[<p>To age well and maintain my balance, I work several activities into my daily routine. I love Yoga! It includes a lot of single-leg balancing postures, inverted postures good for blood pressure, and many strengthening Poses. However, I realize this is not for everyone! Here are some of my simple exercise activities: I practice deep [&#8230;]</p>
<p>The post <a href="https://wwspt.com/balance-awareness-week-aging-well-tips-from-wendy/">Balance Awareness Week &#8211; Aging Well Tips From Wendy</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>To age well and maintain my balance, I work several activities into my daily routine.</p>
<p>I love Yoga! It includes a lot of single-leg balancing postures, inverted postures good for blood pressure, and many strengthening Poses. However, I realize this is not for everyone!</p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2021/09/Yoga-focus.jpg" alt="" width="801" height="500" /></p>
<p>Here are some of my simple exercise activities:</p>
<p>I practice deep squats to a frog position when I need to get down on the floor with patients or when gardening, and then stand back up. It uses full hip and knee mobility and maintains the strength of my quadriceps and glutes.</p>
<p>I climb up the steps two at a time, using a railing occasionally; this strengthens the legs. I believe we get weaker when we move into one-level homes. All steps build our muscles! Make sure you use a rail on the way down!</p>
<p>I walk on curbs or on lines when possible for balance, acting like the flying Valencia’s on the tightrope.</p>
<p>Remember, it&#8217;s the little things that keep us going!!</p>
<p>Wendy Webb Schoenewald, PT, OCS<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.</p>
<p>(215) 489-3234</p>
<p>The post <a href="https://wwspt.com/balance-awareness-week-aging-well-tips-from-wendy/">Balance Awareness Week &#8211; Aging Well Tips From Wendy</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4213</post-id>	</item>
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		<title>Good Balance and Good Health Go Together</title>
		<link>https://wwspt.com/good-balance-and-good-health-go-together/</link>
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		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Mon, 18 Sep 2023 15:04:23 +0000</pubDate>
				<category><![CDATA[aging process]]></category>
		<category><![CDATA[balance]]></category>
		<category><![CDATA[Balanec Awareness Week]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[BPPV]]></category>
		<category><![CDATA[Exercise]]></category>
		<category><![CDATA[Physical Therapist]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[Vertigo]]></category>
		<category><![CDATA[vestibular disorders]]></category>
		<category><![CDATA[Vestibular System]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=4193</guid>

					<description><![CDATA[<p>As a Vestibular specialist, many patients ask me how to prevent another vestibular event or a fall. Good balance comes from a healthy vestibular system, visual system, and proper input from sensory nerves and muscles. These systems work together to help us move and react, maintaining good balance. As we age, the vestibular system changes. [&#8230;]</p>
<p>The post <a href="https://wwspt.com/good-balance-and-good-health-go-together/">Good Balance and Good Health Go Together</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><span style="font-weight: 400;">As a Vestibular specialist, many patients ask me how to prevent another vestibular event or a fall. Good balance comes from a healthy vestibular system, visual system, and proper input from sensory nerves and muscles. These systems work together to help us move and react, maintaining good balance.</span></p>
<p><span style="font-weight: 400;">As we age, the vestibular system changes. The hair cell neurons of the inner ear reduce in number, and the postural organs of the ear, the utricle and saccule, also decline in function. This can affect postural reactions and coordination involved in maintaining balance. Otoconia from the utricle and saccule also become more likely to break loose from these organs, causing benign paroxysmal positional vertigo (BPPV), a condition that we frequently treat in vestibular therapy.</span></p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2021/06/BALANCE-IN-AGING.jpg" alt="" /></p>
<p>&nbsp;</p>
<p><b>How can we slow down the aging process to help our balance?</b></p>
<p><span style="font-weight: 400;">Exercise that includes changing surfaces to challenge your muscles and postural reactions and head movement added to exercise to make your vestibular system work harder can all improve your balance. Your vestibular therapist can teach you <em><strong>How</strong></em> to incorporate these into your regular workout.</span></p>
<p><span style="font-weight: 400;">Maintaining good health is important in aging well. Some health issues affect the vestibular system more directly than others. </span><b>Hypertension </b><span style="font-weight: 400;">affects the inner ear since the ear is susceptible to changes in blood flow. The vestibular system’s microcirculation is reduced by hypertension, which can lead to loss of function in the vestibular system. We tend to focus on the circulation to our heart and brain, but issues from reduced blood flow can also occur in the inner ear organ.</span></p>
<p><b>Diabetes Mellitus</b><span style="font-weight: 400;"> also affects the microcirculation of the inner ear and the peripheral nerves, sometimes causing peripheral neuropathy. Patients with diabetes are 70% more likely to have vestibular and balance deficits, so properly managing your diabetes with exercise and medication is important for good balance.</span></p>
<p><span style="font-weight: 400;"><em><strong>Exercise</strong></em> has positively affected hypertension, diabetes, circulation, sleep, and many other health factors that impact <em><strong>balance.</strong></em> A physical therapist trained in v<em><strong>estibular rehabilitation</strong></em> can examine how your balance systems are working and help you figure out how to exercise and work on your balance safely.</span></p>
<p>Wendy Webb Schoenewald, PT, OCS<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.<br />
(215) 489-3234</p>
<p>The post <a href="https://wwspt.com/good-balance-and-good-health-go-together/">Good Balance and Good Health Go Together</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">4193</post-id>	</item>
		<item>
		<title>vHIT, Head Impulse Test</title>
		<link>https://wwspt.com/vhit-head-impulse-test/</link>
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		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Mon, 28 Nov 2022 23:03:40 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Dizziness]]></category>
		<category><![CDATA[head accelerometer monitor]]></category>
		<category><![CDATA[high-frequency camera system]]></category>
		<category><![CDATA[inner ear]]></category>
		<category><![CDATA[Physical Therapist]]></category>
		<category><![CDATA[six semicircular canals (SSCs)]]></category>
		<category><![CDATA[vestibular disorders]]></category>
		<category><![CDATA[Vestibular Ocular exercises (VOR)]]></category>
		<category><![CDATA[vestibular ocular reflex (VOR)]]></category>
		<category><![CDATA[Vestibular Rehabilitation]]></category>
		<category><![CDATA[Vestibular System]]></category>
		<category><![CDATA[video head impulse test (vHIT)]]></category>
		<category><![CDATA[VOR function]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=3623</guid>

					<description><![CDATA[<p>We have Exciting News at WWSPT! To provide the best vestibular rehabilitation care in the region, WWS Physical Therapy and Vestibular Rehabilitation clinic, Doylestown, PA., has added the video head impulse test (vHIT) to our diagnostic assessment of patients with dizziness. vHIT is one of the latest developments in vestibular testing. WWSPT is adding the [&#8230;]</p>
<p>The post <a href="https://wwspt.com/vhit-head-impulse-test/">vHIT, Head Impulse Test</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>We have Exciting News at WWSPT!</p>
<p>To provide the best <strong>vestibular rehabilitation</strong> care in the region, WWS Physical Therapy and Vestibular Rehabilitation clinic, Doylestown, PA., has added the <strong>video head impulse test (vHIT)</strong> to our diagnostic assessment of patients with <strong>dizziness</strong>.</p>
<p><strong>vHIT </strong>is one of the latest developments in <strong>vestibular testing</strong>. <strong>WWSPT </strong>is adding the <strong>video head impulse test </strong>because extensive research has shown that this new technology can help more accurately <strong>measure the function of all six semicircular canals (SSCs)</strong> of the <strong>inner ear.</strong></p>
<p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2022/11/Head-Impulse-Test-vHIT.png" alt="" width="775" height="436" /></p>
<p>The test measures a person&#8217;s <strong>vestibular ocular reflex (VOR),</strong> or how much the eyes move in response to rapid head movement to focus on a visual target. With quick head movements, the patient should be able to keep his eyes focused on a target. When the VOR is reduced, the patient will have difficulty, especially at higher head movement speeds. The video head impulse test can help detect even the slightest losses in <strong>VOR function</strong>, which can help direct treatment progression. It can also track improvement in deficits after a program of vestibular exercises.</p>
<p>&nbsp;</p>
<p>The test itself only takes around 15 minutes to perform. The <strong>physical therapist</strong> moves the patient&#8217;s head in small movements while the patient is looking at a target on the wall. The <strong>high-frequency camera system </strong>and <strong>head accelerometer monitor</strong> how the eyes move and the head acceleration. Comparing the eye movement to the head movement is how the computer calculates the gain of the canal of the vestibular system that&#8217;s being tested.</p>
<p>&nbsp;</p>
<p>After interpreting the test, <strong>the physical therapist</strong> can make a report which can be shared with the patient and the referring physician.</p>
<p>Wendy Webb Schoenewald, PT, OCS<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, PA.<br />
(215) 489- 3234</p>
<p>The post <a href="https://wwspt.com/vhit-head-impulse-test/">vHIT, Head Impulse Test</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">3623</post-id>	</item>
		<item>
		<title>Concussion, Where to Start?</title>
		<link>https://wwspt.com/concussion-where-to-start/</link>
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		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Sun, 06 Nov 2022 18:07:01 +0000</pubDate>
				<category><![CDATA[Acute injury]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Brain Health]]></category>
		<category><![CDATA[Concussion]]></category>
		<category><![CDATA[Concussions]]></category>
		<category><![CDATA[Dizziness]]></category>
		<category><![CDATA[Exercise]]></category>
		<category><![CDATA[head injury]]></category>
		<category><![CDATA[neurological disease]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[PT Treatments]]></category>
		<category><![CDATA[Recovery]]></category>
		<category><![CDATA[sports-related-exercise]]></category>
		<category><![CDATA[Trauma]]></category>
		<category><![CDATA[vestibular disorders]]></category>
		<category><![CDATA[Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWSPT]]></category>
		<guid isPermaLink="false">https://wwspt.com/?p=3600</guid>

					<description><![CDATA[<p>Concussion, Where to start? There is so much information about concussions, and it can be overwhelming.  Sometimes it’s hard to know where to start.  The priority is to see your physician and find the right Physical Therapy clinic for treatment.  At WWSPT, we specialize in treatment for adults and adolescents who have suffered a concussion.  [&#8230;]</p>
<p>The post <a href="https://wwspt.com/concussion-where-to-start/">Concussion, Where to Start?</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Concussion, Where to start?</p>
<p>There is so much information about concussions, and it can be overwhelming.  Sometimes it’s hard to know where to start.  The priority is to see your physician and find the right Physical Therapy clinic for treatment.  At <strong>WWSPT,</strong> we specialize in treatment for adults and adolescents who have suffered a concussion.  Whether your concussion is a sports-related injury or due to slipping on the ice, our focus is to get you on the road to recovery following the most up-to-date research and protocols.</p>
<p>The most recent guidelines recommend the first step in the treatment of concussion is to rest.  This means physical rest and mental rest.  In other words:  no TV, no reading, no texting, no computer, no computer games, and avoid bright lights and noise if this triggers your symptoms.  You may also be kept home from school or work to allow time for your brain to begin healing.</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2015/05/Concussion.jpg" alt="" /></p>
<p>All concussions are unique to the individual, so there is no specific period of  “ brain rest.”  As your acute symptoms begin to resolve, it is time to seek a professional specifically trained in concussion rehabilitation.  Ask questions to ensure your physical therapist has been genuinely trained in concussion and vestibular rehabilitation.  After a thorough evaluation, you will be given a treatment plan designed specifically based on your symptoms and goals; it should include vestibular, vision exercises, and exertional sports-related exercises.</p>
<p>You are ready to begin the road to recovery.</p>
<p>FYI:</p>
<p>Sports that cause the most significant number of concussion injuries in males: Football, Rugby, Hockey, and Soccer.</p>
<p>Sports that cause the most significant number of concussion injuries in females: Soccer and Basketball.</p>
<p>Informative websites:</p>
<p>American Academy of Family Physicians – <a href="http://www.aafp.org">www.aafp.org</a></p>
<p>National Collegiate Athletic Association &#8211; <a href="http://WWW.NCAA.ORG">WWW.NCAA.ORG</a></p>
<p>American Association of Neurological Surgeons – <a href="http://www.aans.org">www.aans.org</a></p>
<p>National Association of School Psychologists &#8211; <a href="http://www.nasponline.org">www.nasponline.org</a></p>
<p>American Academy of Neurology &#8211;   <a href="http://www.aan.com">www.aan.com</a></p>
<p>&nbsp;</p>
<p>The post <a href="https://wwspt.com/concussion-where-to-start/">Concussion, Where to Start?</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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