<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:wfw="http://wellformedweb.org/CommentAPI/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" > <channel> <title>balance Archives - WWSPT.Com</title> <atom:link href="https://wwspt.com/category/balance/feed/" rel="self" type="application/rss+xml" /> <link>https://wwspt.com/category/balance/</link> <description>Healing, Function, Recovery, Health</description> <lastBuildDate>Wed, 04 Sep 2024 21:33:38 +0000</lastBuildDate> <language>en-US</language> <sy:updatePeriod> hourly </sy:updatePeriod> <sy:updateFrequency> 1 </sy:updateFrequency> <generator>https://wordpress.org/?v=6.7.2</generator> <site xmlns="com-wordpress:feed-additions:1">215146180</site> <item> <title>Post-Concussion Syndrome</title> <link>https://wwspt.com/post-concussion-syndrome/</link> <comments>https://wwspt.com/post-concussion-syndrome/#respond</comments> <dc:creator><![CDATA[Cassie Zanolini, PT, DPT]]></dc:creator> <pubDate>Wed, 04 Sep 2024 21:11:32 +0000</pubDate> <category><![CDATA[balance]]></category> <category><![CDATA[Blog]]></category> <category><![CDATA[brain]]></category> <category><![CDATA[Brain Health]]></category> <category><![CDATA[Concussion]]></category> <category><![CDATA[Dizziness]]></category> <category><![CDATA[head injury]]></category> <category><![CDATA[headache]]></category> <category><![CDATA[Post-concussion Syndrome]]></category> <guid isPermaLink="false">https://wwspt.com/?p=4480</guid> <description><![CDATA[<p>A concussion is a mild traumatic brain injury occurring after a blow to the head that may or may not result in loss of consciousness. This impact affects the brain’s function, contributing to various symptoms. Most commonly, those who suffer a concussion complain of headache, dizziness, visual changes, nausea and vomiting, memory deficits, and difficulty […]</p> <p>The post <a href="https://wwspt.com/post-concussion-syndrome/">Post-Concussion Syndrome</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></description> <content:encoded><![CDATA[<p>A concussion is a mild traumatic brain injury occurring after a blow to the head that may or may not result in loss of consciousness. This impact affects the brain’s function, contributing to various symptoms. Most commonly, those who suffer a concussion complain of headache, dizziness, visual changes, nausea and vomiting, memory deficits, and difficulty concentrating. A concussion is widely diagnosed via an exam and medical history review. A neurological examination includes an assessment of vision, oculomotor function, balance, and coordination. The goal of treatment is to gradually return to activity with limited provocation of symptoms, allowing periods of rest and recovery. Light aerobic exercise and physical activity in the days and weeks following a concussion have improved recovery. Your therapist can also recommend additional visual, balance, or vestibular exercises to facilitate better recovery.</p> <p> </p> <p><img fetchpriority="high" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/09/Concussion-1.png" alt="" width="801" height="534" /></p> <p> </p> <p>Dr. Cassie Newnan. PT, DPT,<br /> WWS Physical Therapy and Vestibular Rehabilitation<br /> Doylestown, Pennsylvania</p> <p>(215) 489-3234</p> <p>The post <a href="https://wwspt.com/post-concussion-syndrome/">Post-Concussion Syndrome</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/post-concussion-syndrome/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4480</post-id> </item> <item> <title>The Act of Throwing is not Achieved with Just Shoulder Motion</title> <link>https://wwspt.com/the-act-of-throwing-is-not-achieved-with-just-shoulder-motion/</link> <comments>https://wwspt.com/the-act-of-throwing-is-not-achieved-with-just-shoulder-motion/#respond</comments> <dc:creator><![CDATA[Karli Lynch PT, DPT,]]></dc:creator> <pubDate>Thu, 27 Jun 2024 13:35:05 +0000</pubDate> <category><![CDATA[Acceleration]]></category> <category><![CDATA[Arm Cocking]]></category> <category><![CDATA[balance]]></category> <category><![CDATA[baseball]]></category> <category><![CDATA[Blog]]></category> <category><![CDATA[Deceleration]]></category> <category><![CDATA[Follow-through]]></category> <category><![CDATA[softball]]></category> <category><![CDATA[the windup]]></category> <category><![CDATA[throwing]]></category> <guid isPermaLink="false">https://wwspt.com/?p=4440</guid> <description><![CDATA[<p>Anyone can throw a ball “overhand,” whether a parent having a catch with a child, a pitcher throwing to the catcher, or a pet owner playing fetch with their dog. Even though it may look simple, throwing is a complex set of movements. Six different phases make up an overhead throw, and it is helpful […]</p> <p>The post <a href="https://wwspt.com/the-act-of-throwing-is-not-achieved-with-just-shoulder-motion/">The Act of Throwing is not Achieved with Just Shoulder Motion</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></description> <content:encoded><![CDATA[<p>Anyone can throw a ball “overhand,” whether a parent having a catch with a child, a pitcher throwing to the catcher, or a pet owner playing fetch with their dog. Even though it may look simple, throwing is a complex set of movements. Six different phases make up an overhead throw, and it is helpful to understand these phases and the muscles involved to improve function and reduce the risk of injury.</p> <p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/06/Phases-of-Throwing.png" alt="" width="797" height="313" /></p> <p> </p> <p><strong>Phase 1: The Windup</strong></p> <p>The windup starts when the thrower is in a double-leg stance and ends when they are in a single-leg stance. Adequate hip muscle activation is essential for appropriate pelvic and lower extremity positioning. The quadriceps allow for slight knee flexion, and the hip abductors, muscles along the outside of the hip, maintain a level pelvis.</p> <p> </p> <p><strong>Phase 2: The Stride</strong></p> <p>Stride phase starts when the hands separate at the end of the wind-up and ends when the lead foot hits the ground. The hip abductors of the stance leg initiate forward motion and the buttocks muscle assists in stabilizing the trunk and pelvis.</p> <p> </p> <p><strong>Phase 3: Arm Cocking</strong></p> <p>The cocking phase begins when the lead foot contacts the ground and ends at maximum shoulder external rotation. The shoulder and shoulder blade muscles are highly active to promote and sustain movements of the shoulder, especially external rotation. Special focus on instability is important during this phase due to the extreme ranges of external rotation of the shoulder.</p> <p> </p> <p><strong>Phase 4: Acceleration</strong></p> <p>This phase begins when the shoulder is fully cocked and ends when the ball leaves the hand. The trunk will move from extension to flexion and the pectorals (pecs) and latissimus (lats) help to internally rotate the arm, eventually leading to release of the ball.</p> <p> </p> <p><strong>Phase 5: Deceleration</strong></p> <p>This phase begins when the ball leaves the hand and ends when the shoulder is in maximal internal rotation. The rotator cuff musculature in the back of the shoulder is active in slowing the throwing arm as it crosses the body. Most overuse injuries related to throwing occur during this phase.</p> <p> </p> <p><strong>Phase 6: Follow-through</strong></p> <p>This phase occurs when the body weight is transferred to the stride leg, where the thrower decelerates the momentum and balances on one leg. Abruptly stopping the throwing arm without follow-through could cause the shoulder to absorb a larger amount of force and stress, leading to possible injury.</p> <p>Whether looking to increase performance, mitigate injury, or rehab from an injury, you should seek out a movement specialist, such as a physical therapist who has an understanding of throwing mechanics and can design a treatment program that focuses on deficiencies or limitations specific to the corresponding phases of throwing. Many therapists here at WWSPT have experience treating overhead athletes like football, baseball, and softball players. We have also worked on throwing with adults who experience shoulder pain or who are recovering from an injury or surgery. Don’t throw in the towel when throwing.</p> <p>Dr Karli Lynch, PT, DPT,<br /> WWS Physical Therapy and Vestibular Rehabilitation<br /> Doylestown, PA.</p> <p>(215) 489- 3234</p> <p>The post <a href="https://wwspt.com/the-act-of-throwing-is-not-achieved-with-just-shoulder-motion/">The Act of Throwing is not Achieved with Just Shoulder Motion</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/the-act-of-throwing-is-not-achieved-with-just-shoulder-motion/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4440</post-id> </item> <item> <title>Understanding Vestibular Agnosia: A Comprehensive Overview</title> <link>https://wwspt.com/understanding-vestibular-agnosia-a-comprehensive-overview/</link> <comments>https://wwspt.com/understanding-vestibular-agnosia-a-comprehensive-overview/#respond</comments> <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’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 […]</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’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’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 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’s Disease, Alzheimer’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 loading="lazy" 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> </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> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/understanding-vestibular-agnosia-a-comprehensive-overview/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <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’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 […]</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’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> </p> <p><img loading="lazy" 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’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> <wfw:commentRss>https://wwspt.com/about-vestibular-agnosia-va/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4417</post-id> </item> <item> <title>The Primary Motor Symptoms of Parkinson’s Disease</title> <link>https://wwspt.com/the-primary-motor-symptoms-of-parkinsons-disease/</link> <comments>https://wwspt.com/the-primary-motor-symptoms-of-parkinsons-disease/#respond</comments> <dc:creator><![CDATA[Karli Lynch PT, DPT,]]></dc:creator> <pubDate>Wed, 15 May 2024 23:11:03 +0000</pubDate> <category><![CDATA[balance]]></category> <category><![CDATA[Blog]]></category> <category><![CDATA[bradykinesia]]></category> <category><![CDATA[Parkinson's Disease]]></category> <category><![CDATA[Physical Therapy]]></category> <category><![CDATA[Postural Instability (balance problems)]]></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=4404</guid> <description><![CDATA[<p>There are four primary motor symptoms of Parkinson’s disease: Tremor Rigidity Bradykinesia (slow movement) Postural Instability (balance problems) Observing two or more symptoms listed above is the main way physicians diagnose Parkinson’s. However, it is important to know that not all of these symptoms must be present for a Parkinson’s diagnosis. Tremor tends to occur […]</p> <p>The post <a href="https://wwspt.com/the-primary-motor-symptoms-of-parkinsons-disease/">The Primary Motor Symptoms of Parkinson’s Disease</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></description> <content:encoded><![CDATA[<p>There are four primary motor symptoms of Parkinson’s disease:</p> <ul> <li>Tremor</li> <li>Rigidity</li> <li>Bradykinesia (slow movement)</li> <li>Postural Instability (balance problems)</li> </ul> <p>Observing two or more symptoms listed above is the main way physicians diagnose Parkinson’s. However, it is important to know that not all of these symptoms must be present for a Parkinson’s diagnosis.</p> <p><strong>Tremor</strong> tends to occur at rest and is a slow, rhythmic movement that typically starts in one hand, foot, or leg and eventually affects both sides of the body. Alternatively, some people with Parkinson’s disease will also experience an internal tremor, which is not necessarily noticeable to others. I have had patients describe this as feeling like their phone is vibrating in their pocket even though it is not there.</p> <p> </p> <p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/05/parkinsons-Tremors.png" alt="" width="797" height="531" /></p> <p><strong><br /> Rigidity</strong> refers to stiffness or tightness of the limbs or torso not associated with arthritis or orthopedic problems. Recognizing this symptom early is important to begin completing a daily stretching routine to slow the progression and maintain a more upright posture.</p> <p><strong>Bradykinesia </strong>is a very common symptom of Parkinson’s disease, which presents as an overall slowness of movement. One of the manifestations of bradykinesia is a reduced arm swing that can occur in one or both arms while walking. Other demonstrations of bradykinesia are mask-like expression of the face, difficulty buttoning a shirt or putting on a jacket, and slow, small handwriting.</p> <p><strong>Postural Instability</strong>, or difficulty balancing, is the inability to maintain a steady, upright posture or to prevent a fall, which tends to be more pronounced in the later stages of the disease. These balance problems may lead to a greater tendency to fall backward, commonly seen when attempting to stand from a chair or step backward. Postural instability may also lead to gait difficulties. Common examples are slow, small steps or a shuffling gait, also known as festination, or the very opposite, which can be seen with a tendency to propel forward with quick, short steps. Episodes of freezing are another common gait abnormality where the feet may appear stuck or glued to the floor despite attempts to take a step.</p> <p>Early speech, occupational, and physical therapy interventions are key in managing this disease progression. If you or a loved one notices these symptoms or changes in movement, it is important to participate in physical therapy and a daily exercise routine to address these motor symptoms before they start affecting daily activities. Here at WWS Physical Therapy and Vestibular Rehabilitation, we have several therapists specializing (with specific training and experience) in treating those with Parkinson’s disease and other neurological disorders.</p> <p>Dr. Karli Lynch, PT, DPT,<br /> WWS Physical Therapy and Vestibular Rehabilitation<br /> Doylestown, PA.,<br /> (215) 489-3234</p> <p> </p> <p> </p> <p>The post <a href="https://wwspt.com/the-primary-motor-symptoms-of-parkinsons-disease/">The Primary Motor Symptoms of Parkinson’s Disease</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/the-primary-motor-symptoms-of-parkinsons-disease/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4404</post-id> </item> <item> <title>Essential Physical Therapy Screening!</title> <link>https://wwspt.com/essential-physical-therapy-screening/</link> <comments>https://wwspt.com/essential-physical-therapy-screening/#respond</comments> <dc:creator><![CDATA[Gregory Synnestvedt PT, DPT]]></dc:creator> <pubDate>Thu, 04 Apr 2024 17:49:56 +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[Crystals and Canals]]></category> <category><![CDATA[Dizziness]]></category> <category><![CDATA[Doylestown PA]]></category> <category><![CDATA[falls]]></category> <category><![CDATA[Physical Therapist]]></category> <category><![CDATA[Physical Therapy]]></category> <category><![CDATA[Physical Therapy Screening]]></category> <category><![CDATA[SAFE act]]></category> <category><![CDATA[Vertigo]]></category> <category><![CDATA[vestibular disorders]]></category> <category><![CDATA[Vestibular Rehabilitation]]></category> <category><![CDATA[Vestibular System]]></category> <category><![CDATA[World Health Organization]]></category> <category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category> <category><![CDATA[WWSPT]]></category> <guid isPermaLink="false">https://wwspt.com/?p=4366</guid> <description><![CDATA[<p>The Importance of Physical Therapy Screening for Risk of Falling and Benign Paroxysmal Positional Vertigo (BPPV) Falling can happen at any age and cause a person significant injury. For someone over 65 years of age, falls are especially concerning. The World Health Organization recognizes falls as the second most common cause of unintentional death in […]</p> <p>The post <a href="https://wwspt.com/essential-physical-therapy-screening/">Essential Physical Therapy Screening!</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></description> <content:encoded><![CDATA[<p><strong>The Importance of Physical Therapy Screening for Risk of Falling and Benign Paroxysmal Positional Vertigo (BPPV)</strong></p> <p><span style="font-weight: 400;">Falling can happen at any age and cause a person significant injury. For someone over 65 years of age, falls are especially concerning. The World Health Organization recognizes falls as the second most common cause of unintentional death in the world (after car accident-related injuries) and states that<strong> “older people have the highest risk of death or serious injury arising from a fall, and the risk increases with age.”</strong></span></p> <p><span style="font-weight: 400;">Physical therapists have long worked with people to figure out what is causing falls or balance problems and how to best reduce the risk of falling and improve balance. The best way to reduce injuries related to falling is to prevent it in the first place. Increased fall prevention awareness in recent decades has led to important new legislation known as the Stopping Addiction and Falls for the Elderly Act, or SAFE Act.</span></p> <p><span style="font-weight: 400;">The SAFE Act includes a provision that primary care providers refer their patients to physical therapy for fall prevention evaluation and services if the person has fallen in the last year. Recent economic analysis of how health care is used has shown the cost-effectiveness of physical therapists’ care for fall-related services, mainly through reduced hospital and emergency room admissions.</span><span style="font-weight: 400;"> More than saving Medicare money, this bill is about improving people’s care and helping prevent injuries and death.</span></p> <p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/04/Dr.-Greg-Synnestvedt-Testing.png" alt="" width="796" height="517" /></p> <p><span style="font-weight: 400;">Referral to Physical Therapy for fall-related services is ideal because physical therapists are uniquely qualified to evaluate and treat the most common causes of falling. Balance problems can have many contributing factors, including changes in vestibular function, vision, and cognition, decreased muscle power, reduced endurance, decreased sensation in the feet and joints, and changes in coordination. Physical therapists are trained to evaluate these areas, screen for these issues, and analyze how someone walks and moves in different situations.</span></p> <p><span style="font-weight: 400;">A <strong>vestibular physical therapist</strong> is particularly well suited to screen for benign paroxysmal vertigo, an issue that can both cause falls and be caused by falls. BPPV is an issue where tiny calcium carbonate crystals that are meant to be in one part of the vestibular system in the inner ear come loose and go into one of the semi-circular canals, which are little tubes that sense turning head movements</span></p> <p>_____________________________________</p> <p>1 https://www.who.int/news-room/fact-sheets/detail/falls<br /> 2 https://www.apta.org/news/2024/03/12/falls-legislation-safe-act<br /> 3 https://www.valueofpt.com/</p> <p>_____________________________________</p> <p><span style="font-weight: 400;">When the crystals move in the canals, they stimulate the inner ear and signal to the brain that the head is turning, even though it isn’t. This typically creates a false sense of movement, usually a spinning sensation called vertigo.</span></p> <p><span style="font-weight: 400;">It turns out that not everyone who has BPPV experiences vertigo or even a dizziness sensation. Someone with BPPV may feel more off balance with movement due to the crystals being out of place but report no dizziness. When we test them with video goggles, however, we will see the classic involuntary eye movements, called nystagmus, used to diagnose BPPV accurately. Treating their BPPV through positioning maneuvers that guide the crystals out of the canals will help their balance improve.</span></p> <p><span style="font-weight: 400;">A new study from a specialty falls and balance clinic in Melbourne, Australia, found that 1 in 4 patients they saw for falls risk who had BPPV had no symptoms of dizziness!</span><span style="font-weight: 400;"> This is a great example of why we screen people for BPPV when there is a sudden change in balance function or a recent fall–even if they do not complain of dizziness.</span></p> <p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2024/04/Do-You-Suffer-From-dizziness-copy.png" alt="" width="639" height="800" /></p> <p><span style="font-weight: 400;">Of course, if a patient feels dizzy, this dizziness can also lead to a fall. Treating someone’s dizziness, understandably, will help reduce their risk of falling. This has now been supported by large-scale research. A 2023 study published in the Journal of the American Medical Association (JAMA) found that using physical therapy decreased fall risk in patients in the US who had dizziness.</span><span style="font-weight: 400;"> The study found that 7% of adults being evaluated for dizziness had a fall resulting in a medical encounter within a year of experiencing dizziness. Receiving physical therapy within 3 months of the initial dizziness visit was associated with an 86% decrease in the odds of falling.</span></p> <p><span style="font-weight: 400;">This underscores the value of physical therapy care—particularly by a physical therapist with training and expertise in treating dizziness—for those who have fallen or feel at risk of falling or for those who are experiencing dizziness. If your healthcare provider recommends you seek physical therapy care due to a fall, following through with the therapy is in your best interest. And if you are dizzy, you can reduce your risk of falling by receiving physical therapy. The physical therapists at WWSPT would be happy to help you reduce your risk of falling and feel more confident in your balance again. </span></p> <p>Dr. Greg Synnestvedt, PT, DPT,<br /> WWS Physical Therapy and Vestibular Rehabilitation<br /> Doylestown, PA.<br /> (215) 489-3234</p> <p>_____________________________________</p> <p><span style="font-weight: 400;"> 4 </span><span style="font-weight: 400;">Susan Hyland, Lyndon J. Hawke & Nicholas F. Taylor (2024) Benign paroxysmal positional vertigo without dizziness is common in people presenting to falls clinics, Disability and Rehabilitation, DOI: </span><a href="https://doi.org/10.1080/09638288.2024.2320271"><span style="font-weight: 400;">10.1080/09638288.2024.2320271 </span></a></p> <p>5<span style="font-weight: 400;"> </span><span style="font-weight: 400;">Marmor S, Karaca-Mandic P, Adams ME. Use of Physical Therapy and Subsequent Falls Among Patients With Dizziness in the US. </span><i><span style="font-weight: 400;">JAMA Otolaryngol Head Neck Surg.</span></i><span style="font-weight: 400;"> 2023;149(12):1083–1090. doi:10.1001/jamaoto.2023.2840 </span></p> <p>The post <a href="https://wwspt.com/essential-physical-therapy-screening/">Essential Physical Therapy Screening!</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/essential-physical-therapy-screening/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4366</post-id> </item> <item> <title>Balance Awareness Week – Biodex Balance System</title> <link>https://wwspt.com/balance-awareness-week-biodex-balance-system/</link> <comments>https://wwspt.com/balance-awareness-week-biodex-balance-system/#respond</comments> <dc:creator><![CDATA[Cassie Zanolini, PT, DPT]]></dc:creator> <pubDate>Thu, 21 Sep 2023 03:25:04 +0000</pubDate> <category><![CDATA[balance]]></category> <category><![CDATA[Balanec Awareness Week]]></category> <category><![CDATA[Biodex Computerized Balance System]]></category> <category><![CDATA[Blog]]></category> <category><![CDATA[Physical Therapy]]></category> <category><![CDATA[stability limits]]></category> <category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category> <category><![CDATA[WWSPT]]></category> <guid isPermaLink="false">https://wwspt.com/?p=4228</guid> <description><![CDATA[<p>The Biodex Balance System is a state-of-the-art computerized balance system used to evaluate and train postural balance. The user stands on a platform that objectively measures and records where the person’s weight is centered while displaying visual feedback on a screen of how they shift their weight or sway. The patient’s balance can be tested […]</p> <p>The post <a href="https://wwspt.com/balance-awareness-week-biodex-balance-system/">Balance Awareness Week – Biodex Balance System</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></description> <content:encoded><![CDATA[<p><span style="font-weight: 400;">The Biodex Balance System is a state-of-the-art computerized balance system used to evaluate and train postural balance. The user stands on a platform that objectively measures and records where the person’s weight is centered while displaying visual feedback on a screen of how they shift their weight or sway.</span> <span style="font-weight: 400;">The patient’s balance can be tested on different surfaces or with eyes open or closed. </span></p> <p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/03/Biodexgrid.jpg" alt="" /></p> <p><span style="font-weight: 400;">This system allows our therapists to identify a potential balance problem in just two minutes of testing by comparing balance test results to age-dependent normative data. Once identified, patients can participate in a training program to correct functional deficits in their balance. </span></p> <p><span style="font-weight: 400;">Visual feedback can help patients learn how to perform more effective weight shifts. The Biodex can also measure and train a person’s stability limits, or how far they can move their center of mass while maintaining balance over their feet. The platform can become dynamic and move in any direction for increased challenge. This test can even be used with athletes to see how well they can balance and support themselves on one leg at a time.</span></p> <p><span style="font-weight: 400;">The Biodex can treat older adults with balance issues, those recovering from concussion, and even athletes following orthopedic injury. One of the things that patients like most about Biodex is that they get measurable feedback about how they did, so training on it becomes almost like a game!</span></p> <p> </p> <p>Dr. Cassie Newman, PT, DPT,<br /> WWS Physical Therapy and Vestibular Rehabilitation<br /> Doylestown, PA.<br /> (215) 489-3234</p> <p> </p> <p><span style="font-weight: 400;"> </span></p> <p><span style="font-weight: 400;"> </span></p> <p> </p> <p>The post <a href="https://wwspt.com/balance-awareness-week-biodex-balance-system/">Balance Awareness Week – Biodex Balance System</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/balance-awareness-week-biodex-balance-system/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4228</post-id> </item> <item> <title>Balance Awareness Week – Obstacle Courses for Balance Training at WWSPT</title> <link>https://wwspt.com/balance-awareness-week-obstacle-courses-for-balance-training-at-wwspt/</link> <comments>https://wwspt.com/balance-awareness-week-obstacle-courses-for-balance-training-at-wwspt/#respond</comments> <dc:creator><![CDATA[Karli Lynch PT, DPT,]]></dc:creator> <pubDate>Thu, 21 Sep 2023 03:06:50 +0000</pubDate> <category><![CDATA[balance]]></category> <category><![CDATA[Balance Training]]></category> <category><![CDATA[Balanec Awareness Week]]></category> <category><![CDATA[Blog]]></category> <category><![CDATA[Buttons]]></category> <category><![CDATA[hurdles]]></category> <category><![CDATA[obstacle course]]></category> <category><![CDATA[Physical Therapy]]></category> <category><![CDATA[River rocks]]></category> <category><![CDATA[single-leg balance]]></category> <category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category> <category><![CDATA[WWSPT]]></category> <guid isPermaLink="false">https://wwspt.com/?p=4219</guid> <description><![CDATA[<p>Balance training can be fun! One activity we love to use with our patients is an obstacle course that we can create to address someone’s specific needs. For instance, some people have difficulty walking across their yard, on the beach, or in their garden due to the uneven or soft surfaces. We use many different […]</p> <p>The post <a href="https://wwspt.com/balance-awareness-week-obstacle-courses-for-balance-training-at-wwspt/">Balance Awareness Week – Obstacle Courses for Balance Training at WWSPT</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></description> <content:encoded><![CDATA[<p><span style="font-weight: 400;">Balance training can be fun! One activity we love to use with our patients is an obstacle course that we can create to address someone’s specific needs. For instance, some people have difficulty walking across their yard, on the beach, or in their garden due to the uneven or soft surfaces. We use many different pieces of equipment to assemble an obstacle course and simulate these challenging surfaces. Some of our favorites include river rocks, buttons, and hurdles.</span></p> <p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/09/IMG_1582.png" alt="" width="525" height="700" /></p> <p><span style="font-weight: 400;">River rocks are exactly what they sound like. They are shaped like rocks or stones of various heights. Part of the rock has a flat surface, and the other parts are slanted. Stepping on the slanted surface makes it difficult to maintain balance, so the key is stepping on the flat surface. Buttons are small circular objects that squish when stepped on, like stepping on a tuft of grass. Reacting to the change in the surface being stepped on is important to maintain balance. The hurdles challenge single-leg balance and the ability to step over objects. We have two different-sized hurdles that provide appropriate challenges to our patients.</span></p> <p> </p> <p> </p> <p><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/09/IMG_1571-2.png" alt="" width="525" height="700" /></p> <p><span style="font-weight: 400;">Obstacle courses aren’t just for young ones. They are a fun and creative way for adults to work on their balance. If you feel more unsteady or off balance, call us, and one of our physical therapists at WWSPT will be happy to address your needs and build your confidence in your balance.</span></p> <p>Dr. Karli Lynch, PT, DPT<br /> WWS Physical Therapy and Vestibular Rehabilitation<br /> Doylestown, PA.<br /> (215) 489-3234</p> <p>The post <a href="https://wwspt.com/balance-awareness-week-obstacle-courses-for-balance-training-at-wwspt/">Balance Awareness Week – Obstacle Courses for Balance Training at WWSPT</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/balance-awareness-week-obstacle-courses-for-balance-training-at-wwspt/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4219</post-id> </item> <item> <title>Balance Awareness Week – 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 […]</p> <p>The post <a href="https://wwspt.com/balance-awareness-week-the-balancing-stick/">Balance Awareness Week – 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 – The Balancing Stick</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/balance-awareness-week-the-balancing-stick/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4216</post-id> </item> <item> <title>Balance Awareness Week – 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 […]</p> <p>The post <a href="https://wwspt.com/balance-awareness-week-aging-well-tips-from-wendy/">Balance Awareness Week – 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’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 – Aging Well Tips From Wendy</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p> ]]></content:encoded> <wfw:commentRss>https://wwspt.com/balance-awareness-week-aging-well-tips-from-wendy/feed/</wfw:commentRss> <slash:comments>0</slash:comments> <post-id xmlns="com-wordpress:feed-additions:1">4213</post-id> </item> </channel> </rss>