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		<title>Essential Physical Therapy Screening!</title>
		<link>https://wwspt.com/essential-physical-therapy-screening/</link>
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		<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>
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		<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>
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					<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 [&#8230;]</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&#8217;s care and helping prevent injuries and death.</span></p>
<p><img fetchpriority="high" 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 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 &amp; 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>
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		<post-id xmlns="com-wordpress:feed-additions:1">4366</post-id>	</item>
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		<title>Physical Therapy Treatment of The Temporomandibular Joint(s)</title>
		<link>https://wwspt.com/physical-therapy-treatment-of-the-temporomandibular-joints/</link>
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		<dc:creator><![CDATA[Kelsey Krebs Hanlon, PT, DPT]]></dc:creator>
		<pubDate>Mon, 12 Jun 2023 17:20:17 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Dizziness]]></category>
		<category><![CDATA[Doylestown PA]]></category>
		<category><![CDATA[headache]]></category>
		<category><![CDATA[headaches]]></category>
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		<category><![CDATA[Orthopedic Rehabilitation]]></category>
		<category><![CDATA[orthopedic treatment]]></category>
		<category><![CDATA[Physical Therapist]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[range of motion]]></category>
		<category><![CDATA[stability]]></category>
		<category><![CDATA[temporomandibular joint]]></category>
		<category><![CDATA[TMJ dysfunction]]></category>
		<category><![CDATA[Vestibular Rehabilitation]]></category>
		<category><![CDATA[WWS Physical Therapy and Vestibular Rehabilitation]]></category>
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		<guid isPermaLink="false">https://wwspt.com/?p=4137</guid>

					<description><![CDATA[<p>The temporomandibular joint, or TMJ, is often overlooked as a potential source of headaches, dizziness, and orofacial pain. Frequently, people with TMJ dysfunction are fitted for a mouth guard to wear at night, but many do not realize that there are steps that can be taken to mitigate the symptoms during the day. A physical [&#8230;]</p>
<p>The post <a href="https://wwspt.com/physical-therapy-treatment-of-the-temporomandibular-joints/">Physical Therapy Treatment of The Temporomandibular Joint(s)</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>The <strong>temporomandibular joint</strong>, or <strong>TMJ</strong>, is often overlooked as a potential source of headaches, dizziness, and orofacial pain. Frequently, people with TMJ dysfunction are fitted for a mouth guard to wear at night, but many do not realize that there are steps that can be taken to mitigate the symptoms during the day.</p>
<div></div>
<div><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/06/TMJ_Gogglesource.png" alt="TMJ Goggle Source image" width="601" height="332" /></div>
<div></div>
<p>A physical therapist who specializes in the treatment of TMJ dysfunction is quite useful. As the name suggests, the temporomandibular joint is, in fact, a joint (it&#8217;s actually 2 joints that connect your lower jaw to your skull, with one on each side of the face just in front of the ear lobe), with a capsule, ligaments, bones, and a disc. Therefore, treatment is similar to other joints in the body, with a focus on relaxing muscles that are tight, correcting for muscular imbalance, and ensuring that there is good stability in all ranges of motion.</p>
<div><img loading="lazy" decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2023/06/TMJ-_Mayo-Clinic.png" alt="Mayo Clinic source image" width="600" height="466" /></div>
<p>There are different types of TMJ disorders, and some patients fall into multiple categories. In general, the diagnosis falls into 3 classifications, with different treatments necessary for each. These include <strong>masticatory muscle dysfunction</strong>, <strong>anterior disc displacement with reduction of temporomandibular joints (TMJ)</strong>, and <strong>anterior disc displacement without reduction of temporomandibular joints (TMJ) </strong></p>
<p>A lot of physical therapy intervention for the treatment of TMJ disorders is focused on education. For instance, you may need to retrain your jaw to spend more time in a relaxed position. Sit up tall, with your lips closed but your teeth not touching. If it is comfortable, place your tongue on the roof of your mouth just behind your top teeth, just resting, not pressing. (You can also think about saying the word “mine” which will help you achieve this position). This is the “resting position” of your jaw, where the muscles and ligaments are most relaxed. Setting reminders such as timers or using Post-it notes can be helpful to reinforce this throughout the day. Many people unknowingly hold tension in their jaw, so a simple adjustment such as this can make a huge difference. Postural education and awareness can also have a positive impact.</p>
<p>If you have been diagnosed with TMJ dysfunction or even if you suspect that some of your symptoms may be related to your jaw, ask your dentist or your primary care physician for a referral to physical therapy. Make sure you are seeing someone who has taken additional courses on TMJ, as it is somewhat of a specialty. Be ready to make positive changes in your lifestyle and see positive results in your symptoms!</p>
<p>Dr. Kelsey Hanlon PT, DPT<br />
WWS Physical Therapy and Vestibular Rehabilitation<br />
Doylestown, Bucks County, Pennsylvania<br />
(215) 489-3234</p>
<p>The post <a href="https://wwspt.com/physical-therapy-treatment-of-the-temporomandibular-joints/">Physical Therapy Treatment of The Temporomandibular Joint(s)</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">4137</post-id>	</item>
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		<title>Physical Therapy Is Essential!</title>
		<link>https://wwspt.com/physical-therapy-is-essential/</link>
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		<dc:creator><![CDATA[Cassie Zanolini, PT, DPT]]></dc:creator>
		<pubDate>Mon, 07 Dec 2020 00:47:08 +0000</pubDate>
				<category><![CDATA[activity specific training]]></category>
		<category><![CDATA[alignment]]></category>
		<category><![CDATA[balance]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Doylestown PA]]></category>
		<category><![CDATA[Exercise]]></category>
		<category><![CDATA[function]]></category>
		<category><![CDATA[Healthy Aging]]></category>
		<category><![CDATA[hips]]></category>
		<category><![CDATA[Joint-replacement Surgery]]></category>
		<category><![CDATA[joints]]></category>
		<category><![CDATA[knees]]></category>
		<category><![CDATA[Musculoskeletal Issues]]></category>
		<category><![CDATA[Orthopedic Rehabilitation]]></category>
		<category><![CDATA[orthopedic treatment]]></category>
		<category><![CDATA[Pain]]></category>
		<category><![CDATA[Physical Therapist]]></category>
		<category><![CDATA[Physical Therapy]]></category>
		<category><![CDATA[Prehab PT]]></category>
		<category><![CDATA[PT Treatments]]></category>
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		<guid isPermaLink="false">https://wwspt.com/?p=2957</guid>

					<description><![CDATA[<p>Physical Therapy Is Essential in Recovery After Joint-replacement Surgery Whether as the result of aging or past injuries, we do damage to our bodies over the years, and often times our joints take the brunt of the damage. Over time, this damage can result in chronic pain due to the degeneration of the joint and [&#8230;]</p>
<p>The post <a href="https://wwspt.com/physical-therapy-is-essential/">Physical Therapy Is Essential!</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><strong>Physical Therapy Is Essential in Recovery After Joint-replacement Surgery</strong></p>
<p>Whether as the result of aging or past injuries, we do damage to our bodies over the years, and often times our joints take the brunt of the damage. Over time, this damage can result in chronic pain due to the degeneration of the joint and osteoarthritis. The hip and knee joints are most commonly affected by this degeneration, and joint replacement is often recommended.</p>
<p>With degeneration of the joint and the onset of osteoarthritis, patients experience more pain, and movement becomes more dysfunctional. As the damage progresses, many note increased pain with weight-bearing activity, stiffness and loss of motion, swelling, and difficulty with walking and stairs, among other issues. These deficits can impact patients’ activities of daily living, resulting in difficulty dressing, bathing, and taking care of themselves normally.</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2015/05/Musculoskeletal-and-Orthopedic-Rehabilitation.jpg" alt="" /></p>
<p>When performing a total hip (THR) or knee replacement (TKR), the surgeon removes damaged bone and replaces the joint with a metal prosthesis. In the case of the ball-and-socket joint in the hip, the surgeon removes the acetabulum, or socket, from the pelvis. He or she also removes the head of the femur or the ball located at the top of the thigh bone that articulates with the pelvis. In the case of a knee replacement, the surgeon removes the end of the thigh bone, or femur, and the top of the shin bone, also known as the tibia. The surgeon then fits and places a prosthesis appropriate to the patient.</p>
<p>Physical Therapists are movement experts and can help guide the patient’s recovery to promote a return to normal movement, activities, and hobbies. After surgery, the patient will likely experience joint stiffness, lower extremity swelling, and weakness. These deficits may cause a patient to require ambulatory aides, including a walker or cane. At this point in the journey following joint replacement, physical therapy can help to address these deficits and ease the road to recovery. Despite these symptoms, patients will be able to begin walking and exercising right away.</p>
<p>&nbsp;</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2015/05/PTTreatment.jpg" alt="" /></p>
<p>Physical Therapists are instrumental in providing patients with education following surgery. A therapist may instruct patients to avoid certain movements following a hip replacement, as these precautions are placed by the surgeon. A therapist may also provide useful bits of education to help patients shower, get out of bed, or perform other activities of daily living more easily.  Education may also be provided on correct sequencing and safety when ambulating with an assistive device. This will help promote confidence in balance and stability while also facilitating independence. Therapists may also provide useful advice on how to ascend and descend stairs appropriately for a patient’s level of function. Therapists can provide helpful tips and tricks to make each daily activity easier and less pain provoking.</p>
<p><strong>Exercise Prescription</strong><br />
Often times following a replacement, the surgeon may provide a patient with a printout or an app to progress through an exercise in the weeks following surgery. While these exercises may help in promoting recovery, there is usually no one to ensure the correct performance of these activities. A physical therapist can provide in-person instruction, which will allow for the modification of exercises in order to meet the specific needs of a patient.</p>
<p>Hip and knee weakness are commonly seen prior to surgery. “Prehab” PT provided before surgery can promote strength gains, improve function, and facilitate a quicker recovery. However, surgery often exacerbates the severity of the weakness. A therapist will examine and prescribe specific exercises to target weak muscle groups to gradually reduce the severity of the limp and allow progression to ambulate without the use of a device.</p>
<p>Stairs are often a challenging task after replacement surgery. Immediately following a replacement, patients may be unable to navigate stairs with a normal gait. Descending stairs is often most difficult for patients due to deficits in range of motion and strength. A therapist will initially focus more heavily on maximizing range of motion and will follow up with exercises to help strengthen the patient’s leg within his or her available range. This progression will allow patients to more successfully use the surgical leg and return to their normal gait pattern.</p>
<p>As patients progress through their recovery, a therapist will initiate exercises to target balance, functional training, and activity-specific training. Depending on patients’ function prior to replacement, they may need more specific interventions to address work-related tasks. A therapist may also challenge patients with more activity-specific exercises to promote a return to their choice of exercise or other recreational activity.</p>
<p><strong>Hands-on Care</strong><br />
Hands-on care is just as important in promoting recovery as exercise is. Physical therapists also have extensive training in manual<br />
skills to reduce pain and swelling and enable patients to regain mobility. Following a joint replacement, a therapist may perform various types of massage to promote decreased muscle soreness and reduce swelling. These can help mitigate pain and swelling, which are often limiting factors in movement and function. Therapists may also use hands-on techniques to promote improved joint mobility, range of motion, and decreased pain.</p>
<p>If you or a loved one are experiencing chronic joint pain or are undergoing a joint replacement in the future, remember that physical therapy can provide pain relief and maximize function. Prehab ahead of a replacement can be helpful to lessen the rehab course and maximize function prior to surgery. Under the care of one of our WWSPT therapists, you or your loved one can be guided through the rehab process with the goal to help return to a prior level of function.</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2020/12/Orthopedic-Rehabilitation.png" alt="" /></p>
<p>The post <a href="https://wwspt.com/physical-therapy-is-essential/">Physical Therapy Is Essential!</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">2957</post-id>	</item>
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		<title>Travis Manion Foundation &#8211; &#8220;If Not Me, Then Who&#8230;&#8221;</title>
		<link>https://wwspt.com/travis-manion-foundation-if-not-me-then-who/</link>
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		<dc:creator><![CDATA[Wendy Webb Schoenewald, PT, OCS]]></dc:creator>
		<pubDate>Thu, 05 Nov 2020 21:20:56 +0000</pubDate>
				<category><![CDATA[5K]]></category>
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					<description><![CDATA[<p>Fall 2020, and #COVID19 has forced the cancellation or a re-schedule of most of our plans. The annual community-wide Travis Manion 5K event, in Doylestown, PA., is one of the important events we have missed most, this year. I have been a participant of The Travis Manion Foundation walk/run since year two. This event honors [&#8230;]</p>
<p>The post <a href="https://wwspt.com/travis-manion-foundation-if-not-me-then-who/">Travis Manion Foundation &#8211; &#8220;If Not Me, Then Who&#8230;&#8221;</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Fall 2020, and #COVID19 has forced the cancellation or a re-schedule of most of our plans. The annual community-wide Travis Manion 5K event, in Doylestown, PA., is one of the important events we have missed most, this year. I have been a participant of The Travis Manion Foundation walk/run since year two. This event honors Travis Manion, other fallen heroes, and friends and family in service with a celebration and with a 5k walk/run. We have many patients and friends who have served our country and we walk/run for them. “We are not just keeping their legacy alive, we are passing their values along to the next generation of leaders.”</p>
<p><img decoding="async" src="WWSPT Team - Travis Manion Run Walk 2020" alt="" /><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2020/11/WWSPT-Team-Travis-Manion-Run-Walk-2020.jpg" alt="" /></p>
<p>WWS Physical Therapy &amp; Vestibular Rehabilitation, #WWSPT, Doylestown, PA. has been a proud sponsor of this run every year, and that has not changed even with the pandemic. This year the event was virtual, where people signed up to run and be a part of a smaller event. We hosted our own little Travis Manion 5K run Sunday, November 1st, at Warwick Park to run or walk the park. We participated in a 3-mile walk/run. Some of us carbo-loaded before the event and had gigantic sandwiches afterward. We wore our masks, complied with the PA guidelines, and came together to commemorate our heroes.</p>
<p><video controls="controls" width="300" height="150"><source src="https://wwspt.com/wp/wp-content/uploads/2020/11/Travis-Manion-Event-Star-Spangled-Banner.mov" /></video></p>
<p><strong>We have many to thank for their support of our Travis Manion Walk/Run event.</strong></p>
<p>First, thank you to Joy Feigles, who serves on the committee for the Travis Manion 9/11 Heroes Run of Doylestown, PA, to honor the heroes of September 11th and the wars since. She organizes expo booths, golf events, and auctions to raise funds in support of TMF’s mission and never misses an opportunity to share the “If Not Me, Then Who&#8230;” mantra of the foundation with everyone she meets.</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2020/11/Travis-manion-logo.png" alt="" /></p>
<p>Thank you to Travis Manion volunteers Jen and Kenny Bauer.</p>
<p>Thank you to Warwick Parks &amp; Recreation, Jamison, PA, for the use of the pavilion. It was the perfect refuge from the rain that began halfway through our run/walk.</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2020/11/Warwick-Parks-and-Rec.png" alt="" /></p>
<p>Thanks To our loyal friends Joe Thiroway, wife Laura, and daughter Elizabeth of BP Solutions, who came out to support us. We are grateful to BP Solutions for making sure we had the necessary cleaning supplies throughout the #COVID19 pandemic to keep the clinic sterilized and clean for our patients and staff.</p>
<p><img decoding="async" src="https://wwspt.com/wp/wp-content/uploads/2020/11/Joe-Thiroway-wife-Laura-daughter-Elizabeth-of-BP-Solutions.jpg" alt="" /></p>
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<p>Thank you to Silvio’s Deli, Hatboro, PA, for the delicious hoagies that we scarfed down after our walk/run!</p>
<p><img decoding="async" class="aligncenter" src="https://wwspt.com/wp/wp-content/uploads/2020/11/Silvios-Deli.png" alt="" /></p>
<p>Last but not least, Thank you to my amazing WWS Physical Therapy &amp; Vestibular Rehabilitation staff and physical therapists. &#8212; Amanda, Jenna, Cassie, Greg, Danielle, and Nellie Thank you also to our families and friends  …including family pets, for their participation.</p>
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<p>https://www.travismanion.org/</p>
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<p>The post <a href="https://wwspt.com/travis-manion-foundation-if-not-me-then-who/">Travis Manion Foundation &#8211; &#8220;If Not Me, Then Who&#8230;&#8221;</a> appeared first on <a href="https://wwspt.com">WWSPT.Com</a>.</p>
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