The Center for Balance Recovery and Fall Risk Management provides specialized care for people suffering from dizziness, vertigo, and vestibular or neurological balance disorders, including:
- Loss of Balance
- Unsteady Gait
- Multiple Sclerosis
Specialized physical therapy treatment is available for people who have balance impairment and falls due to a variety of diagnoses including:
|Balance Impairment||NeuroCom Assessment & Retraining|
|Vestibular Therapy||Meniere’s, BPPV, Vestibulopathy|
|Fall Risk Management||Parkinson’s, MS; Stroke; Concussion|
How Can Therapy Help My Balance Problem?
The American Academy of Otolaryngology has issued a position statement on the treatment of balance related disorders:
“Balance Re-training Therapy is a scientifically based and clinically therapeutic treatment for persistent dizziness and postural instability (static & dynamic imbalance) due to incomplete compensation after peripheral vestibular or central nervous system injury.”
The physical therapy evaluation for those patients suffering from dizziness, balance impairment or gait abnormality is a comprehensive assessment of your history of dizziness, vertigo, loss of balance and fall history or risk. We perform a neuromuscular exam, gait analysis and functional balance assessment. These findings are supplemented with an occulomotor and vestibular examination.
In many cases, it is appropriate to perform a computerized functional assessment of your balance capabilities and/or deficiencies. Based on our findings, we develop individualized clinical treatment and home management programs using specialized, evidence-based, treatments and techniques to improve balance, decrease dizziness and prevent falls.
State-of-the-Art Balance Assessment and Balance Re Training Technology
NeuroCom Smart Balance Master Systems
We utilize the same advanced state-of-the-art balance assessment and re-training technology as that used by NASA to test its astronauts, including U.S. Senator John Glenn. The Smart Balance Master System allows the therapist to objectively measure and quantify the physical impairments brought on by balance disorders and how they cause functional limitations which affect their daily lives; at work, at home and out in the real world, such as in crowded areas. Our system provides testing data for accurate evaluation, planning of balance re-training exercises and documentation for your physician about your condition and progress.
Sensory Organization Testing
During a functional performance evaluation, we obtain information about your ability to organize the information received from the different body senses [outlined above] that are contributing to balance and possibly causing your balance impairment, walking difficulty or risk of falling. Testing is simple and painless without any pre-testing preparation required.
Click image for closeup
Click image for closeup
This information is then used to understand how your balance problem is affecting your functional difficulties and impacting on your life, by compromising your postural stability, independent walking capability, risk of falling and general health and safety.
By combining traditional therapeutic exercise techniques while utilizing our sophisticated technology, we are able to develop treatment programs that are individually tailored to the patient, using visual feedback, guided exercises and simulated life situations, promoting recovery of your balance disorder. Progress is measurable and objective, eliminating guess work and estimates.
Dizziness, Loss of Balance, Unsteady walking and falling down:
- Do you get periods of dizziness or vertigo?
- Do you have trouble walking?
- These problems can interfere with the daily lives of people of all ages.
By combining traditional therapeutic exercise techniques with our sophisticated technology, we are able to develop treatment programs that are individually tailored to the patient, using visual feedback, guided exercises and simulated life situations, promoting recovery of your balance disorder.
There are many causes of dizziness and balance disorders.
Neurological disorders, vestibular dysfunction, orthopedic injuries, anxiety, depression, various diseases, chemical toxicity and some medications can contribute to the decline or destruction of one’s balance mechanism
Millions of Americans are affected by vertigo, dizziness, and a sensation of unsteadiness (disequilibrium). In fact, fall-related injuries due o balance disorders are a leading cause of disability and mortality in adults age 65 and over.
Dizziness, vertigo, and imbalance may be due to many factors. These may include dysfunction within the brain and nervous system or of organs of the inner ear, known as the vestibular system. The vestibular system is responsile for sending information to the brain about changes in head position and movement. In the majority of cases, dizziness is thought to result from vestibular dysfunction.
The Center for Balance Recovery and Fall Risk Management at OrthoBalance Physical therapy provides specialized care for people suffering from dizziness, vertigo, and vestibular or neurological balance disorders. Individualized physical therapy evaluation and treatment is available for people who have balance impairment and falls due to a variety of diagnoses including:
- VESTIBULAR DISORDERS
– Labrynthitis– Ototoxicity– Meniere’s– BPPV
- NEUROLOGICAL DISORDERS
– CVA– Head Trauma– Parkinson’s– Multiple Sclerosis
- ORTHOPAEDIC DISORDERS
– Skeletal Trauma (fractures)– Joint Replacement– Osteoporosis
What Controls Balance?
|The eyes (vestibular-ocular reflexes)|
|The inner ear (vestibular disorders; from disease or ototoxicity)|
|The joints (somatosensory impairment from severe joint trauma or surgery)
Messages go to the brain and are interpreted in the cerebellum, which then directs the muscular system to maintain balance and support. Disorders in any or all of these systems can cause balance problems which can result in a fall.