A vestibular assessment is a series of tests and evaluations conducted to assess the function of the vestibular system, which is responsible for maintaining balance and spatial orientation. These assessments are typically performed by healthcare professionals, such as audiologists or physical therapists, who specialize in vestibular disorders. The assessment may include a combination of subjective reports from the patient, objective tests to measure eye movements and balance, and imaging studies to rule out other potential causes of symptoms. The goal of the assessment is to identify any abnormalities or dysfunction in the vestibular system and determine the appropriate course of treatment.
Common symptoms that indicate the need for vestibular rehabilitation include dizziness, vertigo, imbalance, unsteadiness, and difficulty with coordination. These symptoms may be caused by various vestibular disorders, such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease. Additionally, individuals who have experienced a head injury or have undergone surgery that may have affected the vestibular system may also benefit from vestibular rehabilitation. It is important to consult with a healthcare professional to determine if vestibular rehabilitation is appropriate for specific symptoms and conditions.
In a recent article in The Lancet Rheumatology, researchers show how lower back pain is a rapidly escalating global issue, affecting an estimated 619 million people in 2020 – nearly 10% of the world’s population. Experts predict that this number will reach 843 million by 2050.Compounding problems in the lower back epidemicAsia and Africa are expected to experience the most significant rise in lower back pain cases. These regions often already face challenges due to limited and overburdened social support systems and healthcare resources.The COVID-19 pandemic has further exacerbated the problem. Increased inactivity due to lockdowns and poor ergonomics from remote work setups have contributed to the intensity and prevalence of lower back pain. Additionally, limited access to healthcare services during the pandemic has added to the suffering of individuals already affected by this condition.It’s important to consider that the provided figures may underestimate the true burden, as they do not fully account for the impact of the pandemic.The Societal Burden of Lower Back PainLower back pain imposes a substantial burden on society and the economy. In the United Kingdom, the National Health Service spends nearly £5 billion annually on general practitioner appointments alone for this condition.Similarly, the cost of lower back and neck pain in the United States reached a staggering $134 billion in 2016. Of course, the consequences extend beyond the financial costs.Lower back pain leads to increased absenteeism, reduced productivity, and early retirement, particularly among the working-age population. There is also a strong association between lower back pain and higher rates of depression, leading to prolonged disability and hindering recovery.The researchers warn it is crucial to address the societal impact of lower back pain and develop comprehensive strategies to mitigate its effects.Addressing the Issue of Back Pain GloballyAddressing the global issue of lower back pain will require immediate attention and collaborative efforts. Solutions should prioritize strategies aimed at alleviating lower back pain in the workplace, where many people spend a significant part of their time.Implementing ergonomic practices and promoting physical activity can help prevent and reduce the problem of lower back pain. Moreover, improving access to rehabilitation services is essential for effective management and recovery.Specialized training for healthcare practitioners in the treatment of lower back pain can lead to better outcomes and patient care. Additionally, reducing reliance on ineffective and potentially harmful treatments, such as opioids, is crucial.Finally, the researchers stress that governments, healthcare systems, and policymakers must work together to prioritize lower back pain and allocate resources effectively. By taking proactive measures, we can alleviate the burden of lower back pain and improve the quality of life for millions of individuals worldwide.Are you a professional helping in the fight against lower back pain? Take your practice to the next level with our lumbar area anatomy models.Via Dr. Jerome Fryer - Dynamic Disc DesignsCheck out our EXCLUSIVE Anti-Nocebo BLUE Nucleus Disc Model! This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-12
Andrew Rothschild is back with an interesting case of severe pain and hyperalgesia around the scapula area in a CrossFit Athlete. This is the second time in 1 year after good resolution the year prior. Both times there was no clear cut mechanism of injury. Then randomly on social media, Andrew saw two posts regarding a differential diagnosis of severe pain in this area in overhead athletes. Treatment ended up being the same, but it makes for interesting discussion on how and why these things may happen. Ever seen a case of nerve entrapment like this? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
.jpg)
Posted by on 2023-06-08
For this episode, Erson talks about a recent case of marathon runner diagnosed with a grade 1 hamstring strain. It was an insidious onset after wearing orthotics for forefoot overpronation. Ever see anything similar in your practice? Do you screen the spine on every extremity patient? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-30
Sometimes a point in your career is reached where you just want something different. Other times, a particular case can ignite that spark or drive to make the change. Today, we're joined by Dr. Ryan Martin, who is making waves currently in the MSK Ultrasound world. You can follow him on LinkedIn here. Ryan gives his origin story and how he got where is today, a leader in the field of MSK Ultrasound and advocate for PTs. Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-23
In this episode, Erson is joined by Dr. Malik Parker. He happened to stumble upon some quick fixes for bilateral thumb issues. Have you ever seen something like this in your practice? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-16
Vestibular rehabilitation helps in improving balance and reducing dizziness by utilizing exercises and techniques that promote compensation and adaptation within the vestibular system. The exercises are designed to stimulate the vestibular system and challenge the balance system, allowing the brain to gradually adapt and compensate for any dysfunction. This process involves retraining the brain to rely on other sensory inputs, such as vision and proprioception, to maintain balance and spatial orientation. Over time, this can lead to improved balance, reduced dizziness, and increased confidence in performing daily activities.
There are various exercises and techniques used in vestibular rehabilitation, tailored to the specific needs and goals of each individual. These may include gaze stabilization exercises, which involve focusing on a stationary object while moving the head; balance training exercises, such as standing on one leg or walking on uneven surfaces; and habituation exercises, which expose the individual to movements or positions that provoke dizziness or vertigo in order to desensitize the vestibular system. Additionally, manual techniques, such as canalith repositioning maneuvers, may be used to treat specific vestibular disorders, such as BPPV.
Vestibular rehabilitation can be effective for individuals with chronic vestibular disorders. While some individuals may experience immediate improvements, others may require ongoing therapy and practice to achieve optimal outcomes. The duration and frequency of vestibular rehabilitation will vary depending on the individual's specific condition and response to treatment. It is important to work closely with a healthcare professional to develop a personalized treatment plan and monitor progress over time.
While vestibular assessment and rehabilitation are generally safe, there may be some potential risks or side effects associated with certain exercises or techniques. These risks can include temporary increase in dizziness or vertigo during or immediately after the exercises, muscle soreness or fatigue, and potential falls or injuries if not performed under the guidance of a healthcare professional. It is important to follow the instructions and recommendations provided by the healthcare professional and communicate any concerns or adverse effects experienced during the rehabilitation process.
The time it takes to see improvements in balance and dizziness symptoms after undergoing vestibular rehabilitation can vary depending on the individual and the severity of their condition. Some individuals may experience significant improvements within a few weeks of starting therapy, while others may require several months of consistent practice and therapy sessions to achieve noticeable changes. It is important to have realistic expectations and understand that the rehabilitation process may require time and dedication. Regular communication with the healthcare professional overseeing the rehabilitation program can help track progress and make any necessary adjustments to the treatment plan.
Vibration therapy has been found to offer several benefits in the rehabilitation process following ACL reconstruction. Firstly, it can help improve muscle strength and power by stimulating muscle contractions through the use of mechanical vibrations. This can aid in the restoration of muscle function and prevent muscle atrophy, which is common after surgery. Additionally, vibration therapy has been shown to enhance proprioception, which is the body's ability to sense its position in space. By improving proprioception, individuals can regain better control and stability of their knee joint, reducing the risk of re-injury. Furthermore, vibration therapy can also promote blood circulation and lymphatic drainage, which can aid in reducing swelling and inflammation in the affected area. Overall, incorporating vibration therapy into the rehabilitation program after ACL reconstruction can contribute to faster recovery, improved functional outcomes, and reduced risk of complications.
Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach that can significantly improve motor function in stroke patients. PNF involves a series of exercises and techniques that aim to enhance proprioception, muscle strength, and coordination. By incorporating specific patterns of movement and stretching, PNF helps retrain the brain and nervous system to regain control over affected muscles and joints. This approach utilizes the principles of motor learning and neuroplasticity, which allow the brain to create new neural pathways and adapt to the changes caused by stroke. PNF also focuses on promoting functional movements and activities, which are essential for stroke patients to regain independence in their daily lives. Additionally, PNF incorporates various sensory inputs, such as touch and resistance, to stimulate the proprioceptors and enhance motor control. Overall, PNF is a highly effective intervention that can improve motor function in stroke patients by targeting specific impairments and facilitating the recovery process.
The Graston Technique offers several advantages for soft tissue mobilization. Firstly, it is a non-invasive and non-surgical approach, making it a safe option for patients. Additionally, it is highly effective in treating various soft tissue conditions such as scar tissue, muscle strains, and tendonitis. The technique utilizes specially designed stainless steel instruments to detect and treat areas of soft tissue dysfunction, allowing for precise targeting and treatment. This targeted approach helps to break down scar tissue, improve blood flow, and promote tissue healing. Moreover, the Graston Technique can be used in conjunction with other therapies, such as exercise and stretching, to enhance overall treatment outcomes. Overall, the Graston Technique provides a unique and effective method for soft tissue mobilization, offering patients a non-invasive and targeted approach to address their specific soft tissue issues.
The principles of tissue healing are essential in guiding treatment interventions. These principles include inflammation, proliferation, and remodeling. In the inflammation phase, the body responds to tissue injury by releasing inflammatory mediators, which attract immune cells to the site of injury. This phase is crucial for removing debris and initiating the healing process. The proliferation phase involves the formation of new blood vessels and the production of collagen, which helps in the formation of new tissue. Finally, the remodeling phase focuses on the reorganization and strengthening of the newly formed tissue. Treatment interventions are guided by these principles, aiming to promote and support each phase of tissue healing. For example, interventions may include the use of anti-inflammatory medications to control excessive inflammation, physical therapy to promote blood flow and tissue regeneration, and exercises to improve tissue strength and flexibility. By understanding and applying these principles, healthcare professionals can optimize treatment interventions and facilitate the healing process.
The McKenzie Method, a widely used approach for the classification and treatment of disc herniation, employs a comprehensive system to assess and manage this condition. The method classifies disc herniation based on its location, size, and direction of protrusion, allowing for a more targeted treatment approach. Treatment typically involves a combination of specific exercises and movements that aim to centralize and alleviate symptoms. These exercises focus on promoting proper spinal alignment, reducing pressure on the affected disc, and improving overall spinal function. Additionally, the McKenzie Method emphasizes patient education and self-management techniques, empowering individuals to take an active role in their recovery and prevent future episodes of disc herniation.
Therapists incorporate mindfulness-based techniques into chronic pain management by utilizing various strategies that promote present-moment awareness and non-judgmental acceptance of pain. They may guide patients through mindfulness meditation exercises, encouraging them to focus their attention on bodily sensations and observe them without reacting or labeling them as good or bad. Therapists may also teach patients to practice mindful breathing, where they pay attention to their breath as a way to anchor themselves in the present moment and cultivate a sense of calm. Additionally, therapists may incorporate body scan exercises, where patients systematically bring their attention to different parts of their body, noticing any sensations or areas of tension. By integrating these mindfulness-based techniques into chronic pain management, therapists aim to help patients develop a new relationship with their pain, reducing suffering and improving overall well-being.
Individuals with chronic obstructive pulmonary disease (COPD) should follow specific exercise guidelines to manage their condition effectively. These guidelines recommend a combination of aerobic exercises, such as walking, cycling, or swimming, along with strength training exercises to improve muscle strength and endurance. It is important for individuals with COPD to engage in regular physical activity to enhance their lung function, reduce breathlessness, and improve overall quality of life. However, it is crucial to consult with a healthcare professional or a pulmonary rehabilitation specialist to develop an exercise program tailored to the individual's specific needs and limitations. The exercise program should be progressive, starting with low-intensity activities and gradually increasing the duration and intensity over time. Additionally, individuals with COPD should incorporate breathing exercises, such as pursed-lip breathing and diaphragmatic breathing, to improve their breathing efficiency and control. Regular exercise, when done correctly and under professional guidance, can significantly benefit individuals with COPD by improving their exercise tolerance, reducing symptoms, and enhancing their overall well-being.
The Mulligan Concept is a manual therapy approach that focuses on the treatment of musculoskeletal conditions. It is based on several key principles that guide its application. One of the main principles is the concept of mobilization with movement, which involves applying a sustained glide or sustained natural apophyseal glide to a joint while the patient performs a specific movement. This technique aims to restore normal joint mechanics and improve function. Another principle is the use of pain-free techniques, where the therapist ensures that the treatment does not cause any pain or discomfort to the patient. This helps to create a positive treatment experience and promotes patient compliance. Additionally, the Mulligan Concept emphasizes the importance of patient education and active participation in the treatment process. Patients are encouraged to take an active role in their own recovery by performing prescribed exercises and maintaining good posture and body mechanics. Overall, the key principles of the Mulligan Concept revolve around restoring joint function, minimizing pain, and empowering patients to take control of their own healing process.