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Physical therapy improves balance and prevents falls

December 11, 2013
Dr. Jerry Moczerniuk P.T., D.P.T. , Clinical Director, db Orthopedic Physical Therapy Association

 

Research has shown that approximately 1/3 of all adults over the age of 65 suffer from at least one fall annually, the prevalence increases to 50 percent in adults over the age of 80. My goal for writing this article is to help the reader understand the reasons why adults over the age of 65 fall, and how to decrease the risk for falls in such population.

Falls are not only an inconvenience, but have also contributed in a major way to health care costs and disability in the older adults. Studies have shown that 20 percent of falls require some sort of medical attention. Furthermore, up to 10 percent of people who suffer from a fall sustain major injury such as major contusion/laceration, head trauma and disabling fractures. Fractures are a greater risk for patients with osteoporosis. You may also be surprised to find out that complications from falls are the leading cause of death from injury in adults over the age of 65.

There are multiple reasons why people fall and they include prior history of falls, visual deficits, gait abnormality, lower extremity weakness, arthritis, balance deficits and environmental hazards. As we age balance regresses, joints become more arthritic, flexibility decreases and reaction time slows down. However, balance impairments can be improved and the risk for falls can be reduced, with practice.

Medical studies show effectiveness of physical therapy interventions in treatment of balance dysfunction and therefore decreasing the risk for falls. Exercise programs may target strength, balance, flexibility or endurance. Programs that contain two or more of these components reduce rate of falls and number of people falling.

A skilled physical therapist is capable of accurately diagnosing balance dysfunction and risk for falls by a comprehensive evaluation including history taking, physical examination, as well as functional/balance tests.At db Orthopedic Physical Therapy we also utilize the Biodex Biosway system, a balance system created for accurate assessment of balance dysfunction and training purposes. The system allows us to establish a balance baseline, train, and later re-assess the patient to determine progress.

Physical therapy treatment should be patient specific and based on needs established during initial evaluation. Most often it will consist of a combination of balance activities, functional training, strengthening and stabilization exercises, as well as environmental awareness/modification training with the patient.

Dr. Moczerniuk is a doctor of physical therapy, member of American Physical Therapy Association, and a clinical director at db Orthopedic Physical Therapy of Manalapan, located at 120 Craig Road, Suite 2. Dr. Moczerniuk can be reached at 732-462-2162, via e-mail atJerry@dborthopt.com, or visit dborthopt.com.

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A Warm and Happy Thanksgiving to you all

Happy Thanksgiving, Friends

I opened A Turning Pointe Physical Therapy in 2003 and Medical Lake Physical Therapy in 2005.  Though I’m proud of our efforts and the wonderful staff with which I’ve been blessed, we would not have survived without the loyal patients that have come to our clinics for our unique style of healing.

Time and time again, we have had  folks comment to us that it’s our tailored, one-on-one sessions and our personal touches that make their visits both effective and memorable.

I’m thankful that the vision that I had for our clinics has come to fruition and I’m thankful for all the wonderful people from our community that I’ve been able to meet.

May I share with you one of my favorite seasonal recipes with you?  I’ve had this one since 2001 and, with minor modifications, have made it very friendly to those with health or digestive issues.

Pumpkin butter - ATP - MLPT - danscpe

Pumpkin Butter

30 oz of pumpkin puree 
1 cup brown sugar
1/2 Tbsp pumpkin pie spice
7 grams (1 small packet) of unflavored gelatin

Combine all in  medium saucepan and stir constantly at medium to high heat until mixture begins to pop.  Then, turn heat down to low and cook (stirring constantly) for 5 minutes.

Remove from heat and place in a glass jar or container in the refrigerator.  Serve on graham crackers, as a cookie topping or eat by the spoonful.

I hope that you can make as much use of this recipe as I have over the years.  Thank you to all the years of your patronage and friendship and I wish you the Happiest Thanksgiving possible.

Nola Petrucelly
Owner

 

 

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Dance and Sports Science – Gjuum

At almost 20 minutes, this might be a bit long but this documentary presented at the Prix de Lausanne 2014 on sports science and dance training by Gjuum is a great reminder that it pays to have someone take a look at your posture and technique not only to prevent and recover from injuries, but to push through a plateau.

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Fall prevention: Simple tips to prevent falls from the Mayo Clinic Staff

Originally posted on mayoclinic.org

Fall prevention: Simple tips to prevent falls

Falls put you at risk of serious injury. Prevent falls with these simple fall-prevention measures, from reviewing your medications to hazard-proofing your home.

Fall prevention may not seem like a lively topic, but it’s important. As you get older, physical changes and health conditions — and sometimes the medications used to treat those conditions — make falls more likely. In fact, falls are a leading cause of injury among older adults. Still, fear of falling doesn’t need to rule your life. Instead, consider six simple fall-prevention strategies.

 1. Make an appointment with your doctor

Begin your fall-prevention plan by making an appointment with your doctor. Be prepared to answer questions such as:

  • What medications are you taking? Make a list of your prescription and over-the-counter medications and supplements, or bring them with you to the appointment. Your doctor can review your medications for side effects and interactions that may increase your risk of falling. To help with fall prevention, your doctor may consider weaning you off certain medications — such as sedatives and some types of antidepressants.
  • Have you fallen before? Write down the details, including when, where and how you fell. Be prepared to discuss instances when you almost fell but were caught by someone or managed to grab hold of something just in time. Details such as these may help your doctor identify specific fall-prevention strategies.
  • Could your health conditions cause a fall? Certain eye and ear disorders may increase your risk of falls. Be prepared to discuss your health conditions and how comfortable you are when you walk — for example, do you feel any dizziness, joint pain, numbness or shortness of breath when you walk? Your doctor may evaluate your muscle strength, balance and walking style (gait) as well.

 2. Keep moving

Physical activity can go a long way toward fall prevention. With your doctor’s OK, consider activities such as walking, water workouts or tai chi — a gentle exercise that involves slow and graceful dance-like movements. Such activities reduce the risk of falls by improving strength, balance, coordination and flexibility.

If you avoid physical activity because you’re afraid it will make a fall more likely, tell your doctor. He or she may recommend carefully monitored exercise programs or refer you to a physical therapist. The physical therapist can create a custom exercise program aimed at improving your balance, flexibility, muscle strength and gait.

 3. Wear sensible shoes

Consider changing your footwear as part of your fall-prevention plan. High heels, floppy slippers and shoes with slick soles can make you slip, stumble and fall. So can walking in your stocking feet. Instead wear properly fitting, sturdy shoes with nonskid soles.

4. Remove home hazards

Take a look around your home. Your living room, kitchen, bedroom, bathroom, hallways and stairways may be filled with hazards. To make your home safer:

  • Remove boxes, newspapers, electrical cords and phone cords from walkways.
  • Move coffee tables, magazine racks and plant stands from high-traffic areas.
  • Secure loose rugs with double-faced tape, tacks or a slip-resistant backing — or remove loose rugs from your home.
  • Repair loose, wooden floorboards and carpeting right away.
  • Store clothing, dishes, food and other necessities within easy reach.
  • Immediately clean spilled liquids, grease or food.
  • Use nonslip mats in your bathtub or shower.

 5. Light up your living space

Keep your home brightly lit to avoid tripping on objects that are hard to see. Also:

  • Place night lights in your bedroom, bathroom and hallways.
  • Place a lamp within reach of your bed for middle-of-the-night needs.
  • Make clear paths to light switches that aren’t near room entrances. Consider trading traditional switches for glow-in-the-dark or illuminated switches.
  • Turn on the lights before going up or down stairs.
  • Store flashlights in easy-to-find places in case of power outages.

 6. Use assistive devices

Your doctor might recommend using a cane or walker to keep you steady. Other assistive devices can help, too. For example:

  • Hand rails for both sides of stairways
  • Nonslip treads for bare-wood steps
  • A raised toilet seat or one with armrests
  • Grab bars for the shower or tub
  • A sturdy plastic seat for the shower or tub — plus a hand-held shower nozzle for bathing while sitting down

If necessary, ask your doctor for a referral to an occupational therapist. He or she can help you brainstorm other fall-prevention strategies. Some solutions are easily installed and relatively inexpensive. Others may require professional help or a larger investment. If you’re concerned about the cost, remember that an investment in fall prevention is an investment in your independence.

The Domancic Method of BioEnergetic Healing

“The information of  health is contained in this energy… making every illness curable.”      –  Z. Domancic

Domancic Method of BioEnergetic Healing, A Turning Pointe Physical Therapy, Spokane WA

We are all built from two components – biochemicals and energy. The energy of the bodies of humans and animals is known as bioenergy – the energy of life. This force surrounds every cell, providing a blueprint for the physical body and serving as a medium for the flow of information through the body. Bioenergy also extends outside of the physical body, creating low frequency electromagnetic fields around us (as well as other subtle energy fields).

Bioenergy therapy is a method based on transmission of energy from one organism to another in order to improve the individual’s condition. Technically defined, bioenergy therapy involves the replenishment of human “bio-currents” and the elimination of energy blocks and disturbances. All things that happen to a physical body are reflected in its energy flow. Biocurrents that are manifested in the biofield surrounding the body are also known as the aura. This energetic aura emits vibrations that can be detected and also measured.

Using this intelligent energy, the Zdenko Domancic Method of Bioenergy Therapy combines simple techniques in specific proven protocols that benefit all health conditions and renew overall well being. It is gentle, non invasive, medicine free, sustainable and is the “greenest”, safest way to promote health – using life itself.

This method addresses health not illness and has been proven to be one of the most structured, most direct and most effective healing modalities in use today.

Balancing and directing bioenergetic information, this powerful therapy uses seven techniques to directly boosts the immune system to help to dissolve tumors, make lesions of MS disappear, and relieve headaches. After the level one seminar, a Domancic Method student has the knowledge needed to practice the therapy and obtain consistent healing results.

The current teacher in the United States – Zoran Hochstatter has been entrusted by Zdenko Domancic to be the sole representative of his Method in the English-speaking world. Zoran teaches all the official Domancic Method seminars in the USA, UK and Canada and is committed to teaching the method in its purest form. He spends his time healing and teaching in the US and Europe.

Since 2007, official Domancic Method Bioenergy Training seminars have been held in the USA, UK and Canada. Seminars are comprised of people of all ages, backgrounds and ways of life. Doctors, nurses, vets along with practitioners of other methods of complementary healthcare such as Reiki, Quantum Touch, Chiropractors, Acupuncture, and Homeopathy learn side by side with truck drivers, computer scientists, stock brokers and devoted family members who were being introduced to a healing modality for the first time and all have similar positive results.

We are excited to announce that at the request of  A Turning Pointe Physical Therapy, Spokane will have it’s first Level One BioEnergy Training seminar in October 2013!!! If you are interested in attending, please contact us directly at 509-326-8878 or send an email to admin@turningpointept.com. We are filling up fast and only have a few spots left!!!

Also, if you are interested in learning more about this amazing therapy, please watch THINK ABOUT IT, a documentary about bioenergy healing featuring the creator of the method, Zdenko Domancic, along with cutting edge researchers such as Dean Radin and Marilyn Schlitz.

There are more great videos here highlighting the amazing results gained with Bioenergetic Healing using the Domancic Method.

For more info and testimonials please visit the official website for the Domancic Method USA,UK and Canada (www.healingbioenergy.com)

Read daily testimonials on their official facebook page. (www.facebook.com/bioenergy)

And, as always…..”Feel Better!!!”

 

 

Gravity

a turning pointe gravity

 

When it comes to structural integration, gravity is our best friend. When properly aligned, our bodies hold our strength and form better, injuries are prevented and our circulatory, nervous and lymphatic systems are allowed to run their course properly.

Imagine a 2 pound cantaloupe on the end of a 2 foot stick. If we were to grab the base of the stick and hold the melon straight up, most of us would have little problem doing so. The direct downward pressure would be manageable enough for our hands, forearms and back to accommodate. Now, slowly lean the stick and melon away from you. Doing this changes the muscles that are being used to support it. Tension is removed from the back and biceps and placed squarely on the forearms and front body wall. The further the stick leans, the greater the pressure and eventually, even the strongest among us would be unable to keep the stick aloft.

Or, imagine a carefully stacked pile of rocks, where each stone is resting on its neighbor in the perfect manner in order to keep the pile upright. Could any of the stones be replaced with a different one and still keep its position? Would the removal of part of one stone, an injury perhaps, keep the stone strong enough to do its function? Sure, if one of the middle stones is injured we could create a patch (surgery) to repair the damage or shore up the weakness …… but the damage would still remain. The tower would still be weakened.

Some individuals may perceive their losing fight with gravity as a sharp pain in their back, others as the unflattering contour of their body, others as constant fatigue, yet others as an unrelentingly threatening environment.  Those over forty may call it old age.  And yet all these signals may be pointing to a single problem so prominent in their own structure, as well as others, that it has been ignored: they are off balance, they are at war with gravity.

Ida P. Rolf, Ph.D.

Thankfully, we aren’t sticks and stones. Though we’re subject to the same laws of gravity, our bodies are blessed with the ability to heal and strengthen. Evolution has blessed us with the ability to retrain our soft tissue so that we may remedy the damage done by most injuries. Additionally, even after years of overcompensation, we can retrain our tissues to relieve us of the maladies we’ve inflicted on ourselves.

Remember that car accident 20 years ago? Your left knee was injured and you’ve been listing to the right since then and now your lower back pain is too much to tolerate. Those headaches? Are they caused by the vertebra that was tweaked and had been altering  nerve impulses to and from the brain? Is proper organ function being interfered with because of your worsening scoliosis?

Structural integration and our related practices are not miracle cures. What they do is attempt to place your body back into a position where your native systems can work to their maximum effectiveness. We don’t heal you. You heal yourself.

At A Turning Pointe Physical Therapy, we know that your body can be your best friend and most effective hearing resource. We want you to “Feel Better!”

This is the gospel of Rolfing: When the body gets working appropriately, the force of gravity can flow through.  Then, spontaneously, the body heals itself.

Ida P. Rolf, Ph.D.

 

E-mail Correspondences

Dear Valued Clients,

Thank you for choosing Turning Pointe Physical Therapy, Inc. for your physical therapy needs.  We are excited to provide you with the highest quality of care.  In the interest of quality and excellence, keeping costs down is a big factor. In order to keep costs at a reasonable level, as well as expedite customer communication, we would like to start sending correspondences via electronic mail (e-mail), such as Billing Statements, Payment Receipts, New Client Intake Forms, etc… If you are interested in receiving these correspondences via e-mail, and allowing us to not send them via the standard postal service, please send an e-mail message to the address below stating as such.

Example: “I, Jane Doe, agree to have all correspondences sent via e-mail and will no longer desire a paper copy.” If you desire a specific paper copy, such as annual statement, sent via postal, please state that in your response, otherwise, all correspondences will be via e-mail upon receipt of your message.

Sincerely,

Nola B. Petrucelly, CEO                                     E-mail: admin@turningpointept.com

Facilitating Healing Akin to Nuturing a Plant

To hurt is as human as to breathe.

J. K. ROWLING

 

There has been no person who has not experienced some type of injury or trauma in his/her lifetime. We are all connected in the rawness of life by the pains and joys it brings. Why, then, is it that we often feel disconnected from human compassion and nurturing when seeking medical care? I’ve experienced, and frequently clients relay to me, the feeling of being passed through the medical system without thought or care.  It’s as if the personhood has become irrelevant while the disease/condition is paramount as a separate entity.

I often think about why I decided to pursue physical therapy. 19 years ago, I was an injured dancer with little help from the medical community with rehabilitating my painful knees. It wasn’t until I worked with a skilled physical therapist that I saw someone with the passion to provide education for better function while also giving support through the process of healing. This life changing event impressed on me a kindness that could exist in the medical community and the power that compassion and encouragement can have on a person dealing with an injury. Lately, though, it seems as if this passion-driven practitioner has gone missing, with the act of healing being replaced instead by “fixing.”

A recent article in the Wall Street Journal was very poignant on this subject. http://blogs.wsj.com/speakeasy/2012/04/25/should-a-doctor-be-like-a-gardener/

In this article, Victoria Sweet illustrates a fantastic paradigm shift in viewing the human body while also touching on our ability to offer our humanness to our clients as a connection point for the facilitation of healing.

Sweet’s thoughts on facilitating healing in patients are comparable to several of the types of therapy we provide here at A Turning Pointe Physical Therapy. Structural Integration, the brainchild of Ida Rolf, was born from the philosophy that   “When the body gets working appropriately, the force of gravity can flow through. Then, spontaneously, the body heals itself.”  The underlying principles of Structural Integration are rooted in the notion that balancing the body in all directions, front to back, side-to-side, inside to outside, promoting an integration of all connective tissue within the body. Since the body works together as a whole, any misalignments interfere with this wholeness. Rolf believed that through integration, wholeness and balance could be restored, thereby reducing emotional as well as physical stress. This philosophy is what led me to begin practicing Structural Integration (Rolfing) and to open A Turning Pointe Physical Therapy in 2003.

Similar principles of self-correction are mirrored in Frank Lowen’s Dynamic Manual Interface (DMI) work. DMI utilizes the body’s self-corrective mechanisms to improve tissue mobility, biomechanics and system balance.  While the basic concepts of DMI are simple, the training for the hands and the mind is extensive. Laurie Levine-Lowen, OTR and Gene Suzuki, PT are two very gifted providers who are passionate to provide DMI at A Turning Pointe Physical Therapy.

Manual Lymphatic Drainage (MLD) is another service provided at A Turning Pointe Physical Therapy. Damage to the lymphatic system can occur in many ways including surgery, radiation, chemotherapy, trauma, and vascular insufficiency. Since the lymphatic system aids the immune system in removing and destroying waste, debris, dead blood cells, pathogens, toxins, and cancer cells, damage to this system can cause excessive lymph fluid to accumulate in the tissue.  By providing MLD and educating the client is self-massage at home, the lymphatic vessels are stimulated to push the backed up lymph fluid into small capillaries to allow for drainage, filtering, and excretion of this fluid. Nola Petrucelly, PT provides MLD at A Turning Pointe Physical Therapy.

It has long been my belief/philosophy that an integrative approach to care combined with compassion has proven to be the best combination to facilitate healing. A quick fix in medicine loses sight of how the body is made to heal itself. Additionally, when we realize that a body is estimated to have over six trillion reactions taking place at any given moment, even a small bit of support for the healing process can ignite a more permanent resolution. Just as Voltaire once stated “amuse the patient while nature cures the disease.”

 

Nola Petrucelly

“Feel better”

Finding us on the Spokane Bus Routes

After being in this building for so many years, you’d think we would know the bus routes we’re on.

Well, we don’t, but after a bit of research, we’ve found out that answer and have this handy Spokane Transit Authority map to help folks get to us at our South Hill office.  The #2 and #44 buses go right near us and the bus stop is about 300 ft east of us in front of Sacred Heart Hospital.

STA 2011System Map

At all times, we’re just a phone call away to help with any information that you need to find us.  Give us a call at 509.326.8878 and “Feel Better!”