27
Jan
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: balance, balance disorder, BPPV, disorder, dizziness, dizzy, health, inner ear, physical therapy, positional vertigo, tai chi, Tai Chi and balance disorders, therapy, vertigo, vestibular, vestibular disorder, vestibular disorders, vestibular rehab therapy. Leave a Comment
A recent study conducted in 2008-2009 showed that the martial art practice Tai Chi is an effective treatment for people with vestibular disorders.

Tai Chi
Tai Chi is an practice incorporating slow movements of the body into different postures using your own body’s coordination. According to the American Academy of Otolaryngology, Tai Chi is helpful for those with balance disorders because it helps people concentrate on their own coordination.
http://www.medindia.net/news/Tai-Chi-Proved-Effective-Against-Dizziness-Balance-Disorders-59053-1.htm
10
Jan
Posted by balancechicago in Orthopedic Physical Therapy. Tagged: exercise, health, muscle cramp, physical therapy, treatment. Leave a Comment
A friend of mine was running the other day and caught a cramp in her leg. We were talking about her leg cramps, which turn out to happen quite often, and she asked me what exactly is a cramp and how she can avoid it in the future. I thought I’d share it with my readers!
When you exercise your muscles contract and then relax in quick succession. A cramp happens when your muscle contracts but does not relax, and becomes hardened. It may be difficult, once you have a cramp, to relax the muscle and pain may result.
Some causes of cramps include:
- Injury to the muscle: Muscles may spasm, and then cramp, around the site of an injury to stabilize the injury site.
- Nocturnal cramps: Small movements during the night of muscles causes shortening of the muscles which lead to cramps – which is why you may wake up in the middle of the night with a Charley Horse!
- Dehydration: Fluid loss during exercise causes the muscles to shorten up and tense up. Cramps in seniors may result from poor fluid intake.
Other causes for cramps can be found on the website provided below, but my friend’s reason was most likely from dehydration. For cramps caused during exercise, it is essential that you do a proper warm up and cool down and make sure you get plenty of fluids before, during and after your workout (also can be found on the website provided below). And make sure you stretch before and after your workout!
http://www.medicinenet.com/muscle_cramps/article.htm
10
Jan
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: balance, balance disorder, BPPV, dizziness, dizzy, labyrinthitis, Meniere's Disease, physical therapy, positional vertigo, Support group, tinnitus, vertigo, vestibular, vestibular disorder, vestibular disorders, vestibular rehab therapy, Vestibular Support Group. Leave a Comment
Just a heads up, the next Vestibular Support Group will be taking place in February. Details will be announced soon!
4
Jan
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: balance, balance disorder, BPPV, disorder, dizziness, dizzy, inner ear, positional vertigo, vertigo, vestibular, vestibular disorder, vestibular disorders, vestibular rehab therapy. Leave a Comment
Technology never ceases to amaze me. The amount of information we all have at our fingertips is astounding.
Learn more about your inner ear and how it affects your balance in this quick, 90 second video.
http://www.youtube.com/watch?v=BbKU0AbbARg
Enjoy!
31
Dec
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: aging and dizziness, balance, balance and aging, balance disorder, BPPV, dizziness, dizzy, invisible illness, loss of balance, new year's resolution, physical therapy, positional vertigo, vertigo, vestibular, vestibular disorder, vestibular rehab therapy, vestibular rehabilitation. Leave a Comment
New Year’s Resolutions are always easy to state and hard to maintain. Lose weight, exercise every day, be nicer to your mother, the list of possibilities are endless.

One senior in Boston, Gail Hunter, came up with the right resolution in an effort to age gracefully: Exercise to maintain your sense of balance.
And she is completely correct.
Physical therapy can do wonders for dizziness and balance disorders, one of them being BPPV. Gail states some statistics in her article from VEDA that 50% of dizziness in the elderly is caused by BPPV and dizziness and imbalance are symptoms experienced by 40% of adults 40 years or older. If you are one of these individuals, therapy with a PT trained in vestibular rehabilitation can get you feeling like a million bucks! (And don’t be afraid to ask for your PTs credentials.)
Check out Gail’s full article:
http://www.examiner.com/x-28418-Boston-Senior-Wisdom-Examiner~y2009m12d21-Positive-New-Years-Resolution-8–Maintain-your-sense-of-balance-B-Steady-there
20
Dec
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: balance, balance disorder, BPPV, disorder, dizziness, dizzy, doctor, exercise, health, treatment, vertigo, vestibular disorder, vestibular disorders, vestibular rehab therapy, Vestibular Support Group. 1 Comment
Our new patients in their evaluation often tell us that the initial way that they realized that they had a vestibular disorder was that they turned over in bed and felt a wave of dizziness come over them. This is a key indicator that our patient may have BPPV. BPPV is treatable through physical therapy and through maneuvers like the Epley Maneuver.
Check out the other signs of BPPV:
Dizziness
A sense that you or your surroundings are spinning or moving (vertigo)
Lightheadedness
Unsteadiness
A loss of balance
Blurred vision associated with the sensation of vertigo
Nausea
Vomiting
http://www.mayoclinic.com/health/vertigo/DS00534/DSECTION=symptoms
13
Dec
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: balance, balance disorder, balance test, BPPV, disorder, dizziness, dizzy, doctor, health, physical therapy, positional vertigo, rehabilitation, vertigo, vestibular disorders, vestibular rehab therapy. Leave a Comment
Are you concerned that you may have a balance disorder? Take this self-test to determine whether you should go see an ENT or neurologist about a potential balance/neurological disorder.
http://resourcesonbalance.com/patient_info/printout.aspx
If you answer “yes” to one or more of the questions, you could be at risk. Make sure you consult with your physician or an ENT/neurologist.
8
Dec
Posted by balancechicago in Orthopedic Physical Therapy. Tagged: Chicago Tri Club, Imerman Angels, marathon training. Leave a Comment
Our office takes part in many aspects of our community, one of them being our close knit friendships with the athletic community in Chicago. We are the lead Physical Therapist for the Imerman Angels, the Chicago Tri Club and the National Runaway Marathon team. We hold free injury clinics and stretching clinics for all of our runners/triathletes throughout the year and offer them free injury screenings at any time during the year.

I found great training programs through the NYTimes that will help you get through a marathon (or any long distance race). Hope it helps!
http://health.nytimes.com/run-well/start?ref=health
3
Dec
Posted by balancechicago in Vestibular Disorders - In Depth. Tagged: balance, balance disorder, BPPV, disorder, dizziness, dizzy, evaluate balance, evaluate dizziness, health, inner ear, labyrinthitis, Meniere's Disease, testing dizziness, treatment, vertigo, vestibular disorder, vestibular rehab therapy. Leave a Comment
Every therapist who tests people for balance disorders and dizziness will use similar tests. Here are four examples of the tests that are used, which may include additional explanation if there’s an abundance of scientific terms. Explanations/definitions are in italics and I have edited the copy for better reading comprehension.
Oculomotor examination
Assess for an internuclear ophthalmoplegia [eye weakness] and gaze-dependent nystagmus [involuntary movement in the eye that indicates neurological abnormality]. Nystagmus of peripheral [inner ear] origin typically is unidirectional. Nystagmus of brainstem or cerebellar (ie. central) origin may be bidirectional and have more than one direction. Pure vertical nystagmus almost always is a sign of brainstem disease and not a labyrinthine [inner ear] disorder.
Station (Romberg)
The…Romberg test is having the patient stand heel to toe with 1 foot in front of the other; this test is required to detect abnormalities in younger patients.
Fukuda test (stepping test of Unterberger)
The patient is asked to step in place for 20-30 seconds. Rotation of the patient may indicate a unilateral loss of vestibular tone.
Dix-Hallpike maneuver
The Dix-Hallpike maneuver is one of the most important tests for patients who experience true vertigo. This test involves having the patient lie back suddenly with the head turned to one side. The test results are considered abnormal if the patient reports vertigo and exhibits a characteristic torsional (ie. rotary) nystagmus that starts a few seconds after the patient lies back (latency), lasts 40-60 seconds, reverses when the patient sits up, and fatigues with repetition.
For more information and more tests:
http://emedicine.medscape.com/article/856440-overview