Anytime an individual is asked to administer an exercise program for a client with a major chronic disease, the practitioner must determine if the program will help facilitate the management of disease or if exercise (or certain types of exercise) will cause the condition to worsen. Table 2 justifies the use of exercise and highlights the importance of recommending exercise for patients with Meniere’s disease, although very little research has been conducted on the population directly. One cohort study, found that as many as 50% of patients with Meniere’s disease use some form of exercise to help manage their condition (Kentala, 2013). While this study didn’t examine the effectiveness of exercise on Meniere’s disease directly, it indirectly …show more content…
This is especially important because individuals with balance related disorders can have ADL impairments, resulting in loss of independence (Meli, 2006). When designing a training program, data from the assessments can be used to: (a) set goals, (b) determine safety parameters/identifying exercise contraindications, (c) modify exercises, and (d) track progress. One method of obtaining assessment information is through collaboration with the individual’s physical therapist (PT). Having access to an evaluation conducted by a PT is a major asset because it will can provide detailed information about positional limitations, previous rehab programing, and other screening information. Research shows that vestibular rehabilitation programs conducted by physical therapists can improve balance and other coordination-based abilities (Nyabenda, Briart et al. 2003; Gottshall, Hoffer et al. 2005). When dealing with a client who has undergone vestibular rehabilitation, it is important to have the original program to help determine exercise progressions and/or regression. If an individual with Meniere’s hasn’t previously conducted a vestibular rehabilitation program, a referral might be necessary. In addition to the data from the PT, trainers may incorporate self-report instruments such as the Dizziness …show more content…
Until conflicting evidence is found, general guidelines may be utilized for the individual’s with Meniere’s, however, a few observations should be considered. Individuals with Meniere’s may benefit from exercise modalities that work in other balance/coordination based ailments including: (1) Tai chi, (2) yoga, (3) video games, (4) dance, (5) aquatic therapy and (6) balance/fail training (Šumec, 2015). Rotational exercises have also been shown to effectively train balance abilities (Brant, 2001, Nyabenda 2003). While free weights may improve coordination, safety needs to be considered before incorporating them into your program. Safety should also be considered before recommending water based activities because directional disorientation could lead to drowning, if an attack occurred underwater. Overall the personal trainer must consider the unique aspect of the Meniere’s sufferer’s diagnosis, severity of symptoms, fitness level, and individual exercise preferences before designing a training plan. It is imperative that safety precautions be taken due to the increased risk of loss of
As a future physical therapist, my main goal will be to improve my patients’ overall quality of life. Being a kinesiology major, I love to study the body’s movements. One category of movement, in particular, that interests me is exercise. I have taken classes in exercise physiology and physical education. I believe I can apply this knowledge in my future physical therapy programs. This would be done by, not just treating the patients in the clinic every week, but also creating an exercise program they can incorporate into their daily lives - something they can use even after recovery. Through my experience I have also found that some patients don’t understand, or are not in tune with, their bodies to know what actions are problematic verses
The biomechanical approach assumes that the client has the capacity for voluntary control of the body (muscle control) and mind (motivation). It is anatomy and physiology that determines normal function, and humans are biomechanical beings whose range of motion (ROM), strength, and endurance have physiological and kinetic potential as well as role relevant behaviors. The biomechanical frame of reference is a key reference to use in conjunction with various others in enabling OT to access and identify a client’s occupational performance within the various activities of daily living. It is important when taking a holistic approach to practice, as
My Bachelor’s in Exercise Science has equipped knowledge of the human anatomy and physiology, and exercise testing and prescription for people of different ages and health conditions. During my attendance at the University of Texas at Arlington, I joined the Little Mavs Movement Academy directed by Dr. Priscilla Cacola. I volunteered for a year in this program; while in the program I had the opportunity to learn about developmental coordination disorder (DCD) and how it interferes with activities of daily living and learning of
Special exercises designed to suit different conditions can be very useful. A physiotherapist would be the one who makes an assessment keeping in mind clients condition e.g.
The ear is made up of three parts, the outer ear, the middle ear and the inner ear. The ability to hear is dependent on these three parts of the ear working together, and a problem with any part can cause hearing loss (heaing loss education centre, 2012). The inner ear consists of the cochlea, the auditory hearing nerve and the brain. These are the organs of hearing and balance and convert sound waves into nerve signals. These signals are sent to the brain using a nerve called the vestibulocochlear nerve. Nerve deafness occurs if there is damage to the inner ear and although it is possible to regain some hearing through the help of a hearing device, nerve deafness is often permanent. (deaf websites, 2013)
The standard scope of practice of a Doctor of Physical Therapy consists of providing exercises and services that “prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions” as well as creating goals that will guide my patient to better mobility (The Physical Therapy, 2015). Physical therapy is a dynamic form of health care that focuses on rehabilitation, risk-prevention exercises, and performance
Throughout this experience, I watched as they targeted more than just strength and flexibility, but also balance, gait, coordination, and sensory issues. Their
Patients will report to physical therapists with a multitude of impairments throughout the progression of the disease. The most prominent impairments will present during cerebellar testing. Patients will show signs of dysmetria, dysphasia, dysdiadochokinesia, and ataxia primarily as a result of the atrophy and damage to the cerebellum. Instability and lack of postural control will be demonstrated during the Romberg's test. Additionally, cranial nerve testing will have positive results for many cranial nerve palsies such as CN III, V, VII, IX, and XII. Patients show weakness in their trunk and extremities during the manual muscle testing. Vestibular testing will result in abnormal VOR, saccades, smooth pursuits and nystagmus. As a result of these impairments, patients experience functional limitations. Primarily, these patients are considered to be “high fall risks,” which ultimately decreases their independence due to weakness, instability and decreased postural control. These patients will feel uncomfortable in many situations and be unable to function independently in the community. This creates an increased risk for further injury. Due to the dysmetria and weakness, patients will also experience difficulty with their daily living skills, such as maintaining proper hygiene; They will have trouble bathing themselves and brushing their teeth without assistive equipment. PT interventions can help minimize and control these limitations. The implementation of balance training and assistive devices will be imperative interventions for an individual to modify and adapt to their gait
However, client demonstrate deficit in narrow BOS balance and tandem standing balance with closed eyes and slight resistance. In addition, client was concerned about her balance during one leg rising with opposite hand raising gym exercise. Client will attend occupational therapy services 3x per week and will be able to stand on balance board for 1 minute with wider BOS while holding side bar to improve her balance. For long term goal, client will attend occupational therapy services 3x per week and will be able to stand independently on balance board for 1 minute with narrow BOS to improve her endurance, strength and balance while standing. Client will get education from an occupational therapist for increasing her BOS while standing, and to hold side rail while walking/exercising to avoid future fall accident. It is also recommended that client will attend outpatient physical therapy service to address her balance
One of the most common models utilized at Glens Falls Outpatient Rehab was the PEO model. During the initial evaluation, we would ask their basic medical history and then further questions lead into the changes in their functional abilities to engage in everyday occupations. We would inquire about their living environment and if they have found anything throughout their day that is easier or difficult. This area was explored when going over home exercise plans and adaptive ways to engage in their desired occupation while healing. Many patients reported doing their tendon glides while waiting at a red light during their driving occupation. In addition, the facility used a form called the LIFEware System that is used as an outcome-tracking
MS is a disease that involves that demyelination of the neuromuscular system (cite). This autoimmune disease is characterized by extreme fatigue and limited mobility; this in turn affects his or her balance. In this study done by Dr. Jeffrey Herbert and company, thirty-eight subjects underwent a fourteen-week single-blinded, randomized controlled trial aimed to combat vestibular deficiency using a VR program and exercise protocol for endurance training. The subjects were then randomly allocated into three separate groups: experimental intervention (12), exercise intervention (13), and control (13). Additionally, the following weeks were organized into three phases: 1. Measuring the patient’s baselines (Week 1-4) 2. Performing the interventions in a human performance laboratory (Week 5-10) and 3. Measuring the outcomes (Week 11-14). The experimental group worked on a VR program that has clinical and literature based evidence that includes upright postural control and eye movement exercises (cite). A firm surface, foam cushion, and tiltboard were all used to change the base of support (BOS) during upright postural control, in addition, the investigators also challenged the subjects by closing/opening their eyes, tossing objects for them to catch, and changing their feet placement (shoulder width, heels together, partial heel to toe, and tandem). The eye movement exercises for the protocol
Instructions: Complete this form for your duo/trio. While you watch the videotape of your presentation, make comments for each section of the form (strengths and opportunities for improvement for each speaker). Add your combined input on the assignment itself. Review the presentation outline as well. Combine your thoughts onto one form and submit through Blackboard as noted in the overall assignment instructions.
2. Provide vestibular and auditory sensory activities, such as jumping on a trampoline, swinging, running, riding a scooter, lycra swing, riding a skate board, and listen to soothing music.
After cognitive assessment, we will use a computerized system to evaluate standing balance. We will repeat balance assessment two more times, once participants will be simultaneously engaged in performing 0-back and once with the concurrent performance of
The philosopher Plato (427-347 BC) said: “Lack of activity destroys the good condition of every human being, while movement and methodical physical exercise save it and preserve it” (Vina, Sanchis‐Gomar, Martinez‐Bello, & Gomez‐Cabrera, 2012, p. 2). Exercise has several benefits; it enhances the overall health of a person. It is important for strengthening the muscles, building bones, and maintaining a healthy weight. Besides, humans are not becoming any younger each day. Moreover, scientists and researchers discover new diseases, illnesses and disorders that could potentially be fatal for a human’s body, which can lead to death. Thus, the purpose of this essay is to analyze the effects of exercise and focus on three factors: pain, ability to learn, and chronic medical condition. People need to maintain a healthy body because as time goes by the body starts to deteriorate, and it loses its original form. However, age should not be a hindrance if a person wants to change his/her lifestyle to stay healthy. Evidence has shown that exercise is beneficial for improving pain, enhances the ability to learn, and has a long-term benefit in preventing chronic medical conditions. This paper will discuss the impact of exercise on improving pain, the effects of exercise in relation to the ability to learn, and exploring the interrelationship of exercise and chronic medical conditions.