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Balance Problems Physiotherapy
Balance problems make it difficult for people to maintain stable and
upright positions when
- and even sitting, for severe cases
Usually, it is the older people
who are at a higher risk of having balance problems; 75% of Americans older
than 70 years are diagnosed as having "abnormal" balance. Older women
are slightly more likely than older men to develop balance problems.
Balance problems increase by
almost 30% in people aged 80 years or more.
What our senior physiotherapists do is to develop individualized physical activity plans to help
improve the strength, stability, and mobility of people with balance
first of all, What are Balance Problems?
A balance problem exists when an individual has difficulty
maintaining a stable and upright position. A range of factors can cause
balance problems, including:
- Muscle weakness
- Joint stiffness
- Inner ear problems
- Certain medications (such as those prescribed for depression and high blood pressure)
- Lack of activity or a sedentary lifestyle
- Simple aging
Balance problems can also be caused by medical conditions, such as:
- Parkinson’s disease
- Multiple sclerosis
- Brain injury
- Spinal cord injury
- Cognitive diseases
Balance problems occur when 1 or more of 4 systems in the body are not working properly:
- Vision - caused from from age, eye tracking problems, or eye
- Inner ear - also called vestibular problems, can
develop from trauma, aging, poor nutrition, or disease
- Muscular system - muscle strength and flexibility can decline due to lack of
exercise, a sedentary lifestyle, or disease
- Awareness of one's own body position (called “proprioception”) - result of trauma or a disease, such as
Our brain coordinates electrical impulses from the eye, inner ear, and
body-position senses, and sends signals to the muscular system to move
or make adjustments to maintain balance.
If one or more of the senses is
not sending (or receiving) correct signals to the brain, or if the muscular system
cannot carry out the necessary movements, then the person will not be able to
maintain or correct their balance.
what does balance problems feel like?
A person with balance problems may experience
- and ultimately, falling
Although a person’s "static"
balance may be fine when standing still or only performing a single
task at a time, “dynamic” balance problems become obvious (and problematic) when the
- moving about
- trying to do more than 1 thing at a time (ie,
walking, while turning the head to talk to another person)
there is not much light (at night, or in a darkened room)
dynamic balance is abnormal, patients may fall and get a possible injury such as
One of the worst things that may occur, or start to occur, is the creeping in of fear. Falls and balance problems can make a person fearful of performing simple daily
As a result, they lose confidence to move about safely, and this makes them "hold back" and this lead to them losing muscle strength and becoming frail
because they avoid strenuous or challenging movements. A person who has
balance problems may start to feel frustration about the condition, and
become depressed, and may start to prefer to stay home-bound.
How are balance problems Diagnosed?
If you see our senior physiotherapist first, they will
conduct a thorough evaluation that includes taking your health history.
They will also ask you detailed questions about your
condition, such as:
- How often do you experience problems with your balance?
- What are you doing when you experience balance problems?
- Is your balance worse at nighttime or in dark rooms?
- Does the room spin, or do you feel off-balance?
- How many times have you fallen in the past year?
- Have you suffered injuries from falling?
- Have you changed or limited your daily activities because of your balance problems?
- What medications do you take?
- Have you had a vision or ear checkup recently?
- Do you have difficulty with any daily activities?
- How much, and what kind of daily exercise do you get?
- Do you have any other medical conditions or problems?
- Are you under the care of a physician?
- What are your goals?
Our senior physiotherapist will perform tests, such as motion, strength,
coordination, visual tracking, and balance tests, to help assess your
overall physical ability. They may also reach out and collaborate with
your physician or other health care providers, who may order further
tests to rule out any underlying conditions that may exist.
How our senior PhysioTherapists Help you
Our senior physiotherapists offer a number of treatment options for treating balance
problems, based on each individual’s needs. They are experienced and trained to evaluate
multiple systems of the body, including the muscles, joints, inner ear,
eye tracking ability, skin sensation, and position awareness in the
Our senior physiotherapists are experts in prescribing
active movement techniques and physical exercise to improve these
- proprioception exercises
- visual tracking
- inner ear retraining
Our senior physiotherapist can help treat your balance problems by
identifying their causes, and designing an individual treatment program
to address your specific needs, including exercises you can do at home.
We can help you:
Reduce Fall Risk. We will
assess problem footwear and hazards in your home that increase your risk
of balance problems or falling. Household hazards include loose rugs,
poor lighting, unrestrained pets, or other possible obstacles.
Reduce Fear of Falling. By addressing specific
problems that are found during the examination, we
will help you regain confidence in your balance and your ability to move
freely, and perform daily activities. As you build confidence in your
balance and physical ability, you will be better able to enjoy your
normal daily activities.
Improve Mobility. We will help
you regain the ability to move around with more ease, coordination, and
confidence. We will develop an individualized
treatment and exercise program to gradually build your strength and
Improve Balance. We will teach
you exercises for both static balance (sitting or standing still) and
dynamic balance (keeping your balance while moving). We will progressively increase these exercises as your skills
Improve Strength. We will teach
you exercises to address muscle weakness, or to improve your overall
muscle strength. Strengthening muscles in the trunk, hip, and stomach
(ie, “core”) can be especially helpful in improving balance. Various
forms of weight training can be performed with exercise bands, which
help avoid joint stress.
Improve Movement. We will
choose specific activities and treatments to help restore normal
movement in any of your joints that are stiff. These might begin with
"passive" motions that we perform for you, and
progress to active exercises that you do yourself.
Improve Flexibility and Posture. We will determine if any of your major muscles are tight, and
teach you how to gently stretch them. They will also
assess your posture, and teach you exercises to improve your ability to
maintain proper posture. Good posture can improve your balance.
Increase Activity Levels. We
will discuss activity goals with you, and design an exercise program to
address your individual needs and goals. We will
help you reach those goals in the safest, fastest, and most effective
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
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See all the conditions our principal physiotherapists treat.
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Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
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Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
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Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
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performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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