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Treatment of Balance and Fall Prevention

Evaluation and Assessment of falls, or “near falls” and balance. Tri-City will give you ways to address and manage your apprehension of falling or “near falling.” Gaining the confidence to move safely again is our goal.

Active Range of Motion (AROM)

The patient lifts or moves a body part through range of motion against gravity. AROM is usually one of the first modalities prescribed for arthritis.

Active Assistive Range of Motion (AAROM)

Therapist-assisted active range of motion. This is usually prescribed for gentle stretching or strengthening for a very weak body part.

IASTM

IASTM (Instrument Assisted Soft Tissue Mobilization) is a form of soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. Stainless steel intruments are utilized to detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.  

Cryotherapy or Cold Therapy

Cryotherapy or Cold Therapy is used to cause vasoconstriction (the blood vessels constrict or decrease their diameter) to reduce the amount of fluid that leaks out of the capillaries into the tissue spaces (swelling) in response to injury of tissue. Ice or cold is used most frequently in acute injuries, but also an effective pain reliever for even the most chronic pain.

Gait or Walking Training

Gait or Walking Training is the analysis of walking problems by visually examining the interaction of the low back and the joints of the thighs, legs, and feet during the various stages of walking, including initial contact, loading response, mid stance, terminal stance, pre swing, mid swing, and terminal swing. Many back, thigh, leg, ankle, and foot problems may be caused by or manifest themselves in subtle gait abnormalities.

Heat

Heat is recommended to decrease chronic pain, relax muscles, and for pain relief. It should not be used with an acute or "new" injury.

Iontophoresis

Medications are propelled through the skin by an electrical charge. This modality works on the physical concept that like charges repel each other, therefore, a positively charged medication will be repelled through the skin to the underlying tissues by the positively charged pad of an iontophoresis machine. Iontophoresis is usually prescribed for injuries such as shoulder or elbow bursitis.

Isometrics

Isometrics is muscle contraction without joint movement. This is usually prescribed for strengthening without stressing or damaging the joint (e.g., arthritis, or exercises to be performed in a cast, or right after surgery if recommended by the therapist/doctor).

Isotonics

Isotonics is muscle(s) contracting through the ROM with resistance. This is usually prescribed for strengthening.

Mobilization

Mobilization consists of hands-on therapeutic procedures intended to increase soft tissue or joint mobility. Mobilization is usually prescribed to increase mobility, delaying progressive stiffness, and to relieve pain. There are many types of mobilization techniques including Maitland, Kaltenborn, Isometric Mobilizations, etc.

Neck Traction

Neck traction is a gentle longitudinal/axial pull on the neck, either manual or mechanical, intermittent or continuous for relief of neck pain, to decrease muscle spasm and facilitate unloading of the spine.

Neuromuscular Electrical Stimulation (NMES)

Neuromuscular Electrical Stimulation (NMES) is - the application of electrical stimulation to aid in improving strength (e.g., the quadriceps muscle after knee surgery or injury). NMES is also used to decrease pain and swelling and to relieve muscle spasm.

Passive Range of Motion (PROM)

The patient or therapist moves the body part through a range of motion without the use of the muscles that "actively" move the joint(s).

Pelvic Traction

Pelvic traction is the longitudinal/axial pull on the lumbar spine, either manual or mechanical, intermittent or continuous. Pelvic traction may be helpful for the relief of low back pain and muscle spasm.

Posture Training

Posture Training is instruction in the correct biomechanical alignment of the body to reduce undue strain on muscles, joints, ligaments, discs, and other soft tissues. There is an ideal posture, but most people do not have ideal posture. Therapists educate patients about the importance of improving posture with daily activities. Stretching and strengthening exercises may be prescribed to facilitate postural improvement and to prevent further disability and future recurrences of problems.

Progressive Resistive Exercises (PRE)

Progressive Resistive Exercises (PRE) are exercises that gradually increase in resistance (weights) and in repetitions. PRE is usually prescribed for reeducation of muscles and strengthening. Weights, rubber bands, and body weight can be used as resistance.

Proprioceptive Neuromuscular Facilitation (PNF)

Proprioceptive Neuromuscular Facilitation (PNF) is a system of manually resisted exercises performed in diagonal patterns that mimic functional movements. PNF was initially used in developmentally and neurologically impaired patients but now is used in almost every aspect of neuromuscular retraining from athletes in sports facilities to the very weak in hospitals and nursing homes.

 

Soft Tissue Mobilization

Soft tissue mobilization is therapeutic massage of body tissue performed with the hands. Soft tissue mobilization may be used for muscle relaxation, to decrease swelling, to decrease scar tissue adhesions, and for pain relief.

Stationary Bicycle - with or without resistance

This is usually prescribed for improving the strength and/or range of motion of the back or lower extremities as well as cardiovascular endurance.

Stretching/Flexibility Exercise

Stretching/flexibility exercise is designed to lengthen muscle(s) or soft tissue. Stretching exercises are usually prescribed to improve the flexibility of muscles that have tightened due to disuse or in compensation to pain, spasm or immobilization.

Ultrasound

Ultrasound uses a high frequency sound wave emitted from the sound head when electricity is passed through a quartz crystal. The sound waves cause the vibration of water molecules deep within tissue causing a heating effect. When the sound waves are pulsed, they cause a vibration of the tissue rather than heating. The stream of sound waves helps with nutrition exchange at the cellular level and healing. Studies have shown that ultrasound is helpful for ligament healing and clinically, for carpal tunnel syndrome, and muscle spasm.

 

Hivamat

Hivamat is a massage intensifying system based on a pulsed electrostatic field set up between the patient and the therapist holding the hand applicator. It is very useful in conditions in which the patient may not be able to tolerate the manual force for a traditional massage. Pain relief, muscle relaxation, and increased tissue mobility are all effects produced with use of this modality.