All activities are dependent upon intact balance. We can't sit, arise from a chair, stand or walk without an intact balance system. Balance is dependent on the proper functioning of the muscular, sensory, visual and vestibular systems. When these systems work together we have a stable base of support on which movement can occur. People that do not have a stable base of support are not confident in their ability to sit, stand, reach or walk. They are afraid to move. This fear leads to their limiting physical activity and to further loss of muscle strength and flexibility, which worsens their balance further. Decline of the visual , vestibular , motor and sensory systems occur with aging. These systems can also deteriorate due to the effects of neurologic, orthopedic and medical illness. Patients with strokes, Parkinson's Disease, Multiple Sclerosis and neuropathy have poor balance reactions due to muscular weakness, sensory deficits, or vestibular problems. Patients with orthopedic conditions such as arthritis, sciatica, and lumbar stenosis have impairment of sensation, strength, flexibility and pain. Patients with medical conditions such as heart disease, diabetes and COPD can develop muscular weakness and fatigue.
WHAT CAN BE DONE?
At RALI we offer comprehensive, individualized strategies to help our patients reach their goals of safer mobility. Our programs begin with a thorough review of your condition and physical examination. Your movement is then assessed with specialized tests such as the BERG, Fullerton, and Tinneti scales to find your specific deficits. A program to address these problems is then developed and implemented by Dr. Gaudino and his staff of Physical Therapists.During the program each patient is monitored by BP, HR and O2 saturation testing to allow optimal progress in a safe and efficient manner. Most patients are able to reach their goals of improved mobility after 1-3 months.