{"id":1033,"date":"2013-03-26T20:21:05","date_gmt":"2013-03-27T00:21:05","guid":{"rendered":"http:\/\/thehopenet.org\/blog\/?p=147"},"modified":"2020-08-27T10:10:35","modified_gmt":"2020-08-27T14:10:35","slug":"balance","status":"publish","type":"post","link":"https:\/\/thehopenet.org\/blog2\/balance\/","title":{"rendered":"What Physical Therapy Can Do To Help You With Balance If You Have ET"},"content":{"rendered":"<p>We had our Falls Church support group meeting at Little River Glen Senior Center March 14, 2013. Our speaker was Jordan Tucker, DPT, Fair Oaks Hospital, Outpatient Clinic.\u00a0 Below are notes and handouts from that presentation.<\/p>\n<p>Balance is often a problem for people with ET.\u00a0 Decreased strength and flexibility, which often come with ET, can adversely affect balance.\u00a0 Flexibility is important because the ability to stretch one\u2019s leg, calf, and chest muscles affects balance.\u00a0\u00a0 Similarly, lack of strength to easily get out a chair can result in falls.\u00a0 Scoliosis and gait issues may make the body lean in one direction, throwing you off balance.\u00a0 ET sufferers also have more trouble dual tasking, i.e., walking and talking or walking in one direction and looking in another.\u00a0 Ankle instability, high or low arches, knee or gait issues, weak ankles, and hip problems also affect balance.\u00a0 Physical therapists work with patients to deal with all these problems.<\/p>\n<p>Physical therapists experienced in working on balance with patients who have neurological issues tend to be found in hospitals.\u00a0 Call your local hospital to see if they offer it.\u00a0 Be aware that, if you are on Medicare, there is an $1800 cap on PT.\u00a0 However, there are exceptions to this limit, such as a change in your diagnosis or treating multiple problems.<\/p>\n<p>Physical therapy involves an initial evaluation followed by a plan for exercises done with the therapist and a plan for exercises to do at home.\u00a0 The course of treatment will take place twice a week for two weeks or longer.\u00a0 It typically involves stretching, strengthening specific muscles as needed, and balance exercises.\u00a0 You can get a prescription for physical therapy from any doctor \u2013 your primary care physician as well as a neurologist. Just ask.<\/p>\n<p>Physical therapy can retrain the three systems that have to do with balance:<\/p>\n<ul>\n<li>Eyes and vision \u2013 cataracts can be a problem affecting balance<\/li>\n<li>Feet \u2013 neuropathy (pain and tingling in extremities) interferes with the feedback from your feet that helps maintain balance<\/li>\n<li>Brain \u2013 reaction times<\/li>\n<\/ul>\n<p>Tai chi, yoga, Pilates, and water therapy are also useful in improving balance.\u00a0 Jordan Tucker suggested joining a community exercise group.\u00a0 She also said that people with ET and balance problems may benefit from using a cane, a walker, or walking sticks.<\/p>\n<p>An audience member said that he uses walking poles successfully.\u00a0 They are available in sporting goods stores, but the poles in sporting goods stores tend to have narrower rubber tips than the ones sold online for balance.\u00a0 He found information about poles at <a href=\"https:\/\/polesformobility.com\/\">http:\/\/polesformobility.com\/<\/a> and <a href=\"https:\/\/www.exerstrider.com\/product-category\/poles\/\">https:\/\/www.exerstrider.com\/product-category\/poles\/<\/a>.\u00a0 The poles are pictured below (but picturing smaller tips than those used by the audience member).<\/p>\n<p><a href=\"http:\/\/thehopenet.org\/blog\/wp-content\/uploads\/2013\/03\/walkingsticks.png\"><img loading=\"lazy\" class=\"alignright size-full wp-image-152\" title=\"walkingsticks\" src=\"http:\/\/thehopenet.org\/blog\/wp-content\/uploads\/2013\/03\/walkingsticks.png\" alt=\"Group of people walking using walking sticks for balance.\" width=\"285\" height=\"272\" \/><\/a>The audience member said he wears a backpack to carry things since his hands are engaged with two balance poles.<\/p>\n<p>Jordan Tucker handed out a questionnaire on balance confidence and a home safety checklist with tips on using stairs, railings, grab bars, and avoiding reaching for far-away objects (which we may do in the kitchen).\u00a0\u00a0\u00a0 Some obvious points are often overlooked, such as the need for good lighting in the home, especially near stairs. Night lights in the bathroom can be useful, too.<\/p>\n<p>Her presentation and two handouts that she passed out are listed here (pdf format):<\/p>\n<p><a href=\"https:\/\/thehopenet.org\/blog2\/wp-content\/uploads\/2019\/03\/Essential-Tremor-Support-Group-power-point.pdf\">How a Physical Therapist Can Help Increase Your Balance<\/a><\/p>\n<p><a href=\"https:\/\/thehopenet.org\/blog2\/wp-content\/uploads\/2019\/03\/Home-Fall-Prevention-Checklist.pdf\">Home Fall Prevention Checklist<\/a><\/p>\n<p><a href=\"https:\/\/thehopenet.org\/blog2\/wp-content\/uploads\/2019\/03\/ABC.pdf\">The Activities-specific Balance Confidence (ABC) Scale*<\/a><\/p>\n<p>Joyce Letzler, Support Group Member<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We had our Falls Church support group meeting at Little River Glen Senior Center March 14, 2013. Our speaker was Jordan Tucker, DPT, Fair Oaks Hospital, Outpatient Clinic.\u00a0 Below are notes and handouts from that presentation. Balance is often a problem for people with ET.\u00a0 Decreased strength and flexibility, which often come with ET, can &#8230; <a class=\"read-more\" href=\"https:\/\/thehopenet.org\/blog2\/balance\/\">Read more&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,48,26,30,41],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Physical Therapy Can Do To Help You With Balance If You Have ET - HopeNet<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/thehopenet.org\/blog2\/balance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Physical Therapy Can Do To Help You With Balance If You Have ET - HopeNet\" \/>\n<meta property=\"og:description\" content=\"We had our Falls Church support group meeting at Little River Glen Senior Center March 14, 2013. Our speaker was Jordan Tucker, DPT, Fair Oaks Hospital, Outpatient Clinic.\u00a0 Below are notes and handouts from that presentation. Balance is often a problem for people with ET.\u00a0 Decreased strength and flexibility, which often come with ET, can ... 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