Cass, Stephen P

Clendaniel, Richard A

Fife, Terry D.

Furman, Joseph M

Getchius, Thomas S D

Goebel, Joel A

Hall, Courtney D

Herdman, Susan J

Shepard, Neil T

Whitney, Susan L

Woodhouse, Sheelah N

English

Barrow - St. Joseph's Scholarly Commons

Barrow Neurological Institute at St. Joseph's Hospital and Medical Center Barrow - St. Joseph's Scholarly Commons Neurology Articles Neurology 4-1-2016 Treatment for Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems? Courtney D Hall Susan J Herdman Susan L Whitney Stephen P Cass Richard A Clendaniel See next page for additional authors Follow this and additional works at: https://scholar.barrowneuro.org/neurology Recommended Citation Hall, Courtney D; Herdman, Susan J; Whitney, Susan L; Cass, Stephen P; Clendaniel, Richard A; Fife, Terry D.; Furman, Joseph M; Getchius, Thomas S D; Goebel, Joel A; Shepard, Neil T; and Woodhouse, Sheelah N, "Treatment for Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems?" (2016). Neurology Articles. 312. https://scholar.barrowneuro.org/neurology/312 This Article is brought to you for free and open access by the Neurology at Barrow - St. Joseph's Scholarly Commons. It has been accepted for inclusion in Neurology Articles by an authorized administrator of Barrow - St. Joseph's Scholarly Commons. For more information, please contact molly.harrington@dignityhealth.org, andrew.wachtel@dignityhealth.org. Authors Courtney D Hall, Susan J Herdman, Susan L Whitney, Stephen P Cass, Richard A Clendaniel, Terry D. Fife, Joseph M Furman, Thomas S D Getchius, Joel A Goebel, Neil T Shepard, and Sheelah N Woodhouse This article is available at Barrow - St. Joseph's Scholarly Commons: https://scholar.barrowneuro.org/neurology/312 JNPT • Volume 40, April 2016156  ©2016 Neurology Section, APTADizziness is very common, but it is never normal. Diz-ziness can make performing daily activities, work, and walking difficult. Many people get dizzy when they turn their head, which can cause problems with walking and makes people more likely to fall. Most of the time dizziness is not from a life-threatening disease. Often dizziness is be-cause of a disorder of the vestibular (or inner ear balance) system. People can get vestibular disorders from infections in the ear, problems with the immune system, medications that harm the inner ear, and rarely from diabetes or stroke because of a lack of blood flow to the inner ear. Stress, poor JNPT PERSPECTIVES FOR PATIENTSTreatment for Vestibular DisordersHow Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems?JNPT PERSPECTIVES FOR PATIENTS is a public service of the Journal of Neurologic Physical Therapy. The informa-tion and recommendations contained here are a summary of the referenced research article and are not a substitute for seeking proper healthcare to diagnose and treat this condition. For more information on the management of this condition, contact your physical therapy or healthcare provider special-izing in vestibular disorders. JNPT Perspectives for Patients may be photocopied noncommercially by physical therapists and other health-care providers to share with patients. Published by the Neurology Section of the American Physical Therapy Association (APTA) and a recognized journal of professional organizations in several countries, JNPT strives to offer high-quality research, immediately applicable clinical material, and useful supplemental in-formation on neurologic disorders and rehabilitation. Copyright © 2016.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.DOI: 10.1097/01.NPT.0000481898.55592.6ejournal of orthopaedic & sports physical therapy  |  volume 42  |  number 4  |  april 2012  |  381jospt perspectives for patientsLow Back PainHow Does Your Physical Therapist Treat Low Back Pain?Low b ck pain is so common that 8 of 10 peopl  experi-ence it at some time in their lives. Although the pain in your back may be severe, most low back pain is not due to a serious problem. Usually back pain is felt in the lower back and buttocks. Sometimes the nerves get irritated and cause leg pain and numbness and tingling in the toes. There are many risk factors that increase the chances of getting low back pain. The common risks result from lifestyle factors, such as sitting too much, being in poor physical condition, and bending and lifting improperly. Stress and lack of sleep can make the pain worse. As we get older, we often feel more back pain due to weakened muscles and stiffening joints. New clinical practice guidelines for the treatment of low back pain were published in the April 2012 issue of JOSPT. The guidelines describe ways to treat back pain based on best research evidence.NEW INSIGHTSEarly treatment seems to be key to decreasing your pain and getting back to full activity. Treatments that focus on exercise and staying active limit the amount of time your back pain lasts and reduce the chance that it will reoccur. A physical therapist will tailor treatment to your specific problem, based on a thorough examination and the probable causes of your low back pain.For people with low back pain, the good news is that your back will likely feel better, even though the pain may be severe. Staying active is important, and bed rest should be avoided. If you are worried that your pain may not subside, your physical therapist can teach you ways to help you move better and recover faster. Based on your examination, the best treatment for acute low back pain may be manual therapy (mobilization/ manipulation) or exercises that restore motion and decrease pain in the leg that is linked to your low back pain. Exercises that improve coordination, strength, and endurance are best added to treatment once the pain lessens. However, if your pain becomes chronic, moderate- to high-intensity exercises and progressive exercises that focus on fitness and endurance are helpful in pain management. Your physical therapist can help customize an exercise program for you. For more information on the treatment of low back pain, contact your physical therapist specializing in musculoskeletal disorders.For this and more topics, visit JOSPT Perspectives for Patients online at www.jospt.org. This JOSPT Perspectives for Patients is based on an article by Delitto A et al, titled “Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Orthopaedic Section of the American Physical Therapy Association (J Orthop Sports Phys Ther 2012;42(4):A1-A57. doi:10.2519/jospt.2012.0301).This Perspectives article was written by a team of JOSPT’s editorial board and staff, with Deydre S. Teyhen, PT, PhD, Editor, and Jeanne Robertson, Illustrator.PRACTICAL ADVICEJOSPT PERSPECTIV S FOR PATIENTS is a public service of the Journ l of Orthopaedic & Sports Physical Therapy. The information and recommendations contained here are a summary of the referenced research article and are not a substitute for seeking proper healthcare to diagnose and treat this condition. For more information on the management of this condition, contact your physical therapist or healthcare provider specializing in musculoskeletal disorders. JOSPT Perspectives for Patients may be photocopied noncommercially by physical therapists and other healthcare providers to share with patients. Published by the Orthopaedic Section and the Sports Physical Therapy Section of the American Physical Therapy Association (APTA) and a recognized journal of professional organizations in several countries, JOSPT strives to offer high-quality research, immediately applicable clinical material, and useful supplemental information on musculoskeletal and sports-related rehabilitation, health, and wellness. Copyright © 2012J Orthop Sports Phys Ther 2012;42(4):381. doi:10.2519/jospt.2012.0503LOW BACK PAIN TREATMENTS. Evidence suggests that early treatment for low back pain is helpful in decreasing the chance that your pain will become chronic. Not all low back pain should be treated the same. Your physical therapist can help determine if you will respond better to manipulation (top of illustration above) or exercises to improve mobility  and/or strengthen your back muscles. After a thorough evaluation, your physical therapist can help determine which  treatment is best for you.If your low back pain started recentlyand your pain is in the small of yourback or in your buttocksIf your low back painalso has pain downthe back of your legIf your low back pain is considered“subacute” or “chronic”42-04 Perspectives.indd   381 3/21/2012   4:46:20 PMFIGURE 1. If you lose your balance in the d rk or o  uneven surfaces then you might do exercises that involve standing on a foam p d with you  fe t in differen  positions. sleep, migraines, overdoing some activities, and feeling sad can increase symptoms. New guidelines for the treatment of vestibular disorders were published in the April 2016 issue of the Journal of Neurologic Physical Therapy. The guideline describes which exercises are best to treat the dizziness and balance problems commonly seen with an inner ear disorder. NEW INSIGHTSEarly treatment may help people to get better faster. Treat-ments focus on eye and head exercises plus balance exer-cises t  help relieve dizziness and improve the ability to walk without losing balance. A physical therapist will tailor these treatments to your specific problems on the basis of a com-plete examination.PRACTICAL ADVICEFor people with inner ear dizziness, their dizziness may get better even without treatment. For some people, their dizziness does not get better unless they are given exercises for their dizziness and balance problems. Staying active is very important a d moving your head, even if it makes you dizzy, is one of the best ways to recover from your inner ear problem. Medicine is not usually needed; however, if your dizziness is very bad, your physical therapist may work with your doctor to try to make your symptoms better with medi-cine so you can continue doing the exercises. On the basis of your diagnosis, you  best treatment may include eye and head exercises, walking exercises, balance exercises, and educa-tion about your dizziness problem. Exercises are progressed as you impr ve so t at you are less dizzy when you sit still and ls  when y u move around. Physical therapists are trained to customize your exercises for best recovery. For more infor-mation about the treatment of inner ear dizziness, contact a physical the apist who specializes in inner ear problems. INNER EAR TREATMENTSEvidence suggests that early treatment of inner ear problems is helpful in decreasing dizziness. Not all inner ear problems are the same and so not everyone will do every exercise. Your physical therapist will determine which exercises will help you the most on the basis of your dizziness and/or bal-ance concerns. Figure 1 shows an example of a common ex-ercise that might be prescribed for dizziness and imbalance as a result of your inner ear disorder. This JNPT Perspectives for Patients is based on an ar-ticle by Hall CD et al, titled “Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline” (J Neurol Phys Ther 2016) and was written by Courtney Hall, Susan Herdman, and Susan Whitney and illustrated by Maverick Dunavan.JNPT-D-15-00089.indd   156 16/03/16   7:03 PM

Treatment for Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems?

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Treatment for Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems?

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