Category Archives: Physical Therapy

Great Physical Activity And Therapy For Stroke Patients – BerkelBike Best Recumbent Bikes


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Whether it’s just part of your daily activities or included in a structured exercise program, all physical activity contributes to a healthier heart. Though limited physical abilities make it hard for some stroke survivors to do forms of exercise. It’s crucial to find ways to stay as active as possible to reduce your risk of having another stroke.

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Become Active!
The best medicine you can get without a prescription may be physical activity. Frequently exercising can reduce stress and help relieve depression. It improves the strength of your heart. Even your blood pressure will drop. Always talk with your doctor before you start a new exercise. Make sure the new exercise is suitable for you. The risk of high blood pressure, high blood cholesterol, diabetes, heart disease and stroke can be increased by being inactive, obese or both.
So go on a brisk walk, take your bicycle out, and do whatever you can to make your daily routine more active for a total of at least 30 minutes every day.

How to start?
Even moderate exercise, such as strolling or cycling, can improve your health. Here are three simple ways to start with, for a more active life.
? Do, throughout the day, small amounts of activity. For example, stretch your arms and legs while sitting. Or, wash the dishes in a standing position.
? To start, add each day a 10-minute walk to your actual level of activity. After two weeks, add on a few minutes more. You can build this overtime up to walking 30 minutes per day.
? Join scheduled courses or participate in sports.

How to stick with it
? Find a group of activities and exercises you like. Choose activities which are fun and that you enjoy. Add variety. That makes that exercise won?t seem boring or routine.
? Ask your physical therapist or doctor to prescribe muscle-strengthening exercises.
? Find a favourable time and place to exercise. Try to make it a habit to exercise, but stay flexible.
? Wear decent and properly fitted footwear and comfortable clothing. Make sure you adjust your shoes and clothes to the weather and the activity.
? Keep yourself entertained and motivated with music while you do home exercises.
? Surround yourself with supportive people and share your activities with others. Make a date with family members, friends or colleagues. Decide what type of support you need. Do you need others to remind you to do your exercise? Inform about your progress? Join you with your exercises regularly or occasionally? Allow you take your time to exercise by yourself?
? Record your activity in a chart. Reward yourself for accomplishing a special milestone, such as three weeks cycling without missing a day.
? Join a health and fitness club or centre. A proper fitness centre should have qualified instructors who can help you find the best exercises for accomplishing your specific goals. But remember to ask your physical therapist or doctor before starting a new exercise program.

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It is for your own good to get at least 30 minutes of moderate physical activity on every day of the week. You can start cycling 10 minutes at a time, working your way up to 30 minutes a day.
Besides helping you control your weight, cycling may?
? Help you giving up smoking..
? Decrease your blood pressure.
? Raise your HDL (?good?) cholesterol value.

Along with cardiovascular benefits, regular physical activity such as cycling can help you feel and look better. You?ll probably feel better because regular physical activity?
? makes you energetic.
? improves your self-image en self-esteem.
? reduces fatigue and exhaustion.
? helps you to relax and loose tense.
? helps you to fall asleep quickly and sleep well.

You?ll look healthier and better because regular physical activity?
? Tones your muscles nicely.
? Helps you to control you weight.
? Helps you to control your appetite.

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Get up and get moving! If you are more active, you are more likely to recover fully and quickly.

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Secrets Of Constraint Induced Therapy Treatment – BerkelBike Best Handcycles


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The concepts behind constraint induced therapy (CIT) were developed nearly a century ago when scientists realized that after a nervous system injury that impaired movement of a limb, experimental monkeys consciously avoided the use of that limb and preferentially used the ?good? or intact one.

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The scientists realized that this would certainly increase recovery time, then they strapped the monkey’s good arm to its body, which motivated the monkey to use the free, but affected arm. This improved the recovery. The scientist called this ?forced therapy.?
Since then, new names were adopted for this therapy, including constraint induced therapy (CIT) and constraint induced movement therapy (CIMT). The positive effects of CIMT were shown in a randomized control trial which was published in the Journal of the American Medical Association at the end of 2006

CIT for who?
The clinical experiment (EXCITE), which proved the effectiveness of CIMT, revealed that it performed best for persons with moderate strokes affecting the arm and hand. In the experiment, the patients moderate strokes affecting the arm and hand showed functional improvement whether their stroke occurred 3 or 9 months before the therapy started, which implies that CIMT might be effective even for patients who suffered a stroke years ago. Preserved cognition is another possible requirement, as this was a requisite for participation in the EXCITE experiment. However, as of early 2009, there has been no studie whether CIT can be used in patients with mild to moderate cognitive impairment.

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How is CIT actually performed?
As you can read from the above, the main intervention in CIMT is forcing a person to use a affected limb as much as possible. In fact, in stroke survivors who are left with a dysfunctioning arm, the goal is to ?force them? to use only the dysfunctional arm to perform routine activities such as feeding or getting dressed.
The use of mittens and arm slings prevents patients from using the intact arm for at least 90% of a person’s active time. The program goes on for several weeks. In addition, patients take part in intensive physical therapy sessions of the dysfunctional limb for at least six hours per day, up to seven days a week.
That this rigorous program improves function by inducing a functional reorganization of the brain, has been shown by several studies.

Where can I receive CIT?
Not every rehabilitation centre offers CIMT, neither
does every health insurance policies cover it. Start by asking a local rehabilitation centre whether they offer CIT. You should then ask your physician whether he thinks this therapy is suitable for you. Once you get a referral (or prescription) for therapy, you should then find out if your insurance policy will cover it.

Don’t be discouraged when you are kept from the rehabilitation centre because your insurance policy doesn?t cover the costs. Specialists in this subject are now advocating for home programs with the sporadic guidance of a physical therapist. And in theory, you could do this on your own while you are doing your daily activities.

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Do you the best you can. The more time and effort you put in doing it, the better it will be for your rehabilitation. A mitten or a sling is all you need. Just discuss with your doctor about it before you start to make sure that this is a suitable therapy for you.

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About Multiple Sclerosis And Depression ? How To Avoid The Incredible Depression


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Depression is a problem faced by many people who have been diagnosed with multiple sclerosis (MS). It is more likely to get a depression shortly after diagnosis, and when the full implications get time to sink in. Although it can also be quite common to get a depression in the later stages of the disease when everything seems to be going wrong and you begin to fear the worst.

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It is essential to accept your sadness as a normal reaction on what you have been told, and try to find ways to express your feelings. It is particularly important to find someone that you can talk to, someone who understands exactly what you’re going through. In a lot of cases it can be rewarding to meet and talk with another person who has been diagnosed with MS. There are plenty other things you can do to keep avoid a depression. I have listed a small action plan below.

Think always positive and pay particular attention to your physical appearance. If you look in the mirror and look weak and ill, you will feel bad about yourself. So when you get up in the morning spend time grooming yourself for the day ahead. You will feel much better when you have done your hair, shaved your face (if necessary) and when your nicely dressed.

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Get involved in something that gives you a sense of achievement. Getting involved in your community or undertaking a hobby gives you a sense of achievement for example. Live your life in the present and try to get as much out of every experience as possible. This rather than dwelling over the past or being anxious about the future. Don’t let MS make you depressed and rule your life.

Try to keep to a routine and keep your mind active and interested. This will give you everyday a focus. Having something to look forward to is a excellent way to put your troubles to the back of your mind. Always try plan an enjoyable event, no matter how small, every week or even day. It might be something simple like a ordinary lunch date with your friends. Pay interest in what other people are doing and you will find that this takes your mind off your depression and MS.

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You should try to get as much exercise as possible, if you are able to, as exercise boosts your circulation and get oxygen into your brain which releases endorphins. These endorphins make you feel better about yourself. Find a balance between rest and exercise, try never to get overtired as it is very easy to get irritable and depressed when you are feeling tired. There are lots of aids helping you to exercise like special bicycles.

A decent diet and a great eating programme will also help your mind. And in fact planning a different menu for every day will give you something more to focus on as well as giving yourself the best chance at fighting your MS. When I changed my diet a few years ago, I have significantly reduced some of my symptoms and even completely reversed others. Your diet is one of the things in life that you can completely control. So take matters in you own hand and pay particular attention to what you consume, as this will have a significant impact on your multiple sclerosis.

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Exercise Advantages For Patients With Multiple Sclerosis


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About twenty years ago, people with multiple sclerosis (MS) were advised to avoid physical activity or exercise because it could increase symptoms or possibly even increase disease activity. Today it is well accepted that physical activity is beneficial in maintaining or increasing one?s health, decreasing secondary complications and improving mental well-being. Some of the newest areas of research aim at the anti-inflammatory and potential neuroprotective factors of exercise.

The importance of exercise was outlined by The Surgeon General?s 1996 Report on Physical Activity and Health. The report made clear that physical activity need not be tough to achieve health benefits. Significant health benefits can be gained with moderate amounts of physical activity. These are important factors for MS patients because of the problems with fatigue. The benefits of physical exercise includes reducing the risk for high blood pressure, coronary heart disease, colon cancer and diabetes. In addition, it helps to improve stamina and muscle strength. These findings stress the importance of physical exercise in improving health and reducing the risk for premature death.

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Research specific to MS is also convincing in showing that MS patients can gain many of the same benefits of exercise as people without a diagnosis of MS. Petajan, et.al in 1996, is an published article that demonstrated the positive effects of a 15 week aerobic exercise program for people with MS. Individuals performed an exercise program 3 times per week. The positive effects included increase in stamina, flexibility, strength and an overall sense of well-being. Improvements in bowel and bladder function were also shown by this study.

Another study published in 2004 by Oken and colleagues, showed improvements in secondary values of fatigue. Improvements were seen with persons performing either a weekly aerobic activity or a weekly yoga class.

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Schulz and colleagues (2004) showed the impact of physical activity on areas such as quality of life, coordination as well as immune-endocrine parameters and neurotrophic factors. Patients in this study performed exercise two times per week for 8 weeks long and demonstrated life quality improvement at measurements with particular significance in social functioning and mood. Additionally, statistical significance was shown in lower extremity coordination for the exercise group. The authors felt that the discrepancy may have been due to deterioration in coordination for the control group and not a reflection of increasing coordination in the training group. Finally, the training group did show improvement in nerve growth factors, but these were not statistically significant when compared to the control group. However, in 2003 this same researchers did prove that nerve growth factors could be induced with moderate exercise. It was a short term study so the long term effects unknown. In 2002 researchers at the University of Buffalo demonstrated anti-inflammatory effects of physical activity as well.

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These preliminary results demonstrate that physical activity may have some neuroprotective or perhaps even restorative benefits.

Physical exercise can be a positive therapeutic ritual. People with chronic disease can organize their day and focus on a healthy activity, with the use of exercise as a therapeutic ritual. A positive effect on the disease process may be a second benefit.

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Sports Rehabilitation Keeps Effects Of Multiple Sclerosis At Bay


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When a disease attempts to steal you life, there is only one thing you can do: Fight back. Aiken resident Janet Swain is a fighter.

February 2001, Swain was diagnosed with Multiple Sclerosis (MS). The doctors told that she had been battling this disease for more than 20 years without a diagnosis. At the time, she worked as a senior director of human resources for sixty hours a week at Wyeth Pharmaceuticals in New York. She was always on the go, she was such a busy person, and she wasn’t finished with her career yet when it hit. Within months, her career was over. It turned her world upside down, going from being overly busy to nothing.

Before she had been diagnosed, Swain had experienced; bouts of numbness, migraine headaches, tingling sensations and balance issues. However, these symptoms weren’t persistent enough for her to contact a doctor, they would come and go. In 2001, the symptoms grew more intense and became more consistent.

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She had numbness in her left side and weakness particularly in her arm. She was tripping a lot, had tremors in her left side and was experiencing dizziness. She noticed that when she used her cars turn signal, she reached across to turn it on with her right hand because her left arm was too weak to lift.

Everything happened really fast. She tried to go back to work but about a month after she was diagnosed, she woke up and her entire left side was numb. She was in the hospital for a month, and the doctors told her it would be next to impossible to go back to work. They thought she would keep getting worse until she would eventually be confined to a wheelchair.”

Swain made up her mind and was determined not to let that happen. She actively followed physical therapy and did activities which kept her body moving. Through her physical therapist, she became involved in many adaptive sports programs including kayaking, horseback riding, sailing and hand cycling. The program also included a golf class; however, Swain never got around to participate in it before she and her husband moved to Aiken a year ago.

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Upon moving to this area, she discovered there weren’t as many adaptive programs offered as in New York. She still hand cycles and kayaks on a regular basis as these have become independent sports.

A few weeks ago, Swain discovered a story, while reading the Aiken Standard, on an adaptive golf program offered at Walton Rehabilitation Health System in Augusta and she decided to participate.

If she had to describe the overall experience in one word, it would be liberating. It is nice to be able to go out and act like normal people do. It is absolutely fun. If anybody wants to try and has doubts about their skills, then don’t. Everybody is nervous to do this the first time. Swain had never picked up a golf club, but there are people with all a different level of skill.

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Swain worked with a volunteer, during her first visit. She learned how to swing and has since seen her skills develop.

She has to hit with one arm because she has to hold herself up with a crutch. After a couple of good hits, she told James (a volunteer) that she wanted to hit the flag. James was encouraging, but Swain doubts whether he thought she was serious. When Swain hit the flag, James was as happy as I was.”

During the second visit, Swain and others were helped with their putting skills. This time, she worked with a physical therapist and a belt. The therapist squatted behind her attached by the belt to offer her balance while she learned to putt.

She had never played golf before, and thought; since I live in a golf community, I should learn how to play. She liked it. Although she can?t do many things she did before, and she has lost a lot of friends because they didn’t know how to react. But now she has new friends and new activities. She is happy these activities are available for her as they help her cope with struggles physically and emotionally. She gets up every day and puts one step forward.

Sports can also be a solution to your problems. Find out which type of sport you like and whether it is suitable for you. There are loads of device that can help you to do these activities.

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Fight Your MS Fatigue In 15 Amazing Ways


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Multiple Sclerosis Fatigue is one of the number one symptoms and complaints that multiple sclerosis patients have. And unfortunately it is one of the first reasons that many people with MS end disabled. Multiple Sclerosis fatigue is a obvious symptom for as many as 85-95% of those with MS.

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Here are 15 ways how you can fight against fatigue. All the little things you do each and every day can make a difference.

1. Be aware of side effect of medications. There are medications which are well known to have a side effect of fatigue, like anti-depressants. Talk with your doctor and determine what side effects each medication your on has, and whether there is a substitute.

2. Drink water, always in sufficient amount.: Fatigue can be caused by dehydration Many people with MS don’t like to drink large amounts of water because they suffer from an over active bladder. But water is need to energize our bodies and to remove toxins.

3. Proper breathing: Shallow, short breathes will reduce the amount of oxygen coming into your longs, what leads tot less oxygen in your cells, therefore it makes you feel fatigued.

4. Exercise: It is commonly known that exercise increases energy. There are no excuses regardless of what level you are at with your MS for not exercising.

5. Being depressed: When you don?t accept multiple sclerosis, when you are unhappy about your current life you will be depressed and this causes the by product fatigue. Using techniques to change your mental state, will allow you to relive all the good memories that happened to you in the past and therefore remove depression out of your life.

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6. Heat: To much heat increases your disabilities and fatigue and just makes you feel bad. Anytime I go out in hot weather I can go from walking normally to barely walking at all. Don?t go out in the heat, use a cooling vest or look for activities that keep you cool like swimming.

7. Simple carbohydrates: White bread, white pasta, and sugar slow you down and fatigue you, because they contain simple carbohydrates. Follow a diet of whole foods consisting of fruits and vegetables.

8. Vary in your routine: turn around your normal daily schedule. Variety is something we all need every day. And make sure you plan something enjoyable for the future that you can look forward to.

9. Aromatherapy: Peppermint and jasmine essentials oils are known to be energizing experiment with these and other oils. Put a few drops on the collar of your pullover to smell jasmine during the day, or take the bottle of peppermint with you and sniff when your feeling fatigued.

10. Sleeping routine: Go at the same time to bed every night. Not getting enough sleep troubles most people, this may be caused by leg spasticity, what can keep you up at night.

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11. Weight reduction: feeling fatigued can be causes by being overweight. Watch what you’re eating pattern and activity to maintain a healthy weight.

12. Pacing, planning and prioritizing your life: Having balance in your life is important. It’s important to balance rest and fatigue. Form a plan on what needs to be done and organize your tasks so that they are manageable.

13. Eat Breakfast Everyday: Your blood sugar is low when you wake up, eating a decent breakfast is an energy booster. Not eating breakfast drains your energy contributing to fatigue.

14. Control your iron value: when you don?t get in enough iron, you will feel fatigued. Eat fish, eggs, fortified cereals, and beans to keep up your iron levels and be able to fight against multiple sclerosis fatigue.

15. Asking for help: Fatigue is a symptom of Multiple Sclerosis and therefore you should not feel bad when asking for help. Spend your energy wise and useful. Determine what you can and ask others to help you conserve your valuable resources.


Facts About Wheelchair Lifts


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Wheelchair users sometimes need to ascend a flight of stairs, it is most useful to getwheelchair lifts. New wheelchair lifts are usually expensive, it is more economical to get used wheelchair lifts. Once polished up, used wheelchair lifts can be as good as new. A wheelchair lift is a useful concept which makes the process simpler not merely from the point of the wheelchair user but for the users’ assistants. Ascending the stairs in the past is a nightmare for wheelchair users, it is as good as impossible, shopping malls are sometimes criticized for not being wheelchair friendly.
Wheelchair lifts makes it easier for several reasons. Previously the disabled individual would be required to get out of the chair physically and be carried/piggybacked up the stairs but now they can remain seated comfortably within their wheelchair as the lift does its job of taking them up the stairs. There are basically two styles of lifts of which both will solve a different need.
There are two kinds of used electric wheelchair lifts, hydraulic and electric. The former being more efficient and more expensive than the latter. Electric wheelchair lifts are cheap but they may face problems such as power blackouts. Hydraulic lifts work even during power failure, but are difficult to maintain. But wheelchair lifts are easy to maintain and come with battery back-up to function uninterruptedly during power failures. The reason I recommend using hydraulic electric wheelchair lifts is that it does not need electrical energy to function. Hydraulic-operated wheelchair lifts will save you a bundle in your your monthly fees. Gone are the headaches paying for electrical bills. Hydraulic wheelchair lift uses liquid to function, therefore you can save electrical energy while having your lifting solution for your users. Electric wheelchair lifts are cheap in this way when you tally the savings.

Electric wheelchair lifts can be found in shopping centers and office buildings, and even marathon events for the disabled. Each of these wheelchair lifts cost between few hundreds to thousands. Choosing used electric wheelchair lifts can save you more than half than a brand new electric wheelchair lifts. Remember to look out for used electric wheelchair lifts during the tearing down of old public buildings. If your organization is interested in buying a wheelchair lift, Please remember to seek professional advice. Electric wheelchair lifts are confusing to operate. So it is advisable to have someone who can explain to your users/operators the technicalities of the used electric wheelchair lift operations in layman?s terms so they would easily understand them. Occupational therapist is the best person to seek advice from.
Of course, you can always seek the manufacturers of the used electric wheelchair lifts and opt to extend the warranty of the electric wheelchair lifts. Because they make wheelchair lifts, they are sure to have all the answers to your questions. In buying a wheelchair lift, it is advisable to go to at least three sellers before making a purchase. Electric wheelchair lifts may vary in functions, price and length of use. So it is wise to make research before you buy one.

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Choosing New Electric Powered Wheelchairs


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Used Electric wheelchairs are to help people who wish to save money. He may not be accustomed to usingmanual wheelchair and due to his inexperience, can make using wheelchair much more difficult. Instead of purchasing brand new wheelchairs for the healing period,I recommend used electric wheelchairs.

Used electric wheelchairs is a cheap and affordable way to accelerate the healing process.Used electric wheelchairs have the same features as any other electric powered wheelchairs and this aid in the recovery process.
A benefit of used electric wheelchair is its ease in handling. This benefits anyone who uses an electric wheelchair. Unlike operating an old-fashioned manual chair, it is simple to use. Turning the wheels by hand can be a tiring task especially for females. The strength and dexterity required is not an issue with a used electric wheelchair. Not only does this make the power wheelchair easier for everyone to use, it is essential for those who are elderly, physically handicapped, or prone to pain and stiffness in the hands, wrists, and arms.

Used electric wheelchairs are designed for easy access, use, and convenience. Electric powered wheelchairs are streamlined and compact. This means that they are easier to maneuver as well as being easier to store when they are not in use. No jutting out edges will pose a danger of an accident.

Electric wheelchairs are not only for the elderly people. A Electric powered wheelchairs is indeed the best choice for the seniors in your life. You want to make life easier for the elderly person for their comfort and safety. A used electric wheelchair has the same effects as new electric wheelchairs. There is no safer way for the seniors in your life to get around, either at home or out in public places. Even youths will find it challenging to use manual wheelchairs after a few hours. He may even sustain wrist injuries which further affects the healing process. Used electric wheelchair can be used for users of all ages and races. You will have the peace of mind in knowing he or she will not be at risk of falling and sustaining further injuries.

Electric wheelchairs are powered by motors. It can be used in all weather conditions and cost at least US$1,500 for new ones. Used electric wheelchairs, in comparison, cost 50% of the original price! Depending on the kind and extent of use, there are several kinds of wheelchairsavailable in the market. Please consider the weight and size of the person using it, whether for both indoor and outdoor use, the chair?s weight capacity, power source, warranty and cost.
Front-wheel drive wheelchairs are more flexible and maneuverable. They are slower than the rear-wheel drive wheelchairs because of this.Mid-wheel drive wheelchairs are the tightest-turning wheelchairs. They are best used for sports use.
Customizable parts of the electric wheelchairs are the frame,wheels,foot/arm rest. They can be detachable, swing away or elevated. Do consider the ability to recline when choosing used electric wheelchairs. For outdoor use, it is best if the used electric wheelchairs come fitted with kerb climbers and lights.

The latest innovative electric wheelchairs, iBot , which costs a cool US$29,000! It can navigate through difficult terrain i.e. sand, gravel, stairs etc…
Sports models come fitted with robust frames and tight turning wheels.

The following are the checklist when buying a used electric wheelchair:

1.Reading local papers for sale ads
2.Smooth turning wheels and no defects
3.User comfort
4.Consult your therapist

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Learn How To Reverse Diabetes In 4 Weeks Or Less…


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Learn About The Piriformis Muscle And How It Relates To Lower Back Pain.


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Do you suffer from Sciatica? If so, your pain might be because of a little muscle called the Piriformis, located behind your hip joint. It’s location often intersects the Sciatic Nerve, which is the longest nerve in our body running from the base of your spine, down into the legs. Just like with any other nerve, if pressed on, it will transmit pain down its length.

The Piriformis Muscle is apt to tighten up. This often occurs because of strain and overuse. Because of its proximity to the Sciatic Nerve, when the Piriformis Muscle tightens up, it can irritate the nerve. The result for you means pain, big time! It’s very common when the Sciatic Nerve is irritated, that you will have back pain. In some instances, the pain will actually spread across the nerve, and go into your legs and feet. This is why the Piriformis Syndrome is so closely related to the Sciatica Symptoms.

To loosen the Piriformis Muscle, there are several options which you could take. Naturally, because the muscle is tense, the obvious choice would be stretching. Piriformis Stretching exercises are very beneficial, and are simple to perform. Within minutes of doing the stretches, you will begin to feel relief. Check out this excellent guide on Piriformis Stretching. Here you will learn two of the best Piriformis Stretching exercises which you can apply immediately to help relieve your pain.

Other common suggestions for relief besides Piriformis Stretching include taking anti-inflammatory drugs, and getting plenty of rest. After all, the cause for your muscle tension is usually overuse.

A common mistake people make, occurs because of their consistent habits. I’m sure you’ve heard all about these before, but due to their importance, and the benefits you can gain from modifying these habits, I will mention these top three.

1. Incorrect Sleeping Position.
Always aim for sleeping on your back or you side. Avoid sleeping on your stomach as it increase the strain on your lower back.

2. Improper Heavy lifting.
Whenever lifting heavy objects, make sure you bend at the knees, and keep the object close to your body. Avoid twisting into awkward positions while holding heavy objects.

3. Too Much Stress.
Stress not only makes your back pain worse, it is sometimes the leading cause of it. Meditation and deep breathing are some of the proven ways you can battle the damaging effects stress can have on your body.

Your back pain comes from one main cause, which has to do with the misalignment of your joints, and muscle imbalances in your body. I’ve included a link to a free book covering these topics and how to cure them at my free Piriformis Stretching guide. Use it, and you will feel the relief in your back pain immediately!

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