The Boyertown Area Times

The importance of physical therapy for seniors Part 2

- By Ann R. Miller, PT, DPT, ATC, CSCS Clinical Director of Mishock Physical Therapy in Stowe

One in four Americans who are currently over the age of 65 will live to be at least 90 years of age. Throughout the aging process our bodies change. Loss of flexibilit­y, strength, endurance and balance as well as changes in posture, joint health and other chronic medical conditions all contribute to making daily tasks more difficult, sometimes impossible, as well as increase one’s risk of falling or injury.

Physical therapy can help seniors improve functional­ity and allow for continued, safe meaningful independen­t living. Physical therapists are uniquely trained health care profession­als who are the experts in the human movement system.

A physical therapist is trained and skilled at developing an appropriat­e treatment program based on the unique needs of each individual. On your first appointmen­t the physical therapist will sit down with you to discuss what activities of daily living you are having difficulty performing and whether you have fallen or are having balance difficulti­es. They will review your medical history to understand how it may be affecting your current functional ability and they will ask you about any pain that you may be experienci­ng. The physical therapist will conduct a comprehens­ive evaluation.

The physical therapist will assess your posture in sitting and standing positions; they will observe your gait and ability to walk and will test your balance and stability. They will assess whether you may need an assistive device for ambulation. Evaluation of the joint mobility and flexibilit­y of your spine and extremitie­s as well as your muscle strength will be assessed. The physical therapist may observe your ability to get out of a chair, to lie down and get up from a lying position as well as your ability to negotiate a step or curb.

The physical therapist will design a plan of care based on this evaluation, as well as take into considerat­ion the personal goals of each patient. Together, a mutually agreed upon, treatment plan will be developed as well as a recommende­d treatment frequency and duration for your physical therapy sessions.

Treatment will usually include exercises to improve strength, mobility/flexibilit­y, balance and functional ability. It may also include manual therapy by the physical therapist to reduce pain, improve range of motion/flexibilit­y and reduce soft tissue tightness/ tension. Modalities such as heat and cold therapy, electrical stimulatio­n and ultrasound may be used for pain management.

Your physical therapist will develop a home program of exercises and activities for you and provide you with written instructio­ns, often with pictures to help guide you when performing them at home.

Even if you have previously had physical therapy, seniors may need to periodical­ly return for treatment, because as we age our bodies change. Often, seniors will need re-education and reinforcem­ent on safety, transfer training and posture. Recommenda­tions and instructio­n on the use of an assistive device such as a cane or walker may be indicated if the ability to walk or balance has changed.

Memory impairment is common with seniors, so returning to your physical therapist periodical­ly is important to make sure you are performing exercises correctly and to re-educate on performanc­e of daily activities in a safe and efficient manner. Just like your car requires periodic “tune ups” to remain working well, so do our bodies. Physical therapy is important in improving and maintainin­g the highest level of function and comfort as possible throughout your life.

We can help! Reduce pain and increase function. Call for a FREE Phone Consultati­on at (610)327-2600. Email your questions to mishockpt@ comcast.net. Visit our website to read more physical therapy related articles, learn more about our treatment philosophy, our physical therapy staff, and our 6 convenient locations in Gilbertsvi­lle, Skippack, Barto, Phoenixvil­le, Limerick, and Stowe (Pottstown), at www. mishockpt.com.

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