Fall Awareness Sparks Stories of Courage and Recovery this Physical Therapy Month

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Happy Physical Therapy Month! This year’s theme, Fall Awareness, chosen by the American Physical Therapy Association (APTA), reminds us of the importance of maintaining strength, balance, and mobility to prevent falls. It’s also a chance to celebrate the incredible work physical therapists do to help patients regain their independence and confidence.

Here are a few inspiring stories from patients who have worked with Tx:Team therapists:

After a severe car accident left her with three broken bones in her pelvis, Betsy at Somerby Sandy Springs began her physical therapy journey using a walker. Over the course of a few months, she transitioned to a cane and eventually regained the ability to walk unassisted. Betsy described her Tx:Team physical therapist, Rachel Hett, PT, DPT as encouraging and motivating. Rachel worked closely with Betsy, practicing outdoor laps and pool exercises to rebuild her confidence when Betsy was feeling scared and weak. The balance work they did together, both in the gym and in the pool, proved crucial in her recovery.

Betsy states, “The quality and quickness of the process pleasantly surprised me. My therapist and I worked very hard and I was happy for the encouragement. Regaining my balance was pretty challenging, but physical therapy helped a lot.”

Betsy’s determination, combined with Rachel’s unwavering support, helped her overcome the physical and emotional challenges of recovery. Today, she’s walking confidently again, a testament to the power of skilled therapy and perseverance.

 

After a lengthy hospital stay, one patient at Somerby Mount Pleasant struggled with a significant loss of strength and endurance. Determined to return to his former activity levels, he set goals in therapy to regain mobility and stamina. With the support of his Tx:Team therapists, he is now able to walk longer distances, including trips to see his wife in memory care, and has made great strides in improving his overall endurance.

Reflecting on his therapy experience, the patient stated, “Their empathy and professionalism have helped me to achieve my successes. I believe that without the physical and occupational therapy I am receiving, I would have ended up in assisted living. The mobility I have is because of my therapy and the dedication of Tx:Team, specifically Megan Gidley, Tori Berry, and Kelly van Vliet.”

His progress is a powerful reminder of how personalized therapy can transform lives and restore independence.

 

Following surgery for a complicated leg fracture, Nikki, a patient at Frederick Health Physical Therapy and Sports Rehab Aspen Ridge, was wheelchair-bound and filled with anxiety about starting physical therapy. Her physical therapist, Priya Morgan, PT, DPT, provided the reassurance and support she needed. With exercises tailored to her comfort level, Nikki progressed from using a wheelchair to walking independently.

“The team at Aspen Ridge was always helpful, providing me with the necessary tools and encouragement to enhance my recovery. I am grateful for their dedication to my well-being. Priya told me in the very beginning she would always be my biggest cheerleader, and she proved this to be 100% true,” Nikki shared.

With Priya’s guidance and the support of the Aspen Ridge team, Nikki was able to overcome her fears and regain her independence. Her journey from a wheelchair to walking unaided highlights the power of compassionate care and personalized therapy.

These stories demonstrate the incredible impact physical therapy has on improving balance, mobility, and overall quality of life. This Physical Therapy Month, we celebrate the perseverance of these patients and the unwavering support of their therapists in helping them achieve their goals!

Ask an Expert: What is Vertigo?

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Q: What is vertigo, and how can a physical therapist help?
A: Vertigo is a condition when someone feels dizzy, off-balance, or unsteady. There are various types of vertigo with different causes. One common type of vertigo is benign paroxysmal positional vertigo (BPPV) which occurs due to tiny crystals, called otoconia, in the inner ear becoming loose or dislodged. This imbalance in the inner ear often causes patients to feel a room-spinning sensation with certain head movements or body positions.
Physical therapists can help differentiate what may be causing your vertigo and implement treatments to address your specific type of vertigo, whether that is related to BPPV or other factors.
By Sara Sermersheim, PT, DPT at Finish Line Health and Wellness Center

Fall Awareness: Protecting Independence and Preventing Injuries

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As we age, maintaining balance and preventing falls becomes increasingly important for staying healthy, active, and independent. According to the CDC, one in four adults aged 65 and older will fall each year. These falls often lead to serious injuries, including fractures, head trauma, and hospitalizations. In fact, falls are the number one cause of injury-related deaths in older adults. With increased fall awareness and prevention strategies, many of these incidents can be avoided.

Falls become more likely as we age, but with the right steps, they can be prevented. Below are some common risk factors for falls, along with simple solutions to reduce these risks:

  • Muscle Weakness and Poor Balance: As strength and balance decline with age, it becomes harder to stay steady.
    • Solution: Exercise regularly to strengthen muscles and improve balance. Programs like the Otago Exercise Program are specifically designed to reduce fall risks by targeting these areas.
  • Medications: Some medications can cause dizziness or affect balance, increasing the likelihood of falling.
    • Solution: Review your medications with your doctor to identify any that may be contributing to dizziness or balance issues and explore alternatives if necessary.
  • Vision Problems: Poor or uncorrected vision can lead to missteps and falls.
    • Solution: Get regular vision checkups and ensure you’re using the correct prescription glasses. Address any changes in your vision promptly.
  • Environmental Hazards: Cluttered spaces, poor lighting, and slippery floors are common fall hazards.
    • Solution: Make your home safer by removing tripping hazards, improving lighting, and installing grab bars in key areas like bathrooms and stairways.

Both physical and occupational therapy are vital for fall prevention. Physical therapists help improve strength, coordination, and stability, and can address vertigo through vestibular therapy. Occupational therapists focus on adapting environments and daily routines to reduce fall risks, such as making home safety modifications and teaching safe ways to perform everyday tasks. By offering personalized care plans and practical solutions, physical and occupational therapists empower older adults to maintain independence and reduce the risk of falls.

By understanding the risks and taking proactive steps, you can significantly reduce your chance of falling. If you or a loved one is concerned about falls, talk to a healthcare provider about fall prevention strategies. Awareness is the first step to staying safe and strong!

Welcome Bradley Austin, PT, DPT, COMT, CDNS

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We are excited to announce Bradley ‘Brad’ Austin, PT, DPT, COMT, CONS as Director of Rehabilitation for Riverview Health in Noblesville, Indiana.

Brad brings a wealth of experience and a passion for patient-centered care to Riverview Health rehabilitation. He earned his Doctor of Physical Therapy (DPT) and Bachelor’s in Movement Science from the University of Evansville. Education and continual growth are cornerstones of his professional philosophy. His dedication to advanced training is evident through his certifications as a Certified Orthopedic Manual Therapist (COMT), Titleist Performance Institute (TPI) Certified, and Certified in Dry Needling (CDN).

With 14 years of experience in rehabilitation services, Brad has established himself as a leader and innovator in the field. He has been a highly sought-after clinician in Hamilton County for the past decade as an expert in spine and hip therapy. His expertise in manual therapy and functional movement is complemented by a deep compassion for his patients and a commitment to their well-being.

Brad is a seasoned professional with a proven track record of leadership, innovation, and mentorship in the field of physical therapy. As a Clinic Director at multiple locations, he has successfully managed teams, mentored new therapists, and introduced groundbreaking programs. He has also served as a clinical instructor for multiple students and has assisted in university educational days in the field of orthopedics, demonstrating his commitment to fostering the next generation of physical therapists.

Outside of work, Brad, a Hamilton County resident, is deeply involved in the Carmel Dad’s Club, coaching youth sports for his two boys. His family enjoys being outdoors, golfing, and boating, reflecting his commitment to an active and healthy lifestyle.

In his new role at Riverview Health, Brad will leverage his extensive experience to lead the rehabilitation team, fostering an environment of innovation, collaboration, and exceptional patient care. His proven ability to build strong relationships with orthopedic surgeons and other healthcare professionals ensures a multidisciplinary approach that benefits every patient.

Please join us in welcoming Brad to Riverview Health and Tx:Team.

Preventing Falls with the Otago Exercise Program

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As we age, maintaining balance and preventing falls is essential for staying healthy and independent. The Otago Exercise Program (OEP)—an evidence-based approach proven to reduce fall risks by up to 40%.

What is the Otago Exercise Program?
Developed through research in New Zealand, OEP helps older adults (65+) improve balance, strength, and mobility. The program includes 17 strength and balance exercises and a walking routine, performed three times a week. A physical therapist (PT) initially assesses and prescribes exercises, with four follow-up visits over eight weeks. Participants then transition to a self-managed phase for 4-10 months, with periodic check-ins. OEP is covered by Medicare, Medicare Advantage, and most supplemental insurance plans, making it accessible to those who need it.

Why it matters:
According to the CDC, over 14 million adults aged 65 and older—about one in four—report falling each year. Falls are the leading cause of fatal and nonfatal injuries in this age group. By participating in OEP, patients can reduce the risk of serious outcomes like hip fractures, ER visits, and nursing home stays.

If you or a loved one struggles with balance or has experienced a fall, talk to your healthcare provider about a referral for the Otago Exercise Program.

What Can I Do For My Carpal Tunnel Syndrome?

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Question: What can I do for my carpal tunnel syndrome?

Answer: Carpal tunnel syndrome is one of the most common hand conditions caused by compression of the median nerve as it travels through the carpal tunnel in the wrist. Symptoms can include pain, numbness, and tingling in the hands and fingers (mainly thumb, index, middle and ring fingers).

Surgery is one of the treatment options, but you can also work with a therapist on stretches and work adaptations to relieve pressure. Some of the most common stretches include wrist extension and flexion with opposite hand helping sustain stretch, median nerve gliding, tendon gliding, and hand squeezes with light ball.

Stretching and Warm-Up Routines for Workers: PT Recommendations

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Most athletes perform some type of warm-up before their games or workouts. Warming up primes the body, boosts performance, and helps prevent injury. All that sounds great, right? So, why don’t we warm-up before our work shifts?

A short pre-work warm-up can prepare you for the workday. Exercise helps by…

  • Waking up your muscles. It increases blood flow, so your muscles get warmed up and ready for the day. This allows your muscles to work more efficiently and smoothly throughout your workday. Thus, making your work feel easier. Warming up your muscles can also help reduce pain and prevent injury on the job.
  • Decreasing stiffness. Often first thing in the morning our joints are a little stiff. “Motion is lotion” for our joints and can help reduce stiffness and improve mobility.
  • Improving brain function. Exercise increases blood flow and oxygen to not only our muscles, but also our brain! This helps boost cognition and memory which can improve job performance.
  • Making you happy! A little exercise can enhance your mood. As Elle Woods said in Legally Blonde: “Exercise gives you endorphins. Endorphins make you happy. Happy people just don’t shoot their husbands, they just don’t.” Plus, the workday is a little better when we’re in a good mood (and when our colleagues are too).
  • Reducing stress. Exercising can reduce stress, but specific breathing exercises like diaphragmatic breathing (or belly breathing) can really help calm down your body’s nervous system and reduce muscle tension. This can be great to focus on before a big presentation or anytime you are feeling a little overwhelmed in the workplace.

A short warm-up or movement break can benefit both manual laborers and desk-jockeys. If you need some exercise ideas or don’t know where to start, head over to our YouTube channel and check out the quick Tx:Team Movement Break videos (like the one featured below). I hope you give it a go and feel a little better for your workday!

Sara Sermersheim, PT, DPT

Sara earned her Doctorate in Physical Therapy from the University of Evansville, where she also completed her undergrad. During her studies, she explored healthcare systems in both the UK and the US. With over six years in outpatient physical therapy, Sara treats patients of all ages and specializes in orthopedic care. She’s certified in dry needling, vestibular and concussion rehab, and trained in the McKenzie Method for spinal treatment.

A Letter to the Frankfort Community from Tx:Team

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Dear Frankfort Community,

As you have likely heard by now, IU Health has elected to end our contract to provide physical and occupational therapy services at IU Health Frankfort Hospital. For the past 20 years, it has been our privilege to care for you, your family, your friends, and your neighbors. We take immense pride in the relationships we have developed with those who have sought therapy services from us during that time. Though we do not all live here, Frankfort has become our home. We cherish this community and the role you have allowed us to play in your lives since 2004. Thank you for trusting us.

Our last day of providing services at IU Health Frankfort will be August 29, 2024. After that date, Dan, Christie, Amy, Stephanie, Shawn, Lily, and Jenny will no longer be available for appointments at the hospital. Please contact IU Health directly at (765) 838-7522 with any questions about future rehab services at IU Health Frankfort.

While we will no longer be seeing patients at IU Health Frankfort, we are not leaving the Frankfort area.  Please look for more information coming soon about our new affiliation with Witham Health Services in both Lebanon and Frankfort.

Thank you again for choosing us for your physical and occupational therapy needs in Frankfort. We hope to continue to be your provider of choice.

Sincerely,
Tx:Team

Ask an Expert: What Are Energy Conservation Techniques and How Can I Use Them to Improve My Quality of Life?

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Question: What are energy conservation techniques and how can I use them to improve my quality of life?  

Answer: Energy conservation techniques can be used for a wide array of various populations and improve the quality of life for the aging adult.

Patients who have COPD, CHF, or just seem to fatigue quickly with activities for a number of reasons can benefit from energy conservation techniques. Below is a list of the 4 Ps for energy conservation that provides some tips to help with conserving energy. This table was taken from an article by Mimi Jacobs PT and Karie Angstadt OTR/L which I think gives great tips and insight on how to do this.

1. Planning

  • Consider showering in the evening to conserve daytime energy.
  • Consider using a bag, basket, or rolling utility cart to carry multiple items in one trip.
  • Space difficult and strenuous chores evenly throughout the week.

2. Pacing

  • Perform tasks at a moderate rate and avoid rushing.
  • Allow plenty of time for rest and relaxation. Take a morning or afternoon nap prior to activities or outings to build up energy.

3. Prioritizing

  • Look critically at your roles with work, family, and friends. Keep only those that are necessary and pleasurable.
  • Eliminate unnecessary tasks, chores, or steps of an activity. Look for shortcuts.
  • Ask staff to empty trash and clean your room if the service is available.

4. Positioning

  • Store items at a convenient height to avoid excessive and prolonged stooping and stretching.
  • Use lightweight wheelchairs with proper seat and arm rest height.

 

Shannon Fuller, PT, DPT

Ask an Expert: Why Do My Legs Swell?

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Question:  Why do my legs swell?

Answer:  There are many reasons why the legs can swell. Medical conditions such as decreased kidney function, lymphedema, congestive heart failure and pulmonary edema and obesity. You should see your physician to rule out more serious conditions before coming to physical therapy or occupational therapy for lymphedema treatment.

A primary cause of worsening swelling throughout the day typically is from having the legs in the dependent position such as sitting in a chair with the knees bent for prolonged periods of time. When the knees are bent that put some additional strain on the venous system to return blood to the circulatory system because of the cramping down affect with the knees bent gravity working against blood flow returning to the trunk region.

A few helpful tips to minimize swelling of the feet and lower legs are to not sit more than 20 to 30 minutes at a time, elevate the legs, pump your ankles back-and-forth, stand up more often and complete marching in place or heel raises.