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Balance & Vestibular assessment and rehabilitation
We utilize a computerized dynamic posturography for posture/balance assessment and brain-based therapy neuro-muscular re-education to rehabilitate spinal segmental dysfunctions which may affect central nervous system functions. Many neurological/musculoskeletal disorders are associated with pathology of balance and gait. Good balance requires the good functioning of the body and brain. Good balance is the complex and integrated process of vestibular, visual and somatosensory systems functions. Most pathologies of any part of the body cause a decrease in balance. Therefore, evaluation of balance is a great window to assess your spinal and central nervous system functions. Computerized dynamic postrugraphy helps our assessment and rehabilitation with clear objective findings. These computerized assessments and data allows us not only to predict the probability of a fall, but also to find out functionality of spine and central nervous system. Falls are the greatest cause of accidental death and most fallers have no signs or symptoms before a fall. Our force plate can measure the otherwise undetectable movements you make when you stand. Even if you don’t have any subjective symptoms, by using this balance testing, we can gain a window into your brain’s functionality and health and may or may not discover any issues we should address.
Clinical Case 1 (70 years old male）
The right report shows limits of stability (LOS) of one of our patient. Limits of stability is range of motions to displace center of gravity (COG) toward 8 different directions. If LOS is limited like shown on top picture, it means that he had very limited range of motion of postural control. He had very limited ability to make postural correction to prevent falling. We provided treatment and rehabilitations to correct his spinal segmental dysfunctions which might enhance central nervous system functions. After 3 sessions of these rehabilitations, LOS is significantly improved as shown on bottom picture. He gained much greater range of motions with postural control stability. The patient stated "I feel more stable when I walk."
Clinical Case 2 (28 years old female)
Balance is the ability to maintain your center of gravity (COG) with minimal postural sway. Sway is the horizontal movement of the COG. Our balance assessment utilizing a computerized dynamic posturography measure your COG and sway. Maintaing COG in center is important for maintaing balance stability. If a person has too much sway like this female patient shown on top picture on right, she feels very unstable, especially with eyes closed. In addition to too much sway, her COG was shifted backward. Her central nervous system was not functioning correctly in regards of maintaining COG. Since COG is shifted backward, her posture had to compensate which caused postural problems, spinal segmental dysfunctions and musculoskeletal issues. Just treating pain might not have fixed the cause of her problem. We performed specific treatment and rehabilitations to enhance spinal function which potentially affect central nervous system as well. After 2 rehabilitations in 2 weeks, along with home exercises instructed by the doctors, her COG became more centered and sway decreased significantly. Her balance stability increased and her subjective complaint improved significantly.
Houston Chiropractic Rehabilitation