The Pulse

Improving Functional Mobility Using Electrical Stimulation, Virtual Reality, and Exercise

Posted by ACP on Mar 26, 2020 11:51:53 AM

Patient Information: Male, Age 79

Diagnosis: Right Ankle Fracture / Gastrointestinal (GI) bleed

History: This gentleman was referred to a skilled nursing facility for rehabilitation services due to weakness and reduced functional mobility after hospitalization for a right ankle fracture (from a fall) and a GI bleed. Prior to hospitalization, he used a rolling walker to ambulate and lived in a 2-story home with a roommate who helped with household tasks.

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Topics: Fall Prevention & Balance, Patient Success Story, Neuro Rehab

Virtual Reality in Rehabilitation

Posted by ACP on Jan 27, 2020 10:54:43 AM

Over the past several years, the body of evidence on the effectiveness of virtual reality (VR) in rehabilitation has significantly expanded. VR has been studied for a variety of diagnoses including stroke, Parkinson’s disease, multiple sclerosis, dementia, burns, pain, and total knee arthroplasty. VR helps enhance patient involvement and motivation while increasing the repetitions and duration of exercise. Benefits addressing ADL performance, balance, gait, pain, and cognition have been reported.

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Topics: Fall Prevention & Balance, Pain Management, Clinical Tip, Cardiopulmonary, Orthopedic, Neuro Rehab

Improving Strength and Functional Mobility Using Virtual Reality and Exercise

Posted by ACP on Jan 24, 2020 1:15:49 PM

Patient Information: Male, Age 72

Diagnosis: Muscle Weakness / General Debility

History: This gentleman had a fall and was hospitalized due to a femur fracture. He experienced multiple medical complications and surgeries and was admitted to a skilled nursing facility. He was transferred to this skilled nursing facility for long-term care two and half months after his fall and was referred to therapy due to weakness, balance deficits, inability to walk and inability to perform self-care. Prior to his fall he lived at home and was independent with all mobility and activities of daily living (ADLs).

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Topics: Fall Prevention & Balance, Patient Success Story

Improving Strength and Functional Mobility Using Electrical Stimulation and Exercise

Posted by ACP on Jan 14, 2020 2:11:00 PM

Patient Information: Male, Age 75

Diagnosis: Peripheral Vascular Disease / Falls / Muscle Weakness

History: This gentleman was referred to a skilled nursing facility with severe debility after
hospitalization due to a fall at home. Following the fall, he laid on the floor for two days before
being discovered by his home health nurse. At the time of hospital admission, he suffered
from acute renal failure, altered mental status, and infected wounds on both legs. Prior to the
fall, this gentleman lived alone, walked with a straight cane, and was independent with all
self-care, household and community activities.

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Topics: Fall Prevention & Balance, Patient Success Story

Improving Functional Mobility Using Electrical Stimulation and Exercise

Posted by ACP on Sep 23, 2019 2:03:08 PM

Patient Information: Male, Age 96

Diagnosis: Fall / Compression Fracture

History: This gentleman was referred to a skilled nursing facility following hospitalization due to a fall in his garage which resulted in a thoracic compression fracture of the spine. Prior to the fall, he lived at home and was independent with ambulation, driving and mowing his yard.

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Topics: Fall Prevention & Balance, Patient Success Story

Increasing Functional Mobility Using Virtual Reality and Exercise

Posted by ACP on Sep 19, 2019 10:24:18 AM

Patient Information: Female, Age 77

Diagnosis: Esophageal Cancer / Muscle Weakness

History: This woman was referred to a skilled nursing facility for rehabilitation services due to
weakness and a decline in functional mobility after hospitalization due to esophageal cancer
and feeding tube placement. Prior to her hospitalization she was living alone in a senior
living apartment with an elevator and was independent for transfers and activities of daily
living with her manual wheelchair due to prior bilateral below knee amputation.

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Topics: Fall Prevention & Balance

Improving Functional Mobility with Electrical Stimulation and Exercise

Posted by ACP on Aug 26, 2019 2:34:43 PM

Patient Information: Female, Age 76

Diagnosis: Chronic Obstructive Pulmonary Disease (COPD) / Chronic Heart Failure (CHF) / Diabetic Neuropathy

History: This woman was referred to home health therapy services due to numerous falls, poor balance, and a decline in functional mobility. Over several months she became wheelchair-dependent in part due to fear of falling. Prior to this decline, she was independent with transfers and able to walk with a rolling walker to the dining room for meals in her assisted living facility.

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Topics: Fall Prevention & Balance, Patient Success Story, Cardiopulmonary

Decreasing Pain and Improving Functional Mobility Using Electrical Stimulation and Exercise

Posted by ACP on Aug 12, 2019 3:18:12 PM

Patient Information: Female, Age 70

Diagnosis: Left Femur Open Reduction Internal Fixation (ORIF) / Pain

History: This woman was admitted to a skilled nursing facility for rehabilitation services following hospitalization due to a fall at home resulting in a left femur fracture requiring surgical repair. Prior to her fall, she lived in a 2-story home with her husband and was independent with walking and all activities of daily living.

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Topics: Fall Prevention & Balance, Pain Management, Patient Success Story

Decreasing Pain and Improving Functional Mobility after a Fall Using Electrical Stimulation and Dynamic Balance Training

Posted by ACP on Jul 11, 2019 8:58:26 AM

Patient Information: Female, Age 81

Diagnosis: Distal Femur Fracture / Fall Risk / Dementia

History: This woman was hospitalized for a surgical repair of her right femur, which she fractured in a fall. Following hospitalization, she was referred to a skilled nursing facility for rehabilitation to address decreased functional mobility and safety. Previously, she also had a hip and knee replacement on the same side. Prior to her fall she lived at home with her spouse and walked independently, including up and down four steps at the entrance of the home.

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Topics: Fall Prevention & Balance, Pain Management, Patient Success Story

Improving Functional Mobility with Virtual Reality and Exercise

Posted by ACP on Jun 13, 2019 4:51:03 PM

Patient Information: Female, Age 83

Diagnosis: Acute Encephalopathy / Chronic Heart Failure / Morbid Obesity

History: This woman was referred to a skilled nursing facility due to declining health, functional mobility, and ability to care for herself. Thirteen months prior, she was hospitalized due to encephalopathy and complications from chronic heart disease, she was then referred to a skilled nursing facility for rehabilitation. She had poor adherence and participation in therapy. At that time, her son and daughter-in-law took her home despite requiring assistance for all transfers, mobility, and most daily living activities. Once home, her activity level and health further declined and she was re-admitted to the hospital and subsequently back to the skilled nursing facility. Prior to initial hospitalization, she was able to propel herself in her wheelchair up to 100 feet and was able to assist with transfers and self-care.

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Topics: Fall Prevention & Balance, Patient Success Story

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