---
title: Blog - ACP | Fall Prevention & Balance (2)
description: Fall Prevention & Balance |  (2)
---

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# The Pulse

## [Improving Strength and Functional Mobility Using Virtual Reality and Exercise](https://blog.acplus.com/improving-strength-and-functional-mobility-using-virtual-reality-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Jan 24, 2020 4:15:49 PM

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**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).

[Read More](https://blog.acplus.com/improving-strength-and-functional-mobility-using-virtual-reality-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

## [Improving Strength and Functional Mobility Using Electrical Stimulation and Exercise](https://blog.acplus.com/improving-strength-and-functional-mobility-using-electrical-stimulation-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Jan 14, 2020 5:11:00 PM

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**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.

[Read More](https://blog.acplus.com/improving-strength-and-functional-mobility-using-electrical-stimulation-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

## [Improving Functional Mobility Using Electrical Stimulation and Exercise](https://blog.acplus.com/improving-functional-mobility-using-electrical-stimulation-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Sep 23, 2019 5:03:08 PM

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**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.

[Read More](https://blog.acplus.com/improving-functional-mobility-using-electrical-stimulation-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

## [Increasing Functional Mobility Using Virtual Reality and Exercise](https://blog.acplus.com/increasing-functional-mobility-using-virtual-reality-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Sep 19, 2019 1:24:18 PM

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**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.

[Read More](https://blog.acplus.com/increasing-functional-mobility-using-virtual-reality-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance)

## [Improving Functional Mobility with Electrical Stimulation and Exercise](https://blog.acplus.com/improving-functional-mobility-with-electrical-stimulation-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Aug 26, 2019 5:34:43 PM

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**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.

[Read More](https://blog.acplus.com/improving-functional-mobility-with-electrical-stimulation-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story), [Cardiopulmonary](https://blog.acplus.com/tag/cardiopulmonary)

## [Decreasing Pain and Improving Functional Mobility Using Electrical Stimulation and Exercise](https://blog.acplus.com/decreasing-pain-and-improve-functional-mobility-using-electrical-stimulation-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Aug 12, 2019 6:18:12 PM

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**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.

[Read More](https://blog.acplus.com/decreasing-pain-and-improve-functional-mobility-using-electrical-stimulation-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Pain Management](https://blog.acplus.com/tag/pain-management), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

## [Decreasing Pain and Improving Functional Mobility after a Fall Using Electrical Stimulation and Dynamic Balance Training](https://blog.acplus.com/decreasing-pain-and-improving-functional-mobility-after-a-fall-using-electrical-stimulation-and-dynamic-balance-training)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Jul 11, 2019 11:58:26 AM

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**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.

[Read More](https://blog.acplus.com/decreasing-pain-and-improving-functional-mobility-after-a-fall-using-electrical-stimulation-and-dynamic-balance-training)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Pain Management](https://blog.acplus.com/tag/pain-management), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

## [Improving Functional Mobility with Virtual Reality and Exercise](https://blog.acplus.com/improving-functional-mobility-with-virtual-reality-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Jun 13, 2019 7:51:03 PM

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**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.

[Read More](https://blog.acplus.com/improving-functional-mobility-with-virtual-reality-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

## [Functional Electrical Stimulation (FES) Using Medium Frequency Alternating Current (MFAC) Hand Control](https://blog.acplus.com/functional-electrical-stimulation-fes-using-medium-frequency-alternating-current-mfac-hand-control)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Jun 12, 2019 8:38:38 PM

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[![triceps protocol](https://blog.acplus.com/hubfs/triceps%20protocol.png)](https://blog.acplus.com/functional-electrical-stimulation-fes-using-medium-frequency-alternating-current-mfac-hand-control)

ACP’s MFAC Hand Control protocol provides for electrical stimulation-assisted muscle contraction to assist with the development of functional movement of superficial and deep muscles. To maximize the therapeutic effect of the intervention, the electrical stimulation delivered by the MFAC Hand Control protocol should be set to elicit a grade 3-5 muscle contraction and should be administered along with a strong volitional contraction by the patient.

 

[Read More](https://blog.acplus.com/functional-electrical-stimulation-fes-using-medium-frequency-alternating-current-mfac-hand-control)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Clinical Tip](https://blog.acplus.com/tag/clinical-tip)

## [Reducing Hip and Back Pain and Improving Functional Mobility Using Electrical Stimulation and Exercise](https://blog.acplus.com/reducing-hip-and-back-pain-and-improving-functional-mobility-using-electrical-stimulation-and-exercise)

 Posted by [ACP](https://blog.acplus.com/author/acp) on Apr 25, 2019 5:47:56 PM

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**Patient Information:** Female, Age 91

**Diagnosis:** Left Hip Pain / Spinal Stenosis / Difficulty Walking

**History:** This woman, a long-term skilled nursing facility resident, was referred to therapy due to a significant decline in functional mobility including bed mobility, transfers and walking. The decline was preceded by a fall while getting out of the car with her daughter, after which  
she experienced increased pain in her left hip and back. Prior to this incident, she required minimal assistance with most functional tasks.

[Read More](https://blog.acplus.com/reducing-hip-and-back-pain-and-improving-functional-mobility-using-electrical-stimulation-and-exercise)

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Pain Management](https://blog.acplus.com/tag/pain-management), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

[Previous](https://blog.acplus.com/tag/fall-prevention-balance/page/1) [All posts](https://blog.acplus.com/all) [Next](https://blog.acplus.com/tag/fall-prevention-balance/page/3)

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