Stroke TIAs

History: M.S. is a 79 year old female who came to The Center for Balance with complaints of dizziness, balance deficits, and a history of multiple falls after suffering from a stroke and multiple TIA’s. Patient complains of dizziness, “It feels like I can’t focus, I have waves of imbalance and wooziness, I have to stay still”. Patient states her dizziness and balance problems increase with head movements, walking between and around objects, in crowds, using stairs, shopping, and going out to lunch and dinner. Patient further states, “I just stay at home now, I am so afraid of falling”. Patient states her dizziness intensity during activities is 8/10 (10 being severe dizziness, 0 being no dizziness) and a fear of falling 8/10 (10 being a high fear of falling, 0 no fear of falling). Patient without any complaints of paralysis of the extremities.

Treatment: Patient underwent an individualized functional vestibular (inner ear) and balance training program including vestibular strengthening exercises, functional static and dynamic balance exercises, fall prevention program, trunk/CORE strengthening exercises, and patient education. Patient also performed movement initiation and awareness exercises through a Tai Chi functional exercises program.

Results: At the time of discharge from physical therapy M.S. was demonstrating no dizziness or fear of falling during daily activities. Patient balance testing scores were normal. Patient returned to being able to shop, go to dinner, and enjoy her grandchildren.