Therapy Achievements is dedicated to helping people with physical, cognitive and visual limits re-gain function and reach their potential. By providing out-patient physical, occupational and speech therapy services, we help people maximize their independence and reach their potential. Our multi-disciplinary team approach to rehabilitation enables us to tailor your plan of care to your specific and unique needs.
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We’re not always ready for multiple sclerosis (MS) relapses, but relapses can happen no matter what you are planning or what is going on in your life. Most people with multiple sclerosis don’t want to think about relapses when they’re feeling okay, but living a life with multiple sclerosis can mean dealing with unexpected interruptions that can prevent you from doing what you enjoy or need to do. Becoming “relapse-ready” can help. Rethinkmsrelapses.com suggests 3 steps to help you:
Step 1: Learn about multiple sclerosis (MS) relapses
The first step in becoming relapse-ready is learning as much as you can about relapses and available relapse treatment options. Physical therapy, occupational therapy or speech therapy may help to reduce symptoms and regain function. Take the time to review MS materials on this website and in other resources. This will help you provide accurate and timely information to your healthcare team. It will also make you better prepared to speak with your healthcare provider to determine the relapse treatment option that is most appropriate for you.
Step 2: Watch for signs and symptoms of a relapse
Keeping a log of your everyday MS symptoms can help you (and your healthcare team) more easily identify a relapse. Recording your medication history, and how each medication affects you, provides important information for you and your healthcare team to consider when making treatment decisions.
Step 3: Speak up about your relapse symptoms
Communication is key. Contact your healthcare team as soon as you suspect you are having an MS relapse. If you are given treatment for an MS relapse, stay in contact with your healthcare team both during and after your treatment to discuss any changes in your health. Make sure your friends, family, and coworkers know that you may need help during the relapse. And make new connections with other people living with MS—become a part of the MS community for support and shared resources. The Huntsville MS Support Group meets the third Tuesday of every month from 6:00 – 8:00.
Planning ahead can help you identify an MS relapse sooner, so that you can recover more quickly. It can also help you find others in your support network who can help you when you most need them. Remember, you are your best advocate. Don’t be afraid to speak up and ask for help.
March 2-8, 2015 is Multiple Sclerosis Awareness Week and the MS Society will be hosting a Meet and Greet Wednesday, March 4, 2015 from 6 to 8 pm to raise awareness of MS and to raise funds for research.
Multiple sclerosis (MS) is a disease in which your body attacks itself and causes a breakdown of myelin – the insulating sheath that wraps around your nerves to protect them. The word “sclerosis” refers to the scar tissue or lesions that appear as the myelin is damaged. The unprotected nerves can’t function as they would with normal, healthy myelin. The damaged nerves produce a wide range of symptoms that vary in severity. Symptoms can include numbness and tingling, vision problems, balance and mobility issues, difficulty with thinking and slurred speech.
There is no such thing as a “typical” symptom of MS because each person experiences the disease differently. The same type of symptoms may come and go frequently, or you may regain a lost function after a period of time. The unpredictable pattern of symptoms has to do with which nerves your immune system attacks at any given time.
Although there is not yet a cure for multiple sclerosis, much research is currently underway to better understand not only how to stop the progression but restore lost function. You can help research effort by attending the MS Society Meet and Greet during Multiple Sclerosis Awareness Week. Come meet the Huntsville Havoc hockey team at The Brickhouse Sports Cafe at The Village of Providence 7 Town Center Drive NW, Huntsville, AL. There will be Door Prizes and Drawings for gift items and a percentage of the Food & Beverage Sales will be Donated to the National MS Society. For more information call: 256-457-5618 or email firstname.lastname@example.org
Therapy Achievements has extensive experience in helping people with Multiple Sclerosis. We provide out-patient physical therapy to improve balance, strength and endurance, occupational therapy to improve the ability to complete functional activities such as driving, dressing and bathing, and speech therapy to improve eating, swallowing, and thinking skills. Call 256-509-4398 for an appointment today!
Ambucs Bike Build
Members of the local Semper Fi Riding Club were some of the volunteers who assembled adaptive bikes for people with limited mobility at the Ambucs bike build. Being mobile is vital to the health and welfare of people with movement disorders such as stroke, spinal cord injury or cerebral palsy. It is very rewarding to be a part of helping 12 more people to increase their independence.
AMBUCS – American Business Clubs –is dedicated to creating mobility and independence for people with disabilities and fulfills this mission by:
Performing various forms of community service including building ramps and accessible playgrounds
Providing AmTryke therapeutic tricycles to individuals unable to operate a traditional bike
Awarding scholarships to therapists
AMBUCS – was formed in 1919 by Auburn graduate William White. His dream was to begin a national service organization for young business and professional men. Today there are more than 130 chapters in over 30 states – and they’re still growing! To learn more about AMBUCS and how to participate in adaptive bike build or their programs log on to: www.ambucs.org.
Types of Adaptive Bikes for People With Limited Mobility:
We are Cycling is a group that promotes all forms of cycling and classifies adaptive bikes for people with limited mobility:
Tricycles have three wheels, which means that the rider does not need to be able to balance. This is particularly useful for people with learning disabilities, such as Dyspraxia, and those recovering from illnesses (strokes, for example). Tricycles can be fitted with foot plates to make it easier for riders to rotate the pedals and they come in upright or recumbent (horizontal sitting position). For adults and children with balance issues, stabilizers can also be fitted to standard bikes, which makes them more like tricycles.
Tandems can have two, three or four wheels and are made for two people to ride together. Cycle configurations may have one rider in front of the other, or side by side in the case of three and four-wheeled machines. Tandems are particularly helpful when there’s a need to take over the pedaling or steering. Two-wheeled tandems are particularly good for people with visual impairments too. Another possibility for partnered riding is a ‘tag-along’ which consists of half a bike that bolts on to a standard 2-wheel bike. These are more commonly used for children, but there are adult versions on the market.
Hand Powered Cycles
Hand powered cycles work along the same principle as standard cycles. The pedals are replaced with handles that also steer, and riders use their arms to push the
handles around to drive the chain and wheels. Most hand cycles have three wheels, although some have four wheels. Four-wheel cycles may have power assistance instead of the rider turning handles, or they may be built for going down hill, in which case gravity powers the bike. As with tricycles, hand cycles can have upright seats or low down recumbent seats. Specialist ‘clip on’ cycles are also available that can be attached directly to a persons wheelchair. Hand cycles are used by people with limited or no lower body mobility, e.g. because of paraplegia, leg amputations and those with joint problems such as arthritis. Hand cycles are also useful for rebuilding upper body strength – e.g. by those recovering from stroke.
Mary Beth has multiple sclerosis and is working on better posture with Cathy in physical therapy. But people with MS are not the only ones who have trouble with their posture. Long work days, hours spent sitting at a computer, and increased amount of time spent texting contribute to poor posture for many people. Here’s 5 tips on how to have better posture:
- Don’t just sit there, get up and move! Avoid slumping and other poor postures by changing positions frequently. Poor posture puts extra pressure on your neck and back and re-positioning helps realign your joints and reduces stress. Take a break from sitting every half hour for two minutes in order to stretch, stand, or walk.
- Wear supportive footwear. Wearing high-heeled shoes causes the body’s center of gravity to shift forward. To keep your balance, you must compensate the alignment of the entire body in a way that negatively affects your back and posture. Wearing supportive shoes enables the body to align correctly and improves posture and comfort.
- Exercise to prevent injury and promote good posture. Keep the muscles that surround your back strong to promote good posture and prevent injury. Keeping your “core” strong will enable your to sit, walk, lift and carry with good alignment and reduce the stress on your joints.
- Tuck your chin. Be aware of the tendency to let your head drift forward. This puts stress on your neck and shoulders and is the leading cause of upper back pain. To check your head position, stand with your heels, hips, shoulders and head against the wall. Now tuck your chin down toward your sternum, keeping your head on the wall. Feel the stretch? That’s a clue that your head is not used to being in correct alignment with your spine.
- Stay flexible. Tight muscles put stress on your joints and make it difficult to keep your joints in good alignment. Keep flexible by doing yoga, tia chi or other exercise that stretches your muscles.
My uncle, Don Anderson, underwent placement of a deep brain stimulation for Parkinson’s Disease in 2012. It immediately stopped his shaking. He had the procedure done at Providence Saint Joseph Medical Center in Burbank by Dr. Michael Marvi.
My Uncle was able to participate in a series of commercial about deep brain stimulation for treatment of Parkinson’s Disease. In one commercial, they demonstrate what happens when they turn the stimulator off.
The National Parkinson’s Disease Foundation has published a fact sheet about deep brain stimulation for Parkinson’s Disease:
What are the facts about Deep Brain Stimulation for Parkinson’s Disease?
- Deep brain stimulation (DBS) is a surgical procedure used to treat the debilitating symptoms of Parkinson’s disease (PD), such as tremor, rigidity, stiffness, slowed movement, and walking problems.
- The procedure is also used to treat essential tremor, a common neurological movement disorder.
- DBS does not damage healthy brain tissue by destroying nerve cells. Instead the procedure blocks electrical signals from targeted areas in the brain.
- At present, the procedure is used only for patients whose symptoms cannot be adequately controlled with medications. DBS uses a surgically implanted, battery-operated medical device called a neurostimulator—similar to a heart pacemaker and approximately the size of a stopwatch—to deliver electrical stimulation to targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and PD symptoms. Before the procedure, a neurosurgeon uses magnetic resonance imaging (MRI) or computed tomography (CT) scanning to identify and locate the exact target within the brain where electrical nerve signals generate the PD symptoms.
- Some surgeons may use microelectrode recording—which involves a small wire that monitors the activity of nerve cells in the target area—to more specifically identify the precise brain target that will be stimulated.
- Generally, these targets are the thalamus, subthalamic nucleus, and a portion of the globus pallidus.
- Once the system is in place, electrical impulses are sent from the neurostimulator up along the extension wire and the lead and into the brain. These impulses interfere with and block the electrical signals that cause PD symptoms.
The Deep Brain Stimulation system consists of three components:
- The lead- (also called an electrode)—a thin, insulated wire—is inserted through a small opening in the skull and implanted in the brain. The tip of the electrode is positioned within the targeted brain area.
- The extension- is an insulated wire that is passed under the skin of the head, neck, and shoulder, connecting the lead to the neurostimulator.
- The neurostimulator- (the “battery pack”) is the third component and is usually implanted under the skin near the collarbone. In some cases it may be implanted lower in the chest or under the skin over the abdomen.There are three brain targets that have been FDA approved for use in Parkinson’s disease.
Which Brain Target should you choose for Deep Brain Stimulation for Parkinson’s Disease?
There are three brain targets that have been FDA approved for use in Parkinson’s disease. The most commonly utilized brain targets include the subthalamic nucleus (STN) and also the globus pallidus interna (GPi). Target choice should be tailored to a patient’s individual needs. There are many ongoing studies that will help to refine target choice for individual patients. Although the picture is not yet clear on the issue of target choice, the STN does seem to provide more medication reduction, while GPi may be slightly safer for language and cognition.
How do I know if I am a good candidate for DBS?
- You have had PD symptoms for at least five years.
- You have “on/off fluctuations, with or without dyskinesia.
- You continue to have a good response to PD medications, especially carbidopa/levodopa, although the duration of response may be insufficient.
- You have tried different combinations of levodopa/carbidopa and dopamine agonists under the supervision of a movement disorders neurologist.
- You have tried other PD medications, such as entacapone, tolcapone, selegiline or amantadine without beneficial results.
- You have PD symptoms that interfere with daily activities.
What is the prognosis for Deep Brain Stimulation for Parkinson’s Disease?
- Although most patients still need to take medication after undergoing DBS, many patients experience considerable reduction of their PD symptoms and are able to greatly reduce their medications. The amount of reduction varies from patient to patient but can be considerably reduced in most patients. The reduction in dose of medication leads to a significant improvement in side effects such as dyskinesias (involuntary movements caused by long-term use of levodopa). There is a 1-3% chance of infection, stroke, cranial bleeding, or other complications associated with anesthesia, per side that is done. It is best to discuss the risks associated with your neurologist because there are many risk factors, including underlying medical conditions.
- The most commonly utilized include the subthalamic nucleus (STN) and also the globus pallidus interna (GPi). Target choice should be tailored to a patient’s individual needs. There are many ongoing studies that will help to refine target choice for individual patients. Although the picture is not yet clear on the issue of target choice, the STN does seem to provide more medication reduction, while GPi may be slightly safer for language and cognition.
Julie Roberts is a country music singer living with multiple sclerosis. She worried about how people would react if they knew she had MS. Then she decided ‘I do not have to give up on my dreams’
Huntsville Multiple Sclerosis support group was privileged to have Julia speak at the September 2014 meeting.
She shared: “Accepting my diagnosis of multiple sclerosis was probably the most difficult part of my MS journey. However, it also helped me retake control of my life.”
Roberts was diagnosed with Multiple Sclerosis while recording her second album, 2006’s ‘Men and Mascara,’ but she knew there was something wrong well before that. Remembering her time on the road in support of her first record, she says, “I’d be in the middle of a show and couldn’t hold my microphone anymore. I would get these electric shocks that would start at the back of my head and felt like it would spread all over my head.”
She adds, “I would be signing in my autograph line after a show and while writing the name my fan would give me, I couldn’t even see what I was writing. My vision was very blurry most nights. If I was in the gym, I couldn’t even hold weights.”
This all led to her going to the doctor, and when they took an MRI of her brain, they found 11 lesions that signaled her diagnosis.
Multiple Sclerosis is a disease that can be slowed down with medicine, but Roberts chose not to take medication; she instead decided to eat well and work out daily in an attempt to keep healthy, but a scan showed that the lesions in her brain had increased to 12. “For years, I was in denial that I had MS. I thought if I didn’t focus on my MS, then maybe it would just go away. It took the Nashville flood in May 2010 for me to “wake up” and decide it was time to take responsibility for what is, and what will be, my life with MS. My Mom, my sister and I lost our home and almost everything we owned in the flood. When we were rescued by boat, we were given another chance at life. I realized then that things can be replaced, but life and good health are invaluable.
The stress from the flood brought on a relapse of my MS, which I could no longer ignore. At that point, I decided to accept that MS is part of who I am, and that I needed to learn how to manage it in order to continue living my dreams.
I believe it was God who gave me another chance at life with the flood rescue and I wasn’t going to waste it. I was determined to show this disease who was boss and that I would not let MS define my life’s journey! I wanted to show the world that MS looks different for everyone and that MS does not mean you have to give up on your dreams.
I’ve learned to manage my MS by keeping all my options open. I have a neurologist who helps me control my MS with a disease-modifying therapy and address any symptoms that may appear. I am also much more than my MS and I manage my life through diet, exercise and my faith. I have learned that I do not have to give up on my dreams.
Occupational Therapy at Therapy Achievements
Ultrasound is a great way to rehab hand pain and can speed up the healing process. Karen Allen Hislop, one of the occupational therapist at Therapy Achievements is using it to treat De Quervain’s Tendonitis with great results.
Therapy Achievements is a Rehabilitation Center that provides out-patient Physical Therapy, Occupational Therapy and Speech Therapy. We have programs for Balance and Movement, Speech and Swallowing, Swelling from Lymphedema and Edema, Driving Rehabilitation and Functional Living Skills for visual and cognitive re-training. We help people with Brain Injury, Stroke, Multiple Sclerosis, Parkinson’s Disease, Lymphedema, Head and Neck Cancer, and other disorders that interfere with mobility and function. We offer VitalStim Technology, Saebo Technology, LSVT LOUD Treatment, LSVT BIG Treatment, and Neurodevelopmental Treatment.
Spinal Cord Injury Facts: The Numbers
- More than 240,000 Americans currently suffer from a spinal cord injury
- Spinal cord injury disrupts function of muscles & nerves
- Spinal cord injury can result in paraplegia or quadriplegia
- Car accidents, crash, falls, and sport injuries are the most common causes of spinal cord injury
Spinal Cord Injury Facts: Well Known People with Spinal Cord Injury
- Stephen Hawking, scientist
- Christopher Reeve, actor
- Ted Pendegrass, musician
- Curtis Mayfield, singer
- Darren Drozdov, wrestler
- Darryl Stingly, NFL player
- Sam Schmidt, Indy racer
Do you have a spinal cord injury? Therapy Achievements Can Help!
Physical Therapy to Improve Balance, Flexibility and Strength
Reduce Pain and Improve Mobility
Occupational Therapy to Improve functional ability
Recommend assistive devices
Speech Therapy to Improve Voice Volume and Control
Parkinson’s Disease Facts: The Numbers
- 10 million people worldwide are living with Parkinson’s disease.
- 60,000 Americans are diagnosed with Parkinson’s disease each year
- 4% of people with PD are diagnosed before the age of 50.
- Men are 1 ½ times more likely to have Parkinson’s than women
- $2,500 a year is the average annual medication costs for an individual person with PD
- Therapeutic surgery can cost up to $100,000 dollars per patient
Parkinson’s Disease Facts: Well known people with Parkinson’s Disease
- Michael J. Fox (b. 1961), Canadian actor
- Billy Graham (b. 1918), American evangelist
- Janet Reno (b. 1938), Former Attorney General of the United States
- Muhammad Ali (b. 1942), boxer (pugilistic Parkinson’s syndrome)
- Eugene McCarthy (1916-2005) American politician
- Francisco Franco Spanish dictator (1892-1975)
- George Wallace, former governor of Alabama (1919-1998)
- John Lindsay, New York City mayor (1921-2000)
- Mao Zedong, Chinese Dictator (1893-1976)
- Pope John Paul II (1920-2005), Polish cleric
- Salvador Dalí, Spanish artist (1904-1989)
- Sir Michael Redgrave (1908-1985), British actor
Parkinson’s Disease treatment with Deep Brain Stimulation (DBS) has been used for over a decade to help stop uncontrollable shaking. It is typically offered when medications no longer help. Similar to all of the presently available Parkinson’s drugs, surgical options offer symptomatic benefit. It can ease symptoms but has not been proven to change the underlying course of disease. It is usually done in people who have had Parkinson’s for at least four years and still get a benefit from medication but have motor complications, such as significant “off” time (periods when medication isn’t working well and symptoms return) and/or dyskinesia (uncontrolled, involuntary movements).
DBS typically works best to lessen motor symptoms like stiffness, slowness and tremor. It doesn’t work as well for imbalance, freezing when walking or non-motor symptoms. DBS may even exacerbate thinking or memory problems so it’s not recommended for people with dementia.
Deep Brain Stimulation: How It Works
A surgeon implants a small battery operated device similar to a pacemaker under the skin near the collar bone. The doctor then positions wires from the device with electrodes on their ends in areas of the brain that control motor function. Usually a person remains awake during surgery so that he or she can answer questions and perform certain tasks to make sure that the electrodes are positioned correctly. The device works by electrically stimulating these areas and blocking the abnormal nerve signals that cause the tremor in Parkinson’s disease patients.
Most people with Parkinson’s disease will require the surgery be done on both sides of the brain.The procedure is performed with the patient awake to ensure optimal placement of the electrodes and maximize the potential for benefit. A few weeks after surgery, a movement disorder specialist uses a handheld programmer to set parameters, tailored to each individual’s unique symptoms, into the neurostimulator. The DBS settings are gradually tweaked over time and medications are simultaneously adjusted. Most people are able to decrease (but not completely discontinue) Parkinson’s drugs after DBS. Determining the optimal combination of drugs and DBS settings — that which gives the most benefit and the least side effects — can take several months and even up to a year.
Physical, Occupational & Speech Therapy for
- Balance and Mobility
- Speech and Swallowing
- Lymphedema Therapy
- Driving Rehab
- Functional Living Skills