You Feel the ground give way beneath your feet, you feel that the landscape turns around, you feel dizzy looking up or turning you in bed, you're sick in transport...
Dizziness is a very common reason for consultation.They can result from a stroke central but often reflect a dysfunction of the inner ear. Various conditions may be responsible for these symptoms: viral labyrinthitis sequelae, vertigo, positional secondary to impact the head, cervical injury, brain concussion, a Meniere's disease, ...
THE BALANCEIn case of severe dizziness, possible causes are ;
- Vertigo Benin paroxysmal positional (BPPV)
- Vestibular neuritis
- Meniere's Disease
- Perilymphatic fistula
- Traumatic brain injury
- Central or idiopathic Parkinson's disease or other impairments of the motor and sensory control.
Balance is achieved through three types of sensory information from the vestibular system, vision and proprioception (muscles, tendons, joints). This information converge on the central nervous system after integration of these signals sent to muscles information capable of keeping the body in balance.
The peripheral vestibular system is made at each ear of five different types of sensors : the semicircular canals in number three ( horizontal channel , vertical anterior and posterior ) and the otolith organs two in number ( utricle and saccule )
Proprioception is provided by the mechanical sensors of the trunk and lower limbs is located within tendons or ligaments or joints.
It is their stretching which will inform the brain about the position of the body by means of the sensory nerves.
The aim of vestibular rehabilitation is :
- Allow the patient to regain some stability;
- Decrease the frequency, duration and intensity of his dizziness ;
- Decrease the associated symptoms (such as nausea , vomiting, headaches , etc.);
- Improve patient autonomy in activities of daily living.
PhysiotherapyWe offer a therapy based on intensive exercises that focus on neuro-rehabilitation principles using neuro plasticity. The goal of treatment in physiotherapy is to restore, maintain and maximize physical strength. Our physiotherapists prescribe, to that end, customized therapeutic exercises.
Neurological Physiotherapy focuses on the evaluation and treatment of neurological disorders using methods that apply the principles and foundations of both the NDT (Neuro-Developmental Treatment) and Bobath approach.
Both approaches use techniques specifically adapted by our physiotherapists to improve participation and physical functions of adults and children with specific neurological disorders. Neurological rehabilitation applies therapeutic manipulation to influence how the neurological system responds to sensory stimuli and thereby improves the quality of patient movement. This technique can be used to enhance the desired movements and / or prevent bad posture or movement disorders with emphasis on balance, strength and flexibility.
Neurological disorders can affect each person in different ways, which is why our plans and treatment goals are tailored to the specific needs of each individual and in his current capacity.
To maximize fitness all meetings with our physiotherapists are personalized and usually last 90 minutes.
Electro Tactile Stimulation - Brain Port
« The device of balance BrainPort represents a revolutionary headway in the treatment of the patients suffering from balance disorders, »clarifies Robert Beckman, CEO de Wicab.
In 1997, Bach-y-Rita and co-workers developed a system where the sensory relay role is played by... the tongue.
Because it is the human organ that is the most innervated in tactile receivers, and because it soaks in a conductive solution, the saliva.
The last TDUs, marketed under the naming BrainPortTM by the company Wicab founded by Bach-y-Rita, is stimulating 25 x 25 ( 625 microelectrodes). They have first been tested to correct balance disorders. The device supplies information in the brain on the position of the head by a light electric stimulation on the tongue.
How does it work? According to Paul Bach-y-Rita,
« Brain Port connects a machine to the brain by means of the tongue which, from the point of view of the contribution of outside information, is comparable to the principle of a port USB The tactile sensory cells(units) of the tongue are stimulated thanks to the electro activity of the contact points of the stimulating. So, the information reaches the brain effectively by means of nervous connections which connect it with the tongue. »
A New Technology
The device of balance BrainPort appeals to an exclusive technology allowing the patients affected by balance disorders to improve their balance. Thanks to the training on the device, the patients note a significant improvement in terms of balance, posture and walking. By using the device regularly, the patients maintain these improvements between the sessions of exercise.
The main objective of this treatment is based on the stake in action of a system of vestibular electro-tactile replacement (VETR) and its efficiency for the recovery of the control of the posture in patients presenting a bilateral vestibular loss, whether these patients are sitting or standing. The patients were trained to wear the hanging prosthesis (BrainPort) 6 in 12 days. They experienced easily the position and the movement of a small-sized "target" stimulus from the electro-tactile device put on the surface of the tongue, and they interpreted these in trainings to correct and adjust their posture so that the target stimulus is centered. Two daily sessions of twenty minutes allow significant one valid functional improvement all day long.
Our physiotherapists are members of the Professional Order of physiotherapy Quebec (OPPQ)