St. Mary's Regional Medical Center HealthNews
St. Mary's Regional Medical Center HealthNews

Striving for Balance and Mobility

Woman stretchingSpecialized therapy for dizziness and balance issues is available through the B.E.S.T. Program (Balance Enhancement and Safety Training) at St. Mary's Center for Rehabilitation.

Having good balance control is vital to performing many daily life activities, like getting up from a chair and standing, dressing, bathing, housekeeping, yard work and grocery shopping. Just about everything you do in your daily life, whether for self-care, work or leisure, requires good balance control.

When balance problems, falls and/or dizziness develop, however, they can cause profound disruptions in your daily life. In addition to increased risk for falls, balance disorders can shorten your attention span, cause excessive fatigue and restrict your participation in typical activities, leading to loss of muscle strength, endurance, independence and socialization.

When Balance Problems Arise

The process of balance control is complex and relies on the integration of multiple sensory and motor systems to work properly. Because of this complexity, it often is difficult to determine the exact cause of balance problems and dizziness.

Shannon Vaverka, occupational therapist, educates patient Margaret Selby on the components of balance control.
Shannon Vaverka, occupational therapist, educates patient Margaret Selby on the components of balance control.
Talking with your doctor is the first way to start understanding your specific balance problems. He or she will examine you to determine what underlying medical conditions may be contributing to your problems with balance, dizziness or falling.

Your doctor may refer you to a balance specialist, a qualified professional who is equipped and trained to assess and treat balance, dizziness and mobility problems.

Specialized therapy for balance issues is available through the B.E.S.T. Program (Balance Enhancement and Safety Training), at St. Mary's Center for Rehabilitation.

The B.E.S.T. Program

The B.E.S.T. Program was designed to help people who have problems with balance, dizziness and falls. Our program is staffed with therapists who have extensive training and experience in balance and vestibular rehabilitation. It was founded and is led by Shannon Vaverka, an occupational therapist, who has focused on balance and vestibular rehabilitation for more than a decade. B.E.S.T. is the only program of its kind in the area.

Maureen Cook, Director of Physical Medicine and occupational therapist assistant, works with patient Glen Wehrman. They're utilizing the harness to prevent a fall while working on balance skills.
Maureen Cook, Director of Physical Medicine and occupational therapist assistant, works with patient Glen Wehrman. They're utilizing the harness to prevent a fall while working on balance skills.
The program starts with a referral from your doctor and a comprehensive evaluation of the primary systems involved in balance function. These include:
  • Postural orientation
  • Postural control and reactions
  • Gaze stabilization
  • Sensation and muscle strength in your legs
  • Analysis of conditions that provoke dizziness, loss of balance and falls

The results of this evaluation form the basis for designing an effective, individualized treatment program. Often, therapy consists of the following interventions to treat specific conditions:

  • For balance and decreased mobility
    • Balance retraining
    • Strengthening
    • Functional mobility skills
    • Using an assistive device to aid stability
    • Compensating for balance, strength and sensory deficits
    • Adapting and modifying personal routines and environment to increase safety and independence and help prevent falls
  • For vertigo and dizziness
    • Specialized treatment maneuvers for treating positional vertigo, when necessary
    • Special exercises involving coordination of eye and head movements to improve gaze stabilization

Get Back in Balance

Please call 580-237-8278 to learn how we can help you stay steady on your feet.