Now Hiring – in our Victorville & Palm Desert Office Locations

We are a growing Private Outpatient PT clinic in need of CA Licensed Physical Therapist with emphasis in Neuro / Geriatrics / Seniors / Vestibular / Balance & Movement Disorders / Parkinson’s (BIG® Certification a plus!). 1:1 patient care for 1 hour treatment sessions. Competitive salary based on experience and benefits including Health Ins., Dental, Vision, ConEd and PTO. Relocation Assistance for right candidate with 2 year commitment. New Grads welcome. Will Train right candidate. Flexible hours and low stress work environment. Part Time and Full Time Avail. Check us out online for more details: www.ArroyoPT.com. NO PHONE CALLS! Reply with: Resume/Work History/References (min 5) to: Fax: 800-489-6905, Attn: Jeremy

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TOTAL REHAB of the High Desert

Total Rehab (Visit us here: TotalRehabHD.com) is our sister company located in the High Desert Region of Victorville, Apple Valley and Hesperia.  Located off of Bear Valley Blvd, we offer physical therapy programs for: Parkinson’s, Stroke, Neurological Disorders, Balance and Movement Disorders, Vestibular Testing (VAT/ENG), Vestibular Rehab, Concussion Rehab, as well as other orthopedic conditions such as: Back and Neck Pain, Headaches, Sprains & Strains, Pre- & Post- Operative Care, Generalized Weakness and Loss of Motion and Soft Tissue Injuries, just to name a few.

Our team of Licensed Physical Therapist’s and Physical Therapist Assistant’s are excited to bring you the latest in treatment technologies and techniques, as well as providing you with the best physical therapy care possible (one on one for a full hour!).

We are Medicare Certified, and accept most PPO’s and have a select few HMO contracts and limited Workers Comp.  Please call us at 800-489-6905 X 101 for more details and we will be happy to discuss your needs and assist in  verifying your benefits to see if we can meet your needs.

And you can always email us: info@ArroyoPT.com for more info too!

 

Arroyo PT and Total Rehab Update

We are proud to announce our new Office Location in the High Desert in Victorville: 12241 Industrial Blvd, Suite #210, Victorville, CA 92395.  It is 2400 sq ft of space that fits our practice and patients needs for vestibular/balance issues and our Group Classes.  The Victorville Office operates under Total Rehab, which is a DBA of Arroyo Physical Therapy.

The Pasadena office moved last year and is located at: 1720 E Washington Blvd, #208 Pasadena, CA 91104.

The Palm Desert Office is still at: 36867 Cook Street,  Suite #103, Palm Desert, California 92211. Offering the BEST care and services in the Coachella Valley.

We are still the experts in all things balance, movement disorders such as parkinson’s, vestibular, dizziness, concussion and general mobility problems.  We also treat orthopedic conditions – backs, THR, TKR, general conditioning, cardiac rehab, etc.

Our Staff of Licensed Physical Therapists (PT, DPT’s) and Licensed Physical Therapists Assistants (PTA’s) are the BEST in the industry and continually take advanced education in Parkinson’s, LSVT®Big, Vestibular and more to bring you the BEST care possible.  We only offer 1:1 care for your treatment time as well.

We offer VAT/ENG testing at our facilities and now offer Group Classes in Pasadena and Victorville!

Call 800-489-6905 X 101 for more information and we will be happy to assist in making your life more fun and functional again!

Physical Therapist Needed!

We are excited to say that we are growing!

We are in need of a California Licensed Physical Therapist FULL TIME in our Victorville, CA and Palm Desert, CA offices. We are specialists in Neuro / Geriatrics / Seniors / Vestibular / Balance & Movement Disorders / Parkinson’s, etc.

We pride ourselves in offering 1:1 for full treatment time – that is: 1 patient per hour. We have a dynamic team that is dedicated to patient care, have created an easy work environment with low stress and flexible hours.

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Competitive salary (based on experience) and benefits (Health, Dental, Vision, PTO and Con-Ed) offered. New Grads welcome and will train. Certifications in LSVT®BIG, Vestibular & Balance or equivalent helpful, but not required. Relocation assistance considered for right candidate!

Fax Resume and 5 References to: 800-489-6905.

Vestibular Concussion Rehab

Here is a recent Article written by Kathleen McGuire, PT, DPT on Vestibular Concussion Rehab.

APT Vestibular Concussion Rehab

If the link doesn’t work, here is the full article:

Vestibular Rehabilitation: The Missing Piece in the Treatment of Concussions
Written by Kathleen McGuire, PT, DPT

Concussion is a prevalent health issue facing athletes, especially those involved in impact sports. Arroyo Physical Therapy of Pasadena, CA., believes there is a vital component of concussion rehabilitation that is commonly overlooked. This missing piece in concussion treatment is addressing dizziness and vestibular function.

According to the Center for Disease Control and Prevention, concussion is synonymous with the term “mild TBI (traumatic brain injury).” Concussion is a complex patho-physiologic process induced by traumatic forces secondary to direct or indirect forces to the head that disrupts the function of the brain.1 Head trauma can cause central nervous system trauma (eg, a post-concussion syndrome), peripheral vestibular system trauma (eg, labyrinthine concussion, BPPV, perilymphatic fistula), neck injury (eg, whiplash), or some combination of these injuries.3

As concussions have been shown to potentially damage the central, peripheral and cervicogenic parts of the vestibular system, a full comprehensive evaluation of the aforementioned systems is indicated post-head injury. The neurological location of the insult plays an important role in concussion prognosis. Outcomes of rehabilitation in patients with central vestibular disorders are not as good as outcomes following peripheral vestibular disorders. Patients with only central vestibular disorders, however, have better outcomes than do patients with combined peripheral and central dysfunction.3

Central vestibular function controls eye movements, postural movements and spatial orientation3 as needed for high level sports activities. The central vestibular system is also important for modulating vestibular responses and allowing the vestibular system to adapt to injury, disease and changes in sensorimotor demands as well as affects the person’s ability to recover from a peripheral vestibular ailment. This has implications in recovery from multiple concussions and plays a role if the head injury has resulted in both a central and peripheral vestibular injury.3

The primary symptom indicating vestibular damage is dizziness. Dizziness as a symptom of concussion has been reported to occur in 23% to 81% of cases in the first days after injury. The report of the presence of persistent dizziness highly varies from 1.2% at 6 months to 32.5% at 5 years.1 In a study by Meehan et al. 2010, they found the symptom of dizziness/unsteadiness to be the second most commonly reported symptom with concussion, only second to headache. Dizziness was reported in 74.6 of all concussions they studied.

In a study by Lau et al. 2011, they looked at which on-field symptoms at the time of injury were predictive of a protracted recovery (>20 days). The symptoms they assessed included confusion, loss of consciousness, posttraumatic amnesia, retrograde amnesia, imbalance, dizziness, visual problems, personality changes, fatigue, sensitivity to light/noise, numbness, and vomiting. Dizziness at the time of injury was associated with a 6.34 odds ratio of a protracted recovery. To their surprise no other on-field symptoms were associated with a longer recovery period. Therefore they concluded that the assessment of on-field dizziness might help identify those athletes who are at risk for a protracted recovery.

A longer recovery period post-concussion puts the athlete at risk of developing Post-Concussion Syndrome (PCS). PCS refers to a large number of symptoms and signs resulting from a concussion that do not resolve independently with time. The most common complaints are headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of consciousness and memory, and noise sensitivity.

Despite the high incidence of dizziness and balance dysfunction status-post concussion, reports of vestibular and balance rehabilitation in the management of concussion are sparse.1 Research is limited, but it has been documented that vestibular rehabilitation in the treatment of concussion related dizziness and balance dysfunction has been promising.1 A chart review of patients treated with vestibular rehab post-concussion conducted by Alsalaheen et el. 2010, showed a significant treatment effect in self-reported outcome measures and performance measures. Vestibular rehabilitation showed to reduce dizziness and improve overall balance for individuals with concussion.

The current standard in baseline testing for at-risk athletes is to perform cognitive screens and balance evaluations to compare to post-concussion results. The pre-post tests currently used in concussion management include a thorough cognitive assessment looking at orientation, memory and concentration, and a balance and coordination evaluation assessing static stability and upper limb tasks controlled by the cerebellum. While these tests have been found to be reliable and valid for cognitive and balance function, they have not been shown to be useful in predicting the need for more comprehensive therapy, including vestibular rehabilitation. We propose that baseline and post-injury vestibular function testing should be performed in addition to the cognitive and balance screens for a more comprehensive and efficient post-concussion evaluation.

Based on their research, Alsalaheen et al. recommend having a profile for the patient with concussion in which all the tests for the different domains (symptoms, neurocognitive, and balance) at all evaluation points (baseline, immediately after concussion, and throughout recovery) are documented in a systematic manner and kept accessible to every member of the treatment team. They propose that a proper concussion rehabilitation team consist of a multidisciplinary group of physicians, neuropsychologists, physical therapists and athletic trainers.

Arroyo Physical Therapy proposes that vestibular rehabilitation is the missing component for comprehensive concussion recovery. Based on our research review and professional experience, athletes who report a symptom of dizziness post head injury are at risk for delayed returned to play and increased risk of repeated injury. We believe that supplementing the athlete’s current rehabilitation program with vestibular exercises will enhance and quicken their concussion recovery.

REFERENCES
1. Alsalaheen BA, Mucha A, Morris LO, et al. Vestibular rehabilitation for dizziness and balance disorders after concussion. JNPT. 2010;34: 87-93.
2. Broglio SP, Ferrara MS, Sopiarz K, Kelly MS. Reliable change of the sensory organization test. Clin J Sport Med. 2008 Mar;18(2): 148-54.
3. Furman JM, Whitney SL. Central causes of dizziness. Phys Ther. 2000;80: 179-187.
4. Lau BC, Kontos AP, Collins MW, Mucha A, Lovell MR. Which on-field signs/symptoms predict protracted recovery from sport-related concussion among high school football players?. Am J Sports Med. 2011 Jun 28.
5. Meehan III WP, d’Hemecourt P, Comstock RD. High school concussion I the 2008-2009 academic year: Mechanism, symptoms and management. Am J Sports Med. 2010 Dec;38(12): 2405-2409.
6. Register-Mihalik JK, Mihalik JP, Guskiewicz KM. Balance deficits after sports-related concussion in individuals reporting posttraumatic headache. Neurosurgery. 2008 Jul; 63(1): 76-80; discussion 80-2.

Outcome Measures and Evidence Based Practice

Arroyo Physical Therapy in Pasadena, Ca., strives to bring you the best and most current updated testing and treatment for balance, movement disorders, fall prevention and vestibular disorders. Outcome measures, and having a program of evidence based practices, are becoming the norm (and required by Medicare!)

These outcome measures and evidence based practices are vital to the consistency of care.

We’d like to remind you that while you have a choice for physical therapy in Pasadena, CA., Arroyo Physical Therapy is proud of offer one-on-one care while maintaining the highest level of service and practice.

Happy Holidays!

Arroyo Physical Therapy is the Pasadena Physical Therapy clinic for your physical therapy needs. Specializing in Parkinson’s physical therapy, vestibular, balance, vertigo, fall prevention, movement disorders, neuropathy and laser light therapy. We offer one on one care and also offer concierge physical therapy and services.

Check out our website for our ongoing balance and fall screenings on the first Saturday of the month starting 2012.

We wish you all a safe and wonderful holiday season however you celebrate.

Parson’s Health Fair

Arroyo Physical Therapy of Pasadena, CA will be have a booth at the Parson’s Health Fair today in Pasadena. We are fortunate enough to be the ONLY physical therapy clinic/office represented. We will be offering balance screenings and information on Parkinson’s, Geriatric and Senior Resources for Rehab and Vestibular and Inner Ear Education.

We are proud to offer the best service and care for your rehab needs.

Treatment Options for Vestibular Dysfunction

There are treatment options for vestibular dysfunction. At Arroyo Physical Therapy, we perform tests and evaluations to determine the best treatment option based upon what we find and an individuals signs and symptoms. You may need adaptation exercises or substitution exercises or habituation exercises. It is important to determine the appropriate exercise based on the individual’s needs and results of testing and evaluation.

CPTA and Patient Management with Vestibular Hypofunction

Arroyo Physical Therapy attended the annual CPTA (California Physical Therapy Association) conference in Long Beach and took a course on patient management with Vestibular Hypofunction. The speaker Susan Herman is a leading expert in vestibular treatment and has done a lot of research and has written a text book on the diagnosis, medical/surgical management, and physical therapy management of vestibular disorders.

Just another way Arroyo Physical Therapy is staying on top of the current information and treatment for clinical assessment and decision making for balance and vestibular rehabilitation and treatment.