Newsletter Video, September 2022

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Take some simple action

Take These Steps to Reduce Your Fall Risk

Here Is A Quick List Of Things You Can Do To Reduce Your Fall Risk.

  • Stay physically active. Plan an exercise program that is right for you. Regular exercise improves muscles and makes you stronger. It also helps keep your joints, tendons, and ligaments flexible. Mild weight-bearing activities, such as walking or climbing stairs, may slow bone loss from osteoporosis.
  • Have your eyes and hearing tested. Even small changes in sight and hearing may cause you to fall. When you get new eyeglasses or contact lenses, take time to get used to them. Always wear your glasses or contacts when you need them. If you have a hearing aid, be sure it fits well and wear it.
  • Find out about the side effects of any medicine you take. If a drug makes you sleepy or dizzy, tell your doctor or pharmacist.
  • Get enough sleep. If you are sleepy, you are more likely to fall.
  • Limit the amount of alcohol you drink. Even a small amount of alcohol can affect your balance and reflexes. Studies show that the rate of hip fractures in older adults increases with alcohol use.
  • Stand up slowly. Getting up too quickly can cause your blood pressure to drop. That can make you feel wobbly. Get your blood pressure checked when lying and standing.
  • Use an assistive device if you need help feeling steady when you walk. Appropriate use of canes and walkers can prevent falls. If your doctor tells you to use a cane or walker, make sure it is the right size for you and the wheels roll smoothly. This is important when you're walking in areas you don't know well or where the walkways are uneven. A physical or occupational therapist can help you decide which devices might be helpful and teach you how to use them safely.
  • Be very careful when walking on wet or icy surfaces. They can be very slippery! Try to have sand or salt spread on icy areas by your front or back door.
  • Wear non-skid, rubber-soled, low-heeled shoes, or lace-up shoes with non-skid soles that fully support your feet. It is important that the soles are not too thin or too thick. Don't walk on stairs or floors in socks or in shoes and slippers with smooth soles.
  • Always tell your doctor if you have fallen since your last checkup, even if you aren't hurt when you fall. A fall can alert your doctor to a new medical problem or problems with your medications or eyesight that can be corrected. Your doctor may suggest physical therapy, a walking aid, or other steps to help prevent future falls.

 


Have a plan if you fall

What to Do If You Fall

  • Whether you are at home or somewhere else, a sudden fall can be startling and upsetting. If you do fall, stay as calm as possible.
  • Take several deep breaths to try to relax.
  • Remain still on the floor or ground for a few moments. This will help you get over the shock of falling.
  • Decide if you are hurt before getting up. Getting up too quickly or in the wrong way could make an injury worse.
  • If you think you can get up safely without help, roll over onto your side. Rest again while your body and blood pressure adjust. Slowly get up on your hands and knees, and crawl to a sturdy chair.
  • Put your hands on the chair seat and slide one foot forward so that it is flat on the floor. Keep the other leg bent so the knee is on the floor. From this kneeling position, slowly rise and turn your body to sit in the chair.
  • If you are hurt or cannot get up on your own, ask someone for help or call your local emergency number. If you are alone, try to get into a comfortable position and wait for help to arrive.
  • Carrying a mobile or portable phone with you as you move about your house could make it easier to call someone if you need assistance. An emergency response system, which lets you push a button on a special necklace or bracelet to call for help, is another option.

 


Please check your home for hazards

Tips to Reduce Hazards at Home

In stairways, hallways, and pathways:

  • Have handrails on both sides of the stairs, and make sure they are tightly fastened. Hold the handrails when you use the stairs, going up or down. If you must carry something while you're on the stairs, hold it in one hand and use the handrail with the other. Don't let what you're carrying block your view of the steps.
  • Make sure there is good lighting with light switches at the top and bottom of stairs and on each end of a long hall. Remember to use the lights!
  • Keep areas where you walk tidy. Don't leave books, papers, clothes, and shoes on the floor or stairs.
  • Check that all carpets are fixed firmly to the floor so they won't slip. Put no-slip strips on tile and wooden floors. You can buy these strips at the hardware store.
  • Don't use throw rugs or small area rugs.

In bathrooms and powder rooms

  • Mount grab bars near toilets and on both the inside and outside of your tub and shower.
  • Place non-skid mats, strips, or carpet on all surfaces that may get wet.
  • Remember to turn on night lights.

In your bedroom

  • Put night lights and light switches close to your bed.
  • Keep a flashlight by your bed in case the power is out and you need to get up.
  • Keep your telephone near your bed.

In other living areas

  • Keep electric cords and telephone wires near walls and away from walking paths. Fall hazards in the home, including a scatter rug, dog beds, and empty slippers, should be removed.
  • Secure all carpets and large area rugs firmly to the floor.
  • Arrange your furniture (especially low coffee tables) and other objects so they are not in your way when you walk.
  • Make sure your sofas and chairs are the right height for you to get in and out of them easily.
  • Don't walk on newly washed floors - they are slippery.
  • Keep items you use often within easy reach.
  • Don't stand on a chair or table to reach something that's too high - use a "reach stick" instead or ask for help. Reach sticks are special grabbing tools that you can buy at many hardware or medical-supply stores. If you use a step stool, make sure it is steady and has a handrail on top. Have someone stand next to you.
  • Don't let your cat or dog trip you. Know where your pet is whenever you're standing or walking.
  • Keep emergency numbers in large print near each telephone.

 


Sound the alarm?

Medical Alarm References

  • If you're concerned about falling, think about getting an emergency response system.
  • Don't be embarrassed to push the button. Better to be safe than sorry.
  • If you fall or need emergency help, you push a button on a special necklace or bracelet to alert 911.
  • There is a fee for this service, and it is not usually covered by insurance.

Medical Alarm References

If you have fallen down and need help, a medical alarm might be a good choice. We searched and found some reviews so you can learn more about them and see if a medical alarm is a good choice for you.

IMPORTANT: buyer beware - a number of these “medical alarm review websites” get paid by the Medical Alarm Manufacturers if you click on a link on the review website to the manufacturer and buy their product. It’s best to check out several review websites before making a purchase. Note: we do NOT endorse any brand or make any affiliate commissions for these recommendations. We are just raising awareness about your options.

Disclaimer

The information in this video and in the content below it are intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, occupational therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.

 


Single Leg Stance

From the Archives - A Simple Balance Progression

Important: before you do these exercises or any others, consult with your physical therapist and/or doctor first!

Balance -- Single Leg Stance / Arms at Side / Eyes Open

  • Start out by holding onto a stationary object to help you balance until you feel steady enough to do it without holding on
  • Stand with arms extended out to side
  • Lift knee of one leg to 90 degrees
  • Head facing forward and eyes open
  • Hold as instructed

Sets: 1
Repeat: 2 times on each side
Hold Time: 30 seconds each time
Sessions: 1 Mon, Wed, Fri


Balance -- Single Leg Stance / Arms at Side / Eyes Closed

  • Start out by holding onto a stationary object to help you balance until you feel steady enough to do it without holding on
  • Stand with arms extended out to side
  • Lift knee of one leg to 90 degrees
  • Head facing forward and eyes closed
  • Hold as instructed

Sets: 1
Repeat: 2 times on each side
Hold Time: 30 seconds each time
Sessions: 1 Mon, Wed, Fri


Single Leg Stance with Forward Trunk Lean

  • Start out by holding onto a stationary object to help you balance until you feel steady enough to do it without holding on
  • Stand on one leg
  • Slowly bend trunk forward, slightly extending opposite leg to the back
  • Repeat as instructed

Sets: 1
Repeat: 2 times on each side
Hold Time: 30 seconds each time
Sessions: 1 Mon, Wed, Fri


Single Leg Stance with Foot Reach

  • Start out by holding onto a stationary object to help you balance until you feel steady enough to do it without holding on
  • Stand on one leg and arms extended out
  • Reach opposite leg to the front, then to the side, and then back
  • Repeat as instructed
Sets: 1
Repeat: 2 times on each side
Hold Time: 30 seconds each time
Sessions: 1 Mon, Wed, Fri

 

Disclaimer

The information in this video is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, occupational therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.

[GregKnapton]
'Ted' Edward S. Greeley II

"Ted" Edward S. Greeley II, PT, DPT, CSCS, Clinic Director - Portland

What led you to become a PT?

I am one of the few therapists I know that did not receive any physical therapy as an athlete through my youth. I first attended college for mechanical engineering and wanted to find a career that kept me active through the day but still challenged my mechanical mind. I eventually made my way to the career I love.

With all of the PTs available, why should a patient choose you?

I treat the whole body and multiple body systems not just the area that hurts. The main dysfunction is often not the pain location. I try to make therapy fun and have some laughs on the road to recovery.

What do you like to do outside of work?

Spending time with my wife and kids in the outdoors preferably hiking, camping, disc golf, hunting, or attending my kids sports games.

[CatherineHealth]
Derek Milone

Derek Milone, MS, PT

What led you to become a PT?

I found myself injured frequently as a high school athlete which naturally landed me in a physical therapy office. I experienced the healing effects that a seasoned therapist can provide. I also noticed that all the physical therapists were having fun. This led me to pursue PT in college and here I am talking to you.

With all of the PTs available, why should a patient choose you?

I have the ability to assess both the root cause of dysfunction and empower people to find their physical and mental strength. I partner with my patients to motivate them to reach their goals.

What do you like to do outside of work?

I like to stay active whether it is snowboarding, hiking, boating, taking in a car show or hanging out with my wife and kids. I am a weekend warrior car mechanic and you can find me in church on Sunday.

Nathaniel Runge

Nathaniel Runge, DPT

What led you to become a PT?

I was a second-year pre-med major with no occupation in mind. I knew I wanted a job that was hands on and interacted with people. After shadowing many medical positions, I knew PT was the one for me.

With all of the PTs available, why should a patient choose you?

Both my patient and I can often forget we’re doing work during our interaction because we slip a lot of fun and music appreciation in with my comprehensive PT program. And at day’s end, I think to myself, “Oh, yeah, I have to document this!”

What do you like to do outside of work?

I have three daughters under the age of 10 so much of my life focuses around them. When I am not contributing to all the interactions of family life, I am volunteering for various coaching positions.

Nancy Crawford

Nancy Crawford, PT
Clinic Director - Windham

What led you to become a PT?

My interest in Physical Therapy began in High School. At the time, I was exploring possible career paths that would blend my love for science and desire to work with people. I quickly found that Physical Therapy was the ideal blend of my interests. After over 20 plus years of PT, I have not regretted my decision. I continue to find it to be a satisfying and interesting profession.

With all of the PTs available, why should a patient choose you?

I offer over 20 years of experience, not only in outpatient orthopedics but also in rehabilitation of neurological disorders. I regularly attend continuing education classes to keep my skills current and innovative. We have a strong team approach at Riverview and work together to improve our patients’ function and minimize pain.

What do you like to do outside of work?

On the weekends, I can usually be found doing some kind of activity in the outdoors. I enjoy hiking, skiing, cycling and kayaking.

[JodiMitchell]
Matt Douglas

Matt Douglass, PT

What led you to become a PT?
When I was 13 or 14 years old, I had both my knees operated on which led to a lot of time in physical therapy. I liked the environment so when I was a senior in high school, I applied to PT school. And that’s what I’m still doing.
With all of the PT's available, why should a patient choose you?
I try to look at the big picture with every patient and then literally ask them what it is they want to accomplish. Then we figure out a path to get there. I think that’s what I and we here at our offices do really well.
What would most people be surprised to know about you?
I have siblings that are 20 years older than I am - youngest of five, so I have brothers that could essentially be my parents.
[ChristineDube]
Michael Viricel

Michael Viricel, MSPT, CSCS

What led you to become a PT?

Growing up, I was always enjoyed math and science classes. In high school, I took an Anatomy and Physiology class, which sparked my interest in pursuing a career in a health-related profession. I wasn't sure which direction to take when looking at colleges, so I applied to multiple schools with different choices of major. I settled on Husson College and chose Physical Therapy as my major. The choice was made based on being able to live at home and maintain a part-time job while in school. I was not sure how much I would enjoy Physical Therapy when I started, but once I got into science and anatomy classes, I was hooked.

What motivates you professionally?

I really love when I can improve a patient’s quality of life and return them to pain-free functional mobility. I know I've done my job well when a former client refers family and friends to me. That’s what keeps me motivated in continuing my career as a physical therapist.

Chris Heuss

Chris Heuss, PT
Clinic Director - Bath

What led you to become a PT?

I was working as a counselor and advocate for adults with disabilities and I saw the significant benefit that occurred when I took my clients to their physical therapy sessions and I thought, “I want to be a physical therapist.”

With all of the PTs available, why should a patient choose you?

I’m very good at listening to my patients and finding out their personal goals. People seem to feel really comfortable hanging out with me and our clinic has a very friendly environment.

What do you like to do outside of work?

I like the outdoors so backpacking, kayaking and, more recently, I’ve taken up rock climbing. I like to hike in the White Mountains and the Katahdin region, and I am most happy when I’m doing this with my wife and two teenage boys.

[CarrieMitchell]
Hallee

Hallee Breton, DPT

What led you to become a PT?
I grew up dancing with a focus in ballet and always had an appreciation for the human body and human movement. I learned how to use certain muscles in my body to create very specific movements and developed acute sense for body awareness which translates perfectly to physical therapy practice. I was always interested in medical sciences and knew I didn't want to have a desk job so physical therapy was a perfect fit!
With all the PT's available, why should a patient choose you?
I love getting to know people. I really try to understand people and the lives they lead and incorporate that in how I evaluate and treat my patients. Everyone is different and going through different challenges in their lives and I try to be a support for them for their physical and mental health. Plus I like to have a good time with my patients!
What do you like to do outside of work?
I am an avid snowboarder in the winter; Sugarloaf is my mountain! And in the spring and summer, I love going camping, hiking, and have taken up golfing. I love being outdoors in any way, shape, or form.
[GregKnapton]
'Ted' Edward S. Greeley II

"Ted" Edward S. Greeley II, PT, DPT, CSCS, Clinic Director - Portland

What led you to become a PT?

I am one of the few therapists I know that did not receive any physical therapy as an athlete through my youth. I first attended college for mechanical engineering and wanted to find a career that kept me active through the day but still challenged my mechanical mind. I eventually made my way to the career I love.

With all of the PTs available, why should a patient choose you?

I treat the whole body and multiple body systems not just the area that hurts. The main dysfunction is often not the pain location. I try to make therapy fun and have some laughs on the road to recovery.

What do you like to do outside of work?

Spending time with my wife and kids in the outdoors preferably hiking, camping, disc golf, hunting, or attending my kids sports games.

[CatherineHealth]
Derek Milone

Derek Milone, MS, PT

What led you to become a PT?

I found myself injured frequently as a high school athlete which naturally landed me in a physical therapy office. I experienced the healing effects that a seasoned therapist can provide. I also noticed that all the physical therapists were having fun. This led me to pursue PT in college and here I am talking to you.

With all of the PTs available, why should a patient choose you?

I have the ability to assess both the root cause of dysfunction and empower people to find their physical and mental strength. I partner with my patients to motivate them to reach their goals.

What do you like to do outside of work?

I like to stay active whether it is snowboarding, hiking, boating, taking in a car show or hanging out with my wife and kids. I am a weekend warrior car mechanic and you can find me in church on Sunday.

Nathaniel Runge

Nathaniel Runge, DPT

What led you to become a PT?

I was a second-year pre-med major with no occupation in mind. I knew I wanted a job that was hands on and interacted with people. After shadowing many medical positions, I knew PT was the one for me.

With all of the PTs available, why should a patient choose you?

Both my patient and I can often forget we’re doing work during our interaction because we slip a lot of fun and music appreciation in with my comprehensive PT program. And at day’s end, I think to myself, “Oh, yeah, I have to document this!”

What do you like to do outside of work?

I have three daughters under the age of 10 so much of my life focuses around them. When I am not contributing to all the interactions of family life, I am volunteering for various coaching positions.

Nancy Crawford

Nancy Crawford, PT
Clinic Director - Windham

What led you to become a PT?

My interest in Physical Therapy began in High School. At the time, I was exploring possible career paths that would blend my love for science and desire to work with people. I quickly found that Physical Therapy was the ideal blend of my interests. After over 20 plus years of PT, I have not regretted my decision. I continue to find it to be a satisfying and interesting profession.

With all of the PTs available, why should a patient choose you?

I offer over 20 years of experience, not only in outpatient orthopedics but also in rehabilitation of neurological disorders. I regularly attend continuing education classes to keep my skills current and innovative. We have a strong team approach at Riverview and work together to improve our patients’ function and minimize pain.

What do you like to do outside of work?

On the weekends, I can usually be found doing some kind of activity in the outdoors. I enjoy hiking, skiing, cycling and kayaking.

[JodiMitchell]
Matt Douglas

Matt Douglass, PT

What led you to become a PT?
When I was 13 or 14 years old, I had both my knees operated on which led to a lot of time in physical therapy. I liked the environment so when I was a senior in high school, I applied to PT school. And that’s what I’m still doing.
With all of the PT's available, why should a patient choose you?
I try to look at the big picture with every patient and then literally ask them what it is they want to accomplish. Then we figure out a path to get there. I think that’s what I and we here at our offices do really well.
What would most people be surprised to know about you?
I have siblings that are 20 years older than I am - youngest of five, so I have brothers that could essentially be my parents.
[ChristineDube]
Michael Viricel

Michael Viricel, MSPT, CSCS

What led you to become a PT?

Growing up, I was always enjoyed math and science classes. In high school, I took an Anatomy and Physiology class, which sparked my interest in pursuing a career in a health-related profession. I wasn't sure which direction to take when looking at colleges, so I applied to multiple schools with different choices of major. I settled on Husson College and chose Physical Therapy as my major. The choice was made based on being able to live at home and maintain a part-time job while in school. I was not sure how much I would enjoy Physical Therapy when I started, but once I got into science and anatomy classes, I was hooked.

What motivates you professionally?

I really love when I can improve a patient’s quality of life and return them to pain-free functional mobility. I know I've done my job well when a former client refers family and friends to me. That’s what keeps me motivated in continuing my career as a physical therapist.

Chris Heuss

Chris Heuss, PT
Clinic Director - Bath

What led you to become a PT?

I was working as a counselor and advocate for adults with disabilities and I saw the significant benefit that occurred when I took my clients to their physical therapy sessions and I thought, “I want to be a physical therapist.”

With all of the PTs available, why should a patient choose you?

I’m very good at listening to my patients and finding out their personal goals. People seem to feel really comfortable hanging out with me and our clinic has a very friendly environment.

What do you like to do outside of work?

I like the outdoors so backpacking, kayaking and, more recently, I’ve taken up rock climbing. I like to hike in the White Mountains and the Katahdin region, and I am most happy when I’m doing this with my wife and two teenage boys.

[CarrieMitchell]
Hallee

Hallee Breton, DPT

What led you to become a PT?
I grew up dancing with a focus in ballet and always had an appreciation for the human body and human movement. I learned how to use certain muscles in my body to create very specific movements and developed acute sense for body awareness which translates perfectly to physical therapy practice. I was always interested in medical sciences and knew I didn't want to have a desk job so physical therapy was a perfect fit!
With all the PT's available, why should a patient choose you?
I love getting to know people. I really try to understand people and the lives they lead and incorporate that in how I evaluate and treat my patients. Everyone is different and going through different challenges in their lives and I try to be a support for them for their physical and mental health. Plus I like to have a good time with my patients!
What do you like to do outside of work?
I am an avid snowboarder in the winter; Sugarloaf is my mountain! And in the spring and summer, I love going camping, hiking, and have taken up golfing. I love being outdoors in any way, shape, or form.
[NathanielHorton]
Matthew

Matthew O'Brien, PT, DPT

What led you to become a Physical Therapist?

I decided to become a physical therapist when I had a severe hip injury resulting in surgery when I was 15. I was told by multiple doctors that running and sports were out of the question for my future. Since exercise and movement are integral to who I am as a person, this was devastating. Thankfully I was set up with a physical therapist who not only helped me recover, but helped me return to running and sport so that I could compete throughout my entire education without issue. That therapist helped give me that part of my life back and I want to do the same for others.

With all the PT’s available, why should a patient choose you?

As a therapist, I strive to provide an approachable and positive atmosphere for my patients to help develop a working relationship with their individual needs and goals in mind. My education and passion for movement are what motivate me to stay as current as possible on research and seeking new ways to help others help themselves.

What do you like to do outside of work?

When I am not in clinic I am doing anything outside: mountain and trail running, hiking, backpacking, skiing, biking, and paddling with my fiancé and my three dogs. Anything that involves fresh air and moving!

[MorganSegale]
Kayla Hernderson

Kayla Henderson, PTA

What led you to become a physical therapist assistant?

I knew that I wanted to be in the field for a long time. I love working with people and helping them get better, reaching the goals they may have thought were out of reach, and getting back to things they may have thought were out of the question again. After earning my bachelor's degree, I took some time off and, after a few years, decided to go back to school to achieve my goal, and I was able to do it without any more student loan debt!

What makes you a great assistant to work with?

I feel like I am personable and can connect with people easily. I am very compassionate, and that helps people feel more comfortable. I like to talk and find out what their interests are so I can connect on a personal level as well. I am very confident in my skills, which translates through my treatments.

What do you like to do outside of work?

I spend a lot of time with my kids, but when I get time, I love to cook and bake; our menu generally includes one new recipe per week. I also do a lot of sewing. Most recently, I have made reusable zipper snack bags.

Kevin Paulin, PT, DPT

Kevin Paulin, PT, DPT

With all the PTs available, why should a patient choose you?

I like to keep things fun in the clinic. If you're able to enjoy your time in PT as you recover and learn, it makes the experience of recovering from an injury more enjoyable. I also want to relate what we're doing in the clinic back to whatever the patient's goals or interests are so that each patient feels like they're getting individualized care.

What do you like to do outside of work?

I like to stay active outside of work. Whether running, golfing, skiing, or hiking with my wife and our dog, I'm always trying to get out in the fresh air!

What are 3 things on your bucket list?
  1. Hike all the 4,000 footers in the White Mtns
  2. Run the Boston Marathon
  3. Travel to Ireland
Liz

Liz

Bio Coming Soon...
Kassie

Ian McClure, PTA, LMT

Ian was born and raised in southern Maine. Growing up, he was your typical nerdy kid who enjoyed playing video games and Dungeons & Dragons. It was during his time at UMaine that a friend introduced him to the gym, and he quickly got hooked on it. He fumbled around on his own, trying to get stronger, and then, after college, discovered CrossFit. Sometime later, he started doing handstands. Now, he is still a giant nerd, likes to squat and bench press (but no CrossFit anymore), and still often stands on his hands. Becoming a Physical Therapist Assistant came out of nowhere for him. He got stuck working retail for a long time until he decided something had to change. He knew he wanted to be able to help people. After some introspection, he discovered that helping people get back to what they love doing was the most satisfying. Physical Therapy seemed like a good place to do just that. In 2021, he enrolled in the PTA program at Kennebec Valley Community College and took that next step toward his goal. He is interested in working with athletes and weekend warriors.
Kassie

Kassie Joler, PT, DPT

Kassie grew up in Benton, Maine. She has always had a love for exercise and movement, and enjoys hiking, yoga, running, and dancing. Her dancing career has taken her across the country, and her favorite performance was in Disneyland in California. Pursuing a Doctorate in Physical Therapy at Husson University was appealing to Kassie due to her love for meeting new people, and helping people reach their goals. She enjoys creating collaborative goals with her patients, and setting a clear plan to meet those goals. Kassie enjoys working with a variety of patients, and is interested in continuing her education in Geriatrics, fall prevention, and LSVT Big treatment for Parkinson’s Disease. One of her most memorable patient interactions was with a patient who came in with a history of falls. She was very fearful of falling again, as she wasn’t sure she would be able to get herself back up. After working with Kassie, she had improved balance, and was more confident that she would be able to get up off the floor if she needed to. She was able to attend her son’s wedding and confidently walk down the aisle with him without falling