Balance Screening, Incontinence & Vestibular

Balance Screening

The Balance Screen will assess patients who feel unsteady on their feet, are experiencing frequent falls or have a fear of falling.

According to the Advanced Healthcare Network for Physical Therapy and Rehab Medicine, with approximately 8,000 people turning 65 years old each day, the physical therapy profession needs to evaluate programs that may benefit the elderly population, such as a balance screening to prevent injury. Falls in the elderly have been reported to be the number one reason for someone greater than 65 years old consulting a physician. While 50% of people over 65 years of age fall repeatedly, 16% of falls will require medical care. Reports show the average cost per fall is $12,000 per incident.

Patients will be assessed using standardized tests to determine their risk for falls. A letter will be sent to the patient’s physician upon completion of the screen, and an order for physical therapy will follow if appropriate. A physician’s order is not needed for this screen and the screen itself is free.

Perry therapy staff will discuss the outcomes of the tests with the patient and will decide if further therapy is warranted with the patient's input. If further therapy is desired by the patient, Perry therapist will seek an order from the doctor. Once a referral is received from the doctor, an evaluation will be scheduled, and an individualized treatment plan will be developed.

Please call 815-876-4494 to schedule an appointment or for more information.

Let's Learn More: Balance Problems and Disorders. 


Have to rush to the bathroom again? Are you embarrassed to talk about your accident?

Incontinence is the loss of bowel and/or bladder involuntarily. You are not alone with your incontinence. It affects people of all ages. The good news is incontinence can be treated and oftentimes cured. Increase your awareness and learn to stay dry.

What are the types of incontinence and symptoms?

Stress:  the loss of urine with excess pressure place on the bladder. Leakage occurs when sneezing, laughing, coughing, lifting objects and yes, even changes in positions.

Urge: leakage with constant frequency and a strong urge to urinate. Often called an overactive bladder, you have a need to urinate often sometimes two or more times a night. Leakage also occurs if unable to immediately get to a restroom.

Mixed:  Combinations of both stress and urge incontinence. 

Let's Learn More: Stress and Urge Incontinence.

What treatment is available?

Treatment depends on what type of incontinence you have.  Work with a trained therapist on a personalized exercise program to alleviate your symptoms.  Learn about dietary irritants and bladder training techniques to manage your incontinence.

Describe the benefits of treatment.

Easy to learn, discreet techniques to lessen the risk of sudden urges.

How can I learn more?

Visit with your physician or nurse practitioner about your problem.  Ask your doctor about receiving a referral to Perry Medical Rehabilitation Incontinence Program.  Patients who receive treatment report an average of 80% improvement in as little as three visits.  

Let's Learn More: Urinary Incontinence.


Vestibular is an inner ear/balance disorder. 42% of the current population experience dizziness at least once in their lifetime. For patients over 75 years of age, dizziness is the number one reason for visiting a physician, and dizziness is a significant risk factor for falls in elderly individuals. Falls have been estimated to be the leading cause of serious injury and death in persons older than 65. Falls account for 50% of accidental deaths in the elderly, and 10% of falls result in hospitalization. Therapy is non-invasive and exercise driven. 

Let's Learn More: Vestibular Symptoms.

What is Vertigo?

The most common inner ear disorder is Vertigo, according to Vertigo has a rotational, spinning component and is the perception of movement, either of the self or surrounding objects. Vertigo can be caused by both peripheral and central vestibular deficits. About three-fourths of vestibular disorders are peripheral (inner ear and vestibular nerve). The most common is Benign Paroxysmal Positioned Vertigo (BPPV). The most common causes of vertigo are cerebrovascular disorders, cerebellar disease and migraine, multiple sclerosis, tumors of the posterior fossa, neurodegenerative disorders, medications and psychiatric disorders.  

What is Dizziness? (Vestibular Neuritis and Labyrinthitis)

Often, dizziness is a result of a viral infection of the vestibular nerve – dizziness may be constant, and symptoms are often only precipitated by sudden movements. A sudden turn of the head is the most common "problem" motion. Most are affected when lying down or sitting up.

  1. Gaze stability issues – difficulty focusing or keeping your balance when in busy area or scanning grocery shelves. How can Perry help? Perry therapists will provide exercises aimed at improving vision while the head is moving but viewing a stationary object. Daily practices will be demonstrated, and personalized treatment plans will be developed and provided.
  2. Dizziness can be related to neck issues for those who have a neck injury or pain as well as dizziness and in whom other causes of dizziness have been ruled out. Dizziness occurs after the neck pain begins and may be accompanied by a headache that can last minutes or even hours.

How does rehabilitation help and what is the first visit like?

Rehabilitation provides an evaluation to measure the traits below and from results of those evaluations, a customized treatment plan will be developed.

  • Balance gait
  • Leg strength and flexibility
  • Visual stability
  • Neck mobility
  • Positional testing
  • Shoulder and arm strength