At Skyward we have specialized physiotherapy training in a variety of areas including: Pelvic Floor Physiotherapy, Concussion Rehabilitation, Vestibular Rehabilitation and Sports Physiotherapy.
PELVIC FLOOR PHYSIOTHERAPY
Pelvic floor physiotherapy treats conditions involving the muscles and structures in and around the pelvic floor – leakage, pain and pressure are the most common. Pelvic floor physiotherapy is always performed with a registered physiotherapist that has specialized training in the assessment and treatment of the pelvic floor. Pelvic Floor physiotherapy typically involves the internal palpation of pelvic musculature during assessment and treatment. The the physiotherapist makes a treatment plan based on the findings.
Typically Treated Conditions:
- Urinary Incontinence (leakage)
- Pelvic Organ Prolapse (pelvic pressure)
- Pelvic Pain:
- Dyspareunia (pain with intercourse)
- Vaginismus (vaginal muscle spasm)
- Vulvodynia (vaginal pain/discomfort)
- Fecal incontinence (leakage)
The concussion assessment usually includes a clinical interview, symptom score, VOMS (Vestibular Ocular Motor Screening), balance testing and/or an ImPACT computer test.
The rehabilitation program may include return to school/work advice and planning, return to sport advice and progression plus manual therapy and/or massage therapy if there is a whiplash component to the injury.
There is typically an exercise program involved which is dependent on the assessment findings. Exercises would be used to help train our vestibular (balance) and/or vision systems to return to normal. Exertion therapy is also used to gradually increase the amount of exercise and the intensity of exercise.
Follow up ImPACT tests to determine whether client has returned to baseline levels can also be used to assist the therapist in return to sport protocols.
The physiotherapist typically is in contact with the client's school or coaches to keep them updated on their progress and when they will be returning to school or their sport.
** PLEASE NOTE: ALL CONCUSSIONS ARE DIFFERENT AND EVERYONE WILL RECEIVE DIFFERENT REHABILITATION PROGRAMS DEPENDING ON THEIR SYMPTOMS AND LIFESTYLE.
Baseline concussion testing
Baseline testing involves completing a computerized test called the ImPACT which stands for Immediate Post-Concussion Assessment and Cognitive Testing. It is a widely used system that has been researched and validated. This test will allow the concussion-trained therapist to have baseline levels for each athlete so if they were to sustain a concussion then they would re-do the test and compare their results to baseline levels. It helps to provide trained clinicians with the information necessary to help determine when the athlete is ready to return to their school or sport. The results also provide the therapist with information on what aspects of their brain are most affected by the concussion such as memory or reaction time.
ImPACT is only one piece of the concussion puzzle but it does provide specific values that can be re-tested. It also provides the clinician with specific details that will assist in rehabilitation.
The test takes approximately 30 minutes and involves a test of visual and working memory, attention, reaction time, mental and processing speed. It has been tested on people from the age of 10 to 60 so it has been validated throughout that age range.
Sports Physiotherapy is an area that Skyward has focused on since our opening in 2015. We have spent hours on the football/rugby fields, at track and field meets and in the hockey arena providing emergency first responder medical coverage for events.
In the clinic, we use that knowledge from the field to assess and treat injured athletes. Shannon Morrison received her Masters in Sports Physiotherapy in 2005 from Melbourne, Australia and has focused on this area of physiotherapy for the past 19 years. She has been on medical teams at the 2010 Olympics, 2006 Commonwealth Games, 2015 Para Pan-Am Games, 2015 FIFA World Cup and was a physiotherapist with the Canadian Women's Basketball Team from 2007-2011.
Shannon and her staff continue to pursue knowledge in the area of sports physiotherapy and now have a sports medicine physician, Dr. Scott Shallow, to assist with any injuries that are not recovering as planned.
Together, we will help you get back to your sport!
Vestibular rehabilitation is the assessment and diagnosis of injuries to our inner ear or balance systems. Typically, clients report symptoms of dizziness, imbalance, falls, vertigo or visual disturbances.
These symptoms can occur for a variety of reasons and our therapists are trained to assess where the problem is originating from and then creating a treatment plan.
If the diagnosis is BPPV (Benign Paroxysmal Positional Vertigo) then a technique can be done to immediately improve the symptoms in one or two treatments.
Frequently clients come in expecting the diagnosis of BPPV when that is not the case. The therapist will then create a treatment plan for their injury which typically involve habituation, balance or gaze stabilization (vision) exercises.