Facial Neuromuscular Retraining Therapists

Following the Advanced Facial Neuromuscular Retraining course last weekend, I am excited to introduce the four new advanced trained facial therapists in Metro Vancouver.

New FNR Therapists

From left to right:

Catherine Chan; who will see patients at GFStrong and Neuromotion,

Maria Zerjav; treating facial patients at Westside Physiotherapy and Hand clinic,

Amy Tao; working out of Neuro-ability and Cedar Chiropractic and Physiotherapy in Burnaby,

Sarah Hearne; from St. Paul’s Hospital and a private clinic downtown.

Please add Catherine, Maria, Amy and Sarah to your list of facial therapists in BC.

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5 Things About Hearing Loss

Hearing LossIt is hard to explain to others what it is like to have hearing loss — the lack of clarity in speech, the sensitivity to loud noise, and the exhaustion that comes with heavy bursts of communication. It is an invisible disability so it is often misunderstood, downplayed or even ignored — sometimes even by those closest to you. But it can have a huge impact on your life, and the lives of those who love you.

Shari Eberts

Five Things I Wish Everyone Knew About Hearing Loss

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Victoria Advanced Course

Advanced Facial Retraining in Victoria

In addition to the introductory course, Susan Rankin is also offering two Advanced Facial Neuromuscular Retraining courses; one in Vancouver and another in Victoria. The Advanced course consists of 2 days of training for 3 therapists. Participants will assess and treat real patients applying the principles taught in the introductory session.

Though the Vancouver advanced course is already full and has a waiting list, there is still space in Victoria for therapists from the island. The Victoria advanced course will take place on February 27 and 28.

Please note that the one-day introductory course (February 19) is a prerequisite for the advanced course. You can register here.

For further information on attending the advanced course in Victoria please contact Susan Rankin directly at rankinphysio@gmail.com.

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Facial Neuromuscular Retraining

facial-nerves-diagram-colorcheck
BC Section of the Neurosciences Division

presents

Facial Neuromuscular Retraining

One-day Introductory Course
Susan Rankin, Instructor

Facial palsy can affect every aspect of a person’s life. More than just an absence of movement, it often changes the way people think about themselves and how others perceive them. Treatment techniques for peripheral nerve injuries of the extremities do not work on the face. The facial muscles are different physiologically and so is the treatment of peripheral facial palsies.

This lecture-based course will introduce therapists to an effective and validated method for treating lower motor neuron facial palsies. Typical diagnoses include Bell’s Palsy, Ramsay Hunt syndrome, Acoustic Neuroma, Cholesteatoma, parotid cancer, trauma to the facial nerve, Guillain Barre and congenital among others. This technique is not effective for upper motor neuron facial palsy e.g. stroke.

The cost for this one-day course will be $135 for NSD members and $160 for non-NSD members, plus GST. The cost will include a catered lunch and printed lecture materials. This course is open to PTs, OTs, and SLPs.

WHEN:

WHERE:
GF Strong Rehabilitation Centre – 4255 Laurel Street. Lecture Hall. Vancouver, BC

Further Information and Registration

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Facial Nerve Clinic Referrals

35807270_sXThe second Facial Nerve Clinic at St. Paul’s hospital was held on November 25th and was fully booked. If you’re interested in attending the next clinic, it will be held in February 2016.

In order to book into the clinic, your doctor needs to refer you to Dr. Van Laeken‘s office at 604-669-1633. Dr. Van Laeken is a plastic surgeon who specializes in the facial nerve and heads the Facial Nerve Clinic.

This clinic is a teaching clinic so there will be medical students, interns, residents and physiotherapy students attending at different times.

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Balance Course

I recently attended a week-end workshop on balance. It was taught by Dr. Faye Horak from Oregon, a Physical Therapist who does research in the area of balance and has done so for most of her career. She suggested a systems approach to balance which is divided into 6 sections.

  • Biomechanical constraints, which include things like deformities in the feet, weakness, decreased ROM and pain
  • Stability limits which are assessed by leaning in sitting and functional reach measurements
  • Anticipatory postural adjustments that are tested by sit to stand, toe raises, standing on one leg and arm raises
  • Reactive postural responses done by giving and removing resistance to see what reactions occur (i.e. ankle strategy or stepping responses)
  • Sensory orientation which is checked by varying the amount of input from one of three systems: visual, proprioceptive or vestibular
  • Stability in gait which includes components of the Dynamic Gait assessment and the timed up and go tests

Dr. Horak has devised a balance assessment to include all 6 components called the BESTest. There is also a mini-BESTest. I’m looking forward to integrating these aspects of testing and treatment into my practice.

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What is Physiotherapy?

What is Physiotherapy? Choose to Move video
Choose to Move

Physiotherapy is a healthcare profession dedicated to working with people to identify and maximize their ability to move and function throughout their lifespan.

To learn more about what physiotherapy can do for you and to view the video, click here.

 

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Facial Nerve Clinic Update

Vancouver Facial Nerve Clinic

The first Facial Nerve clinic at St. Paul’s hospital was held on August 26, 2015. 11 patients were seen by Dr. Van Laeken, an ENT fellow, 2 medical students and myself.

At the clinic facial patients have the opportunity to be assessed and then have the best course of action recommended for their facial palsies.

The next clinic will be held on November 25, from 8am to 12 pm.

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BC Facial Nerve Clinic Update

clinic teamMuch has happened since my last post about the creation of a Facial Nerve clinic in BC.

The BC Facial Nerve Clinic will officially begin at St. Paul’s hospital on August 26, 2015.  This clinic is already fully booked, but there will be 4 clinics a year.

This is an excellent opportunity for Residents, Interns, Fellows and students, in a variety of disciplines, to attend and learn about the options for treating facial patients. Most importantly, facial patients will be seen by a multidisciplinary team who will develop the best treatment plan for their face.

Creating a Facial Nerve Clinic is something I’ve dreamed about for many years and I’m excited to take part in its inception.

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Facial Nerve Clinic in BC

British Columbia Facial Nerve ClinicFor the past year I’ve had the privilege of being a part of a facial nerve clinic with Dr. Nancy Van Laeken; a plastic surgeon specializing in the facial nerve. Dr. Van Laeken and I have collaborated for almost 25 years and are now developing a British Columbia Facial Nerve Clinic. It offers treatment to facial nerve patients from a multidisciplinary team and helps further educate medical professionals on how to manage facial patients from rehabilitation to surgery. Stay tuned for more information about the clinic as it expands.

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