I said something in a comment once about falls and our friend Dean replied that I would make an excellent neuro PT and that I might actually know what I’m talking about. Now, I had to do a post about this because Dean has a strong, strong dislike of physical therapists, understandably so. So him saying that is a HUGE HUGE compliment! What I said that made him say that was this…..All neuro PTs listen up! Falls are a necessary evil for stroke survivors. It’s gonna happen. It just is going to happen. So instead of therapy focusing so much on preventing a fall, therapy should focus on what to do in certain scenarios. If someone is falling, teach them to throw out a protective extension, if possible. Teach them and practice ways to control the fall as best as possible. Dean said, and I LOVE this, that learning to walk again after a stroke is just a series of controlled falls. Good God that’s beautiful. Therapy needs to teach people how to get up after a fall. I know for a fact this skill is not taught. Maybe it’s taught to some people, but it’s sure as hell not taught to the majority of patients. A series of controlled falls, therapy needs to focus on controlling those falls, not preventing them.