
“THIS IS FUN!” I effused as I touched a series of red circles, then white, then blue on a big screen. Since I quickly mastered that Fourth of July-themed task after several tries, my vestibular rehab therapist upped the challenge.
Next Ryan had me tapping first a square with a pulsing letter inside and then white circles that popped up randomly on the screen. Whenever the letter changed, I had to tap the blinking letter and then those elusive white floating circles.
I felt like I was getting not only a visual workout (the goal), but also my morning exercise as I stretched to reach the circles. At the ends of rounds, Ryan would adjust the time, increasing the difficulty. When he saw me struggling, he decreased the screen size. Magical, I thought in my exercising brain. My therapist’s aim was neuromuscular re-education via use of the Bioness Integrated Therapy Systems, software designed to present me with dual tasking and visuospatial processing challenges.
At this point the word “fun,” rather than “brain work-out,” still held my thoughts. But just as I was feeling good about my successes, my therapist determined I needed a bigger challenge. Circled numbers popped onto the screen. I should have stopped Ryan right then and there and told him that I am not a numbers person. Words are my thing. He knows I’m a writer. But I was willing to try as long as I didn’t have to solve math equations.
Turns out I only needed to know how to count. No problem. Easy peasy. Or so I thought. I was instructed to tap the numbers 1-10 in sequence inside a large rotating circle. That requires some visual dancing. The numbers disappeared as I tapped them. Then, of course, Ryan added more numbers. Fifteen. Then 20. He also adjusted the speed. And then he told me the numbers would not disappear. Oh, boy.
By then, the word “fun” had vanished, poof, just like that from my thoughts. I felt a tad dizzy and my head hurt. Ryan noticed. Play ended. I sat, closed my eyes, didn’t always look Ryan in the eye when he talked to me. Those are all cues that my brain is experiencing sensory overload.
We chatted about July Fourth plans and vacations and how I can manage my symptoms when they flare. I’ve come to understand what helps me deal with agitation and sensory overload—deep breathing, coloring, therapy putty, rocking, closing my eyes, ear plugs, retreating to a quiet place. But it’s always good to review those coping skills.
It was nearing the end of my 45-minute weekly therapy session. I still felt like my head had been slapped. At that point, Ryan gave me a break. He had planned to use the virtual reality roller coaster again to strengthen my visual and auditory tolerance. But he recognized my brain had had enough sensory exposure. Or perhaps to much exposure to numbers.
© Copyright 2023 Audrey Kletscher Helbling

You are working so hard! So proud of you!
I’m trying, although I’ve been slacking a bit on exercising at home. Ryan told me not to worry if I didn’t do my exercises while on vacation. I figure I was out and about in public building my sensory tolerance.
wow, these therapies are fascinating and you’re lucky you have a therapist that embraces the use of them but also understands when you’ve reached your limit for the session. personally, it would be the numbers as much as the task and movement )
I am beyond blessed to have Ryan as my physical therapist. I’m with you on the numbers. I told Ryan, “as long as I don’t have to do math…”
Hang in there. I’m thinking of you.
Lynn
Thank you, Lynn. I appreciate your care, support and concern.
Oh Boy – does he challenge you – he sounds like a great therapist! I had my annual eye check recently and the one machine they have you look into without glasses of course has a hot air balloon in the background. I stated to the tech yeah I see it and of course all I saw was a blob. She was on to me – ha! Wishing you the BEST – Take Care/Take It Easy 🙂
Ryan is an incredible therapist. So encouraging, a good listener and has helped me through a lot.
Whew, what a work out! Keep up the good work. I hope you get to go up north.
It was a fun work out…until the final task. Yes, we spent about five days at the cabin. It was good to get away and be some place different, even if I didn’t always feel well.
Ryan sounds attuned to your needs, in a considerate way, even as he’s trying to get you to a more difficult challenge. How wonderful to have him find ways for you to navigate and manage as best you can. None of what are experiencing can be easy. Sending ❤️
You summarize well Ryan’s approach. He is all that you say. And more. Yes, this health issue with so many symptoms is difficult and challenging.