Physical and Occupational Therapy

Physical Therapists and Occupational Therapists are licensed health care professionals who work with individuals who have sustained injury, surgery, and/or disabilities. Physical Therapists are trained to evaluate strength, range of motion, posture, balance, and functional performance. From examination an individualized treatment plan is formulated to help restore functional level, every day activities, sport performance, and work capacity. The treatment may consist of manual therapy/mobilization techniques, soft tissue techniques, modalities (heat, cold, ultrasound, electrical stimulation, iontophoresis, traction), cardiovascular exercise, balance training, stretching, strengthening, core stabilization, post operative care, return to sport training, education, and a home exercise program. The goal of physical therapy is to return an individual to their prior functional level and to promote independent management.

Our Occupational and Hand Therapists are trained in the rehabilitation of the upper extremity and have specialized knowledge of arm and hand function. They are trained to assess a variety of diagnoses and to formulate treatment plans to address the individual’s needs. The treatment may include splinting, performing job site evaluations, use of modalities, stretching, strengthening, work simulation, scar management, fine motor skills, and post-operative care. Using specialized skills in assessment and treatment, hand therapists work with their clients to prevent injury or impairment, restore functional activity, and enhance participation in daily life.

Physical & Occupational Therapy

 


Return to Sport

Our therapists are trained to evaluate injuries and prescribe specific exercises to optimize return to sport performance. Plyometrics, dynamic stretching, agility training, balance training, and core strengthening may all be prescribed to promote a safe return to sport and to prevent future injuries.

 


Access Balance – Vestibular Therapy

Patients who undergo a concussion often  experience symptoms of vertigo- a feeling like you are spinning or the room is spinning,  nausea and/or vomiting along with decreased tolerance to positional changes, unsteadiness in the dark, difficulty functioning in visually busy locations- like a supermarket or a crowded mall.

Vestibular rehab can be helpful in these situations to decrease the amount of vertigo symptoms and improve patient’s balance and gait.  The brain receives three main sources of information from the body that helps keep our bodies balanced in the world around us.   These include the vestibular system,  vision and small joint censors called proprioceptors.   With PT and vestibular rehab we are able to look at all three sources of information and determine which areas need to be addressed to assist our patients with returning back to prior level of function.

Vestibular therapy is a specialized treatment designed to help individuals who have had an injury or disease that has affected their inner ear. The symptoms of inner ear dysfunction include dizziness, light headedness, episodes of double or blurred vision, loss of balance, unsteadiness and complaints of vertigo. Vestibular Therapy includes a series of exercises that helps to restore vestibular function by maximizing inner ear function and associated eye reflexes in order to restore maximum function. Access Rehabilitation Specialists treat peripheral vestibular disorders including: Benign Paroxysmal Positional Vertigo (BPPV)- which is the most common, labyrinthitis, vestibular neuritis, cervicogenic diszziness, dizziness after MVA and ear infections.

For more information about Vestibular Therapy, visit www.vestibular.org.

Vestibular Therapy

 


Graston Technique

Graston technique is a soft tissue mobilization treatment that utilizes patented stainless steel instruments. It is effective in treating acute and chronic soft tissue injuries. These instruments detect & amplify soft tissue restrictions similar to how a stethoscope amplifies the sound of the heartbeat. Access Rehabilitation is proud to offer both Physical and Occupational Therapists that have attended specialized training in this treatment technique. To learn more about the Graston Technique, visit www.grastontechnique.com.

 


Custom Splint Fabrication

Custom splints are fabricated in our Occupational Therapy Department for hand, wrist, and elbow patients. Splints provide protection, restrict motion, and/or may provide stretching as prescribed by the Physician.

 


Baltimore Therapeutic Equipment (BTE)

BTE is a specialized piece of exercise equipment that is able to test and rehabilitate the upper extremity in simulated job specific tasks. It provides dynamic exercise using interchangeable tools that reproduce job demands.

 


Ergonomic Job Site Evaluation

Our Occupational Therapists are specially trained to evaluate a patient performing their job at the work place. After analysis, the therapist may provide recommendations to make the job site safer, more efficient, and to prevent injury.

 


Trigger Point Dry Needling

Access Sports Medicine & Orthopaedics offers Trigger Point Dry Needling to patients.  Dry Needling is a technique involving the use of solid filiform needles to relieve chronic muscular tightness in trigger points.  Trigger points are often the areas that can directly compress or irritate nerves, causing pain.  Trigger Point and muscle tightness in the shoulders are a common complaint of office workers that sit at a desk and computer throughout the day.  Trigger Point Dry Needling can be an effective technique in relieving pain and muscle tightness in other parts of the body as well.

Trigger Point Dry Needling

 


Back School

This one hour group session provides education in spinal anatomy, dysfunctions, and body mechanics. Over 80% of the population will experience debilitating back pain at some time during their lifetime. This program provides the tools and education for managing and preventing future injury. This program is ideal for anyone who is eager to learn and take an active role in caring for their spines

 


Work Conditioning

Work conditioning is a two hour group therapy program that is offered three times a week. It is beneficial for individuals who no longer require the one on one skills of a physical therapist but are unable to return to their previous level of work performance. This program offers cardiovascular training, strength training, endurance training, and simulated job specific tasks to promote a safe return to maximum work capacity.

 


Functional Capacity Evaluation (FCE)

An FCE is an intensive short-term (usually 4 hours) evaluation that focuses on major physical tolerance abilities related to musculoskeletal strength, endurance, speed and flexibility (Matheson 2007). It is a systemized approach using evaluation instruments whose reliability and validity have been determined through peer reviewed research and are available in the public domain. The purpose of an FCE is to help determine return to work capacity, provide effective documentation for case resolution, and to establish safe physical demand levels for future vocational opportunities.