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Rehab Services Offered

Rehabilitation Sevices Offered

Cardiac Rehabilitation

cardiac rehab

The goal of the Cardiac Rehabilitation program is to provide cardiac patients with the education, experience and practical knowledge to return to full productive lives. This includes targeted exercise programming designed to reduce symptoms and improve quality of life.  Our program includes monitored, personalized exercise classes, and educational experiences to help the patient control their disease and make the necessary changes to reduce the chances of repeat events.

What is Cardiac Rehabilitation?

  • An individualized and personalized treatment plan, including evaluation and instruction on physical activity, nutrition, stress management, and other health related areas.
  • An important part of the treatment of your specific heart problem. If you have one of the following diagnoses, you may be eligible to participate:
    • Heart attack
    • Angina
    • Coronary artery angioplasty or stents
    • Open heart surgery such as coronary bypass or valve surgery
    • Heart failure
    • Heart transplantation
  • Cardiac Rehabilitation is generally covered by most health insurance companies, but check your plan to determine copays or other requirements.

Recent scientific studies have shown that people who complete a cardiac rehabilitation program can increase their life expectancy by up to five years.

Cardiac Rehabilitation can benefit those individuals with conditions or procedures such as:

  • angina pectoris
  • myocardial infarction (heart attack)
  • coronary artery bypass graft surgery
  • valve repair or replacement
  • interventional procedures such as angioplasty and coronary stenting
  • post heart transplant patients
  • heart failure
  • arrhythmia
  • device implants, such as pacemakers or internal defibrillators
  • multiple cardiac risk factors (hypertension, hyperlipidemia, diabetes, and smoking)

Cardiac Rehab is divided into three phases.  Each phase is designed to provide you with the appropriate medical support and exercise training based on your own personal cardiac history.

Benefits of Cardiac Rehabilitation

  • Live longer and lessen your chances for another heart attack
  • Control heart disease symptoms such as chest pain or shortness of breath
  • Stop or reverse damage to your blood vessels in your heart
  • Lessen the physical and emotional effects of heart disease
  • Improve your stamina and strength, getting you back to your usual activities, including work, hobbies, and regular exercise
  • Improve your confidence and well-being

What Cardiac Rehabilitation Offers

  • Assessment of your personal risk factors for heart and blood vessel disease
  • Education and support to make healthy lifestyle changes such as:
    • Maintaining a healthy weight
    • Heart healthy eating
    • Avoiding tobacco and environmental smoke
  • Beginning and maintaining a personalized exercise plan that works for you
  • Monitoring and better control of:
    • Blood pressure
    • Lipids /cholesterol
    • Diabetes
  • Psychological/stress assessment and counseling
  • Opportunity to meet and share stories with other patients like you
  • Improved communication with your doctor and other healthcare providers about your progress following your cardiac event

 

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Joint Replacement Program (Joint Express)

ABOUT THE PROGRAM

The joint replacement program is a treatment approach that combines pre-operative education, personalized pain management and advanced therapy techniques. Compared to traditional hip and knee replacement rehabilitation, the program gets patients moving sooner and shortens recovery time. One of the special features that makes the program so successful is the dedicated physical and occupational therapy professionals and nursing staff. Consistent communication and coordination of care between therapy and nursing staff results in better pain management and a quicker recovery.

Rehab Goal:

Work with patients and their families to provide the highest level of independence following total joint replacement surgery. This includes mobility, self care, and safe return to home.

The program is designed to provide acute therapy care to patients who have had a

  • Total Knee Replacement/Arthroplasty
  • Total Hip Replacement/Arthroplasty

The program consists of:

  • Physical and Occupational Therapy in both an individual and group setting.
  • A"Total Joint Protocol" is used which is approved by your Orthopedic Surgeon
  • Emphasis is on mobility so the patient spends less time in the hospital bed, and more time doing functional activity.
  • Individual and group therapy is used to increase motivation, help develop a more positive attitude, and speed progress.

Rehab Services

Rehabilitative Services plays a vital role in the program. PT and OT offer a combination of individual and group therapy in order to increase motivation, help the patients develop a more positive attitude and speed the recovery process.

A typical patient would receive the following Rehabilitative Services treatment plan:

Prior to Surgery:

Several weeks prior to surgery, the patient is invited to attend an educational class taught by physical therapy, occupational therapy, nursing, and case management.

Post Surgery:

Following your total joint replacement, you can expect:

  • Individual bedside physical therapy and occupational therapy evaluations.
  • Therapeutic exercise to increase your range of motion and strength.
  • Transfer training (getting in and out of bed safely and getting in and out of the chair)
  • Ambulation (walking) training to help you walk safely and improve how far you can walk..
  • Self Care Activities such as bathing, dressing and grooming.
  • Joint Express "group" therapy with physical therapy and occupational therapy for arm and leg strengthening and range of motion.
  • Encourage"coach" participation in therapy (A coach is a family member or friend who will assist you when you go home).

Benefits of Group Therapy:

  • Motivates patients to try harder
  • Patients can support / encourage each other
  • It is more fun and social

Overall, the program has been very successful in decreasing the length of stay for joint replacement patients by helping them become more functionally independent sooner. It provides better pain management and has produced increased positive customer feedback.

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Occupational Therapy

Occupational Therapy is a science-driven, evidence-based profession that enables people of all ages to live life to its fullest by helping them promote health and prevent - or live better with - illness, injury or disability. Patients having difficulty living independently because of physical, developmental or other injuries or disabilities, can utilize McLaren Central Michigan's Occupational Therapy services. Our team of experts helps patients with goal-oriented activities that prevent and diminish physical restrictions while increasing independence.

Every patient has his or her own unique return to daily living needs. McLaren's team of occupational therapists have the skills to help patients with the physiological and emotional obstacles they will encounter as they strive to return to the activities of daily living. Occupational therapists help patients improve their ability to perform tasks in living and working environments. They work with individuals who suffer from a mentally, physically, developmentally, or emotionally disabling condition. They use treatments to develop, recover, or maintain the daily living and work skills of their patients. They not only help patients improve their basic motor functions and reasoning abilities, they also help them learn to compensate for permanent loss of function. The goal is to help clients have independent, productive, and satisfying lives.

Occupational Therapists (OT) are licensed allied health professionals who hold at least a master's degree from an accredited college or university. Certified occupational therapy assistants (COTA) are certified professionals who work under the direction of a licensed occupational therapist and hold an associates degree.

Occupational Therapy treats a variety of conditions and diagnoses, including, but not limited to:

  • Stroke and neurological care
  • Lymphedema therapy
  • Breast cancer rehabilitation
  • Hand therapy
  • Parkinson’s Disease treatment
  • Low vision therapy
  • Activities of daily living assessments
  • Rehabilitation kitchen
  • Memory and problem solving
  • Adaptive equipment assessment and training

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Pediatric Rehab

Rehab Goal:  Our program is dedicated to helping children of all ages reach their highest potential.  We assist each child in gaining functional independence, interacting with friends and family and getting back to fun childhood activities.

pediatric therapy

The pediatric rehab program at McLaren Central Michigan is staffed by an experienced and committed group of pediatric physical, occupational and speech therapists. Our therapists share a broad knowledge in neurodevelopmental treatment, sensory integration and childhood development. Whether it is an orthopedic condition or a neurological impairment, our specialists work closely with the physician and family to develop a plan of care that meets the unique, individual needs of the child. Each session is individualized, child-friendly, and play-based to maximize the child's functional outcomes. We strive to empower the patient and family by involving them in the plan of care and offering education during each session.

The goals of Pediatric Physical Therapy include:

  • working toward increasing independence and participation
  • facilitating motor development, function and joint mobilization
  • improving strength, endurance, balance and coordination
  • enhancing learning opportunities
  • easing challenges with daily living
  • improving cognitive processing (attention) and sensory processing (integration)

Conditions treated in our Pediatric Program:

pediatric rehab
  • Cerebral Palsy
  • Brachial Plexus Injury
  • General Orthopedic/Sports Medicine Conditions
  • Hemiparesis / Hemiplegia
  • Juvenile Rheumatoid Arthritis
  • Down's Syndrome
  • Sensory Integration
  • Musculoskeletal Disorders
  • Neurological Impairment
  • Spina Bifida
  • Spinal Cord Injury
  • Torticollis
  • Tone Abnormalities
  • Toe-Walking
  • Spasticity
  • Speech & Language Impairments
  • Difficulty Swallowing/Feeding
  • Growth Failure
  • Autism Spectrum Disorders
  • Genetic / Metabolic Disorders
  • Developmental Delay
  • Chronic Illness

Therapy Strategies:

  • Self-help techniques
  • Therapeutic play
  • Mobility and range of motion
  • Strength, balance, and coordination
  • Fine and large motor skills
  • Family/caregiver education
  • Splints, casts, and specialized equipment
  • Sensory integration therapy
  • Oral motor therapy
  • Feeding
  • Communication strategies

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Pelvic Floor Therapy

Pelvic Floor Biofeedback Therapy is a treatment intended to help patients with various types of Pelvic Floor Disorders learn to strengthen and relax their pelvic muscles in order to improve bladder function and decrease pelvic pain.

McLaren Central Michigan rehab services offers Pelvic Floor Biofeedback using electronic and mechanical instruments as well as manual therapy to accurately measure the action of the pelvic floor muscles. This process provides 'feedback' information to the patient so that the patient can learn to better use the pelvic muscles.

Patients can learn to use the pelvic floor muscles to decrease the sudden urge to urinate, decrease incontinence, and lessen certain types of pelvic pain. An important part of pelvic floor biofeedback therapy is consistent exercise of the pelvic muscles at home, and biofeedback therapy can help teach proper pelvic muscle exercise techniques.

Causes of Pelvic Floor Disorders:

    Pelvic floor disorders can be caused by a combination of different factors. For example, pregnancy with a vaginal delivery may weaken or stretch some of the pelvic muscles or damage nerves. The more vaginal deliveries you have, the more at risk you may become for a pelvic floor disorder, according to the American Urological Association (AUA). Age is another factor that determines the likelihood of developing one of these disorders; the older you are, the greater the chances. Other causes of pelvic floor disorders may include the following:
    • heavy lifting
    • chronic coughing
    • constipation
    • obesity
    • menopause
    • pelvic surgery
    • radiation treatments
    • genetics

Symptoms of Pelvic Floor Disorders:

Sometimes a woman can have more than one type of pelvic floor disorder. Many of the symptoms are easy to see and feel. Discomfort in the vaginal area, problems with urination, and painful intercourse are all indications that you could be suffering from a pelvic floor disorder. According to NIH, other symptoms include:

  • a feeling of heaviness or fullness in the vaginal area
  • aching or bulging in the pelvic area
  • difficulty emptying the bladder or accidental loss of urine
  • frequent urination
  • painful urination
  • frequent urinary tract infections
  • pain in the lower abdomen, groin or lower back
  • tissue protruding from the vagina
  • constipation
  • difficulty controlling the bowels
  • vaginal bleeding and/or discharge

According to the American Urological Association, if severe symptoms are ignored, kidney damage or infection could occur. In some mild cases, there may be no symptoms whatsoever. If you are experiencing one or more of these symptoms, see your healthcare provider.

Types of Pelvic Floor Disorders:

The different types of pelvic floor disorders are named for the organ that is affected. Many disorders involve a bulging of tissue, similar to a hernia, but some can cause an individual to lose control of bodily functions. According to the Pelvic Floor Disorder Network (PFDN), they include:

  • Rectocele - the rectum pushes through the middle of the vaginal muscles and protrudes into the back wall of the vagina
  • Enterocele - the small intestine bulges into the vagina
  • Cystocele - the bladder drops down and protrudes into the vagina. This is also referred to as a prolapsed bladder.
  • Cystourethrocele - similar to a cystocele but develops when the upper part of the urethra drops down with the bladder
  • Prolapse of the uterus - the uterus drops down into the vagina. In such cases, the cervix can be lower than normal and can be felt easily with the finger tip or even come out through the vagina
  • Prolapse of the vagina - the upper part of the vagina drops into the lower part so that the vagina turns inside out
  • Urinary incontinence - urine leakage
  • Fecal incontinence - bowel leakage

Diagnosis of Pelvic Floor Disorders:

Your healthcare provider will be able to diagnose a pelvic floor disorder. This is usually done by taking a history of symptoms as well as performing a pelvic examination. Finding out how well the bladder and rectum are functioning may involve some simple tests. If necessary, your doctor may order one or more of the following procedures:

  • Cystoscopy - viewing the inside of the bladder
  • Urethroscopy - viewing the inside of the urethra
  • Voiding Cystourethrogram - an X-ray taken during urination
  • Fluoroscopy - another form of X-ray that allows physicians to obtain real-time, moving images of internal structures
  • Urodynamics - bladder testing

Treatment of Pelvic Floor Disorders:

There are many different treatment choices for people with pelvic floor disorders, but those choices depend upon a number of factors including:

  • how weak the pelvic ligaments have become
  • your health
  • your age
  • whether you want to become pregnant

Once your physician evaluates your condition, he or she can offer some options, including both surgical treatments and non-surgical treatments. Non-surgical treatments range from medications to exercises, and include the following:

  • Kegel exercises - these exercises can help you strengthen the pelvic muscles. They can be performed by repeatedly tightening your pelvic muscles like you're trying to hold the flow of urine.
  • Medication (for some cases of urinary incontinence)
  • Weight control
  • Changes in diet
  • Estrogen - estrogen is sometimes prescribed to limit more weakening of the muscles and tissues that support the uterus
  • Pessary - a pessary is a rubber doughnut shaped device that is inserted around the cervix to help keep the pelvic organs in place
  • Avoidance of heavy lifting and straining

Surgery is also an option for pelvic floor disorders. Some women may require it. It is usually performed when a woman is experiencing a great deal of discomfort and has decided she does not wish to have more children. Surgical treatments may include the following:

  • tightening the weak muscles without removing the uterus
  • hysterectomy - only recommended if symptoms are severe or if the uterus has dropped down through the vagina
  • repositioning of the bladder

Most surgery is done through the vagina but can also be performed through the abdomen. Recovery can take 4-6 weeks depending on the type of surgery performed. In most cases, pelvic floor disorders can be treated successfully.

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Physical Therapy

Physical therapy helps reduce pain and restore function and independence in patients who have undergone surgery, suffered an injury, are recovering from serious illness or are coping with a chronic condition.

Our dedicated rehabilitation team uses a multidisciplinary approach, combining exercise and strength training with manual therapy and specialized services like vestibular, pelvic floor and lymphedema treatment to develop an individualized treatment plan that meets the unique needs of each patient.

Treatment begins with a physician's prescription and a comprehensive evaluation by an experienced physical therapist. Therapist and patient then work on-on-one, following a specific plan of care designed to help the patient return to work and normal daily activities as quickly and safely as possible.

Common conditions that require physical therapy include:

  • Back and neck pain relief and prevention
  • Strains, sprains, and fractures
  • Arthritis
  • Osteoporosis
  • Joint and soft tissue injuries
  • Stroke or Parkinson's disease
  • Workplace injuries
  • Repetitive stress disorders
  • Sports injuries
  • Plantar fasciitis
  • Incontinence and pelvic floor weakness
  • Lymphedema

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Speech Therapy

Communication disorders occur when an individual is unable to easily and effectively convey a message or interact in conversation. Such problems, resulting from neurological conditions, developmental problems, trauma, or disease, seriously and negatively impact quality of life. Appropriate therapies for speech, language, and voice disorders for people of all ages, infant to adult, are derived through careful evaluation and consultation with patients, families, and caregivers.

Therapists are experienced in a variety of disorders including, but not limited to:

  • Aphasia
  • Dysarthria
  • Apraxia
  • Swallowing Disorders
  • Voice Disorders
  • Cognition (including memory and attention)
  • Augmentative and Alternative Communication
  • Speech Impairments
  • Stuttering
  • Developmental/Childhood Language Disorders
  • Social Skills
  • Tracheostomy
  • Laryngectomy
  • Brain injury that has impaired speech function
  • Neurological disorders such as early Alzheimer's, Parkinson's disease, multiple sclerosis, epilepsy, severe migraine, and more
  • Tourette's Syndrome
  • Attention deficit disorder
  • Autism
  • Cleft palate
  • Learning to speak through a stoma following laryngectomy (removal of the larynx)

Treatment Strategies:

  • Various Augmentative and Alternative Communication devices including DynaVox and Lingraphica
  • SonaSpeech diagnostics for voice disorders/analysis
  • Passy Muir swallowing and speaking valves
  • Ipad
  • Modified Barium Swallows (location specific)
  • Learning and relearning speech sounds
  • Rate and fluency
  • Vocal and respiratory control
  • Vocabulary and sentence structure
  • Reading comprehension
  • Conversational skills
  • Oral motor therapy for speech clarity, feeding, and swallowing skills
  • Clinical exercises, modeling, and feedback to maximize progress
  • Rehabilitation of memory, attention, and problem solving; conversational skills; comprehension; voice; and swallow mechanism
  • Parkinson's Disease treatment using Lee silverman (LSVT) LOUD Program
  • Neuromuscular electrical stimulation for swallowing therapy

Patients experiencing the following health conditions may benefit from speech therapy:

  • Progressive Neurological Disorders (Alzheimer’s, Multiple Sclerosis, Parkinson’s Disease)
  • Stroke (Cerebral Vascular Accident)
  • Head Injury (Traumatic Brain Injury)
  • Dementia
  • Laryngectomies
  • Tracheostomies
  • Ear/Nose/Throat Cancers

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Vestibular Therapy - Balance and Dizziness

balance program

One-third of Americans over the age of 65 will experience a fall each year. Falls are the leading cause of injury for most age groups. Often the problems with balance can be identified and treated or prevented with the correct care. McLaren Central Michigan Comprehensive Balance Clinic has therapists specializing in the assessment and treatment of vestibular and balance impairments

McLaren Central Michigan has specialized equipment that can provide a cost-effective method of evaluating dizziness for many patients affected by balance problems. McLaren Central Michigan provides a comprehensive evaluation of balance and dizziness.

Normal balance requires good vision, strong muscles, flexible joints, and good vestibular function (inner ear function). If any of these are not working properly, you may be at increased risk for falling. Many individuals are at risk for falls due to inner ear or other physical problems, An evaluation by the specially-trained therapists at McLaren Central Michigan can give patients and their physicians an accurate picture of their fall risk and the most appropriate therapies to correct the problems found. For many individuals, balance is the key to their Independence.

Normal balance requires contributions from multiple bodily systems:

  • Biomechanical: Range of Motion (ROM), strength, pain.
  • Sensory Systems: Somatosensory (body awareness), vestibular (inner ear function), vision.
  • Movement Strategies: Automatic postural responses, reactive adjustments.
  • Navigation: Gait, anticipatory postural adjustments.
  • Emotional: Stress, anxiety.
  • Cognition: Attention, learning.
  • Cardiopulmonary: Capacity for activity.

Evaluation may include:

  • Extensive interview regarding symptoms, frequency, chief complaint and functional status
  • Neuromusculoskeletal examination including muscle strength, range of motion, sensation, posture, balance and muscle tone
  • Oculomotor exam including basic eye movement and Vestibulo-Occular Reflex testing (VOR) assessment
  • Positioning exam (Dix-Hallpike, Motion Sensitivity Quotient)
  • Balance/Postural control evaluation, using functional outcome-based measures
  • Computer posturography exam

Treatment may include:

  • Education
  • Balance retraining exercises
  • Special vestibular maneuvers
  • Eye/head exercises
  • Strengthening exercises
  • Conditioning exercises
  • Flexibility exercises
  • Posture exercises
  • Compensation strategies including habituation/adaptation exercises
  • Recommendations for home modifications
  • Repositioning maneuver
  • Habituation/adaptation
  • Home exercise program

What Can Physical Therapy Do?

  • Education
  • Decrease feeling of vertigo/dizziness
  • Improve balance/postural control
  • Improve gaze stabilization
  • Improve overall endurance
  • Improve muscle strength
  • Decrease risk and fear of falling
  • Teach proper use of assistive devices (cane, walkers, etc.)
  • Increase flexibility
  • Increase independence
  • Home exercise program

Are you at risk for a fall? Take the balance test!!

balance and dizziness

Take the Balance Test

  • Are you over age 65?
  • Have you fallen in the past year, or are you afraid of falling?
  • Do you have numbness or loss of sensation in your feet?
  • Have you had a stroke or other neurological problem that has affected your balance?
  • Do you have problems with your vision?
  • Do you experience difficulty getting around due to weakness or imbalance, or need a cane or walker for safety?
  • Do you take more than 4 medications?
  • Do you take Antivert or Meclizine?
  • Do you feel dizzy or unsteady if you move suddenly or if you turn over at night?
  • Do you have anxiety, confusion or feel depressed?
  • If you answered "Yes" to 3 or more of these questions, you may beat risk for a fall.

Learn more about Vestibular Rehabilitation

An evaluation performed at the Comprehensive Balance Clinic can give patients and their physicians an accurate picture of their fall risk and the most appropriate therapies to correct the problems found. For many individuals, balance is the key to their Independence.

Call your physician to arrange a referral to rehab services at McLaren Central Michigan

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Vital-Stim Therapy

vital stim therapy banner

McLaren Central Michigan's Rehabilitation Services offers Vital-Stim therapy to help patients with dysphagia, or difficulty swallowing. Dysphagia affects approximately 15 million Americans, and one in 17 people will develop some form of dysphagia in his or her lifetime.

Individuals affected by the following may receive a diagnosis of dysphagia, or difficulty swallowing:

  • Stroke
  • Head and neck cancer
  • Degenerative neurological conditions such as Parkinson's disease
  • Respiratory conditions

If not properly managed, dysphagia can lead to choking, malnutrition, dehydration and even death. Patients with severe dysphagia often rely on alternative methods to obtain nourishment, such as feeding tubes, which significantly impacts quality of life. Traditional dysphagia therapy techniques include diet modifications, positioning techniques and specific swallowing maneuvers. Thermal stimulation has also been utilized in many patients to improve the swallow reflex response.

What is Vital-Stim Therapy?

Vital-Stim therapy is a new, FDA-approved therapeutic intervention for use in the treatment of dysphagia. Unlike traditional treatment techniques, Vital-Stim uses non-invasive, external electrical stimulation to re-train the throat muscles essential for swallowing. This new treatment technique directly improves the musculature of the swallow thereby improving the swallowing function.

How long do treatments last?

Vital-Stim therapy treatments are usually completed in 60-minute sessions and repeated daily until swallowing patterns have been restored to optimum level. The average length of treatment ranges from six to 20 sessions, depending on the severity of dysphagia.

McLaren Central Michigan's speech-language pathologist (SLP) is specifically trained in the treatment of dysphagia using Vital-Stim therapy. Patients will receive an in-depth evaluation and consultation by the SLP to determine if Vital-Stim therapy could be beneficial. Once the evaluation is completed, a personal rehabilitation plan will be established and implemented.

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Wound Care Physical Therapy

Chronic wounds and their care are estimated to affect millions of people each year. Successful wound care treatment allows the patient to lead a full and productive life. Physical Therapists have long been an integral part in helping patients with their wound care and the healing process.

McLaren Central Michigan offers a Physical Therapy Whirlpool Treatment to assist the wound healing process.

Types of wounds that may benefit from whirlpool treatment include:

  • diabetic wounds
  • traumatic wounds
  • post-surgical wounds
  • burns
  • soft tissue necrosis
  • other wounds delayed in healing

Whirlpool treatment helps the wound to heal by:

  • increasing blood flow
  • vasodilation
  • softening/loosening/removal of necrotic tissue
  • decreasing infection

McLaren Central Michigan will provide a comprehensive evaluation to determine your wound care needs and will work with you, your physician, and your insurance company to ensure the best quality of care.

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