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Rehab Services Offered

Rehabilitation Sevices Offered

Cancer Rehabilitation

Cancer Rehabilitation Program

We are committed to bringing you the highest level of survivorship services

McLaren Macomb is proud to offer our Cancer Rehabilitation Program. The program focuses on helping survivors to heal physically and emotionally as well as possible. The Cancer Rehabilitation Program utilizes an interdisciplinary approach in which caregivers from different specialties team up to help patients increase strength and energy, alleviate pain, and improve daily function and well-being.

We offer comprehensive care that is covered by health insurance

We are uniquely qualified to offer premium cancer rehabilitation services to cancer survivors undergoing treatment or living with its aftermath. Our program has been created to help survivors physically and emotionally heal from the side-effects of treatments. We provide our patients with the most comprehensive cancer rehabilitation care available and all of our services are reimbursable by health insurance providers.

We offer our patients a personalized rehab plan with an interdisciplinary approach

After undergoing a thorough evaluation by a physician, our team of medical specialists will be assigned to each patient according to his or her individual needs. Our healthcare team consists of specialists in the following areas: physical therapists, occupational therapists, speech therapists, and oncology nurses. Each team member provides his or her expert medical guidance, training, encouragement and support, for the duration of the program.

Outcomes of the Program Include:

  • Reduced fatigue
  • Having more energy to do the things you enjoy
  • Increased endurance for daily tasks
  • Ability to walk further distances
  • Reduced musculoskeletal pain and joint stiffness
  • Improved balance
  • Increased strength
  • Reduced long term effects of chemotherapy
  • Improved swallowing function (for certain cancers)
  • Improved communication
  • Better memory
  • Reduced limb swelling

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Hand and Upper Extremity Therapy

The Comprehensive Hand Rehabilitation Program at McLaren Macomb gives strength, and agility to traumatized hands

Hand rehabilitation therapy

Our Comprehensive Hand Rehabilitation Program was established to treat patients with hand and upper extremity injuries.

Types of injuries treated include:

  • Cumulative Trauma Injuries
  • Hand and wrist fractures
  • Sprains/Strains
  • Ligament Injuries
  • Nerve Injuries
  • Complex Regional Pain Syndrome
  • Post Surgical Tendon Repairs
  • Trigger Finger
  • Traumatic Hand Injuries
  • Amputations
  • Arthritis

Treatment may include:

  • Use of modalities (ultrasound, iontophoresis, electrical stimulation, paraffin)
  • Therapeutic exercise and range of motion
  • Coordination activities
  • Splinting-Designing and fabricating hand splints
  • Edema Control
  • Wound Care

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Joint Replacement Program (Joint Express)


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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Lymphedema Treatment

Therapy and Treatment for Lymphedema

What is Lymphedema?

lymphedma rehab

Lymphedema is an accumulation of fluids that occurs when your lymphatic system is impaired. Lymphatic vessels, which assist in fluid discharge, can become impaired as a result of the removal of lymph nodes, from chemotherapy, or from radiation treatments. When breast cancer related lymphedema occurs, there is a swelling or change in tissue texture occurring in the arm and upper torso.

Treatment Options:

  • Manual Lymph Drainage: A manual technique is performed to open lymphatic pathways and move fluid to areas where it can be reabsorbed into the system
  • Multi-Layer Bandaging: Short stretch compression bandages are used to create a gradient of pressure to move fluid and decrease swelling
  • Patient Education: Regarding skin care, precautions and prevention
  • Therapeutic Exercises: Exercises specific to the needs of each individual patient
  • Facilitate referral for appropriate compression garment

Goals of our Program:

  • Reduce the size of limb
  • Decrease the risk for infection or hospitalization
  • Self management of lymphedema
  • Improve function and mobility of the limb
  • Decrease pain associated with excessive limb size

Relative Contraindications:

  • You may not be a candidate for lymphedema treatment if you have any of the following:
  • Acute viral/bacterial infection
  • Congestive heart failure
  • Kidney malfunction
  • Untreated malignancy

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Neurological Rehab

Our Rehab Goal: To maximize a person’s functional mobility, minimize a person’s deficits, enhance his/her quality of life and regain his/her independence when suffering from a neurological disease.

Common injuries / diseases treated include:

  • Stroke (CVA or TIA)
  • Spinal Cord injury
  • Traumatic Brain injury
  • Amputation (Upper or Lower Extremity)
  • Multiple Sclerosis
  • Parkinson’s Disease

Treatment can include:

  • Muscle Re-education is used to improve your ability to move and use your affected arm and/or leg, by a physical, occupational, recreational and speech therapist.
  • Therapeutic exercises can improve a patient’s overall strength and improve overall cardiovascular fitness/endurance
  • Activities of Daily Living (ADL) and Mobility Trainingis provided by physical and occupational therapists, in order to improve each patient’s ability to transfer, walk and manage all daily activities like dressing and bathing.
  • Bracing may be used in order to protect joints and positioning in an affected arm and/or leg, either by physical and occupational therapist or orthotist.
  • Speech Therapy will be provided as appropriate to assist with cognitive issues, along with any swallow problems that may have occurred as a result of the neurological disease.
  • Modification of Leisure activities will assist with alternatives or modifications to current or new leisure interests.
  • Patient education is given to understand disease process and disease progression, reduce complications, joint protection, family education to assist with care at home, and safe, proper use of assisted devices.

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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 Macomb'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.

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Parkinson's Disease LSVT Therapy

parkinson's big loud workout

What is Parkinson’s?

Parkinson’s disease is a chronic disorder of the brain that impairs a person’s ability to move. If you’re concerned about managing your symptoms, a structured exercise program may be just what you need.

Parkinson's Therapy - Big and Loud: Don't Lose It! Use It! And Improve It!

LSVT (Lee Silverman Voice Treatment) therapy uses innovative and clinically-proven methods for improving communication and movement in people with Parkinson's disease and other neurological conditions such as stroke and multiple sclerosis.

Communication and mobility are key elements in quality of life. Our Big and Loud program can help people with Parkinson's disease maintain confidence and a positive self-concept as they deal with the challenges of the disease. It has given many individuals with Parkinson's disease new hope for improved communication and mobility for work, family and social activities.

parkinson's big loud workout

What is LSVT Big?

LSVT Big (physical/occupational therapy) focuses on increased amplitude of limb and body movement, especially trunk rotation. It can teach those living with Parkinson's disease how to avoid inactivity and improve ease of movement while engaged in everyday activities, improving their quality of life.

BIG outcomes

    Faster Walking with Bigger Steps
  • Improved Balance
  • Improved Ability to Do Everyday Tasks
parkinson's big loud workout

What is LSVT Loud?

LSVT Loud (speech therapy) is considered the"gold standard" in treating speech disorders for people with Parkinson's disease and has demonstrated improved speech and facial movement. Each patient identifies 10 phrases that they want to be able to say on a daily basis and works towards those goals.

Loud outcomes include:

  • Improved Vocal Quality
  • Improved Speech Intelligibility
  • Better Facial Expression.

How Does it Work?

LSVT Big and Loud certified clinicians guide the patient in relearning skills-everything from writing and pushing a grocery cart to drinking a cup of coffee and golfing.

Treatment consists of:

  • 16 Sessions: 4 days a week for 4 weeks
  • Individual one-hour sessions
  • Daily carry-over exercises and practice at home.

LSVT can help you establish a life-long habit of Big and Loud practice! Admission to the program is by physician referral and requires a physician order.

Exercise with Parkinson's Disease

McLaren Bay Region is pleased to offer a comprehensive low-cost exercise class designed for individuals living with Parkinson ’s disease. Classes are held at the Center for Rehabilitation on McLaren Bay Region’s West Campus. If you’re concerned about managing your Parkinson’s symptoms, a structured exercise program may be just what you need.

Why is Exercise Important?
Parkinson’s causes damage to the part of the nervous system controlling movement, posture and balance, resulting in: stiffness, tremors, slowness, difficulty with balance, difficulty walking and difficulty speaking.

When Should I Start Exercising?
Exercise should be started as soon after diagnosis as possible. Inactivity results in muscle weakness and stiffness. Regular exercise helps to maintain quality of movement and muscle function. A prescription from your physician is required to participate.

Group Exercise Classes

Group exercise classes consist of:

  • Breathing exercises
  • Stretching exercises
  • Postural and balance exercises
  • Aerobic exercises
  • Proprioception exercises.

Exercise is important at all stages of Parkinson’s, but starting as early as possible is crucial. Classes are Offered:
Every Thursday from 3pm – 4pm
Center for Rehabilitation
McLaren Bay Region West Campus
3190 E. Midland Road
Bay City, Michigan 48706

How Can I Reduce My Risk of Falling?

Make rooms safer:

  • Pick up throw rugs and extension cords that can be trip hazards
  • Remove clutter to allow for a clear path

Use adaptive equipment:

  • Install railings on stairs
  • Install grab bars in your bathroom
  • Use a cane or walker for balance and safety

Dress for success:

  • Wear supportive, well-fitting shoes (no flip flops or slip on sandals)
  • Sit in a chair to dress rather than on the edge of the bed

Other tips:

  • Start your exercise program as soon as you are diagnosed and before limitations progress
  • Exercise daily and include stretching, strengthening and balance exercises
  • Stand tall and look where you are walking and not down at your feet


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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
  • Joint pain
  • Osteoporosis
  • Joint and soft tissue injuries
  • Fractures and dislocations
  • Stroke or Parkinson's disease
  • Workplace injuries
  • Repetitive stress disorders
  • Sports injuries
  • 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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Sports Medicine

Sports physical therapy is a specialized practice that focuses on prevention, evaluation, treatment, rehabilitation, and performance improvement of the physically active individual.

sports medicine

The therapist performs a highly skilled evaluation of the active or chronic injury.  This includes the assessment of surgical and non-surgical neuromusculoskeletal injuries.  Included in this is a functional assessment of the individual post-injury to determine a safe return to activity.

Treatment is a team approach that is in coordination with the physician. This may also include an athletic trainer at a school or professional level. The physical therapist designs and implements a program for the management of the disorder for patients of all ages and abilities, including those with physical disabilities as well as elite athletes.

All outpatient physical therapy sites at McLaren Macomb have therapists and staff who are experienced in treating athletes of all different ages and levels. The staff incorporate specialized equipment as well as more physical therapy-specific training during treatment.

Types of injuries treated include, but are not limited to:

  • Rotator cuff repairs
  • Post-arthroscopic procedures (i.e. knee, shoulder, ankle)
  • Post-back & neck surgical procedures
  • Ligamentous repairs/injuries (i.e. ACL repair, labral repair)
  • Muscle strains & overuse injuries (tendinitis, bursitis)
  • Fractures
  • Neck and back injuries
  • Joint instability

Treatment may include, when applicable:

  • Strengthening and flexibility exercises
  • Stability exercises
  • Coordination and agility exercises
  • Balance activities
  • Manual therapy (i.e. joint mobilizations and manipulations, passive muscle stretching, functional massage)
  • Postural activities
  • Modalities (i.e. heat, ice, electrical stimulation, ultrasound)
  • Lumbar/cervical traction
  • Instruction in a home exercise program

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Urinary Incontinence

Urinary incontinence is defined as the involuntary leakage of urine. The problem afflicts millions of adults in the United States, 85% of them being women. Men may experience a loss of bladder control as a result of prostate enlargement and the treatment of prostate cancer. Women experience incontinence more often than men as a result of pregnancy and childbirth, menopause, and the structure of the female urinary tract. Among women, the problem is most commonly associated with a specific condition called stress urinary incontinence.

Different types of incontinence?

  • Stress Incontinence – is involuntary loss of urine during physical movement (coughing, sneezing, exercising, laughing, lifting). In describing this condition the word "stress" does not refer to emotional stress, but the stress of increased physical pressure on the bladder.
  • Urge Incontinence – is often referred to as "overactive bladder". It is the leakage of large amounts of urine at unexpected times, including during sleep. Those with urge incontinence feel a strong uncontrollable need to urinate. They may also feel the need to urinate often.
  • Overflow Incontinence – is unexpected leakage of small amounts of urine because of a full bladder. The bladder may also never feel completely empty.
  • Mixed Incontinence – is defined as having more than one type of incontinence occur at the same time, usually the occurrence of stress and urge incontinence together.
  • Transient Incontinence – is the leakage that occurs temporarily because of a condition that will pass (infection, medication).

It is fairly common for both men and women of all ages to be affected by some form of urinary incontinence. Urination is a fairly complex function of various muscles and nerves. Therefore, it is not uncommon for a disruption in normal bladder control to occur.

There is Hope:

Incontinence is not a disease, but a symptom of an underlying condition that affects men and women of all ages and backgrounds.  Many people who suffer from incontinence isolate themselves for fear of ridicule and embarrassment.  It often seems difficulty to manage and many are mistaken that nothing can be done to correct it.  Admitting there is a problem may help individuals seek out treatment that can help them gain bladder control, renew their self-confidence and prevent social isolation.

How Therapy Can Help:

Our Physical Therapists that will use a conservative approach to helping you with incontinence.  We promote a self-help program of exercises and surface EMG, which is proven effective in helping many patients regain bladder control.


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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 Macomb Comprehensive Balance Clinic has therapists specializing in the assessment and treatment of vestibular and balance impairments

McLaren Macomb has specialized equipment that can provide a cost-effective method of evaluating dizziness for many patients affected by balance problems. McLaren Macomb 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 Macomb 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 Macomb

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