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Rehab Services Offered

Rehabilitation Sevices Offered

Acute Rehab

Acute Hospital-Based Therapy:

Rehabilitation Services within the Inpatient setting is provided by professionals who possess a depth and breadth of knowledge for patients who are acutely ill across the life span and multiple body systems. We use our clinical reasoning skills to evaluate patients with unstable medical conditions, consider surgical interventions, collaborate and communicate with other health care professionals and use an evidence-based approach for customizing treatment. Our evaluation results are critical in helping to create an optimal plan of care and identifying discharge considerations.

Our acute care Physical Therapists are experts in mobility and movement. They use evidence-based practices to treat any impairment that may interfere with or limit your mobility with a focus on improvement of strength, endurance, flexibility, motor control and stability. As treatment progresses, patients are weaned from supportive therapies and moved toward greater independence.

Our acute care Occupational Therapists are experts in identifying and eliminating barriers to independence and participation in daily activities. These include such activities and dressing, bathing, grooming and toileting. Interventions often focus on adapting the environment, modifying the task, teaching the skill, and educating the client and family.

Our Speech-Language Pathologists provide comprehensive, standardized evaluation services for patients that may be dealing with swallowing and communication disorders. Treatment plans will be developed based on patient goals and evaluation results. In the inpatient acute care setting, conditions that most often require services from our Speech-Language Pathologist include dysphagia, aphasia and screening for cognitive disorders.

While it is usually no one’s desire to require a stay in the hospital, if you require rehabilitation services while an inpatient at McLaren Greater Lansing, you can be confident you will receive exceptional care from our devoted team of rehabilitation professionals.

Inpatient Therapy – Acute Orthopedics:

Following an elective orthopedic procedure, most often a Total Knee Replacement (TKR), Total Hip Replacement (THR) or Total Shoulder Replacement (TSR) your surgeon will likely refer you for Physical and/or Occupational Therapy before being discharged from the hospital.

These are 2 different specialty areas within the field of Rehabilitation and have a unique purpose that is different from therapy you may have received as an outpatient or while in a rehabilitation facility. In addition to pain control, safe and functional mobility is key to a successful discharge.

Physical Therapy is most often provided following a TKR or THR. Your physical therapist will teach you how to safely maneuver in and out of your bed, walk with a walker or crutches, go up and down stairs if needed, and how to perform your home exercise program.

Occupational Therapy is most often provided following a THR or TSR. Your occupational therapist will teach you how to perform your daily activities within the limitations of your total hip precautions or total shoulder precautions. These activities can include bathing, dressing, safe toileting transfers and how to get in and out of a car.

As each patient enters our facility with unique circumstances, the number of times you work with your physical therapist can range from one visit to four visits. Often times, you will receive additional therapy after discharge from the hospital. When that is the case, your acute care therapist will focus on preparing you for that transition.

 

Who we can help:

We can help those who have suffered a loss of function or impairment due to:

  • Stroke
  • Orthopaedic injury (hip fracture)
  • Polyarthritis, rheumatoid arthritis, and osteoarthritis
  • Brain injury
  • Neurological disorders (such as Parkinson's disease, polyneuropathy, and multiple sclerosis)
  • Spinal cord injuries
  • Amputations
  • Major multiple trauma

What can we help with:

  • Loss of mobility or difficulty with walking, stair climbing
  • Susceptibility to falling
  • Loss of coordination and balance
  • Difficulty swallowing
  • Speech and language problems
  • Memory deficits and judgment difficulties
  • Difficulty performing self-care activities
  • Inability to work or function in the community
  • Loss of bowel or bladder control

Patient admission criteria:

  • 18 years and older
  • Potential to improve functional abilities
  • Medically stable
  • Requires at least two therapies
  • Motivation/determination to participate in the rehabilitation program
  • Ability to follow directions necessary for participation
  • Medical complexity requires 24 hour/7 day a week physican monitoring and rehabilitation nursing care
  • The patient and family have identified a plan for discharge to a community setting

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Amputee Rehabilitation

Rehab patient and therapist

There are multiple reasons which cause a person to lose a limb. These reasons include trauma, infection, diabetes, vascular disease, cancer and other diseases. When a person losses a limb, a person sustains a major loss in his/her activity and mobility level.

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 after an amputation has occurred.

Treatment can include::

  • Residual Limb care to promote wound healing and limb shaping.
  • Therapeutic exercises can improve a patient's overall strength, improve oxygen flow to promote wound healing, decrease scar tissue and minimize pain
  • Pre- and Post-prosthetic training. Physical therapists work with the Prosthetists, who make the artificial limbs, on preparing for and providing the best prosthesis for each patient. Training is provided to prepare for the prosthesis, along with managing the prosthesis for assisting with walking and transferring when ready.
  • Activities of Daily Living (ADL) and Mobility Training is provided to improve each patient’s ability to transfer, walk and manage all daily activities like dressing and bathing.
  • Patient education on limb care, prosthetic hygiene & maintenance, best method to put on and off the limb shapers and prosthesis to ensure the best prosthetic fit or care of the residual limb.

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Aquatic Therapy

Aquatic Therapy

Getting wet to get well!

Not all therapeutic recovery occurs on land at McLaren Bay Region. For patients with weight-bearing restrictions, back problems, strokes, or hip or knee replacements, the therapy pool may be how they ease in to their rehabilitation. Medically, it's been proven that the sooner therapy starts, the better the outcome. In an almost weightless therapy setting, patients get their joints and muscles moving, and feel less stiffness and pain.

For instance, in joint replacement the physician may restrict the weight that should be placed on the new hip or knee. It may be as little as 10%. In chest-deep water, the body weighs only 10% of what it does on the ground. Range-of-motion, flexibility and movement are much easier in the therapeutic pool. We can adjust the pool's water current to provide resistance during exercise.

The pool's depth can be changed to meet each patient's needs. It's small enough for a therapist to be at arm's reach of a patient during therapy. It's shallow enough that non-swimmers can cast away their fear. Water temperature is a soothing 95 degrees, which reduces muscle spasms and tension. Patients with limitations can be lowered into the pool by chair lift.

Often back pain patients find it painful to exercise in the gym. In the water, the pressure on their lower back muscles is relieved. Pool therapy can help stroke patients achieve a more normal gait, while strengthening leg muscles. Our patients say that they gain flexibility and muscle strength faster in the pool, than they have previously experienced in the gym.

Whether in water or on land, physical rehabilitation is all about getting the job done, and moving on with life. As with all medical rehabilitation outpatient therapies, a doctor's prescription is required.

Benefits of Aquatic Therapy include:

  • Improves muscle tone and strength
  • Improves endurance
  • Increases cardiovascular function
  • Improves self-esteem
  • Increases circulation, endurance, flexibility, range of motion, balance, and coordination

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Back and Neck Therapy

At McLaren Bay Region our therapists perform comprehensive back and neck evaluations to help identify the cause of patient complaints. An individualized plan of care is established with our therapists drawing upon many treatment methods including therapeutic exercise, manual therapy, and education to help reduce pain, improve strength, motion, endurance, along with promoting optimal health and function.

Types of injuries treated include but not limited to:

  • Non specific neck and back pain
  • Cervical and Lumbar disc herniation
  • Cervical and lumbar spondylosis
  • Spinal stenosis
  • Spondylolisthesis
  • Cervical and Lumbar facet arthropathy
  • Rehabilitation after Cervical and Lumbar fusion
  • Spinal instability
  • Myofacial trigger point treatment
  • Fibromyalgia

Physical therapy techniques which may include:

  • Cervical and Lumbar stabilization exercises to improve neck and back muscle, strength, performance, and motor control.
  • Manual therapy techniques to reduce pain and improve mobility include:
    • Joint mobilization
    • Muscle energy techniques
    • Myofascial techniques
  • Aquatherapy
  • Therapeutic modalities such as:
    • Cervical and lumbar traction
    • Electrical stimulation
    • Ultrasound
    • Hot packs
    • Cold packs

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Cancer Rehabilitation

Cancer Rehabilitation Program

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

McLaren Bay Region 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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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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Driving Evaluation

Driving Evaluation is available at McLaren Bay Region Rehabilitation Services

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Golf for Life Program

Those for whom golf is a passion cannot imagine a life without it. Precisely why McLaren Bay Region Rehabilitation Services added the Lifetime Golf program to its service-mix. A licensed physical therapist teaches the four-week, private pay program. The program is for individuals who want to improve their strength, flexibility, and most importantly - their game.

rehab golf

The golf swing is one of the most complex movements in all sports, requiring precision and integration of multiple areas of the body. This places an amazing amount of torque through the spine, neck, shoulders, hips, knees and ankles. Those stresses, especially if executed through a faulty swing, can lead to injury that can limit enjoyment and ability to play. There is a biomechanically perfect swing that is ideal, but we modify that swing for each individual's limitations or specific injuries.

Getting Back in the Game Safely

LifeTime Golf can keep you in the game longer and more safely.

McLaren Bay Region is pleased to offer LifeTime Golf™ at the Center for Rehabilitation on our West Campus. This program is designed for the golfer who is limited by pain or previous injury, or the golfer hoping to improve overall performance. 

The golf swing is stressful to the joints and tissues of the body, even when performed properly. Any decrease in strength or flexibility can increase the stresses and can limit your full potential, increase pain, increase your risk of injury, and rob you of power. 

The program is tailored to each individual's specific goals, needs and problem areas. For someone who had a hip replacement, we will work on altering the swing to stay within a safe range of motion without adding increased stress on the lower spine. For someone who experiences low back pain, we will identify the problem causing the limitation and alter the swing to reduce pain to be able to get back to the game. Everyone has unique issues they carry with them that influence their enjoyment of the game; therefore, each session is also unique to that individual's needs.

This program does not focus on specific skills, such as putting, chipping, or corrections of hooks/slices. It is about correcting biomechanics of the swing to reduce the risk of injury and restoring golf as an enjoyable part of your life.

There's always potential that as we change the swing to be better for a person's body, there will also be gains in power, distance, even accuracy, but the real gains are being able to enjoy the game again, and let the challenge be from the game, not the limitations or pain from your body.

LifeTime Golf™ includes a strength and flexibility exam by a licensed physical therapist with special expertise in golf rehab. Included is a videotaped swing analysis, an individualized exercise program to address your needs, and a home exercise program, which can be continued during the off season. 

Program Goals 

  • Identify limitations hindering performance 
  • Improve flexibility 
  • Improve strength and endurance 
  • Prevent potential injuries 
  • Improve golf performance 
  • Increase driving distance 

Golf is a life time sport, and it is important to realize there are ways to improve your level of play and decrease pain through awareness and exercise, while you improve your level of enjoyment. 

The program is housed at the Center for Rehabilitation, a 23,000 square foot facility housing a 4,000 square foot rehabilitation gym and therapeutic pool. The Center provides patients and family members with coordinated, comprehensive rehabilitation at one location. 

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Hand and Upper Extremity Therapy

The Comprehensive Hand Rehabilitation Program at McLaren Bay Region 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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Head Injury Rehabilitation

A head injury occurs when there is a blow or jolt to the head resulting in injury to the brain. The head injury can result in mild, moderate to severe brain damage. Mild head injuries are also known as concussions Moderate to Severe head injuries cause a major loss in a person’s ability to function throughout his/her day.

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 after a head injury has occurred.

Treatment can include:

  • Muscle Re-education is used to improve your ability to move and use your affected arm and/or leg.
  • Therapeutic exercises can improve a patient's overall strength and improve overall cardiovascular fitness/endurance
  • Activities of Daily Living (ADL) and Mobility Training can 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 head injury.
  • Modification of Leisure activities will by provided by the recreational therapist to assist with alternatives or modifications to current or new leisure interests.
  • Patient education is given to understand and prevent further head injuries, joint protection of the affected arm and/or leg, family education to assist with care at home, and safe, proper use of assisted devices.

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Injury Prevention - Ergonomics and Return-to-Work Analysis

Work-related injuries pose a tremendous cost to our communities, for both the employers and the employees. Cumulative Trauma or Musculoskeletal Diseases (MSDs) can impair your ability to perform your job effectively, and can lead to aches and pains, and loss of quality of life both at work and at home.

Our comprehensive ergonomics and injury prevention program recognizes the importance of preventing injuries and MSDs through education and training, identification of job tasks that are likely to cause these injuries, and provision of recommendations to reduce or eliminate risks to the employees.

In addition to our Prevention program, our staff are experienced in treating musculo-skeletal injuries when they occur. Once the acute phase is resolved, patients can transition to our work conditioning program, where they can progressively work up to their maximum potential, with simulation of their specific work tasks.

We offer a fully equipped work conditioning area. Services include functional capacity evaluations, job site analysis, work conditioning and treatment of injuries.

Employee working at desk
Office workstations are sometimes as
problematic as industrial settings.
Correction of sitting posture and work
tasks in this setting can reduce MSDs
and work-related discomfort significantly.
Nursing aide using sling
Nursing aids at McLaren Bay Region
demonstrate using patient lifts to safely move
patients from their bed up into a chair.

Simulation of work tasks to get patients back to work successfully

Working using push cart
Worker with shovel

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Inpatient Rehab

While you are in the hospital for an illness or surgery, it may become necessary to receive physical, occupational or speech therapy services. Sometimes it is the illness itself that causes the need for rehabilitation – such as a stroke . Or it can be the debilitating effects of prolonged illness or recovery from surgery that necessitate assistance from a rehab professional. For whatever reason, you will be well cared for by our experienced team of occupational therapists, physical therapists, physical therapist assistants, and speech-language pathologists.

Therapy programs focus on improvement of strength, endurance, flexibility, motor control and stability to support the return to normal functional activities. In the acute program, symptom relief is achieved through medical management and/or passive modalities with progression toward an active and aggressive treatment plan. As treatment progresses, patients are weaned from supportive therapies and moved toward greater independence.

Objectives:

  • Achieving maximum functioning
  • Addressing individual needs
  • Achieving an acceptable quality of life
  • Adjusting to lifestyle changes
  • Health promotion to prevent complications
  • Returning to community living

At McLaren Bay Region's Acute Inpatient Rehabilitation Unit, we are proud of our multi-disciplinary team and their ability to help you meet these objectives.

Our purpose is to teach the mind, train the body and lift the spirit to restore as much independence as possible. Patients will work to relearn skills like getting dressed and performing personal hygiene safely. In addition, patients work on skills to increase independence such as getting in and out of bed, walking, or using a wheelchair.

Rehabilitation is a collaborative effort involving all professionals on the team. On the Acute Rehabilitation Unit the team consists of: rehabilitation physicians, consulting physicians, rehabilitation nurses, physical therapists, occupational therapists, speech pathologists, therapeutic recreation specialists, social workers, psychologists, support staff, pharmacists and dieticians. Members of the team act as teachers, coaches and advocates for the patient.

Admission Criteria:

All patients in need of rehabilitation on an inpatient basis must benefit or require the following:

  • Patient is medically stable
  • 24-hour physician availability
  • 24-hour rehabilitation nursing
  • 3 hours a day/5 days a week of therapy minimum
  • Interdisciplinary team approach
  • There is reasonable expectation for improvement on measureable goals

Your Treatment Plan May Consist Of:

  • Ambulation and stair training
  • Balance training
  • Patient or caregiver education
  • Electrical stimulation
  • Endurance
  • Home exercise program
  • Strengthening
  • Stretching
  • Therapeutic exercise

Length of Stay:

Upon admission to the unit, a patient is evaluated by the rehabilitation team and a treatment plan is established. Progress towards team goals are evaluated at a minimum weekly basis by your rehabilitation team. A patient's length of stay on the inpatient unit is determined by:

  • Active participation in the rehabilitation program
  • Ability to progress towards goals
  • Ongoing authorization by the payer source
  • A safe discharge plan

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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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Low Vision Rehab Program

Rehabilitation Goal: To maximize usable vision during the performance of daily living activities.

As our nation grows older, and individuals are living longer, the affects of disease may interfere with ones ability to see clearly. In turn, impaired safety with daily activities may place an individual at risk for falls or injury. Furthermore, the misinterpretation of reading materials may effect safe medication management, following of recipes, writing checks, and reading mail and use of phones, computers, etc.

The Low Vision Program at McLaren Bay Region is designed for people with vision problems that interfere with activities of daily living. Conditions that are treated include:

  • Cataracts
  • Diabetic Retinopathy
  • Glaucoma
  • Macular Degeneration
  • Vision problems acquired after Stroke or Head Injury

Our specially trained Occupational Therapist will work with you and your ophthalmologist, optometrist, or other eye care professional to coordinate services and provide you with greater independence.

Specific areas the occupational therapist may evaluate include:

  • Self care
  • Meal prep
  • Home management
  • Money management
  • Community activities

Treatment may include:

  • Use of assistive devices
  • Modifications to the environment and home safety education
  • Scanning and viewing for improved awareness and medication and money management
  • Organization for shopping, meal prep and home management

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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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Manual Therapy

Our therapists offer skilled, hands on manual therapy. Manual therapy refers to the clinical approach utilizing skilled, hands-on techniques to diagnose and treat soft tissue and joint structures with intent to:

  • Decrease pain
  • Increase range of motion
  • Increase stability
  • Facilitate movement patterns
  • Improve contractibility
  • Decrease muscle and soft tissue strain
  • Decrease inflammation

People who might benefit from manual therapy:

  • Low back pain
  • Neck pain
  • Thoracic pain
  • Headaches
  • Sports injuries
  • Overuse injuries
  • Post-surgery recovery
  • Trauma
  • Poor posture
  • Arthritis
  • Women's health issues
  • Neurological disorders

Along with hands-on techniques, treatments frequently include individualized exercise programs to rehabilitate the problem area for lasting relief and increased independence.  

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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 Bay Region'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.

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

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

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Orthopedic Rehab (shoulder, hips, knees, ankles and other joint problems)

Rehab Goal: To optimize functional ability and minimize pain after an injury or surgery to the muscles and joints.

Orthopedic therapy focuses on treatment of the musculoskeletal system, which includes muscles, ligaments and joints. Treatment is available on an inpatient and outpatient basis from McLaren Bay Region.

Your therapist will thoroughly evaluate your condition, including a complete medical history and an in-depth examination of the problem area. A treatment plan will be tailored to your individual problem with your personal goals in mind. Throughout your treatment regular reassessment will be conducted to ensure that you are progressing towards your goals as set during the initial evaluation.

Treatment can include:

  • Strengthening of weak and deconditioned muscles.
  • Stretching of tight muscles and soft tissue.
  • Manual therapy techniques to reduce pain and improve joint mobility.
  • Modalities such as ultrasound, electrical stimulation, ice, and heat to reduce pain, inflammation, and promote healing.
  • Education about the condition and on your active role in the plan of care.
  • Home exercise program
  • Activity modification as indicated.
  • Re-education of walking and balance as indicated.
  • Graston techniques for soft tissue restrictions
  • Functional movement screening

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Outpatient Rehabilitative Services

ACCEPTING NEW PATIENTS – Physical Therapy – Occupational Therapy – Speech Therapy

One-On-One Rehabilitative Services Care for Your Total Well-Being 

Our goals are to: 

  • Provide compassionate, high-quality, cost-effective care 
  • Dedicate our resources to help people reach their highest potential 
  • Value family/caregiver input and keep them involved in the treatment process 
  • Work closely with the physician to provide coordinated care to our patients 
  • Assist our patients to reach their goals for increased functional ability and reduced pain 

McLaren Bay Region’s Rehabilitative Services Department offers comprehensive and coordinated services, including Physical, Occupational and Speech Therapy. 

We specialize in: 

  • Orthopedics/Sports Medicine 
  • Neck and Back Pain 
  • Aquatic Therapy 
  • Stroke Rehabilitation 
  • NeuroCom™ Balance Program 
  • Certified Hand Specialist 
  • STAR Program® Cancer Rehab/Lymphedema 
  • BIG™ & LOUD™ Parkinson’s Disease Rehabilitation 
  • Amputee Rehabilitation 
  • Manual Therapy 
  • Wound Care 
  • Pediatrics 
  • Neurological Rehab 
  • Ergonomics/Return to Work 
  • Low Vision Rehabilitation 
  • Arthritis Management 

Treatment

We offer a full continuum of care with multiple specialty services and state-of-the art equipment. 

Patients are typically seen 2-3 times per week for one-on-one sessions with their therapist. 

On your first visit, you will be seen by a licensed therapist for an individual evaluation. Your therapist will develop and monitor a treatment plan that is tailored to meet your unique needs. You will be scheduled for a series of one-to-one therapy sessions. 

Rehabilitation Teams

All of our clinicians are licensed professionals and include physical therapists, occupational therapists, speech & language pathologists and physical therapist assistants. Regardless of the injury or illness, no two patients are alike. A team of experienced and highly trained specialists develop and monitor a treatment plan that is tailored to meet each patient’s unique needs. 

Ongoing communication between the patient, family and physician is emphasized. Throughout the course of outpatient treatment, our therapists monitor and evaluate the patient’s progress and make adjustments to the treatment plan as needed for optimal outcomes. 

Patient & Family Involvement

Our rehabilitative services staff recognize the importance of family and work with them to achieve the best results possible. Patients and family are encouraged to participate in treatment planning and educational opportunities. 

Individualized Care

Our rehabilitative professionals develop a treatment plan that is tailored to meet each patient’s unique needs. One-on-one individual care and treatment is provided. 

Starting Therapy

In order to start therapy, a prescription from your health care provider is needed. Then, simply call 

one of our convenient sites and ask for an appointment. Our admissions personnel can assist you with any questions about your insurance coverage and the cost of therapy. 

Michigan now has direct access -- which means you don’t need a referral -- but many insurance companies still require a physician referral for payment purposes. For further information about our services for patients with all types of rehabilitative needs, call us at (989) 667-6600.

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Parkinson Exercise Movement Classes

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.

Exercise is important at all stages of Parkinson’s, but starting as early as possible is crucial. Group Exercise Classes consist of:

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

Classes are offered:
Every Thursday from 3pm – 4pm
Center for Rehabilitation
McLaren Bay Region West Campus
3190 E. Midland Road
Bay City, Michigan 48706

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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.

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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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 Bay Region 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 Bay Region 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 modalities 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.

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

  • 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
  • Joint replacements

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Recreational Therapy (Leisure Activities)

Recreational Therapy to return to Leisure Activities offered at McLaren Bay Region Rehabilitation Services.

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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)

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 Bay Region 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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Stroke Rehabilitation

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 after a stroke has occurred.

According to the American Stroke Association, approximately 795,000 Americans each year suffer from a new or recurrent stroke. Strokes are the #1 cause of disability. McLaren Bay Region is designated as a Primary Stroke Center by The Joint Commission.  This means that we are among the best of the best in stroke care.

Continuum of Care

McLaren Bay Region offers a continuum of rehabilitative care which begins with acute treatment as an inpatient; The patient may transition into further inpatient treatment. Once they are able to be discharged home, they may participate in our Outpatient Rehab Services found at several convenient locations.

Treatment may include:

Through all of our sites, a multidisciplinary team provides treatment that can include:

  • Muscle Re-education - 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 Training - 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 properly position an affected arm and/or leg.
  • Community Outing - At the Inpatient Rehabilitation Unit, patients have the opportunity to go out into the community to practice skills that will help the patient return to an active lifestyle.
  • Speech Therapy - provided as appropriate to assist with cognitive issues, along with any swallow problems that may have occurred as a result of the stroke.
  • Modification of Leisure activities - provided by the recreational therapist to assist with alternatives or modifications to current or new leisure interests.
  • Patient education - given to help the patient understand and reduce risk factors for additional strokes, joint protection of the affected arm and/or leg, family education to assist with care at home, and safe, proper use of assisted devices.
  • In addition, a Stroke Support Group is available to address further needs, once a patient is discharged from Rehabilitative Services.

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

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

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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 Bay Region 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 Bay Region 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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