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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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Back and Neck Therapy

At McLaren Caro 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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Hand and Upper Extremity Therapy

The Comprehensive Hand Rehabilitation Program at McLaren Caro 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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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 Caro 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 Caro 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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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 Caro 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 Caro 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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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 Caro 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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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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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 Caro 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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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 Caro Region Comprehensive Balance Clinic has therapists specializing in the assessment and treatment of vestibular and balance impairments

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

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Women's Rehab Program

McLaren Caro Region Therapy Services offers a comprehensive Women's Health/ Pelvic Floor Program in the following treatment areas, includes both men and women:

Pelvic Pain - treatment of the pelvic muscles, joints, ligaments and nerves that cause dysfunction of the bladder, vagina, rectum, buttocks, low back and abdomen.

Incontinence - treatment of bladder problems including leakage, urgency and frequency.

Lymphedema - treatment to decrease limb swelling that can occur at any time after surgery, radiation or chemotherapy.

Osteoporosis and Postural Change - treatment based on the Sara Meeks Method of Postural Change, decompression exercises, strengthening core muscles, education regarding body mechanics and contraindications for people with osteoporosis.

Pre-Surgical Pelvic Floor - treatment consists of education on proper use of pelvic floor muscles prior to any surgery which may damage these tissue.

Post-Surgical Pelvic Floor - treatment to facilitate restoration of function in pelvic structures after surgery.

Post-Surgical Breast Cancer - treatment to restore upper extremity function and range of motion after surgery or radiation.

Pregnancy - treatment of back pain associated with pregnancy

Postpartum Musculoskeletal - treatment to stabilize, strengthen and realign body after the birth of a child.

The Pelvic Floor/Urinary Incontinence programs are available to both men and women, and are based on dysfunction related to bladder, pelvic muscles, and prostate. Causes can be surgery, trauma, sports injury and childbirth to name a few. Lymphedema also results from multiple causes that can be addressed by Physical Therapy. Some of these causes are: cancer, radiation, surgery, trauma, venous insufficiency and congenital. A physician referral is needed for Physical Therapy treatment.

Please contact one of our facilities for more information or to schedule an appointment with a specialist.

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