Rehabilitation Services - Outpatient Services

Aquatic Therapy

 

With some painful conditions following surgery, injury or illness, your therapist may elect to utilize water therapy in conjunction with your land therapy program. Warm water of varying depths is successfully used to unload painful joints and provide freedom of movement and enhanced recovery in a safe and comfortable environment.

  • Aquatic therapy is provided in our state-of-the-art warm water therapy pool in conjunction with a land based physical therapy program by a licensed therapist.
  • Treatment sessions promote improved circulation, strength and endurance, balance and coordination, increased range of motion, decreased pain and assists in joint protection during exercise.
  • Aquatic therapy provides a very safe and comfortable environment for patients recovering following orthopedic joint replacement surgery, injuries to the neck, shoulder, low back, knee, hip and ankle, chronic pain, arthritis, fibromyalgia and various neurological disorders.

All patients are seen on land prior to scheduling any aquatic therapy sessions. Patients must continue to be seen on land in conjunction with their water therapy during their therapy visits. Patient goals are land based and the physical therapist utilizes the water as another method along with traditional land therapy in order to meet the individualized needs of the patients.

 

To schedule a physical therapy appointment at the Wilfred R. Cameron Wellness Center,
please call (724) 250-6280.

Balance Training and Testing Program

 

Washington Health System's Outpatient Rehab Services’ state-of-the-art Biodex balance testing and training system is used to test and treat patients with various balance difficulties.

  • The system is used for a wide variety of diagnoses. It is extremely versatile and provides fast, accurate data.
  • It has interactive game-like balance training programs which increases patient interaction and compliance.
  • Test results are compared to age- and gender-dependent normative data.

Through the Biodex System, the licensed therapist is able to easily screen and identify fall risk candidates and patients predisposed to injury. It also is an excellent tool to use in the assessment and treatment of various orthopedic and sports medicine injuries for all ages.

 

The system provides visual feedback and includes proprioception and stabilization exercises, range of motion and weight shift exercises and is adapted to the physical functioning level of the patient from simple to very complex testing/training.

 

All test results and training sessions are documented on full size reports and are compared to normative population-specific testing data. Patient testing and ongoing progress is easily tracked and shared with the referring physician.

 

To be seen by our licensed physical or occupational therapists for a balance problem or issue, please contact us at (724) 250-6280.

Hand Clinic

 

Washington Health System Outpatient Rehab Hand Clinic is located in the Wilfred R. Cameron Wellness Center. Evaluation and treatment of the hand and upper extremity requires a special skill set. Our staff consists of certified hand therapists and therapy assistants who work together to ensure that the recovery process is as effective and efficient as possible. Our clinic is newly remodeled with state-of-the-art equipment available to meet the individualized needs of each patient.

 

Reaching, grabbing, writing, driving, lifting or waving are all activities that we take for granted. Each of these seemingly simple daily activities and many, many more are only possible because of versatility and flexibility of the upper extremity. This area of the human body is uniquely complex and includes the joints, bones, muscles and tendons of the fingers, hand, wrist, elbow and shoulder. The intricate and mobile design coupled with the use and abuse sustained each day can make this region of the body highly susceptible to injury.

 

At Washington Health System Outpatient Rehab Hand Therapy Clinic, our certified hand therapists perform a detailed assessment and develop a plan of care that fits the needs of each patient sufferning form upper extremity pain or discomfort.

 

Our certified hand therapists are expert in treating many conditions affecting the hand and arm some of which include:

  • Soft tissue sprains, strains and contusions
  • Overuse and traumatic injuries
  • Degenerative and rheumatoid arthritis
  • Tendon and nerve repairs
  • Nerve compression
  • Carpal tunnel syndrome
  • Tendonitis
  • Traumatic hand injuries
  • Fractures and re-plantantations
  • Amputations
  • Stroke
  • Traumatic brain injury

Our Hand Clinic accepts most major insurances. Physician referral is required. Day and early evening appointments are available.

 

Please call (724) 250-6280 to make an appointment.

Lymphedema

 

Lymphedema is the accumulation of protein rich fluid or swelling in an affected area, usually the arm or leg. Lymphedema often occurs after an injury, scarring or surgical removal of lymph nodes. It is most commonly associated with cancer, surgery and radiation to the lymph nodes. Occasionally it is due to a traumatic event of chronic infection to the lymphatic system or improper development of the lymphatic system.

 

Symptoms of lymphedema:

  • Slow onset of swelling and tightness
  • Swelling begins distally in the extremities
  • Numbness or tingling
  • History of frequent infection
  • Skin changes/hardening of the skin and sometimes ulceration

Lymphedema cannot be cured but should be treated. Without intervention there will likely be increased swelling, decreased range of motion and possible risk of infection. When lymphedema is treated, chances for infection decrease dramatically and tissue health improves. Patients often report improvement with overall quality of life, mobility and comfort.

 

The Lymphedema Management Program will work with you in four areas:

  • Manual lymph drainage which is a massage technique performed by a trained therapist that offers safe and gentle movement of fluid through the lymph system.
  • Bandaging and compression will provide a pressure gradient essential for fluid reduction. Patients will be bandaged in bulky cotton bandages daily. Patients are educated in self bandaging techniques. Once the fluid is reduced as much as possible, the patient is fitted with a compression garment that is worn daily.
  • Exercise instruction for a home based program will be provided. These exercises play an important role in therapy as they activate the muscle pump in the swollen extremity and help to reduce fluid and increase lymphatic flow.
  • Instruction and education in lymphatic massage techniques and compression bandaging will be provided so that the patient is able to handle their lymphedema independently.

Kelly Reasbeck, MPT, CLT, is a physical therapist who is also a certified lymphedema therapist with extensive experience in lymphedema management for upper and lower extremities. Physician referral is required and most insurances cover either all or part of the cost of this program. Appointments are available Monday through Friday at Washington Health System Outpatient Rehab Services located at the Wilfred R. Cameron Wellness Center.

 

If you have questions about our Lymphedema Program, call (724) 250-6280 and Kelly will be happy to speak with you

Speech Therapy

 

Speech therapy is used for individuals with difficulty understanding language, using language and/or making speech sounds correctly.

 

Swallowing therapy is used for individuals who have difficulty chewing, cough when drinking or eating, frequent choking episodes and/or discomfort when swallowing.

 

Many speech and/or swallowing problems are a result of a stroke, neurological disease or injury. Our licensed speech language pathologists have extensive training and experience in all areas of rehabilitation for speech and swallowing disorders.

 

Disorders may include:

  • Aphasia (difficulty speaking or listening)
  • Dysarthria (slurred speech)
  • Dysphagia (difficulty swallowing)
  • Dysphonia (voice disorder)
  • Apraxia (difficulty stopping or starting speech)

Vital Stim Therapy: Washington Health System speech language pathologists are certified and trained in Vital Stim, a specialty treatment for swallowing disorders. An estimated 15 million Americans are afflicted with dysphagia, a condition that causes discomfort or difficulty swallowing. At its most severe--when patients lose their ability to eat--dysphagia can profoundly disrupt a life. Vital Stim is the first proven treatment for dysphagia.

 

Vital Stim improves the quality of the swallowing function and also helps to re-train muscles in this area which work to improve the overall swallowing action.

 

Vital Stim uses small electrical currents to stimulate the muscles responsible for swallowing. At the same time the speech therapist helps patients “re-educate” their muscles through various exercises, progressing them to an independent home program so they can continue to strengthen the muscles after discharge from the program.

 

Our therapists have had great success with this treatment for their patients.  Many had required feeding tubes inserted in their stomachs for their nutritional needs but are now eating normally and experiencing a much more satisfying quality of life.

Sports Medicine

 

Proper, early rehabilitation is essential for a swift recovery following a sports related injury.

 

Our rehabteam includes physical therapists, athletic trainers, exercise physiologists, personal trainers and certified strength and conditioning specialists along with our sports medicine physicians, all who work together to meet the specific needs of athletes.

  • The team, under the direction of our sports medicine physicians, works to maximize optimal, individualized care for each athlete.
  • Athletes have access to advanced, state-of-the-art equipment and the latest techniques available.
  • Our emphasis is on efficient transition from rehab to peak athletic performance and is accomplished through the close collaboration of our entire sports medicine team
  • Education in proper strengthening, conditioning and training techniques is a key component to our program in order to minimize the risk of re-injury.

Most insurances cover assessment and treatment following a sports related injury. Physician referral is required.

 

Please contact us at Washington Health System Outpatient Rehab Services located at the Wilfred R. Cameron Wellness Center, (724) 250-6280 for an appointment. Day and evening appointments are available.

Functional Physical Capacity Testing, Work Conditioning, and Ergonomic Services

 

Washington Health System Outpatient Rehab Team understands the importance of enabling our patients to return to work as quickly and safely as possible. That is why we view those injured in the workplace as "industrial athletes." Our carefully coordinated evaluation and treatment protocols are designed to provide leading edge care as expeditiously as possible. Our team of physicians, nurses, physical and occupational therapists and a host of other staff members have worked tirelessly to create an integrated care delivery network that is known for its outstanding clinical care and customer services outcomes.

 

We are committed to improving workplace safety and health by participating as a team with employers, workers and healthcare providers to create safer workplace conditions, reduce workplace related injuries and ensure safe return to work.

 

We offer a broad spectrum of ergonomic services to area businesses and workers. We also work with local physicians to manage work related musculoskeletal problems and prevention.

Types of services:

 

Functional Capacity Evaluation (FCE):

The FCE is a comprehensive, objective and function oriented evaluation. It provides the licensed therapist with data which assesses lifting from various levels, body mechanics, safety technique, heart rate and blood pressure response pre and post testing as well as a pain assessment.   Once the FCE is completed, the therapist in collaboration with the interdisciplinary rehab team will make recommendations for a Work Hardening/Conditioning Program or for return to work depending upon testing results.   If continuing with a work hardening program, the FCE provides a very essential baseline of information for which the team along with the patient can build from, setting functional goals towards a safe and timely return to work.

 

Work Conditioning/High Level Physical Therapy Program:

The work conditioning/high level physical therapy program consists of intensive conditioning exercises and job simulation activities. Endurance, strength, proper body mechanics and lifting/positioning techniques are strongly emphasized in order to promote a safe return to the workplace. Patients are seen 3-5 days/week by a licensed physical therapist for an individually designed intensive exercise program and job simulated activities.  Aquatic therapy is available for select cases.  Therapists work collaboratively with their patients to control/reduce pain while increasing overall function with the final goal of safely and effectively returning the patient to their prior level of functioning and back in the workplace.  Work conditioning/high level PT is covered by workman’s compensation and most insurance. A physician referral is required.

 

Industrial Job Specific Pre-Employment Physical Capacity Testing:

The rehab teams works with various employers to design an individualized pre-employment physical capacity test which is based from the employer’s job descriptions. Testing is performed by a licensed therapist and assesses various job specific lifting activities, body mechanics and proper lifting techniques, cardiovascular fitness, cooperation with testing as well as effort and pacing during testing. A final employment recommendation based upon test results is provided to the employer. 

 

Ergnomic Job and Worksite Analysis:

An Occupational Therapist is available to go on-site to the workplace. She works with various employers to provide an assessment of potential risks associated with the use of faulty body mechanics and postures seen at the worksite.. Recommendations are provided to the employer to improve body mechanics, equipment layout and may include various modified work station ideas all with the goal to decrease the potential risk of work related injuries.

 

For more information on our Work Hardening, Industrial Job Specific Physical Capacity Testing & Ergonomic Services, please call Washington Health System Outpatient Rehab Services located at the Wilfred R. Cameron Wellness Center at (724) 250-6280.

Concussion Management

 

Washington Health System Outpatient Rehab Team understands the importance of skilled intervention following a concussion injury.  Our physical therapists are specially trained in concussion evaluation and management including baseline and post-concussion testing utilizing ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing), the most widely used and scientifically validated computerized concussion evaluation system.   Following ImPACT testing, our therapists work closely with individuals that continue to experience ongoing concussion symptoms of headache, severe sensitivity to light, ringing in the ears, dizziness, nausea, difficulty concentrating, balance issues and/or memory loss in order to safely return them to their previous level of function and sport activities.