Kershaw Health

Rehabilitation Services

Aquatic Therapy and Community Classes
KershawHealth offers the area’s only warm water aquatic therapy pool, an ideal therapeutic alternative for patients who need to improve their functional ability but cannot tolerate land based or weight bearing exercise. Warm water aquatic therapy treatments can help reduce pain, increase joint movement and flexibility, improve circulation, increase strength and endurance, improve posture and balance, and reduce swelling. The water supports the patient’s weight, allowing them to exercise without the effects of gravity. Aquatic therapy helps patients gain control of their body and increase their confidence which can lead to land based activities and an overall improvement with day to day activities. Because patients can exercise with less pain and greater ease, their healing may also be quicker than on land.

With exercise programs designed, instructed, and supervised by a specialized physical therapist or physical therapist assistant, the water provides resistance to movement that takes place at a constant speed. As the patient’s endurance increases, exercise equipment is added to increase the amount of resistance applied to the exercise.

Frequently referred diagnoses include: Orthopedic injuries and surgeries, Rheumatoid arthritis, Osteoarthritis, Stroke, Fibromyalgia, limited range of motion, weakness, chronic pain, balance deficits, and Neurological problems.

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Balance and Vestibular Rehabilitation Program
Balance and Vestibular Rehabilitation is an exercised based program designed by a specialized physical therapist to reduce vertigo and dizziness, light headedness, balance deficits or falls. Vestibular disorders can be the results of head trauma to include concussions, ear infections, vertigo, Meniere’s disease and other disease/illnesses, aging, medications or stroke.

Vestibular Rehabilitation can help you with:

  • Dizziness or light headedness that can cause secondary nausea, vomiting, reduced ability to focus, and fatigue
  • Imbalance and frequent falls
  • Spinning, disequilibrium, and unsteadiness
  • Balance and gait difficulty
  • Decreased coordination and body control

Concussion Management Program
Concussion management is a specialized program designed to treat symptoms that occur after sustaining a concussion. Post-Concussion treatment is designed to treat the patient from an orthopedic, neurological, as well as a vestibular component to return the patient to normal daily activities as well as returning to play. Treatment is focused to reduce dizziness, reduce headaches, as well as improve strength and endurance all of which will return you to daily activities as well as a return to playing sports. 

Concussions can occur while playing sports, in motor vehicle accidents, as well as falls and can occur at any age. 

Signs and Symptoms of Concussion Include:

  • Headache
  • Drowsiness (fatigue, forgetful or feels “foggy”)
  • Appears dazed, stunned or confused
  • Nausea/Vomiting
  • Difficulty concentrating/focusing
  • Shows imbalance/Moves clumsily
  • Sensitivity to light and noise
  • Blurred vision/Double vision
  • Tinnitus (ringing in the ear)
  • Answers questions slowly/Slurred speech

Concussion Management is a treatment program designed to meet each patients needs to create enough challenge to the brain without over working the healing nervous system. Exercises include balance activities, oculomotor activities, gait, neck mobilization and headache management as well as general strength and conditioning. Each patient is evaluated and an individualized plan of care is set up to maximize return to daily activities as well as play. 

Dry Needling
Dry needling is a skilled intervention performed by our physical therapists certified in the technique. The procedure uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular and connective tissue for the management of neuromuscular pain and movement impairments. Dry needling can be used to treat such diagnoses as neck or back pain, headaches, hip pain, as well as any other area a trigger point may develop. It is a technique used in conjunction with other therapy techniques to expedite your recovery and return to activity.

Gait and Balance Rehabilitation Program
The gait and balance program is designed to help prevent falls. Falls can cause serious injuries and health issues. Studies show that about 25% of those who fall lose significant function and 50% have decrease in mobility. Our physical therapists can assess your risk for falls and set up an individualized program to help address the deficits that are detected in the evaluation.

Many factors contribute to falling and decreased mobility. Some include age, medical history, and loss of strength or decreased range of motion whether due to degenerative joint changes or arthritis. Other factors can be attributed to a change in medications, vision problems or decreased walking speed or step length.

Our gait and balance program will assess your risk for falls as well as strength, range of motion, balance and endurance. Once the deficits are determined, we will design an individualized program to get you back on track.

Guardian Way Electrical Neuromuscular Stimulation
The Guardian Way Neuromuscular Stimulation (NMES) is a therapy technique used by our Speech therapist using electrodes to make swallowing and facial muscles contract, and improve movement to re-establish a more normal swallowing ability. This treatment technique is used to retrain a more normal swallowing pattern, improve muscle strength, increases sensory awareness when swallowing, decreases the risk of aspiration, and improves nutrition and hydration.

Patients who are a candidate for the Guardian Way NMES are those who:

  • Cough, choke or strangle when eating or drinking
  • Take a long time to eat a meal
  • Have facial, lip, or tongue weakness
  • Have difficulty controlling their saliva
  • Have weight loss and poor nutrition die to difficulty swallowing
  • Have a feeding tube

Hand Rehabilitation
Hand rehabilitation at KershawHealth is performed by a Certified Hand Therapist.  Hand rehabilitation involves the use of advanced techniques including manual therapies, splinting, pain management, strengthening and other various modalities to ultimately restore function.  Although commonly referred to as hand rehabilitation, this specialty includes the treatment of the entire upper extremity.  

Adaptive Equipment
Adaptive devices may be use to decrease difficulty or enable independence with functional tasks.  Options are available for nearly every activity of daily living.  Our staff can assist in selecting the appropriate devices to improve performance and provide training in the use of those devices as needed.

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Isokinetic Extremity Testing and Rehabilitation
Isokinetic testing and rehabilitation uses a specialized machine to test and exercise isolated muscles providing a variable resistance to a movement at a constant speed. By isolating the muscle our trained physical or occupational therapists are able to better determine where you are the weakest throughout the range of motion and what motions or movements may be contributing to the problem. The speed of the movement can also be varied. Testing can also determine the strength difference in one side verses the other or muscle groups such as the quads and hamstrings.

Kinesio Taping
Kinesio Taping is a specialized taping technique that supports injured joints and muscles without restricting movement and motion. It helps to increase the blood flow and lymphatic drainage by lifting the skin to create a small space between the muscle and skin. This allows for pressure to be taken off swollen or injured muscles and allow for them to heal while being supported.

Manual Therapy
Manual Therapy uses skilled hands-on techniques to diagnosis and treat soft tissue and joints. Manual Therapy includes but is not limited to manipulation and mobilization techniques to reduce pain, increase range of motion, decrease myofascial restrictions to improve muscle length, decreases swelling and inflammation and facilitates movement to improve function. Our therapists use many different types of manual therapy techniques to improve the function of soft tissue and joints. A few techniques that are used are massage, soft tissue mobilization, myofascial release, scar mobilization, joint mobilization and traction.

Neurological Rehabilitation
Neurological Rehabilitation is a specialized treatment of individuals who have difficulty with movement and function due to diseases or injuries to the nervous system. Our therapists help patients to improve and/or restore their functional mobility and increase independence with daily life activities. Some diagnoses that would benefit from neurological rehabilitation are strokes, brain or spinal cord tumors, peripheral neuropathy, Muscular Dystrophy, Guillain-Barre syndrome, Parkinson’s disease, multiple sclerosis, ALS, and Alzheimer disease.

Orthopedic Rehabilitation
Orthopedic Rehabilitation is a therapy that treats a wide variety of conditions that affect the musculoskeletal system. The musculoskeletal system includes bones, muscles, tendons, ligaments, cartilage, and joints of the body. Our therapists specialize in treatments and use up to date techniques for conditions that cause a disruption of this system. This therapy can be done after an injury or before and after surgery to restore functional activity, strength and range of motion. Some of the diagnoses that would benefit from orthopedic rehabilitation include post-operative joint surgeries, arthritis, muscle and joint strains/sprains, sports related injuries, amputations, bursitis and tendonitis.

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Pain Management
Pain management is a program for conditions such as arthritis, bursitis, tendonitis, chronic pain, back pain, neck pain, fibromyalgia, Plantar Fasciitis and other extremity pain. Our therapist use modalities, exercise and other treatment techniques to decrease a patients pain and improve their daily activities.

Speech Therapy
Assessment and treatment of patients with:

A Stroke (CVA)/TIA or other neurological disorders including:

  1. Dysarthria (slurred speech)
  2. Aphasia – difficulty with comprehension of speech, verbal expression (expressing thoughts), reading or writing
  3. Anomia- difficulty in thinking of words to say or getting words out
  • Head injury/ Traumatic Brain Injury (TBI)-including cognitive retraining for short term memory, thought organization, orientation, and problem solving for activities of daily living
  • Dementia and other progressive neurological diseases such as Parkinson’s disease or ALS 
  • Head and neck cancer including laryngectomy and tracheostomy (Passy-Muir Speaking Valve)
  • Voice disorders
  • Dysphagia (Swallowing Disorders)
  • Pediatric developmental language and speech delays or disorders including stuttering, articulation errors, apraxia of speech, and phonological disorders
  • Pediatric feeding delays or swallowing disorders
  • Assistance with alternative communication/assistive technology for nonverbal patients or patients that are learning to speak

Special training in:

  • LSVT (Lee Silverman Voice Treatment) for Parkinson’s and voice patients
  • Guardian Way Neuromuscular Electrical Stimulation for swallowing disorders

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Sports Medicine Injuries
Rehabilitation for sports injuries can begin as soon as immediately after injury or after surgery. Treatment can include modalities, exercise and other therapy techniques to promote healing to allow the athlete to safely return back to playing their sport as soon as possible. Some sports injuries are muscle sprains/strains, tendon injuries, fractures, dislocations, contusions, and joint injuries.

Joint Replacement Center at KershawHealth
The Joint Replacement Center at KershawHealth have experts that have carefully plan every step of your care to help ensure a speedy and successful journey to recovery. Our center uses a team approach of caring for you and your family and they have been specifically trained to take care of every aspect of your total joint replacement. Your experience will begin the day you arrive for your surgery. While in the hospital you will be seen by our inpatient physical therapy team until you are discharged to home. At home our home health physical therapist will take care of you until you are ready to come to one of our outpatient therapy facilities. Each of our therapists have been trained to provide you with continuity of care throughout your joint replacement experience.