Rehabilitation

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Norton King’s Daughters’ Health provides a full-service Rehabilitation Center, along with both inpatient and outpatient services. Staff includes physical therapists, occupational therapists, speech therapists and athletic trainers. They use a team approach, providing patients with the best, most comprehensive treatment. Our goal is to help you bounce back and return to your favorite activities as quickly and safely as possible.

Aquatic Therapy

Water helps support body weight and makes it easier to begin therapeutic exercises for injured joints and muscles. Water also provides resistance. This helps develop strength and stamina. Adding water to therapy is always refreshing and fun. The pool is handicap-accessible.

  • Begin therapy sooner and transition toward or back to land easier and earlier.
  • Reduction in weight bearing allows for better ease of exercise and range of motion in joints with a reduction in pain.
  • Assist in relaxing, stretching and strengthening exercises.

Balance Program

If you suffer from dizziness, helpful treatments may be available. There are many causes of dizziness. Some are due to strokes, medications and medical conditions. Dizziness can also be caused by an injury to the inner ear sustained during a fall or accident.

  • Bathroom risks – Many injuries in the bathroom are due to falls. Learn how to avoid them. Dizziness related to falls and accidents can be completely cured by doing certain maneuvers for a short period of time. Habituation exercises over time can help improve dizziness caused by other medical conditions. Effects of dizziness can often be lessened—and at times—cured. Balance may be affected by many different medical conditions, including stroke, medications and progressive disease processes. Balance issues may also occur because of aging—relative to posture and changes in muscle strength or weakness.
  • Poor balance may result in falls—which are a major cause of injuries, including broken bones, concussions, etc. Balance may be improved by strengthening the core muscles of your body and legs. Awareness of your surroundings is important too—using your field of vision to locate potential problems. If needed, be sure to use any assistive devices such as a walker. Using correct walking patterns is a final step toward maintaining good balance and reducing your risk of a fall.

Incontinence

When you leak urine, it’s called incontinence, and it’s more common than people think. Unfortunately, many people are too embarrassed to seek assistance. However, you should know that help is available. Urinary incontinence is not a natural part of aging. It can happen at any age and can be caused by different problems. Many of these causes are short-term and can be managed with specific treatment. Short-term causes of incontinence can be infections, constipation or effects of medication. Incontinence can also be caused by chronic conditions, such as:

  • Weakness of the muscles that hold the bladder in place.
  • Overactive bladder muscles.
  • Blockage of the urethra by an enlarged prostate.
  • Immobility.

In almost every case, these conditions can be treated. If you have a problem, the first step is to talk to your provider. Treatments vary with each specific case and may include medication, surgery, behavior management and a physical therapy exercise program. We also provide pelvic floor rehab. The use of biofeedback for muscle retraining is often used as well.

Lymphedema

Lymphedema is chronic swelling in the arms or legs. It results from excess fluid buildup in the tissues because the lymphatic system is not working right. Lymphedema may occur when people have lymph nodes or lymph vessels damaged or removed as the result of cancer surgeries, radiation therapy or an accident. The most common effect from lymphedema is swelling. Swelling can then cause pain, loss of movement and an increased risk of infection. If you notice swelling of an arm or leg, see your doctor. If you are diagnosed with lymphedema, you may be referred to physical or occupational therapy. We can assist you with a plan to decrease swelling and teach you skills to manage future swelling at home. Therapy will consist of lymph drainage massage, medical compression bandaging, exercise advice and training in a home management program. You may also be prescribed a compression garment to help control swelling.

Manual Therapy

Manual therapies are the core of physical therapy’s hands-on approach. An understanding of anatomy and kinesiology is used to manually restore alignment and function. Therapists move and stretch soft tissues, removing barriers to pain-free movement.

  • Dry needling – A very fine filament needle is inserted through the skin and into the deeper tissues that are considered trigger points to your pain. Dry needling works by causing a micro-lesion within pathologic tissue, thus breaking up shortened tissues. This inhibits a reflex arc from the nervous system to the tissue, normalizing the inflammatory response and centrally mediating the pain.
  • Graston – Stainless steel instruments are used to address scar tissue, fascial restriction and range of motion. It is used in combination with appropriate therapeutic exercise to improve and restore pain-free movement and function. Graston separates and breaks down collagen cross links, facilitates reflex changes in chronic muscle holding patterns and increases blood flow to the area.

Manual therapies are augmented by therapeutic exercise to strengthen, stabilize and create flexibility. Therapists guide specific exercises in the clinic. A home exercise program is an essential follow-through by the patient. Alignment and function are restored through the therapist’s hands, and exercise assists and guides the process.

Physical Therapy

Physical therapy includes a specific evaluation of your condition or injury. Specialized programs using a variety of treatment techniques and exercises are used to recover movement and strength and return you to normal activities. We work with you to maximize functional outcomes through treatment and education. We also want to promote overall health and wellness. Physical therapy treatment diagnoses include: cerebral vascular accident (stroke), Parkinson’s, orthopedic conditions and injuries, traumatic brain injury, anterior lateral sclerosis, cerebral palsy and many other conditions. There are many step-down classes and individual programs that can assist with ongoing strengthening and wellness after your physical therapy program is completed.

  • Muscle retraining with biofeedback.
  • Pain relief techniques using TENS, ultrasound, interferential and high-volt current.
  • Manual, hands-on therapy—including soft tissue mobilization with Graston technique.
  • Joint mobilization.
  • Muscle energy techniques.
  • Massage and myofacial release.
  • Gait (walking) training.
  • Strength training.
  • Balance recovery and vestibular rehabilitation.
  • Orthotic and prosthetic training.

Occupational Therapy

Occupational therapy encompasses most purposeful and daily living activities. Our program provides a comprehensive concentration on upper extremities and hand therapy, including splinting. Complete home assessment is available. Occupational therapy is provided on an inpatient and outpatient basis. The inpatient therapists assist patients in becoming more independent in their daily tasks after injury or surgery. Our specialized outpatient programs include treatment of lymphedema and a functional capacity assessment for injured workers—also part of our industrial rehabilitation program. A few of the treatment diagnoses include: cerebral vascular accident (CVA, or stroke), congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), heart surgery, orthopedic problems, cancer and general weakness.

Speech therapy

Speech therapy can help those with language or speech difficulties. It can also assist those with swallowing problems and young children who may have difficulty swallowing or sucking when eating different textures of foods. After a physician reviews the patient’s situation, he or she may be referred to speech therapy. Language difficulties or swallowing problems might be the result of a stroke, neurological problems, or surgery or cancer treatment. Pediatric patients with developmental delays, disease processes or birth defects may also benefit.

Speech therapy evaluation
The first step in the speech therapy process is an evaluation by the therapist. This may include several different tests. Based on the results of this evaluation, the speech therapist can assist you with exercises and activities to improve areas of concern. Your therapist can also provide you with a home exercise program. Some of our special services include:

  • Modified barium swallows.
  • Voice prosthetic therapy.
  • Vocal cord therapy.
  • Hearing screening.

Our speech therapists are highly specialized individuals trained in the most current techniques and treatments. If you feel you could be helped by speech therapy, ask your doctor or call us. Every program is specific and designed to help you achieve successful results.

Wheelchair Clinic

The Seating/Wheelchair Clinic is a new program offered through the Norton KDH Rehabilitation Center. Clinics will be offered at least one or two times per month. Please call (812) 801-0674 to inquire about specific dates and times. A certified assistive technology professional will assess a patient’s needs for supportive cushions, proper assistive devices and the best fitting chair (wheelchair), if necessary. The program has been designed by a DME provider who is knowledgeable about assistive equipment and its related insurance coverages. The patient assessment is completed by a licensed occupational or physical therapist to ensure all areas of care are addressed. Our goal is for patients to improve their quality of life. With safety in mind, we also want every patient to use the most appropriate assistive equipment.

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