What is OT?

Our Occupational Therapy (OT) services focus on the rehabilitation of the upper extremity, specifically restoration of motor control or movement, range of motion, strength, gross and fine motor coordination, as well as cognition and visual perceptual skills following stroke, brain injury, and other neurological conditions and common comorbidities.

What is PT?

Our Physical Therapy (PT) services focus on gait mechanics (i.e., walking), stair negotiation, and balance following stroke, brain injury, and other neurological conditions and common comorbidities.

What are the benefits?

Following neurological injuries such as Stroke or Traumatic Brain Injury (TBI), the brain has the ability to rewire itself. Rehabilitation services aid in rewiring the brain and help facilitate a process known as neuroplasticity, whereby the brain starts to make new neural connections. Under the guidance of a skilled therapist, a patient can achieve improved life skills such as walking and use of their affected limb.

Every stroke or brain injury is different in presentation and recovery. Not all patients will make a full recovery; however, many patients will make progress with their individualized goals such as increased movement, strength, and overall independence. The NeuroRecovery Group believes that a client-centered rehabilitation program, tailored to the patient’s needs and utilizing techniques, tools, and strategies based on the latest empirical evidence, are the key to restoring function.

Evaluation & Treatment

The NeuroRecovery Group uses a client-centered approach in identifying a patient’s level of functional capacity, impairment, and limitations such as range of motion, strength, gross and fine motor coordination, cognition, visual perceptual skills, and balance following stroke, brain injury, or other neurological conditions and common comorbidities. We work collaboratively to establish treatment goals and interventions with the patient, caregivers, and their care team. An individualized plan of care will be established based on the needs and goals of each patient.

Tone Management

Stroke may cause an abnormal increase in muscle tone, leading to what is termed as “spasticity.” Spasticity may cause only mild muscle stiffness for some, whereas for others it may be more severe, resulting in spasms and potential for muscle and tendon contractures which can be severely painful and limit function. It is important to be assessed for splinting and given guidance for the type of orthosis required, wearing schedule, duration, and materials to be used.

In more severe circumstances, which require medical intervention, The NeuroRecovery Group can provide resources and/or referrals to partnering Neurologists and Physical Medicine and Rehabilitation (PM&R) physicians in the community who can provide botulinum neurotoxin (BoNT) treatment, which is more commonly known as Botox. By directly injecting Botox into the affected muscle groups, spasticity can be significantly reduced, in turn decreasing pain levels and improving functional outcomes.

Caregiver Training

During the course of neurological recovery, patients may require increased assistance with household mobility and activities of daily living (ADLs) such as dressing, grooming, bathing and toileting. Having caregivers trained on appropriate biomechanics, safe patient handling techniques, and strategies for optimization of self-care management is critical to fostering continued functional gains, increasing patient safety, and overall quality of life.

Home Safety and Ergonomics

Following neurological injury, patients may experience new obstacles and hurdles in their home environment that may limit function and pose significant safety concerns, such as falls. Our team will work to optimize independence, function, and safety in various parts of the home. The NeuroRecovery Group will assess entryways, hallways, common living spaces, bedrooms and bathrooms for safety and ergonomics. Through task modification, environmental adaptations (e.g., installing ramps and grab bars), and utilization of durable medical equipment (e.g., shower chair and commode chair) we are able to optimize accessibility and independence and mitigate overall caregiver burden.

Conditions We Treat

Cerebrovascular Accidents (CVAs), commonly known as Stroke

Traumatic Brain Injuries (TBI)

Neurological, Neuromuscular, and Neurodegenerative Conditions

Oncological Disorders Affecting the Central Nervous System (CNS)