Fall assessment

Have you had a fall or near fall and are concerned about the contributing factors? Has your balance declined with the aging process or after an injury? Kelly Fletcher, MSPT along with other therapists here at The Rehab Center at Parham Doctors’ Hospital can complete a thorough physical therapy evaluation to determine any areas that may be contributory. Is it weakness, a vestibular issue, lack of sensation, unsafe movement patterns, or something further? We can help you figure that out and provide appropriate treatments to address those deficits. Don’t put your health at risk. Let us check you out.

What does a fall assessment involve?

  • An assessment of the patient’s strength, flexibility and functional movement patterns.
  • Assessment of static and dynamic balance
  • Assessment of gait

What types of patients would benefit?

  • History of falls or near falls
  • Legs buckling or giving away
  • Decreased leg and trunk strength affecting gait
  • Recent need for use of assistive devices for safety

Functional manual medicine

Functional Manual Medicine serves patients with musculoskeletal disorders using a functional approach. Jennifer Waldrop, MPT, CSCS, CFMM combines traditional physical therapy and functional manual medicine to treat children, teenagers and adults. Her goal is to help patients return to their prior functional level: living, learning, and playing each and every day! Jennifer has 18 years of experience and has been treating patients from a functional approach since 2009 and has been certified in Functional Manual Medicine since 2016. Her appointments are available in 60 min time slots. Parham Doctors’ Hospital is proud to provide our patients with this specialized treatment approach.

What does functional manual medicine involve?

  • Assessment of musculoskeletal problems
  • Manual Therapy treatments for the musculoskeletal problems
  • Individualized exercise program for each patient based on their specific musculoskeletal problem.
  • Exercises will complement the Manual Therapy treatments so patients will become independent with their own treatment programs at discharge.

What types of things are addressed with functional manual medicine?

  • Back pain
  • Neck pain
  • Thoracic pain and ribs
  • Shoulders
  • Elbows
  • Wrists
  • Hips
  • Knees
  • Ankle/foot
  • Headaches
  • TMJ

Hand therapy

The Rehab Center at Parham Doctors’ Hospital offers specialized therapy for treatment of the hand, wrist, and elbow by Certified Hand Therapists. Kathy Jarrell, OTR/L, CHT and Barbara Cook, OT/L, CHT have a combined experience of over 50 years, so you know you will be in capable hands! Our goal is to restore the flexibility, strength, and function needed to perform life’s necessary tasks, such as working, playing, and performing all activities of daily living. Patients treated range from birth to 100+.

What types of problems are treated?

Post-surgical conditions, such as:

  • Replants and transplants
  • Fractures
  • Tendon, nerve, and ligament injuries
  • Carpal tunnel / cubital tunnel
  • Joint replacements in the elbow, wrist, and hand
  • Dupuytren’s contracture
  • Raynaud’s syndrome

Non-surgical conditions, such as:

  • Myofascial dysfunction
  • Arthritis
  • Carpal tunnel / cubital tunnel
  • Mallet injuries
  • Focal dystonia ("Writers' Cramp")
  • Tendonitis

What services are provided?

  • Evaluation
  • Sensory mapping
  • Custom splinting
  • Whirlpool / wound care
  • Therapeutic exercises / activities
  • Cold recovery testing / temperature assessments
  • Therapy to manage swelling and pain
  • Ultrasound, thermal, and electrical modalities
  • Activities of Daily Living training
  • Patient Education
  • Phonophoresis / iontophoresis

Orthopedic therapy

The therapists here at The Rehab Center at Parham Doctors’ Hospital are skilled at providing post-op care for any orthopedic surgery and can also address joint or muscle pain throughout the body with a therapy order from your physician. We will help ease your pain and get you moving again to restore normal daily function and activity.

What are common problems treated?

  • Shoulder rotator cuff tears and repairs
  • Shoulder, knee, and hip arthritis without surgical intervention or after arthroscopic surgical procedures or joint replacement
  • Shoulder impingement
  • Knee ACL reconstruction
  • Knee patellofemoral pain
  • Back and neck pain without surgical intervention or after laminectomies and fusions
  • Back and neck strains after injury or motor vehicle accidents
  • Wrist and hand pain
  • Elbow injuries

Orthotics

Parham Doctors’ Hospital serves patients with musculoskeletal disorders that would benefit from custom molded orthotics. Leah Taylor, PT, DPT, CSCS will perform a Biomechanical Lower Extremity Evaluation to assess if the patient would benefit from custom molded orthotics. The goal is to help patients return to functional activities such as walking, steps, running, and sports with the use of orthotics. Leah has over 10 years of experience with orthotic casting and evaluation. Parham Doctors’ Hospital is proud to provide our patients with this specialized treatment.

What does an orthotic evaluation involve?

  • Lower Extremity and Foot Assessment
  • Custom molding and casting of the foot to make the orthotic device
  • Individualized exercise program based on the evaluation in addition to making the orthotics

What types of patients would benefit from orthotics?

  • Back pain
  • Hip pain
  • Knee pain
  • Ankle/foot pain

Speech and communication disorders

Our Speech Language Pathologist, Stacie Jude, MS, CCC/SLP has over 23 years of experience working with individuals with swallowing and communication disorders. She provides the client with specific treatment plans that include 1:1 direct therapy sessions. Client/family training and education are also provided to maximize the clients’ quality of life, level of function and independence.

What does a speech and communication assessment and treatment involve?

  • Muscle strengthening testing
  • Neuromuscular electrical stimulation/E-stim (if applicable)
  • Compensatory strategies
  • Swallowing/dysphagia therapy including instrumental swallowing evaluation (if indicated) and diet modifications
  • Cognitive-linguistic re-training
  • Receptive and expressive language therapy for aphasia and apraxia
  • Dysarthria therapy for slurred speech
  • Speech and voice retraining for Parkinson’s Disease (LSVT Loud)

What types of patients would benefit?

  • Stroke (CVA)
  • Traumatic Brain Injury (TBI)
  • Multiple Sclerosis (MS)
  • Parkinson’s Disease
  • Dysarthria
  • Cognitive Deficits
  • Receptive and Expressive Language Disorders
  • Amyotrophic Lateral Sclerosis (ALS)
  • Head and Neck Cancer
  • Dysphagia (swallowing disorders)
  • Aphasia
  • Motor speech disorders
  • Fluency disorders (stuttering)

Vestibular therapy

Parham Doctors’ Hospital serves patients with Vestibular, Concussion and balance issues. Anne Stuart, MSPT, MTC specializes in treating patients with dizziness, concussions, headaches and imbalance in addition to orthopedics. Anne has over 17 years of experience in outpatient therapy. She has her certification in Manual Therapy from the University of St Augustine. Her certification benefits patients with neck and back pain, TMJ disorders, shoulder pain, hip pain, knee pain and foot pain. She also recently completed a specialized training in vestibular, concussion and balance rehabilitation. Parham Doctors’ Hospital is proud to provide our patients with this specialized treatment.

What does a vestibular, concussion and balance assessment involve?

  • Oculomotor assessment of eye movements without and with Frenzel Goggles
  • An assessment of the patient’s strength, flexibility and functional movement patterns
  • Assessment of static and dynamic balance
  • Assessment of gait
  • Cervical assessment
  • An individualized exercise program based on the evaluation and on ICCCS Berlin 2017

What types of patients would benefit?

  • Concussion
  • Neck or Back pain
  • Headaches
  • Dizziness
  • Vertigo
  • History of Falling