- AfterCare (Post-Therapy Exercise Continuum)
What is After Care?
A program designed for clients wanting or needing further exercise
or conditioning following discharge from their physical therapy
rehabilitation program. Clients have the opportunity to continue
rehabilitation in the case of exhausted insurance benefits or
questionable medical necessity (possible insurance coverage denial).
This program provides a progressive transition in continuum of
recovery, from the "most of the pain has gone away"
to the "I'm back in the game 100%!"
Who could benefitfrom this program?
- People who have exhausted insurance benefits before full
recovery.
- Clients who insurance benefit has had rehabilitation "carved
out".
- An individual not secure continuing on their own in an unfamiliar
environment.
- An athlete who knows they must return to the field 110%
to avoid further injury.
- Anyone who is motivated to not just get better but prevent
another injury.
- For those who want to decide the level of recovery or function.
What is the difference from my physical
therapy program and After Care?
Once a patient has met established functional goals and appropriate
for discharge, a level of independence has been achieved. The
After Care Program allows the patient to continue with recovery
to total independence in a familiar facility, with familiar and
safe equipment, while receiving assistance from trained support
staff (ATC, exercise physio,). Your therapist may be available
for questions about exercise or activity progression. The exercise
record is available for recording specifics of exercise.
How does it work?
The staff will work with your schedule and the clinic operations
to determine a range of days/times that would be optimal for you
and your program (equipment access). Participants pay a monthly
fee of $35.00 at the initial visit and continue paying a monthly
fee the first of the month.
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- Amputee (lower extremity mobility programs)
Additional information coming soon...
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- Arthritic Management
Additional information coming soon...
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- Burn and Wound Management
Additional information coming soon...
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- Diabetic Health Care
Additional information coming soon...
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- Geriatric Care (balance screening and fall prevention)
Additional information coming soon...
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- Golf Program (Fit for the Fairway)
Additional information coming soon...
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- Hand Rehabilitation (custom hand splinting
by CHTs)
Who is a Hand Therapist?
A Certified Hand Therapist (CHT) is an occupational therapist
or physical therapist who has a minimum of five years of clinical
experience, including 4,000 hours or more in direct practice in
hand therapy. In addition, the Certified Hand Therapist has successfully
passed a comprehensive test of advanced clinical skills and theory
in upper quarter rehabilitation. Because of changes in the profession,
every CHT is required to demonstrate continued professional development
and competency by recertifying every five years.
Benefits of Working with a CHT
- Highest Level of Competency
People value the use of their hands and any loss of function
through injury or accident may have a devastating effect on
their lives. Anyone with an injury wants the very best of
treatment to assure maximal recovery. The Certified Hand Therapist
credential offers assurance to the public that the therapist
has achieved the highest level of competency in the profession
and stays up to date with practice within the field.
- Complex, Technical Knowledge
The intricate anatomy of the arm and hand frequently requires
very delicate surgery, often with microscopic techniques.
The technical complexity of these kinds of surgeries necessitates
a high level of competence by therapists with advanced skills
in upper quarter rehabilitation during postoperative recovery.
Therapists must be knowledgeable about these advanced surgical
techniques and postoperative therapy programs to become CHTs.
They must also remain current with changes in hand therapy
practice.
- Rigorous Standards
Certification is voluntary and difficult to attain. It involves
meeting rigorous standards, developing a long-range career
path, and acquiring the advanced study and training required
to pass the certification examination. CHTs are therapists
who demonstrated a personal dedication to the profession of
hand therapy and a desire for advanced competency; they bring
to their work a commitment and dedication to reach and maintain
the highest standards in their profession. The CHT credential
is recognized by many professional organizations as a benchmark
for excellence in advanced specialty credentialing in health
care.
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- Headache Management
Additional information coming soon...
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- Diabetic Health Care Programs
An appropriate exercise program done safely can be key to preventing type 2 diabetes for the 10 million Americans at high risk for the disease. Those at risk for type 2 diabetes could reduce the likelihood of developing the disease by 59 percent through 30 minutes of moderate daily exercise and by following a low-fat, low-carbohydrate diet.
Our physical therapists have the expertise and can play a vital role in helping to develop a safe exercise program. Overweight and obese individuals are at high risk for physical injury form an improper exercise regime. Range of motion, mobility and flexibility are often greatly reduced in people who are overweight or obese. An exercise program that addresses individual circumstances along with the weight loss/control concepts greatly enhances the opportunity for a success.
It is also important to recognize that overweight or obese individuals may have experienced past failures with exercise. The guidance from one of our caring physical therapist that understands the difficulties those individuals may be encountering, as well being available to monitor progress closely, and to advise with adjustments to the program and encourage perseverance can often spell the difference between success and failure.
Consult one of our physical therapist for an initial evaluation so they can tailor a safe and appropriate exercise plan to help reduce that risk.
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- Industrial Medicine and
Consultation Services
Approach
Providing industrial rehabilitation services through out the valley for over 30 years, PPTS Industrial Injury Management and Prevention programs are similar to sports rehabilitation. Early intervention, immediate and aggressive care, keep the rest of the worker in shape as injury heals, return worker to work as soon as safely possible (consider modified duty) and continued emphasis on function, not pain; productivity, not disability.
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- Orthopedic and Sports Medicine
What is Sports Medicine?
Sports Medicine comprises a wide range of services and programs to meet the needs of multi-level athletes needs. From the increased attention to physical fitness and wellness among all age groups, to the dedicated training and competition to become champions, athletes often push past their limits and injury can result.
How Can PPTS Help Me?
Physician Physical Therapy Service rehabilitates athletes of all ages and abilities. We understand the need to coordinate the athlete, coach, trainer, parent and physician for the most effective, expeditious and safe recovery and return to sport. PPTS utilizes thorough biomechanical (structure), kinesiological (motion) and neuromusculoskeletal (strength, balance, flexibility, agility) assessments. This allows us to very specifically identify the specific deficit and most effective treatment to restore function quickly. This also identifies the cause of the sustained injury and allows preventative measures to be employed to prevent reoccurrence.
The extensive assessment used in injury management is also very effective in Performance Enhancement. Identifying strength, flexibility, biomechanics and coordination deficits and addressing them with well rounded program often results in improving athletic function and performance
The Therapists at PPTS
All of the therapists are licensed professionals that specialize in the treatment of orthopedic and sport related injuries. They receive ongoing clinical education in therapeutic and manual skills. Many of PPTS therapists are current or former high-level athletes themselves, which allows them to completely treat
and train the athlete with the strong desire to function as well as they
did before, or better.
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- Custom Foot Orthoticss
Custom foot orthotics are “shoe inserts” fabricated to compensate for specific biomechanical faults. A custom orthotic limits the mechanical stress placed on the soft tissues and joints of the lower extremities, thereby limiting pain and disability. In contrast to “over-the-counter” inserts, custom orthotics are individually created to address the unique construction of a patient’s foot. Custom orthotics are fabricated from a plaster impression of the patient’s foot and altered based on the findings of a complete physical examination and biomechanical analysis. From a mold of the plaster impression, a lab makes our recommended alterations by incorporating specific degrees of correction to the rear and forefoot of the orthotic.
Orthotics may be an effective choice in the treatment of foot, ankle, knee, hip, or back pain that is insidious in onset, especially if not responding to conventional therapeutic intervention. Specifically, it may be most beneficial to some of the following conditions: plantar fasciitis, Morton’s neuroma, medial or lateral ankle pain, medial knee pain, patello-femoral syndrome, trochanteric bursitis of the hip, general hip pain and low back pain may be effectively addressed by custom foot orthotics.
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- Osteoporosis (Bones and Balance)
What is Bones and Balance?
A program of prevention and treatment for osteoporosis.
What Is The Role Of Physical Therapy
In Osteoporosis Prevention And Treatment?
Evaluation specific to osteoporosis, includes time of day height
measurements and flexicurve measurements of kypholordoisis. Dynamic
and static balance assessment guides balance training and education.
Treatment design is focused on site specific, weight bearing or
resistive exercise to maintain or increase bone density. Correct
static and dynamic posture is addressed with functional exercise
and fracture prevention.
Who Would Be An Appropriate Patient For
A Referral?
Any patient that is at risk of developing osteoporosis or has
been diagnosised with osteoporosis. Post fracture patients are
appropriate for management of acute symptoms and postural exercise.
Patients with gait deviations or mobility dysfunction would benefit
from the fall prevention and treatment.
How Do I Get Started?
Referrals start with an individual physical therapy evaluation.
Placement into an appropriate level program is recommended to
the referring physician.
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- Pain Management
Additional information coming soon...
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- Pediatric Orthopedics
Additional information coming soon...
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- Functional Capacity Evaluations
A Functional Capacity Evaluation (FCE) is a comprehensive, objective test of an individual’s ability to perform work related tasks. The test can be constructed to evaluate an individual’s ability to perform a specific task or any occupation.
Goals of the FCE
- To provide information about an individual’s ability to reliably and safely sustain work related tasks to all parties involved.
- To objectively identify an individual's physical abilities and limitations.
- To decrease claims and absenteeism.
- To prevent injury reoccurrence.
- To resolve cases in a timely manner.
FCE help answer questions
As a bridge between healthcare and the workplace, the FCE assists with evaluation of the injured worker’s recovery in a vocational context. By objectively establishing the subject’s capacity to perform functional tasks, the FCE provides critical information about physical capacities to assists vocational experts to determine the impact of the injury on the person’s employability and earnings potential within the labor market.
Reports
The FCE report is a three page comprehensive summary with results and recommendations regarding:
- Client's degree of work capacity.
- Reliability and consistency of effort.
- Return to work recommendations.
- FCE findings, compared with medical evaluation, substantiate medical impairment and directly determine functional disability.
Our FCE’s can be performed at any of our PPTS locations.
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- Plyometric Exercise Programs
Jumping Advantage is a plyometric program developed to increase jump height, decrease harmful landing forces at the knee and increase muscular power.
Cincinnati Sports Medicine Center’s extensive work with athletic injuries utilized plyometric rehabilitation and evolved into preventative programs, with the added benefit of performance enhancement. Research has shown athletes participating in a 6 week pre-season plyometrics program were less likely to suffer a knee injury.
Jumping Advantage training is a 6 week, 3 time/week program and should start a minimum of 6 week prior to the start of sport season. The program can be completed in 45 minutes, on the field or court.
Plyometric Training is for athletes of all ages and skill levels.
Jumping Advantage provides a solid foundation of strength, endurance, agility, and flexibility. The corner stones for perfecting most sport specific skills.
Physician Physical Therapy Service has extensively used these concepts rehabilitating injuries and in performance enhancement programs.
The physical therapist expertise in musculoskeletal, biomechanics and movement ensure the safe progression based on individual assessment of sufficient strength, flexibility, conditioning and landing techniques.
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- ASTYM (Non-Invasive Soft Tissue Treatment)
One of the biggest frustrations of physicians and rehab professionals who treat musculoskeletal disorders is chronic degenerative tendinopathy and scar tissue. Until now, there has been no good answer to the question of how to deal with these problems. Through years of scientific and clinical research, an answer is now available. ASTYM treatment safely, effectively and efficiently stimulates scar tissue to be resorbed by the body and degenerated tendons to regenerate and heal.
ASTYM treatment is clearly superior in chronic conditions such as heel pain, elbow pain, hamstring or groin injuries, tendinopathies and post-traumatic/post-surgical scarring - even when nothing else seems to work. It is also very effective on sprains, strains, and other acute and sub-acute soft tissue injuries. Patients with the following diagnoses have demonstrated excellent clinical results when treated with the ASTYM system:
- Temporal Mandibular Joint Program
Additional information coming soon...
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- Vestibular Program
What is Vestibular Rehabilitation?
Vestibular Rehabilitation is a combination of adaptation (i.e. gait with head movements), adaptation & substitution (i.e. standing ankle sways) and substitution (i.e. stepping patterns) along with BPPV (Benign Positional Vertigo) treatment as appropriate
How is it treated in Physical Therapy?
Physical maneuvers have proved helpful, such as Epley Maneuver / Canalith Repositioning Maneuvers (CRP), Brandt-Daroff Exercises, and Liberatory (Semont) Maneuver. Home instructions following Epley / CRP are stressed. Lastly, it is important to perform a complete assessment of the cervical and cranial base regions to identify any joint or soft tissue dysfunctions that may be contributing to the patient’s symptoms.
Are there any risks with this treatment?
Precautions, noted for the Epley and CRP procedure are high blood pressure, neck and/or back problems, and history of detached retina. A few patients may experience nausea while the canaliths are being repositioned. It is possible that short-term dizziness may occur right after the treatment, but there is usually immediate relief from the "spinning" sensation.
Is there rehabilitation treatment for other dizzy disorders?
Dysequilibrium, loss of balance from primary equilibrium sensory systems and/or the central relay system in the brain can be treated with Balance Retraining. Central Dizziness (change of blood flow within the brain), and Vestibulopathy (change in output of balance portions of the inner ear), can be effectively treated with Vestibular Rehabilitation.
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- Walking Program (Walk This Way)
(Fitness, weight loss, and therapeutic)
What is Walk This Way?
A program to promote, assist and motivate anyone who has the desire
or need to walk for fitness or fun. The extensive health related
benefits resulting from successfully participating in a walking
program has made walking one of the healthiest and medically recommended
forms of exercise. Walk This Way provides a club camaraderie that
addresses the challenge of staying with the program to achieve
an individual's goals.
Why a program? Why not just walk?
Often the people who most need to walk for medical reasons are
not able to because of pain, weakness or debilitation. PPTS clinicians
are very capable and experienced at assessing and addressing postural,
strength, flexibility, biomechanical, cardiopulmonary limitations
or educational needs to successfully get a patient walking. Education
on getting started, warm up/cool down, stretching, self-monitoring
heart rate, proper footwear, safe walking surface and controlled
progression to prevent injury build confidence in actually starting
and participating in a exercise program. Being able to address
ongoing questions or concerns to our health care staff promotes
compliance.
Who should consider the Walk This Way
program?
Walking works for people currently fit, buy want to maximize the
benefits of exercise. Walking is very effective in assisting individuals
manage weight control. Aerobic conditioning from walking improves
lung efficiency, strengthens the heart, increases muscle strength,
stimulates bone mass and improves joint mobility. Effects from
a walking program are known to be effective with stress management
and anxiety, as well as combat fatigue.
How does one participate?
Those who simply want to join others to walk and participate in
the program, including, incentives should call immediately and
sign up. Those who have concerns or questions regarding limitations
can call and schedule a walking assessment. Often just a few sessions
of therapy are all that stand in the way of WALKING FOR FITNESS
AND FUN.
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- Women's Health Care (Certified Lymphdema Therapist)
Women's Health Physical Therapy specializes in training which will benefit women with a variety of medical conditions. We use every facet of her physical therapy training to evaluate and treat female clients, promoting and enhancing health through the life span. All treatments are individually designed after a thorough evaluation.
A thorough evaluation of all aspects of your condition (medial history, posture, muscle strength, flexibility, and tone) is the basis of your individualized plan of care and treatment program, designed to meet your specific needs and goals. We work closely with the referring physician and other health care providers to collaborate and coordinate treatment.
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