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Rehabilitation Medicine - Specialized Programs

Specialized Programs

 



Cancer Rehabilitation Program 

Dealing with the effects of cancer and its treatment presents many challenges. Physical rehabilitation is an important part of the recovery process once treatment is over. Common issues such as loss of strength, motion, overall fitness, pain and lymphedema concerns need to be addressed. 

Sibley’s approach is a comprehensive, addressing any and all of the following as determined by the patients’ needs and physician’s recommendations.

  • Lymphedema prevention, education and management 
  • Strength, motion and function restoration 
  • Manual therapy for soft tissue mobility, joint mobility 
  • Postural education 
  • Return to exercise and lifestyle guidelines
  • Sport-specific and activity –specific exercise programs 


Based on a thorough evaluation and discussion with the patient about his/her goals and needs, treatment plans will be designed to help the individual reach optimal function and quality of life. 

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Craniosacral Therapy

Craniosacral Therapy is a light touch approach to releasing restrictions in the body and improving the function of the central nervous system. When the central nervous system is functioning optimally, pain and stress are naturally eliminated, resistance to disease is improved and health and well-being are enhanced. Craniosacral Therapy is a very gentle manual approach and often appeals to those patients who are uncomfortable with or have had a bad experience with vigorous manipulation techniques. Craniosacral Therapy can help alleviate pain and dysfunctions including migraines and headaches, TMJ, Bell’s palsy, arthritis, Fibromyalgia, Chronic Fatigue, chronic neck and back pain, spinal disc disorders, sinusitis, torticollis, vestibular issues, brain and spinal cord injuries, motor-coordination impairments and many other disorders.

Craniosacral therapy can be used alone or integrated with other physical therapy modalities. It is an effective adjunct therapy to realign the body’s internal environment after surgery, cancer, a motor vehicle accident, a fall, or any other incident that causes trauma to the body. 

If you would like to receive Craniosacral Therapy at Sibley Memorial hospital, you will need a prescription from your doctor. You will then be evaluated by a physical therapist that will set up a recommended treatment plan.

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Foot Drop System

The Bioness L300 is an innovative wireless foot drop system designed for individuals seeking to improve their ability to walk normally again. This FDA approved device uses low-level stimulation to activate the muscles that lift the foot while walking. 

The Bioness L300 is intended for individuals with foot drop who are looking to increase walking speed, improve steadiness and increase confidence. The NESS L300 may increase the need to wear a rigid ankle foot orthosis (AFO), and may eliminate the need to raise your hip or swing out your leg while walking.

NESS L300 will most likely work for foot drop caused by:

  • Stroke/CVA (old or new)
  • Multiple Sclerosis 
  • Cerebral Palsy 
  • Spinal Cord Injury 
  • Central Nervous System Disease
  • Trauma to Central Nervous System


Once a prescription is obtained from your doctor, call Sibley Outpatient Physical Therapy to make an appointment for an evaluation. Be sure to tell the receptionist that you are coming to try the Bioness L300. At that time you will be seen for a complete individualized evaluation, a trial of the Bioness L300 and follow up recommendations based on how the system works for you. 

If you have any specific questions about the Bioness L300 before your appointment, you can call the Bioness Inc. Customer Support team at 800-211-9136.

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Gait and Balance Physical Therapy

One out of three adults over the age of 65 will experience a fall each year. Falls are the leading cause of serious injury in older adults and frequently result in loss of independence. Loss of balance and mobility, while not inevitable, do increase with age. Some of the symptoms of balance disorders are history of falls, loss of strength in legs and feet, trouble getting up from chair or bed and feeling of unsteadiness. Fall prevention and increased independence is possible with rehabilitation. 

The Sibley Center for Rehabilitation Medicine has developed a comprehensive program for people with gait and balance disorders. Sibley’s state of the art facility has dedicated specialists who will thoroughly evaluate your needs and customize a treatment program to reduce your risk of falling and improve your balance. Possible evaluation / intervention tools will include the use of the Biodex Balance master, gait and postural analysis, strength and flexibility testing, fall prevention education and instruction of an individualized home exercise program. A physician prescription is required for the initial evaluation. 

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LSVT BIG

LSVT® Big is a research-based exercise approach developed from principles of LSVT Loud.  The program is an intensive physical and occupational therapy exercise program for people with Parkinson Disease and other neurological conditions.  Research by the National Institute of Health (NIH)  has shown the following improvements: faster walking with bigger steps, better balance and increased trunk flexion.  Treatment is provided by a physical or occupational therapist that is certified in the LSVT program.  

Visit our Parkinson's Program page for more information about LSVT BIG.

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LSVT LOUD

LSVT® Loud is a speech treatment for Parkinson Disease and neurological conditions.  Virtually every person (89%) with Parkinson Disease (PD) will have problems with their speech  that start early in the disease process.  These problems include: soft voice, mumbled speech, monotone speech and hoarse voice.  Research by NIH has documented that LSVT LOUD is highly effective.  The research demonstrates improved vocal loudness, improved speech intelligibility and more facial expression.  Treatment is provided by speech therapists that are certified in the LSVT program.

Visit our Parkinson's Program page for more information about LSVT LOUD.

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Stroke Rehabilitation

Sibley Memorial Hospital has recently become a Joint Comission certified stroke center. The Sibley Center for Rehabilitation Medicine is fully equipped to meet the needs of people who have had a stroke.  After a stroke, physical therapy helps restore physical functioning and skills like walking, range of movement, strength and balance. Once a prescription is obtained from your physician, a thorough evaluation will be completed by the physical therapist. A plan of care will be established based on your individual needs. Possible interventions may include the use of the warm water therapeutic pool, gait analysis and training, neuromuscular reeducation, use of the Biodex balance master for advanced balance training, use of the Bioness L300 foot drop system, strength and stretching instruction on state of the art gym equipment and progressive home exercise instruction. The patient, as well as the patient’s family, will be actively involved in goal setting to individualize care and assist in the patient’s optimal recovery. 

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Vestibular Physical Therapy

It is estimated that 5 million people each year visit their physician’s offices with reports that vertigo/dizziness is seriously affecting their ability to work or enjoy leisure activities. Vertigo, often described as a sensation that the "world is spinning", can lead to falls and inactivity and can be caused by a number of factors.  

Sibley Center for Rehabilitation Medicine offers treatment to individuals with vertigo by trained specialists in vestibular dysfunction.   With a prescription from your physician, the Physical Therapist will perform a thorough evaluation to help determine the cause of your vertigo or dizziness. Based on the findings during the evaluation, an individualized treatment plan will be developed. Treatment interventions may include exercises to strengthen the vestibular system and ocular motor muscles, repositioning techniques as needed and education in a comprehensive home exercise program. 

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Women's Health: Continence & Pelvic Floor Disorders

Women of all ages suffer from pelvic floor disorders.  Symptoms are varied but the most common is urinary incontinence.  Others who could benefit from the program include women who experience pre and post partum issues, pelvic floor weakness, pelvic organ prolapse, interstitial cystitis, and pelvic floor pain.  An individualized program is formulated to meet each woman's needs.  Muscle re-education may be achieved using biofeedback, electrical stimulation and therapeutic exercise.  You will be evaluated and treated by specially trained physical therapists who have the knowledge and skill to treat pelvic floor dysfunction and are sensitive to the special needs of their patients. 

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