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| | Occupational Therapy |
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| | Waverly Health Center’s Occupational Therapy assists patients of all ages with physical, mental/cognitive, perceptual or developmental disabilities to achieve a maximum level of independent living.
Areas of Expertise:
- Activities of Daily Living (ADLs)—Completing, re-learning or adapting techniques for everyday activities such as eating, bathing, dressing, toileting, grooming and transferring.
- Cognitive Skills/Mental Health— Reality orientation, problem solving, judgment, safety concerns with ADLs, memory, self-initiation, coping, living alone and/or driving. Assessments used include the Allen Cognitive Level Screen, Cognitive Performance Test, Routine Task Inventory, Contextual Memory Test, Montreal Cognitive Assessment and Trail Making Test.
- Positioning—Positioning within patient’s everyday environment as in bed, wheelchair and/or everyday chairs. Modifications to promote transfer independence, safety, skin integrity and functional positioning for daily activities.
- Home Management—Completing, re-learning, or adapting basic techniques for skills required to complete basic cooking, laundry, cleaning, money management, mobility and safety tasks necessary for independent living.
- Pre-Driving Skills Assessment and Rehabilitation—Addressing cognition, visual/perceptual and physical components necessary for driving. Recommendations for vehicle modification or further treatment to increase ability to drive. Special equipment used to assist in recommendations include having a vehicle in the clinic to practice functional transfers/recognition, break/turn reaction time simulator and the Driver’s Performance Test.
- Visual/Perceptive Skills—Assessment of limitations in vision, depth perception, or spatial awareness. Training of residual vision, adaptive devices, modifications to environment and/or compensatory training. Home evaluations to increase independence in own environment. Assessments include the Motor Free Visual Perception Test and Full Range of Vision Motor Integration.
- Assistive Devices/DME—Equipment recommended to increase safety and independence for activities of daily living, work and/or leisure activities.
- Upper Body Function—Individual treatment to increase coordination, strength, endurance, sensation and joint range of motion. Instruction in energy conservation and edema management. Treatment to minimize pain, paralysis and/or subluxation in order to maximize patient return to functional activities. Special emphasis on hand function and rehabilitation using the following evidenced-based measurement to show efficacy: Disability of Arm, Hand and Shoulder assessment; Patient Rated Elbow (and Hand) Evaluation; Jebsen Hand Function Test (coming soon); volumeter for accurate edema measurement; Semmes-Weinstein filaments for sensation; 9 hole peg test; Box and Blocks; and, Purdue for fine motor control.
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- Splinting—Assessment, fabrication, and instruction for upper extremity custom and pre-fabricated splints. Utilized for maximizing joint ROM, joint stabilization/protection and/or to decrease debilitating symptoms.
- Instrumented Assisted Soft Tissue Mobilization (IASTM)—An advanced soft tissue release indicated for soft tissue fibrosis, tendonitis, scar adhesions and trigger point reduction.
- Lymphedema—Treatment to minimize edema of any extremity through individualized techniques in manual lymph drainage, wrapping/compression garments, therapeutic exercise and/or sequential pump.
- Pain/Posture—Holistic approach to increased function of the upper quadrant with reductions of symptoms through manual techniques, movement patterns, postural and ergonomic modifications.
- Craniosacral Therapy—Gentle, noninvasive manipulation techniques used to aide in pain management, headaches, fibromyalgia, ADD, developmental delays and decreased range of motion.
- Myofascial Release—Advanced low pressure stretching to release connective tissue tightness involving muscles, ligaments, tendons and fascia throughout the body. Particularly useful with chronic pain and fibromyalgia.
- Pediatrics—Specialized treatments to address developmental delays, learning disabilities, neuro-muscular conditions, feeding difficulties, sensory processing disorders, and perceptual processing deficits as related to age-appropriate play, self-care and school participation. Assessments used are the Sensory Profile, Peabody Developmental Motor Scales and the Newborn Behavioral Observation System. Special equipment includes Interactive Metronome and Therapeutic Listening.
- Stroke Rehabilitation—Featuring Neuro-muscular Re-education, Saeboflex, Brainwave (a pencil and paper home program to improve attention, memory, visual perception, information processing and executive functions) and Modified-Constraint Induced Therapy.
- Bladder Incontinence—Involving “Beyond Kegels” and “Roll for Control” protocols, Physiological Quieting and home programs.
- Wii-habilitation—The latest in rehabilitation. Motivating for patients and provides measurable feedback. Games for upper extremity and balance/trunk control.
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