Southern Ohio Medical Center offers a full continuum of outpatient rehabilitation consisting of physical, occupational, and speech therapies. Whether you were injured on the playing field, have had a joint replacement, or are managing a chronic illness, the SOMC Rehabilitation team stands ready to get you back to what you enjoy.
Our convenient locations offer a variety of services and education. Our main office is located adjacent to the SOMC Portsmouth LIFE Center, a 74,000 square foot wellness and rehabilitation center. However, we offer the same quality care at outpatient SOMC locations in Lucasville, Wheelersburg, West Union, and Vanceburg.
Several of our physical therapists have additional certifications as athletic trainers and strength and conditioning specialists.
Aquatic Therapy
One of the finest rehabilitation opportunities that SOMC Rehab Services has to offer our patients is our Aquatic Rehab program. Our 23,000-gallon therapy pool and our 4-lane, 25-meter lap/fitness pool offer two aquatic environments that afford our therapists the opportunity to deliver the highest level of rehabilitation. The therapy pool offers a warm and supportive environment for patients recovering from knee, shoulder, hip or lumbar surgery, or acute injury. With the advantage of the warm water, therapists can initiate rehab programs sooner after a surgery. This can decrease the overall time of the healing process and, in turn, the time needed for rehabilitation. With aquatic rehabilitation, patients with osteoporosis or arthritis are able to increase their activity levels more quickly than with traditional land-based programs.
The physical properties of water make it a safe and effective environment in which to achieve certain therapeutic goals. Our 23,000 gallon therapy pool is heated to 92-94 degrees and is used by patients with multiple sclerosis, arthritis, chronic back pain, total joint replacement, orthopedic injuries, those recovering from surgery or stroke and many other conditions. This low stress environment is wonderful for our pediatric clients and is even used for rehab of expecting mothers, spinal cord injuries and patients with fibromyalgia.
Benefits of Aquatic Therapy
- Allows the body to move more freely and easily than on land
- Decreases joint compression forces
- Even hydrostatic pressure helps diminish swelling around the joints and improves circulatory problems
- Promotes relaxation
- Improves patient morale and confidence
Program Goals
- Use low stress environment to initiate rehab earlier in recovery process
- Increase range of motion
- Improve balance and coordination
- Strengthen muscles
- Decrease pain
- Decrease swelling
- Decrease spasticity
Arthritis Therapy
Osteoarthritis is a condition that affects the everyday life of millions of people. The notion that osteoarthritis cannot be managed and that we should accept it when it limits our ability to do the things we love to do is unacceptable. The Arthritis Foundation recommends regular exercise for those patients suffering from disabling arthritis. Osteoarthritis can limit a person’s ability to perform everyday tasks, leisure activities, and in some cases it can threaten an individual’s independence.
Arthritis rehabilitation is a safe and very successful way to help manage some of the symptoms of arthritis, but most importantly, it will teach a person how to manage and deal with their arthritis in the future. Our therapy staff focuses on self-management of pain, and increased function of the arthritis patient. Individual goals are set for each patient based on why they want to manage their arthritis.
Balance Therapy
Feeling a loss of balance? Are you dizzy?
The term “dizziness” encompasses a variety of sensations and can mean a lot of different things to different people. Generally, dizziness and loss of balance involves some disturbance in postural stability, movement stability, gaze stability, or an overall illusion of motion. Patients will often describe the sensation as “spinning, unsteadiness, lightheadedness, disequilibrium, disorientation, wooziness, floating, foggy headed or drunk feeling.”
With all of the possible causes for “dizziness,” the first step to dealing with the problem is to identify the cause. The Balance Disorder Program through SOMC Rehab Services has specially trained staff and state-of-the-art evaluation equipment to help identify the cause. Once the cause is identified, options for treating the condition can be explored.
Testing for Loss of Balance
The first step toward a diagnosis is categorizing the patient’s complaints as consistent with: central (brain), peripheral (ear), musculo-skeletal (soft tissue), or a combination of the above.
One part of the evaluation is a comprehensive test battery called an ENG (Electronystagmography). SOMC Rehab Services has a licensed audiologist on staff with the latest in ENG technology. The test evaluates the ability of the eyes, brain and vestibular system to work together to give a person posture and balance. These tests are sensitive to disorders of the vestibular system and can help to identify the cause, as well as help determine proper treatment options.
Another group of tests is part of a postureography evaluation. Postureography utilizes state-of-the-art computerized balance and gait assessment equipment to assess a person’s ability to maintain balance during activity. The testing procedure is safe and simple and takes less than one hour. Our Biodex System III allows our therapists to test walking ability, standing balance, and joint strength. The computerized test results help the therapist determine what areas of performance are below normal. Then, a specific rehabilitation program can be designed to address the areas of low performance that are the cause of the balance problem.
Balance Rehabilitation Program
If testing reveals that the cause of the balance problem is related to poor lower extremity strength, gait abnormalities, or issues with center of gravity, a patient can be referred for therapy.
A physical therapist will implement a program to reduce the areas of concern and improve the function of the patient. This, in turn, reduces the chance for a fall. Simple exercises for strength, flexibility and balance can be taught to a patient so they can continue to work on their balance condition after completing therapy.
Cancer Rehab
Healing from cancer consists of far more than conventional medical treatments. In fact, the real healing often begins after discharge. The SOMC Cancer Well-Fit Program is a service aimed to help cancer patients currently receiving treatment and those who have received treatment in the past. Different components of the program are tailored to meet the specific needs of our clients, from overcoming physical limitations caused by the cancer or cancer treatment to helping improve the patient’s state of mind.
The Rehabilitation Component
Rehabilitation can help reduce pain, increase energy, and help patients regain control over limitations that are sometimes the result of cancer treatment. The program utilizes:
- Physical therapy to help improve range of motion, muscle strength, endurance and mobility.
- Occupational therapy to help train in basic self care, the proper use of adaptive equipment, home modifications and advanced activities of daily living.
- Speech therapy to help improve communication, swallowing and cognition.
Body and Soul Component
The Body and Soul component addresses the effects that cancer has on not only the body, but on the mind as well. We believe that your state of mind plays a significant role in cancer recovery. This specified fitness program includes:
- Meditation
- Relaxation techniques
- Toning exercises
- Open discussion time
Fall Prevention
For older adults, falls are one of the greatest causes of serious health problems. Studies show that approximately 5 percent of falls by older adults result in a fracture. Twenty-five percent of patients over the age of 65 with hip fractures die within six months, 25 percent lose significant function, and 50 percent experience a decrease in mobility.
Entry into the Program
A doctor’s referral based on increased risk due to age, history, medication changes, muscle changes, degenerative joint disease, post arthroplasty or osteoporosis is necessary.
The program consists of two parts:
Fall Risk Assessment
The fall risk assessment determines if you are “at risk” of falling. A series of tests will identify the factors causing you to be “at risk.” The factors may be physical, such as strength, balance, walking speed, step length, flexibility and cardiovascular fitness or environmental, such as hazards around your home.
Conditioning
The conditioning part of the program is designed to modify the factors causing you to be “at risk.” The physical factors are modified with an exercise plan designed just for you. Environmental factors are modified by helping you to eliminate hazards at home.
Modifying the factors that lead to falls will increase mobility and confidence, both critical to maintaining an independent life style.
Fibromyalgia
Fibromyalgia syndrome is a chronic form of muscular pain and fatigue. Pain is the most prominent symptom of the condition and is generally felt all over. It commonly disturbs sleep patterns. Fibromyalgia pain has been described in a variety of ways including burning, radiating, gnawing, sore, stiff and aching. For many, fibromyalgia significantly limits the ability to lead a normal life.
If you have been diagnosed with fibromyalgia, help is available. SOMC Rehab Services has developed a Fibromyalgia Management Program designed to help manage the pain and improve the quality of life for those with this condition.
Managing Fibromyalgia
Fibromyalgia doesn’t have to stop you from living your life. With proper management, the pain can be reduced, sleep can be improved, and you can regain your independence. There is increasing evidence that a regular exercise routine is essential for all fibromyalgia patients.
The program through SOMC Rehab Services is the first step in a lifetime of managing fibromyalgia symptoms. It focuses on exercise and includes education that will give you the tools that you need to better control your condition. Through proper management, fibromyalgia patients can lead active lives. Upon completion of the rehabilitation program, independence can be continued under the guidance of an exercise physiologist by joining the SOMC LIFE Center.
Hand Rehabilitation
Highly specialized services provided by occupational therapists are offered for individuals with injuries or disorders of the hands or upper extremities. These injuries/disorders often include: burns, crush injuries, fractures, amputations, arthritis, joint replacements, sports injuries or problems related to repetitive motion. The rehab team offers the latest in evaluation and rehab technology for hand and upper extremity conditions, like hand occupational therapy.
Hand Therapy Goals
- Restore functional range of motion
- Restore fine and gross motor strength
- Expedite and facilitate return to work
- Minimize pain and edema
- Restore function of extremity
Treatment
- Symptom management through use of modalities
- Splints
- Therapeutic exercises
- Active and passive range of motion
- Diagnosis specific education
- Joint protection training
- Energy conservation training
- Training in activities of daily living
- Work Conditioning/ Work Hardening
- Wound care
- Scar management
Lymphedema Therapy
Lymphedema is a progressive disorder characterized by the impairment of the flow of water molecules from tissues to the blood. It arises after damage has occurred to the lymphatic system and results in abnormal accumulation of fluids, most typically seen in the upper extremities as result of breast cancer surgery. However, it can also occur in the lower extremities. Some other common symptoms of lymphedema include chronic inflammation and tissue fibrosis.
SOMC Rehab Services offers a specific lymphedema therapy program for the Therapeutic Management of Lymphedema for both upper and lower extremities.
The method is called Comprehensive Decongestive Therapy (CDT). Our Lymphedema specialists have received training for specific massage protocols, compression wrapping, exercises, and skin care techniques to aid in the effective management of lymphedema.
When these special lymphedema therapeutic techniques and protocols are utilized, the patient can experience significant relief from the effects of Lymphedema and learn to manage their condition in the future.
Osteoperosis Care
Osteoporosis is a preventable disease in which bones become fragile and more likely to break. If not prevented, or if left untreated, osteoporosis can progress quietly and painlessly until a bone breaks. These broken bones, also known as fractures, occur typically in the wrist, spine and hip.
Any bone can be affected, but fractures of the hip and spine are a special concern. A hip fracture almost always requires hospitalization and major surgery. It can impair a person’s ability to walk unassisted and may lead to prolonged or permanent disability or even death.
Spinal fractures can also be very detrimental with serious consequences such as loss of height, deformity and severe back pain.
Millions of Americans are at risk and while women are four times more likely to develop osteoporosis, men can also suffer from osteoporosis.
What treatment is available?
Bone is living tissue and responds to exercise by becoming stronger. Just as a muscle gets bigger and stronger, a bone becomes stronger and denser as a response to increased physical activity.
The two most important means of exercise to help maintain and build bone density are weight bearing and resistive exercises. Weight bearing activities are walking, jogging, stain climbing and dancing. Bicycling and swimming are not considered weight-bearing exercise.
Resistive training utilizes muscular activity to strengthen muscle and increase bone mass These activities include weight training with free weights and machines like those found in clubs and gyms.
Prior to starting an exercise program, please consult your physician or health care professional for recommendations based on your individual needs. If you have already been diagnosed with Osteopenia, Osteoarthritis or Osteoporosis please ask your physician about having a trained Physical or Occupational Therapist asses your need for a condition-specific exercise program.
Pediatric Therapy
The SOMC Neuro Rehab Department offers a comprehensive, interdisciplinary rehabilitation program for the pediatric client who may be dealing with any one of several different diagnoses. Some of the common pediatric conditions that we treat are Cerebral Palsy, Down’s Syndrome, developmental delay, torticollis, traumatic brain injury, autism, and gross/fine motor development. The pediatric rehabilitation program focuses on increasing the client’s functional level and independence. Our interdisciplinary approach is comprised of Physical Therapy, Occupational Therapy, Speech Pathology and Audiology services. Our program encourages involvement of family members and caretakers so that a patient and their family can be more confident and comfortable with that client’s needs at home.
Treatment principles center on facilitating achievement of normal, age-appropriate development. Appropriateness of referral to other specialists and agencies are evaluated; these may include REACH, early intervention programs, orthotists and pediatric physiatry.
-
Pediatric Physical Therapy:
Licensed professionals work with the patient to improve, as needed, the lower body’s movement and strength, coordination of large joints and muscles, balance and mobility skills such as crawling, rolling, sitting and walking. If necessary, the patient can be assessed for equipment to aid in everyday movement, such as specialized walkers and wheelchairs. Education is provided to establish positive positioning techniques.
-
Pediatric Occupational Therapy:
Licensed professionals work with the patient on components such as upper body movement and strengthening, fine motor dexterity skills and balance. Goals center around improving independence with personal care tasks including feeding, bathing, dressing and toileting, as well as preparation for school activities such as cutting, writing and identification of numbers, shapes, colors and letters. Other specialized treatment modalities may include splinting to improve joint mobility and recommendations for proper seating and feeding interventions. Occupational therapy staff may address concerns with attention span, direction following and memory.
-
Pediatric Speech Therapy:
Licensed professionals address limitations in understanding speech, expressing language, rate and rhythm of speech, grammatical sentence structure, social communication skills, voice production, swallowing, memory, attention span, sequencing concepts and maintaining concentration. Goals are to improve independence with daily cognition, eating, reading, writing and communication.