What Kind of Therapy Does CNS Provide?
The CNS post-acute TBI program offers comprehensive rehabilitation services staffed by experienced therapists to address the entire range of patient needs. Physical therapy, Occupational therapy, Speech therapy, Educational therapy, and Counseling offer assessment and treatment plans to effectively address any areas of deficit.
The Physical Therapy Department is responsible for the diagnosis and treatment of motor functioning and mobility disorders. Treatment areas can include: strength, endurance, balance, coordination, range of motion, motor planning, and functional mobility. Physical therapy is also utilized in evaluating and treating dysfunction of the vestibular and cerebellar systems. These systems influence balance, postural control, environmental and spatial orientation, and organization of efficient movement though space.
Occupational therapy works with upper extremity ranges of motion, strengths/endurance, sensory integration, bilateral/bimanual integration, dexterity and fine motor functions, oculomotor functions, visual perception, and perceptual motor functions. The occupational therapist in the neurorehabilitation field is trained to address the often subtle but influential vision, oculomotor, and visual perception issues. The therapist works closely with the neuro-ophthalmologist and/or developmental optometric specialist. These issues greatly influence spatial relationships and the patient's perception of the surrounding environment, reading, math, writing, driving, ADLs, community interactions, behaviors, and vocational aspects.
Speech/Language Therapy and Educational Therapy
Speech Therapy assesses, defines, and treats deficits in oral motor functions (e.g. swallowing, speech production, manipulation of food), language/communication skills, and cognition. The speech pathologist and the educational therapist work together to address cognitive and academic skills required for return to the home and community.
Counseling is one of the most important disciplines in helping attain a successful return to independent living. The counseling department assesses, defines, and addresses adjustment to disability, self-esteem, self-worth, marital/family relationships, social relationships, sexuality, and coping skills with the patient and family. Adjustment to disability must be adequately addressed for there to be a successful outcome.
The CNS residential setting offers patients the opportunity to apply developing skills in a realistic, community-based environment. This "environmental validity" is important in the successful generalization to the real world of skills learned in clinical therapy, including avocational or pre-vocational endeavors.
A comprehensive brain injury rehabilitation program recognizes the necessity of medical professionals. Initially, the patient may have required significant acute medical intervention. As medical stability is achieved, the "medical model" of treatment becomes less important. However, the neurosurgeon, neurologist, ophthalmologist, pulmonologist, gastroenterologist, oral surgeon, or otologist may still be needed for consultations and monitoring throughout the post-acute phase.