Rehabilitation Services

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Gain function, mobility, and strength after surgery, injury or illness with Alomere Health Rehabilitation Services.  Our group of specialty trained and certified speech-language pathologists, occupational and physical therapists treat a wide range of dysfunctions across the lifespan.  Whether addressing developmental delay, sports injury, post-operative recovery, illness or age challenges, our therapists create individualized therapy programs designed to maximize your potential.   

Rehabilitation Services are available at Alomere Health, Alexandria Clinic and the YMCA. For more information about services or to schedule an appointment, call us at 320.762.6079.

Alomere Health Rehab Services

111 -17th Ave E

Alexandria, MN 56308

320.762.6079

Rehab Services at the YMCA

110 Karl Drive NW

Alexandria, MN 56308

320.762.6479

Rehab Services at Alexandria Clinic

610 30th Ave W

Alexandria, MN 56308

320.762.6079 



                          

Adult and Pediatric Rehabilitation Services Include:

Occupational Therapy

Occupational therapy (OT) helps people across the lifespan do the things they want and need to do through the therapeutic use of daily activities (occupations).  Our experienced occupational therapists work to enable people of all ages live life to its fullest by helping them prevent, or live better with, injury, illness or disability.

Occupational therapy specialties include:

  • driveABILITY program 
  • Hand and upper extremity rehabilitation
    • Pre & Post-surgical care
    • Arthritis pain and dysfunction
    • Nerve injury
    • Custom orthosis (splint) fabrication
  • Lymphedema therapy 
  • Neuro rehabilitation
    • Stroke
    • Traumatic Brain Injury
    • Concussion 
    • Visual deficits
    • Spinal Cord Injury
    • Cognitive deficits
    • Wheelchair evaluations
  • Pediatrics 
  • Work rehabilitation
    • Work conditioning
    • Functional Capacity Evaluations (FCE)
    • Work station evaluations

Physical Therapy

At Alomere Health, our physical therapists provide a variety of interventions and hands-on techniques to improve function, decrease pain, and improve mobility.  Our therapists work with you on a one-on-one basis to analyze your functional ability, educate you on your injury, and design an individualized treatment plan to help you achieve your goals.  Our goal is to help you recover quickly and achieve the highest level of function with the best possible outcome.

Our group of specialty trained and certified physical therapists treat a wide range of dysfunctions. Physical Therapy treatment specialties include:

  • Aquatic therapy 
  • Balance &  Falls Prevention
  • Concussion
  • Neurological conditions
    • Multiple Sclerosis
    • Parkinson’s
    • Spinal Cord Injury
    • Stroke
    • Traumatic Brain Injury
  • Orthopedic & sports
    • Shoulder
    • Spine
    • Hip
    • Knee
    • Ankle/foot
    • Post-surgical rehabilitation
  • Pain
    • Acute & chronic pain 
    • Arthritis pain
    • Headaches
    • Temporal Mandibular Dysfunction (TMD)
  • Spine (neck, mid back & low back)
    • Arthritis & Degenerative disorders
    • Acute or chronic spine pain
    • Radiculopathy
    • Post-surgical rehabilitation
    • Whiplash injuries
  • Vestibular Rehabilitation 
  • Pelvic health 
  • Pediatric conditions 

Our certified physical therapists offer these specialized treatments:

  • Dry Needling
  • Instrument Assisted Soft Tissue Mobilization 
  • LSVT BIG treatment for Parkinson’s 
  • Manual therapy techniques

Speech Therapy

Alomere Health offers inpatient and outpatient speech and swallowing services from licensed and certified speech-language pathologists. Speech-language pathologists work with individuals across the lifespan, from birth through adulthood.

Individuals may need Speech Therapy for a variety of reasons, including:

  • Articulation(speech) disorders (e.g., difficulty with the correct pronunciation of sounds)
  • Language disorders (e.g., difficulty understanding or expressing language)
  • Cognitive deficits (e.g., difficulty with attention, memory problem-solving, or reasoning)
  • Swallowing difficulties (e.g, difficulty chewing or swallowing food and/or liquids)
  • Fluency disorders (e.g., stuttering or cluttering)
  • Voice disorders (e.g., chronic hoarseness, loss of voice, laryngectomy)
  • Autism (e.g., addressing social skills and appropriate use of eye contact)
  • Augmentative and Alternative Communication (AAC) (e.g., communication devices for those who can’t speak on their own)
  • Feeding difficulties (e.g., failure to thrive, poor weight gain, pocketing)

 

Specific Programs offered through our Speech Therapy Department include:

  • Beckman Oral Motor Program
  • SOS Pediatric Feeding Program
  • Lee Silverman Voice Training (LSVT)
  • Video Swallow Studies (available from birth through adulthood)
  • Vital Stim [neuromuscular stimulation (NMES) of swallowing musculature]

To initiate services, we require a physician’s order.  For more information on the Speech Therapy services, or to make an appointment, call (320)762-6079.

Rehab Specialties

AQUATIC THERAPY

Aquatic Therapy is an individualized therapeutic exercise program that is performed in water with direct assistance from the therapist. The pool provides a buoyant environment to decrease joint and muscle stress while exercising.

Aquatic therapy can also benefit children with disabilities.  Benefits of aquatic therapy include decreased spasticity while in water, natural resistance to movement, increased sensory input and increased motivation for kids.  It is also a great place to work on balance skills and assist with functional gains that may be difficult to achieve on land.


MANUAL THERAPY

Manual Therapy is a specialized treatment approach that consists of 'hands-on' techniques designed to mobilize joints, muscle, connective tissue and nerves in order to facilitate healing and restore function.  Manual therapy has been shown to be an effective and important component of treatment in a wide range of conditions, such as arthritis, tendinopathy (disease of a tendon) and back pain. 

Alomere Health Occupational, Physical, and Speech therapists have received additional training in manual therapy.  Manual therapy services are available at all of our therapy locations:  Alexandria Clinic, Alomere Health Hospital, and the Alexandria YMCA.  

Certified Spinal Manual Therapists:

Alomere Health employs physical therapists who have specialized in manual therapy of the spine.  Certification in Spinal Manual Therapy (CSMT) entails completion of a 12-month post-graduate program, with written and practical exam, through the International Spine and Pain Institute.


CONCUSSION

Our rehabilitation team treats concussions in people of all ages, resulting from all causes including head injuries due accidents, falls and recreational or sports injuries.

 What is a concussion?

A concussion is a type of traumatic brain injury that is caused by a blow to the head or body, a fall, or another injury that jars or shakes the brain inside the skull. Although there may be cuts or bruises on the head or face, there may be no visible signs of a brain injury.

You don't have to lose consciousness to have a concussion. Some people will have obvious symptoms of a concussion, such as loss of consciousness or loss of memory. But other people won't. With rest and proper treatment, most people fully recover from a concussion.  However, multiple concussions in children or teens may mean longer recovery times, symptoms that do not go away, and lifelong problems.

What are the symptoms?

Symptoms of a concussion range from mild to severe and can last for hours, days, weeks, or even months. If you notice any symptoms of a concussion, contact your physician immediately.

Concussion symptoms may include:

Physical

      • Headaches
      • Nausea or vomiting
      • Dizziness or difficulty balancing
      • Fuzzy or blurry vision
      • Tiredness or lack of energy
      • Sensitivity to light or noise

Cognitive

      • Difficulty concentrating
      • Feeling slower
      • Memory loss/difficulty remembering

Emotional and Mood

      • Irritability
      • Sadness
      • Nervousness or anxiety
      • Emotional sensitivity

Sleep Disturbance

      • Sleep more or less than usual
      • Trouble falling or staying asleep

What to Expect from Concussion Rehabilitation: Our team works together to address the whole patient to help reach your personal goals including returning to sports, school and work using evidenced-based protocols.

Return to Play:  Once symptoms have resolved, individuals needing to safely return to their sport will be taken through a Return to Play protocol. This aspect of the program involves a multidisciplinary approach, including evaluation with a trained therapist who will work closely with an athletic trainer in order to advance activity to return to your specific sport.

Return to Learn:  Students having difficulty returning to normal/full school day will be guided through a gradual and safe return to learning in the classroom setting. The our therapists will work with the student’s physician and necessary school staff in order to assist with the implementation of accommodations and support, as needed.

Return to Work/Activity:  This protocol supports participation in modified work or daily activities to avoid making post-concussion symptoms worse. Collaboration with an individual’s physician and employer is preferable in order to create an effective plan for workplace success.

 

driveABILITY PROGRAM

Our therapists are specially trained and licensed in evaluating and instructing people who have conditions that may impair their ability to drive safely.  

The driveABILITY program offers services for:

    • Drivers who have experienced an illness or injury
    • Drivers dealing with age-related challenges who want to make sure they are still able to drive safely
    • New drivers who need more than traditional driver’s training

Each evaluation consists of 2 parts:

  1. An extensive clinical assessment of motor abilities, vision, perception and cognition.
  2. An on-road evaluation in our specially equipped car.

All reports are sent to the client’s physician and the physician makes the final decision about driving based on the reports and client’s medical history.

On-road training: Individualized training is provided for clients who need to learn how to use special equipment for operating a vehicle.  Training is also available for clients who need to practice their driving skills in the safety of our specially equipped vehicle. 

Note:  Driver evaluations and on-road training are not typically covered by insurance companies, including Medicare.  For most patients, a referral from your health care provider is needed. 


DRY NEEDLING

Dry needling is a specific treatment technique that uses a solid monofilament needle to treat muscle trigger points which are creating pain and discomfort.

A muscle trigger point is a highly localized, hyper-irritable spot in a palpable, taut band of skeletal muscle fibers. These muscle trigger points-which are located throughout the human body-play a role in producing and sustaining feelings of pain and discomfort.

Common muscular conditions treated with Functional Dry Needling include, but are not limited to:

    • Tendonitis
    • Muscle strain
    • Impingement syndromes
    • Cervicogenic Headaches
    • Medial tibial stress syndrome (shin splints)
    • Piriformis syndrome
    • Sciatica
    • Rotator cuff injuries
    • Tennis/golfers elbow

How much does Dry Needling cost?  As insurance does not currently provide dry needling coverage, patients will be responsible for payment.  Please call 320.762.6079 for current pricing.


LSVT PROGRAMS

Those diagnosed with Parkinson’s disease, movement disorders or neurological conditions, can now find help through the Lee Silverman Voice Treatment (LSVT) LOUD and BIG programs at Alomere Health. 

Parkinson’s disease patients usually face complications such as:

    • Soft voice
    • Mumbled speech
    • Monotone speech
    • Hoarse voice
    • Difficulty walking
    • Loss of balance

The LSVT programs are researched-based protocols shown to improve quality of life.

The LSVT LOUD program will help you to:

    • Improve your vocal loudness
    • Improve respiratory, laryngeal and articulatory function
    • Improve your speech intelligibility

The LSVT BIG program will help you to:

    • Walk faster, with bigger steps
    • Improve your balance
    • Increase your trunk rotation
    • Improve your quality of life

LSVT Program:

    • 4 one-hour sessions per week across 4 successive weeks – 16 total sessions
    • Exercise Homework and establishment of a lifelong home exercise program.

Many patients benefit from involvement in both LSVT Loud and LSVT Big.  However, it is recommended to complete one program at a time.

 

LYMPHEDEMA

Lymphedema is a condition that is characterized by chronic swelling of an extremity, including the arm or leg, but can also occur in the breast, trunk, head or neck.  The affected area may feel heavy or full and you may experience a decrease in movement.  Additional symptoms include a dull ache or feeling of tightness in the affected limb.   This condition can be inherited or caused by a disruption to a lymph node area (ex:  by surgery, trauma, radiation, infection, etc).  Lymphedema may develop days, months or years after a surgery, trauma, or an infection has taken place. 

Through specialized manual techniques, evidence-based treatment options, and patient education, our certified lymphedema therapists help individuals regain control and take their lives back through quality, local care.

Our approach to lymphedema management:

  • Evaluation: completed by a certified lymphedema therapist
  • Manual lymphatic drainage: specialized techniques that redirect lymphatic fluid to the healthy lymph nodes
  • Compression therapy:  Special bandages or supports prevent fluid build up
  • Exercise:  decongestive exercises are performed by the patient to help reduce swelling while compression is in place.
  • Extensive patient education:  patients are instructed in techniques to manage their lymphedema independently.


INPATIENT THERAPY

After surgery, illness or due to a serious health condition, you may require inpatient therapy to help you regain your strength and abilities.   Inpatient therapy includes: 

  • Physical therapy - helps build strength, flexibility, mobility and endurance.
  • Occupational therapy -  focuses on the activities of daily living, strength & endurance.
  • Speech/language therapy - helps patients improve their abilities to communicate and/or swallow.

Inpatient therapy is designed to assist you in your preparation for your safe discharge from the hospital.  Following an assessment, our trained and experienced therapy team will work with you and your care team to establish functional goals for safe discharge.  Your care team may include hospitalists, specialty doctors, surgeons, nurses, physical therapists, occupational therapists, speech-language pathologists, registered dieticians, and social workers.

Safety is of utmost importance when making the decision to discharge to home, home with home health, or to a short-term rehabilitation facility for further care and healing.  

 

PEDIATRIC SERVICES

Our team of occupational, physical and speech therapists helps infants, children, and teens recover from temporary problems, such as injuries from sports or recreation. We also work with patients who have long-lasting conditions, including those that affect cognitive, speech, or movement and motor skills.  Therapies are customized to each child with the goal of gaining function in a safe, fun and interactive environment.  

Pediatric feeding program

Our pediatric feeding program serves children from birth to eighteen years of age who have feeding and eating difficulties.  Specially trained therapists integrate sensory, motor, oral, behavioral, medical and nutritional factors when evaluating and treating children with feeding difficulties. Therapists utilize the SOS and Beckman Approaches, focusing on teaching children to interact with food in a playful, non-stressful way while learning the fundamentals of eating.

Pediatric incontinence & pelvic health 

 

 

VESTIBULAR, BALANCE & DIZZINESS

Vestibular, balance and dizziness problems are common, and can affect people of all ages and activity levels.  Symptoms can include a sense of spinning, poor balance, a fear of falling, vision disturbances, motion sensitivity, nausea, vomiting, and/or ear pain.  Symptoms can come on suddenly such as with moving a certain direction (ex: rolling in bed, looking up or down) or when looking at still objects while you are moving (ex: driving or riding in car).  Symptoms can also be more subtle and chronic in nature. 

Balance problems and dizziness occur when the brain receives conflicting messages from the three primary pathways that influence our sense of balance and equilibrium:  the eyes, the inner ear (vestibular system) and our joint and muscle receptors.   

Our specially trained vestibular therapists will conduct a complete evaluation of your vestibular function as well as your ability to utilize these three primary systems (visual, sensation, and vestibular).  You may experience dizziness during the evaluation but this will help us determine the most appropriate treatment intervention. Once we have completed the evaluation, our therapists will design a therapy program specific to your individual needs.  

Anyone who suffers from the following may benefit from Vestibular Rehabilitation:

    • Vertigo (BPPV)
    • Motion Sensitivity
    • Mild Traumatic Brain Injury (TBI/Concussion)  (Concussion link)
    • Headache, Stiff Neck
    • History of Falls, Poor Balance
    • Blurred Vision
    • Gait Abnormality

Our goal is to help patients minimize their dizziness symptoms and improve their balance, thereby improving their function, comfort, and independence.

 

PELVIC HEALTH

Your pelvic floor is a group of muscles, ligaments and connective tissues that supports the bladder and rectum and other pelvic organs. In women, these muscles also support the uterus and vagina. 

When the pelvic floor muscles aren’t working normally, people of any age or gender can experience:

    • Urinary incontinence  (including pediatric cares)
    • Urinary urgency
    • Urinary retention
    • Fecal incontinence
    • Constipation
    • Pelvic pain
    • Abdominal pain

We understand how painful and disruptive pelvic, urinary and bowel movement issues can be. We will work closely with your provider to develop a personalize treatment plan to correct problems and give you the confidence to get out and live life to the fullest. 

A common misconception about pelvic physical therapy is that it only consists of Kegel exercises. While pelvic floor muscle exercises are very important, they are only one small piece of care provided by pelvic floor physical therapists. Other treatments utilize neuroscience, behavior retraining, relaxation techniques, manual therapy including myofascial release, scar tissue/adhesion mobilization and release, bowel and bladder retraining, stretching and strengthening and much, much more.  Which treatment is used depends on the specific needs of each patient.  

 

WORK REHABILITATION

Work Conditioning: When injured workers meet established short- and long-term goals via physical therapy or occupational therapy but are unable to return to work due to remaining functional deficits, they may benefit from a higher level of therapeutic intervention designed specifically with a goal of returning to work.  Work conditioning is a full body, physically intensive program that focuses on work simulation activities to get injured workers back to work.   The primary objective of the Work Conditioning program is to restore physical ability and enable the injured worker to return to his or her pre-injury job.

Functional Capacity Evaluation (FCE): Provides a comprehensive evaluation that objectively measures the employee's physical capabilities.  The FCE is an important tool used to assist employers, physicians, insurance companies, attorneys, case managers and vocational consultants to determine safe, functional levels for an individual to either return to work or to establish functional ability.   Functional Capacity Evaluations are typically performed following completion of traditional occupational &/or physical therapy.

 

Meet our Therapists