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Sibley Memorial Hospital

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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 comprehensive approach addresses:

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

Treatment plans, which are designed to help the individual reach optimal function and quality of life, are based on a thorough evaluation and discussion with the patient about his/her goals and needs.

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Gait and Balance Physical Therapy

Gait Balance

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 a chair or bed and a 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 and intervention tools include the use of the balance systems, 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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Intramuscular Manual Therapy

IMT or trigger point dry needling is an invasive procedure that involves inserting a tiny monofilament needle into a muscle/muscles in order to decrease trigger point activity.  Trigger points are taut bands within a muscle that may cause local or referred pain, limit muscle flexibility, or limit muscle function.  IMT is not acupuncture.  This procedure utilizes the anatomical landmarks in the body to locate and treat trigger points to relieve pain and improve overall function. The physical therapist performing this procedure has been trained by a board-approved or Commission on Accreditation in Physical Therapy Education (CAPTE) accredited training program on intramuscular manual therapy.

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Big and Loud Program

LSVT LOUD is a speech treatment for Parkinson’s disease and neurological conditions. Virtually every person (89 percent) with Parkinson’s disease will have problems with their speech that starts early in the disease process. These problems include: soft voice, mumbled speech, monotone speech and hoarse voice. Research by the National Institutes of Health (NIH) has documented that LSVT LOUD is highly effective in correcting speech problems. 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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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’s and other neurological conditions. Research by the NIH has shown that using LSVT BIG leads to faster walking with bigger steps, better balance and increased trunk flexion. Treatment is provided by a physical or occupational therapist who is certified in the LSVT program.

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

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Parkinson's Wellness Recovery (PWR!)

The PWR! program is a comprehensive evidence based program that starts with 4 basic whole body movements that are targeted to improve Parkinson’s specific changes in posture, weight shifting, trunk rotation, and transition movements. It can stand alone or can be integrated into any exercise program or activity. The PWR! program also incorporates progressive aerobic exercise and specific skill practice to drive changes in the brain. The program is flexible and adaptable, but requires high effort and focus!

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Stroke Rehabilitation

Sibley Memorial Hospital has recently become a Joint Commission-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 physical therapist completes a thorough evaluation and a plan of care is established based on your individual needs.

Possible interventions may include the use of the warm water therapeutic pool, gait analysis and training, neuromuscular reeducation, advanced balance training, use of a 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 five million people each year visit their physicians’ 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 be caused by a number of factors and can lead to falls and inactivity.

The 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 and 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 postpartum 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 reeducation 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 needs of their patients.

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Wound Care

Wound care physical therapy care can help those with pressure ulcers, venous or arterial wounds, diabetic wounds, extremity wounds with edema, and non-healing surgical wounds or grafts.  You will receive a thorough physical therapy evaluation to develop an individualized plan of care.  Treatment may include procedures to clean the wound and prevent or eliminate infection, promote a wound healing environment, improve blood flow and nutrient delivery to healing tissues, and protect the area as it heals.  Wound care treatment approaches can include measurement and documentation of the wound characteristics, cleaning of the wound, debridement (removal) of any dead tissue, selection and application of wound dressing, compression wrapping, and education of patient, family, and/or caregiver to perform wound care and dressing changes as needed at home. 

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