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Neurological Rehab

The Neuro Hub offers specialized occupational therapy services for clients with a range of neurological conditions. Using hands-on, evidence-based treatment techniques and the latest technologies, The Neuro Hub’s occupational therapists provide a comprehensive treatment approach that addresses the physical, emotional, and psychological components of clients and family members. We are dedicated to helping each client achieve the highest level of independence possible in their daily lives. 

Treatment sessions will go beyond traditional expectations to help individuals push the limits of their abilities. Our therapists work with clients to establish personalized goals based on skills and interests. Treatments may focus on practicing tasks or building up ability, strength and movement required for tasks. Our specialty programs are:


 

●      Aquatic Therapy

●      Constraint-Induced Movement Therapy (CI Therapy)

●      Driver Rehabilitation

●      Occupational Therapy

●      Technology Upper Extremity Program

 

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Aquatic Therapy 
 

Aquatic Therapy offered in CORE’s 86-92 degree therapeutic pool offers many advantages and benefits to individuals recovering from all phases of injury or illness. The therapeutic properties of the water combined with the skill and specialized training of our aquatic therapists combine to help the client to improve mobility and function. Clients with neurological disorders often present with complex challenges, including weakness, hypertonicity, voluntary movement deficits, limited range of motion, sensory loss, incoordination, and postural instability. Any one of these impairments can negatively affect these clients by adding to problems in walking, transferring, and reaching.

Aquatic therapy offers a unique, versatile approach to the treatment of these limitations. Our occupational therapists and licensed aquatic therapist will create a custom treatment plan for each client. Aquatic therapy is offered as a modality in conjunction with land-based therapy or by itself as the primary therapy if appropriate. Clients can access the pool either by stairs or a hydraulic lift and do not need to be swimmers.

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Constraint Induced Movement Therapy (CIMT) 
 

CI Therapy, also known as Constraint-Induced Therapy or Constraint-Induced Movement Therapy, is an innovative, research supported treatment intervention consisting of families of rehabilitation techniques that assist individuals in increasing functional use of a hemiplegic arm. This therapy has been researched for over 25 years with excellent results. CI Therapy is considered to be the most effective intervention for the hemiplegic extremity.
 
Dr. Edward Taub, the founder of CI Therapy, discovered that by restraining the stronger arm and intensely training the weaker arm, the brain begins to rewire itself to improve the overall functional use of the weaker arm. Essentially, the CI Therapy program is a boot camp for the client’s affected arm and a vacation for the unaffected arm.

This method is different from traditional therapy in that the patient’s less affected ​arm is restrained for 90% of the patient’s waking hours, resulting in a highly concentrated program to re-train the affected arm. During traditional treatment approaches, therapists may see the patient for only 1 to 5 hours a week due to limitations of insurance coverage, and a patient may have only 10 to 20 visits per year. In CI Therapy, the therapist is with the patient for 3 hours a day for 2 to 3 weeks, optimizing opportunities for neuroplastic changes in the brain.

 

The program is designed to help people who have at least some movement in the affected arm and hand. In addition, the candidate must have the cognitive ability to follow commands. The client must also be medically stable and have the endurance to engage in this program. Due to the intensity of this program, insurance companies seldom provide reimbursement; therefore, this program is rarely offered in typical outpatient clinics.

CI Therapy has been shown to improve arm and hand function resulting from neurological damage and is suitable for a variety of conditions such as stroke, brain injury, multiple sclerosis, cerebral palsy, Parkinson’s disease and spinal cord injury. CI Therapy is effective regardless of how long ago the injury occurred.
 
The occupational therapists administering CI Therapy at The Neuro Hub were trained in the original treatment protocol by Dr. Taub himself, his highly skilled research clinicians and professors of the University of Alabama.

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Driver Rehabilitation
 

The Neuro Hub offers a comprehensive driver evaluation and training program. The program serves current drivers with a new diagnosis or a change in their ability to drive, individuals with physical limitations who are interested in driving, and elderly drivers and their families seeking professional recommendations. 

The drivers rehabilitation program is staffed by licensed occupational therapists who have specialized training in driver rehabilitation. We currently offer the driver rehabilitation program in a 2012 Dodge Grand Caravan van, which is wheelchair accessible. 

 

The evaluation is a two-step process that assesses all aspects of the participant’s driving skills to determine if it is safe for them to return to the road. The pre-driving clinical evaluation looks at all the necessary components of driving including vision, physical abilities, memory and perceptual skills. If the clinicians find the participant has the skills necessary to be behind the wheel, we will make an appointment for the on-road assessment to evaluate the driver’s abilities using a specially equipped van. 

The results of the assessments are reviewed with the clients and recommendations and/or referrals are provided, including the need for adaptive equipment for the vehicle.

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Occupational Therapy
 

Our occupational treatment sessions will go beyond traditional expectations to help individuals push the limits of their abilities. Our therapists work with clients to establish personalized goals based on skills and interests. We pride ourselves in utilizing both traditional and the latest rehabilitation technology to meet each individual recovery needs. Our clinicians frequently use devices by Saebo and Neofect and techniques such as neuromuscular electrical stimulation, functional electrical stimulation, mirror therapy and splinting. We are highly skilled in addressing deficits in movement and strength, vision and cognition. Treatments may focus on practicing tasks or building up ability, strength and movement required for specific tasks.