AdventHealth Rehabilitative Services offers specialty rehab programs at select locations. These programs are designed for patients who need specific types of therapy and are administered by therapists with specialty training in these areas.

• Amputee Clinic
• Cancer Rehabilitation
• Functional Movement Screening
• LSVT BIG and LOUD therapy
• Lymphedema/swelling
• Musculoskeletal Rehabilitation
• Neurological Rehabilitation
• Osteoporosis
• Swallowing and Communication
• Vestibular/dizziness and balance rehabilitation
• Wheelchair Seating and Positioning
• Women’s Health

Amputee Clinic

Outpatient Rehabilitation at AdventHealth offers services to amputee patients during various stages of recovery. The skilled physical therapists at our Amputee Clinic helps those who have experienced amputations adapt physically and make necessary lifestyle changes. Rehabilitation goals focus on restoring function and increasing independence in daily life activities. A physical therapist will perform an evaluation and develop an individualized treatment plan to address the areas of concern.

Services at the Amputee Clinic include:

• Management of pain and phantom pain
• Exercise education
• Adaptive equipment
• Walking analysis and training
• Prosthetic training
• On-site prosthetic adjustments
• Skin care
• On-site physician assessment

Cancer Rehabilitation

The Cancer Rehabilitation Program at AdventHealth is dedicated to helping cancer patients restore quality of life during and after treatment. Our comprehensive program will address your physical, cognitive, and emotional concerns and help you return to the highest possible level of function. The rehabilitation team will develop an individualized program for you to achieve your personal goals.

Within this program, physical therapy improves physical performance by addressing the following issues:

• Lymphedema
• Cancer-related fatigue
• Weakness
• Limited range of motion
• Scar tissue
• Balance/coordination
• Neuropathy
• Pain

Occupational therapy aims to improve activities of daily living (dressing, grooming, and eating) through the following techniques:

• Sensorimotor intervention
• Visual/perceptual therapy
• Education in physical energy conservation
• Home safety modifications

Speech therapy improves memory and problem-solving skills, speech, and swallowing with rehab programs such as the following:

• Cognitive retraining
• Speech device training after laryngectomy
• Oral motor strengthening for speech and swallowing
• Electrical Stimulation to improve swallowing (Vital Stim)

Functional Movement Screening

Individuals often train around a pre-existing problem, which leads to movement dysfunction and predisposes them to injury. A movement screen analyzes movement to detect inefficiencies and compensations that may be prompting injury or limiting one’s full mobility. Once a movement screen is performed, appropriate exercises are prescribed to improve performance and decrease the risk of injury. The screen may also be used as a systematic tool to monitor progress and movement pattern development once a baseline has been established.

LSVT BIG and LOUD therapy

Many individuals with Parkinson’s disease develop difficulties with speech and physical movements that begin early in the disease process and progressively diminish quality of life. With more than 20 years of research funded by the National Institute of Health, Lee Silverman Voice Treatment (LSVT) LOUD and LSVT BIG is a standardized treatment with documented success. Research suggests that those with Parkinson’s disease should NOT wait until you begin to experience disability, impaired function, or loss of balance to start exercise-based physical and occupational therapy.

LSVT LOUD

LSVT LOUD trains individuals to use a safe, loud voice to improve and maintain their communication abilities. This treatment empowers individuals to keep participating in conversations of daily living.

LSVT LOUD is a standardized treatment protocol and delivered by an LSVT LOUD Certified Clinician to address characteristic symptoms, such as the following:

• Soft voice
• Mumbled speech
• Monotone speech
• Hoarse voice

Our LSVT LOUD Certified Speech Language Pathologist will first obtain a baseline assessment and then develop an individualized treatment plan. LSVT LOUD will teach you how to improve your communication and keep your voice alive!

LSVT BIG

LSVT BIG exercise techniques train individuals to use bigger movements to improve and maintain their physical abilities. This treatment encourages individuals to keep moving and to stay active in daily living.

LSVT BIG is a standardized treatment protocol delivered by an LSVT BIG Certified Clinician who will perform and establish an individualized plan of care. Improvements may include the following:

• Faster walking with bigger steps
• Improved balance
• Increased trunk rotation

LSVT BIG will teach you how to avoid inactivity and keep your movements alive.

Lymphedema/swelling

At AdventHealth, our certified therapists specialize in the treatment of swelling, lymphedema, and chronic venous insufficiency. Swelling can interfere with basic daily functions. For example:

• Leg/ankle swelling can limit walking, balance, or footwear options.
• Arm/hand swelling can restrict fine motor tasks such as eating, grooming, or writing.
• Facial swelling may interfere with vision or swallowing.
• Swelling also increases the risk of wounds and infections.

Lymphedema is an accumulation of fluid in an area of the body as a result of impairment of the lymphatic system. Radiation or surgical treatment is a common cause of this condition among cancer patients. Lymphedema may also be caused by a malformation of the lymphatic system at birth. Chronic venous insufficiency, or poor circulation, presents as swelling in the legs that decreases when waking but increases as the day progresses.

Complex decongestive physiotherapy, the treatment of choice for lymphedema and swelling, includes the following:

• Manual lymph drainage
• Compression bandaging
• Meticulous skin care
• Therapeutic exercise
• Patient education
• Compression garment fitting

The proper diagnosis and treatment of lymphedema/swelling can improve daily function, pain, stiffness, and cosmetic appearance. Talk to your physician to see if this treatment would be beneficial for you.

Musculoskeletal Rehabilitation

At AdventHealth, our skilled physical and occupational therapists will assist you in recovering from orthopedic surgery, an injury, or any pain that may be limiting your lifestyle and function.

These rehab programs treat conditions that include the following symptoms:

• Back and neck pain
• Shoulder, wrist, elbow injuries
• Hip and knee injuries
• Ankle and foot injuries
• Total joint replacement
• Post-surgical orthopedic
• Sports injuries
• Arthritis
• Osteoporosis
• Sciatica
• Degenerative disc or joint disease
• Carpal tunnel syndrome
• Sprains and strains
• Whiplash
• Tendonitis

Our therapists will evaluate you to determine your limitations and establish a treatment plan with your goals in mind to assist you in returning to your optimal function. Rehabilitation may include manual techniques, therapeutic exercises, and modalities to reduce pain and healing time while improving your overall function.

Neurological Rehabilitation

AdventHealth provides outpatient rehabilitation for those with neurological conditions, including but not limited to the following:

• Stroke
• Parkinson’s Disease
• Balance disorders
• Multiple Sclerosis
• Gullain-Barre syndrome
• ALS

Following a thorough evaluation, our team will utilize a variety of therapeutic techniques and modalities to help you improve your function and reach your full potential. Physical therapists use therapeutic exercise, balance activities, gait training, assistive equipment training, neurological re-education of movement patterns, and wheelchair seating and positioning. Occupational therapists use compensatory techniques, adaptive equipment instruction, home modification, therapeutic exercise, and cognitive training. Speech pathologists focus on speech, language, and swallowing therapies along with cognition.

Osteoporosis

The rehabilitation team at AdventHealth provides clinical expertise in the prevention and treatment of osteoporosis. Weight-bearing exercises are essential to bone health. Our physical and occupational therapists have the expertise to address posture, flexibility, proper body mechanics, and balance deficits in an outpatient setting. They offer recommendations for a safe home environment to reduce fall risk and assist with preventative exercise and return to activity.

Osteoporosis rehab programs we provide include:

• Body mechanics training and lifting techniques
• Postural education
• Gait and Balance training
• Assistive device training
• Pain management
• Range of motion
• Strengthening
• Home exercise program recommendation

We are dedicated to optimizing your activities of daily living and quality of life.

Swallowing and Communication

Speech-language pathology services assess and treat individuals with diagnoses including but not limited to the following:

• Stroke
• Traumatic Brain Injury
• Neurological disorders (ALS, Parkinson’s disease, etc.)
• Stuttering
• Dysphagia
• Voice disorders
• Head and neck cancer
• Bell’s Palsy and other facial/oral motor deficits

Our speech-language pathologists are trained to provide evaluation and treatment for patients with a variety of speech and swallowing disorders. We offer the following services:

• Speech and Language Therapy
• Voice Treatment
• Cognitive-Linguistic Retraining
• Stuttering Therapy
• Modified Barium Swallow studies (MBS)
• Neuromuscular Electrical Stimulation (NMES) including VitalStim therapy
• Deep Pharyngeal Neuromuscular Stimulation (DPNS)
• Lee Silverman Voice Treatment (LSVT) designed for patients with Parkinson Disease
• Speech-generating devices (SGD)
• Facial Muscle Exercise Program (FMEP) through electrical stimulation

Vestibular/dizziness and balance rehabilitation

Children at play sometimes spin around in circles until they feel too dizzy to stand. Adults may feel that same sensation as the result of an accident, a disease, or without a discernable cause.

Balance and vestibular dysfunctions can affect people of all ages and cause a variety of symptoms that impact daily function. Patients experiencing dizziness, lightheadedness, nausea, vomiting, spinning, unsteadiness, and/or balance problems may benefit from physical therapy focused on balance and the vestibular system.

Common conditions we address include the following:

• Benign Paroxysmal Positional Vertigo (BPPV)
• Vertigo
• Dizziness
• Unilateral vestibular loss
• Vestibulo-ocular Reflex dysfunctions
• Balance
• Gait training

The specialized equipment we use during rehabilitation includes the following:

• Videonystagmography — specialty goggles connected to a computer assist in identifying vestibular disorders
• NeuroCom Balance Master — computerized balance machine used for training in balance, weight shifting/bearing
• Wii balance training — Specialized training programs specific to balance on the Wii system

Wheelchair Seating and Positioning

We offer a specialized service for individuals requiring long-term use of a wheelchair. The Wheelchair Seating and Positioning Clinic provides a comprehensive evaluation of your body and your needs to help you choose the most appropriate wheelchair, seating, and positioning to facilitate increased comfort, posture, independence with your daily activities, functional mobility, employment, recreation, and overall health management.

Choosing the right wheelchair is a very personal decision that requires a time-consuming and sometimes confusing process. The occupational and physical therapists at AdventHealth are specially trained to address wheelchair safety and to assist you with this important step toward improved independence and quality of life.

Women’s Health

AdventHealth Rehabilitative Services recognizes that women face a unique set of health issues that require special medical attention. Many of these conditions can be treated nonsurgically using physical therapy in an outpatient setting.

Our women’s health therapists provide treatment for the following:

• Incontinence
• Constipation
• Pelvic pain
• Cystitis
• Endometriosis
• Sacroiliac joint pain
• Tailbone pain
• Fibromyalgia
• Lymphedema/swelling
• Chest wall discomfort related to lumpectomy/mastectomy reconstruction/breast implants

If you or a loved one is bothered by pain or loss of function, contact us to learn more about the specialty services offered by AdventHealth Rehabilitative Services. Our online risk assessment provides more information about the rehab programs that may be right for you. You can also request an appointment through our convenient online form.