Posted on 4/3/2017 by Cornelia von Lersner Benson, O.T., CHT
Join NovaCare Rehabilitation, Select Physical Therapy and our team of dedicated occupational therapists as we celebrate Occupational Therapy Month (OTM)! OTM is hosted by the American Occupational Therapy Association (AOTA) each April to recognize how occupational therapists and occupational therapy assistants help transform society by restoring and improving function in people's lives.
Occupational therapy is celebrating its anniversary! The National Society for the Promotion of Occupational Therapy (now AOTA) was established in 1917, marking 100 years of the profession and evidence-based practice. With more than 200,000 occupational therapists and occupational therapy assistants helping individuals across the lifespan live life to its fullest, this dedicated group of professionals focuses on treatment to help develop, recover and maintain the daily skills of patients.
Occupational therapists offer a unique approach to physical rehabilitation. The focus isn’t just someone’s motion or strength, but how it is used in their life, such as a healthy return to work, getting back to sports or hobbies or helping to braid a child’s hair before school. Occupational therapists also have specialty training in orthoses fabrication and emotional, thinking and reasoning factors that affect physical health and function. It is a service that, side-by-side with physical therapy, can offer a return to health and function in an all-inclusive and progressive way.
This service offering, however, all began for NovaCare Rehabilitation in 1990, prior to joining the Select Medical family, within our Southern New Jersey community when I was hired by our then company president to develop an occupational therapy program. I was hired as the first occupational therapist for the company, likely as an informal pilot study to determine a consumer’s benefit of receiving occupational therapy and its contribution as a service and unique offering for our organization. As we knew it would, occupational therapy was a hit! Occupational therapy allows patients to achieve independence and participate in tasks they want and need to accomplish through therapeutic interventions following trauma or disability. Our local success meant that the occupational therapy service offering quickly grew, adding additional staff members in New Jersey and then Philadelphia, Maryland and Minnesota.
Today, occupational therapy is a national service for NovaCare Rehabilitation, Select Physical Therapy and other brands within the Select Medical Outpatient Division family. We employ more than 480 occupational therapists across the country. We continue to treat patients on a daily basis as well as provide education and mentoring to support new occupational therapy graduates who desire to achieve his/her certification in hand therapy. We help to supervise all levels of occupational therapy students, ongoing development for staff and continued service expansion to meet the needs of our community at large.
At NovaCare Rehabilitation and Select Physical Therapy, our occupational therapists are everyday heroes and know that each patient is unique and requires an individualized approach to care. Our team finds the right solution for each patient to reach goals and return to function and the things they enjoy doing as soon as possible.
I am proud to work for a company that holds occupational therapy in such high regard and encourages and supports therapists in their growth, their unique contributions and their skills to improve the lives of our patients. This comes as a result of having a company creed that is dedicated to providing an exceptional patient experience in a compassionate environment. It all fits! Happy OTM, everyone!
Cornelia von Lersner Benson By: Cornelia von Lersner Benson, O.T., CHT. Cornelia serves as NovaCare Rehabilitation’s hand and occupational therapy director for the Southern New Jersey community. NovaCare in New Jersey proudly employs 46 occupational and hand therapists within 27 offices, including those who provide in-home care and services within physician offices.
Posted on 3/5/20 Haley Taffera
Whether it’s on the athletic field, a job-site or in one of our outpatient centers, our athletic trainers are counted on to be the frontline support for injury prevention, treatment and ongoing management of care for athletes, workers and patients and customers. In honor of National Athletic Training Month, we asked our National Director of Sports Medicine John Gilmour, M.A., ATC, to share how our incredible team of athletic trainers makes an impact in the lives of thousands of people across the country on a daily basis. View the video here...
Be sure to visit our Facebook, Twitter and Instagram pages throughout the month of March as we recognize and celebrate our colleagues.
Posted on 1/20/2021
Does your child suffer from bowel and bladder issues? If so, did you know that pediatric physical therapists can help to treat conditions including constipation, urinary incontinence, daytime and nighttime wetting, holding bowel movements and refusing to have a bowel movement?
As a pediatric physical therapist, I believe in a family approach to care and assess muscle strength and muscle imbalances in the body, specifically the pelvic floor. I address body awareness and coordination of muscles so that children can urinate and have a full bowel movement effectively and efficiently. To do this, I use exercise, proper breathing techniques for fun and relaxation, books, videos, play and biofeedback (a way that kids can get “in tune” to their pelvic floor by watching their muscles in a mirror or using a machine) to help children understand their body and take control.
Let’s talk a little bit about where this journey typically starts for a family – potty training. There is so much information on potty training methods, yet there is a relatively small amount of quality research to support or disprove most of the methods. The most successful method will be the one that both you and your child agree on. It is important that you both feel motivated and confident throughout the process.
No matter what method you choose:
- Be consistent.
- Never scold or humiliate.
- Never prohibit from toileting.
- Make sure you know where toilets are when you are outside of the home.
- Reward attempts and successes.
- Incentives do not need to be store bought; spending time together is special enough.
- Make it fun!
Awareness of bladder sensation and control begins in the first and second year of life. Voluntary voiding control begins at two to three years of age. An adult pattern of urinary control should be developed by four or five years of age. It’s not about starting at a certain age, it’s about starting when your child is ready.
According to the American Academy of Pediatrics (2006), your child should show the following signs when they are ready to potty train:
- Is dry at least two hours at a time during the day or is dry after naps
- Bowel movements become regular and predictable
- Facial expressions, posture or words reveal that your child is about to urinate or have a bowel movement
- Can follow simple instructions
- Can walk to and from the bathroom and help undress
- Seems uncomfortable with soiled diapers and wants to be changed
- Asks to use the toilet or potty chair
- Asks to wear “grown-up” underwear
- Can sit on a potty, maintaining the physical position and attention, for a short time
- Is able to communicate bodily sensations such as hunger or thirst
- Demonstrates interest in watching and imitating others’ bathroom-related actions
- Communicates the need to go before it happens
Typically, we see children urinate six-to-eight times per day and have five-to-seven bowel movements per week.
I, too, have been on the potty training adventure with my son Devin. It is not always an easy road, and having a professional to talk with is helpful. Devin was potty trained before I was trained in dysfunctional voiding, but it would have been useful to know about massaging the belly to promote a bowel movement, deep breathing for relaxation of the pelvic floor muscles, and the plethora of kids’ books about potty training.
If you have questions or concerns, please contact your local pediatric therapy center to schedule a complimentary 15-minute consultation to assess the needs of your family’s potty training adventure.
By: Dawn Meller, MPT. Dawn is a pediatric physical therapist and pelvic floor specialist with RUSH Kids Pediatric Therapy in North Aurora, Illinois.
RUSH Kids and Select Physical Therapy are part of the Select Medical family of brands.
Posted on 9/11/2018 by Brian Brewer, CPT
School is back in session and fall sports are underway! From the gridiron to the soccer field to the volleyball court, athletes of all levels are hitting the field. With increased play, however, there is also an increased risk for injury.Categories: Physical Therapy
Did you know that there are movement assessments designed to assess ACL injury risk? Within Select Medical’s Outpatient Division*, we provide movement assessments using dorasaVi wireless wearable sensors to measure exactly how individuals move. This technology allows our highly trained clinical team objectively analyze body movement and muscle activation, utilizing a test called the Athletic Movement Index, or AMI. With this testing, we are able to accurately determine an athlete’s ability to safely perform higher level movements, such as cutting, pivoting and deceleration, all of which can lead to ACL injury if not performed efficiently.
The ACL is one of four ligaments in the knee that provide joint stability. Roughly 70 percent of ACL injuries during high-risk sports are non-contact injuries, meaning no collision occurred when the ACL tore. As an athlete begins to tire throughout the course of a game or event, their efficiency in movement begins to suffer, their mechanics become faulty and their risk for injury is heightened. If we can recreate these conditions during movement assessments, we are more able to determine an athletes risk for ACL injury. The AMI is a test that simulates the fatigue factor that plays a role in ACL injuries.
The AMI runs the athlete through a battery of movements, designed to assess core strength and stability, hip strength and mobility and efficiency moving through single-leg movements, such as a single-leg squat and a single-leg hop. The single-leg movements analyze the movement of the knee, whether it is collapsing inward or outward past neutral and the degree of loading, or depth, that the participant is able to go to, both of which are important indicators in assessing ACL injury risk. If the knee is not staying neutral during single-leg movements, then there is weakness in the hip, specifically the gluteus medius muscle, which is leading to inefficient movement. The higher the speed that the knee is moving out of neutral, the higher the risk of ACL injury there is. Similarly, if the athlete is not loading deep enough, and that is coupled with a high speed of displacement, then their risk is increased even more. Through strengthening the hips and core effectively and deliberately, based on the test results, clinicians can help reduce an athlete’s risk of injury dramatically.
Our exclusive ACL Play it Safe Program is an ACL prevention program, designed specifically to go hand-in-hand with the AMI and address the faulty mechanics that lead to ACL injuries. The program consists of a mobile application, with pre- and post-practice exercises and drills to be performed. Additionally, there is an ACL Play it Safe Kit that consists of equipment designed to improve strength and conditioning of the muscles responsible for controlling mechanics during dynamic movements that can cause injuries.
The pre-practice exercises are dynamic warm-ups that should be used to increase flexibility and mobility in the hips, knees and ankles:
High knee with calf raise
These pre-practice exercises should be performed for 15 yards down and back, two times each. This will help to warm-up the hips and knees, and prime them for efficient movement.
The post-practice exercises utilize the TheraBand CLX, TheraBand Ankle Cuff and TheraBand Stability Trainer. These should be done after practice when the athlete is tired. If an athlete can strengthen and train with proper mechanics while they are tired, then it will be that much easier for them to perform efficiently on the field when they reach the same level of fatigue. There is a multitude of post-practice exercises, with some listed below:
CLX spiral technique
TB cuff side stepping with kicks
Single leg toss on stability trainer
CLX plank with kicks
All of the post-practice exercises are designed to help strengthen the core and gluteus medius muscle and prevent a displacement of the knee during dynamic movements. Of course, as with any exercise routine, static stretching and/or foam rolling should also be performed following the completion of the program.
Through objective analysis of muscle activation and subjective observations of movement, clinicians are able to determine ACL injury risk with high accuracy. If we can address poor mechanics of movement through assessment prior to when an athlete takes the field and introduce them to ACL Programs designed to addressed these poor mechanics, we can start to minimize lost time on the field, see an increase in performance and help athletes be more confident in their sport.
*NovaCare Rehabilitation and Select Physical Therapy are part of the Select Medial Outpatient Division family of brands.
By: Brian Brewer, CPT, is a strength and conditioning specialist for NovaCare Rehabilitation in Annapolis, Maryland.