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Outpatient rehabilitation services help patients get well and stay well 

Individuals who need help recovering from an illness or injury can receive a full spectrum of services through the outpatient rehabilitation services provided at McDowell Wellness Center.

"We have had great success in rehabilitating individuals who needed physical therapy, occupational therapy or speech therapy," said Ron Barbato, P.T., director of rehab services. "Our services are available to individuals of all ages, from infants to senior adults." 

Outpatient rehabilitation services are provided from 7:30 a.m. to 6 p.m. Monday through Friday by more than 20 licensed professional therapists, who represent more than 210 years of experience in their respective fields. These professionals regularly participate in workshops and training to keep updated on knowledge and techniques to share with colleagues and apply in patient treatment.

"Having this kind of depth and breadth of experience available to patients is unique in this area of Kentucky," said Leslie Hardman, manager of rehabilitation services. "Because we have all three disciplines available here, it is possible for us to treat our patients as a team, uniting the expertise of each specialty." 

That is especially valuable when treating the children through the Kentucky First Steps Program for conditions related to birth defects and developmental delays. For example, a child with cerebral palsy benefits from this team effort to increase mobility, daily living skills, language abilities, play skills and feeding skills. The team also works with parents, often providing services in the home on positioning, therapeutic play and safe feeding techniques. 

Unique to outpatient rehabilitation services is the availability of a large pool at the Wellness Center for use with aquatic therapy. Certain conditions and types of patients benefit more from therapy performed in water. Those include patients with fibromyalgia, degenerative disc disease, low back pain, arthritis, athletic injuries, post-surgical diagnoses, those with multiple trauma and many pediatric conditions. 

Hardman explains how aquatic therapy works well in the case of a woman who injured her lower back in an automobile accident. The physical therapy evaluation revealed decreased strength in her lower back and abdominal muscles. She could not walk more than 20 feet and was unable to carry out most of her activities of daily living.

"Occupational therapy assisted her with techniques to perform daily tasks and physical therapy began in the pool where she was weightless, had freedom of movement and could begin strengthening her muscles against the gentle resistance of the water," Hardman said. "She then transitioned to physical therapy on land after her strength and mobility had increased so that she could tolerate this activity." 

As patients progress in therapy, they move from the gym in the outpatient rehabilitation area to the full-service gym at the Wellness Center. There, patients continue their rehabilitation on the full range of equipment available for building muscle strength, flexibility and endurance. When therapy has been completed, patients are provided with individual programs to be continued at home and at the Wellness Center or introduced to existing land and water exercise programs offered at the Wellness Center, which will help maintain the gains made in therapy.

The professional therapists provide rehabilitation for traditional orthopedic, neurologic and pediatric conditions. In addition, they have developed specialty areas and programs, such as:

  • Occupational medicine/worker's compensation injuries, which focuses on return to work and independence at home following a work-related injury
  • Lymphedema/complete decongestive physiotherapy
  • Balance/vestibular rehabilitation
  • Hippotherapy, which utilizes the movement of a horse for rehabilitating children
  • Programming for lifestyle change in managing chronic conditions, such as diabetes
  • Women's health evaluation and treatment for incontinence, pelvic pain and obstetrical-related pain

Ephraim McDowell Health

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 TTY (859)239-6800

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