Rehabilitation

PHYSICAL THERAPY

The American Physical Therapy Association describes physical therapy as a dynamic profession with established theoretical and scientific base with widespread clinical applications in the restoration, maintenance and promotion of optimal physical function.  A physician’s referral is required for physical therapy to be initiated.  Physical therapy treatments are often paid for by your health insurance.

Physical therapists are trained to:

  1. Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  2. Restore, maintain and promote optimal physical functional, wellness and fitness and quality of life as it relates to movement and health.
  3. Prevent the onset, symptoms and progression of impairments, functional limitations and disabilities that may result from disease, disorders, conditions or injuries.

Our staff at CMCI is comprised of:

Barb Ulmer, DPT/ physical therapist

Bobi Robles, MPT/ physical therapist

Doug Reinert, CPTA/ physical therapist assistant/ Department Director

Layla Schlageck,CPTA/WCC/ physical therapist

Paul Schrick, physical therapist

Pam Askren, CPTA/ physical therapist

Jake Reinert, CPTA/ physical therapist

Sara Friesen, physical therapy technician

Jesse Guajardo, MS, CCC-SLP/ speech language pathologist

Callie Krajewski, OTR/L/ occupational therapist

Courtney Siruta, secretary receptionist

Our hours of operation are M-F 7:00 a.m. to 12:00 noon and 1:00 p.m. to 6:00 p.m. and Sat a.m. for inpatient treatments only.

CMC physical therapy is able to offer a wide variety of treatments for their patients.  Modalities (physical agents for treatment) are used for reduction of muscle spasms, pain management, increased circulation, increased flexibility, to promote tissue health and wound healing and etc.  Our modalities include the following:

  1. Electrical stimulation including TENS units for home use.
  2. Ultrasound.
  3. Infrared light
  4. Whirlpool
  5. Moist heat.
  6. Cryotherapy.
  7. Mechanical and inversion traction.
  8. HIVAMAT.
  9. Iontophoresis.

Physical treatments include, but are not limited to, the following:

  1. Therapeutic exercises with instruction of home exercise programs.
    1. Nu-step cross trainer.
    2. Theraband resistance.
    3. Free weights.
    4. Isotonic resistance weight machines.
    5. Wii exercises.
  2. Gait training with instruction of proper assistive devices as needed.
  3. Transfer training.
  4. Balance training.
  5. Massage.
  6. Soft tissue mobilization.
  7. Joint mobilization.
  8. Wound care with debridement of tissue as needed.
  9. Tape application using Kinesiotape, McConnel’s tape and athletic tape.

The physical therapy department of CMC offers treatments to patients of all ages from infancy to mature adulthood.   Some examples of our specialized treatments are listed below.   For any questions or to schedule an appointment, please contact us @ 785-460-4868.

MAINTENANCE PROGRAM

We offer a maintenance program that is open to the public allowing a person to maintain or increase their strengths and aerobic endurance.  It is a cash service of $ 30.00 a month. This service includes an initial assessment and development of a personalized program to meet your needs.  You will have access to the weight machines and aerobic equipment and can use them daily M-F if you choose. Our technician will oversee your program teaching you how to safely use the equipment and provide a flow sheet to track your progress. Stop by and see our equipment or call to schedule a designated time for your workout session.

MASSAGES

Massages are another cash service we offer. Our price is $15.00 for 15 minutes, $25.00 for 30 minutes and $50.00 for 60 minutes. We welcome walk-ins, but cannot always guarantee there is an immediate opening.  Appointments can be made by calling 460-4868.

SPORTS PROGRAM

The CMC physical therapy department works with the Colby High School Athletic Department providing the coaches and student athletes an in-house and an on-site education and injury prevention program.  Our goal is to decrease the number and/or the severity of injuries for each sport.  These services are currently provided free of charge and we plan to continue this service to improve the overall health and safety of the athletes in our community.

WOUND CARE

Citizens Medical Center, Inc. currently staffs a certified wound care specialist along with a wide variety of wound care techniques, dressings, debridement and care options.  Our staff has worked with a variety of wounds such as diabetic ulcers, venous stasis ulcers, pressure ulcers, traumatic wounds, incisional wounds and amputations.  We have a wide variety of dressing options that are pain free and waterproof.  We also use modalities like electrical stimulation, light therapy and the HIVAMAT to treat wounds.

EMPLOYMENT TESTING AND THERAPY

The Physical Capacity Profile is a test offered as support for local employers.  The test is used to determine the strength and functional abilities of a potential new employee.  This baseline is then measured against the physical duties associated with a specific job to determine safety for that person.   The same test can also be used to determine if an employee is fit to return to work following an injury.

We offer employers our treatment to aid in their employee’s recovery from a work related injury.  Research has shown that a faster return to work will decrease the stress and hopelessness felt by an injured employee.  Research also has shown that if prolonging the return to work is greater than 12 weeks it is more likely that employee may not return to work.  We want to improve the improve the performance of your business by offering our therapy services which allow you to have your employees return to work in a timely fashion.

OCCUPATIONAL THERAPY

An Occupational Therapist specializes in evaluation and treatment of various diagnoses that limit functional independence. We treat patients with injuries, illnesses, and disabilities through the therapeutic use of everyday activities. We can help you develop, recover and improve those skills needed to return to your work, sporting, and daily activities by:

  • Creating a customized treatment program designed to improve your ability to carry out every day activities.
  • Evaluating your home and job environments and recommending adaptations to ensure safe living and working environments.
  • Providing assessment and treatment options to improve your overall performance.
  • Recommending and training in the use of adaptive equipment.
  • Providing guidance and recommendations to health care professionals, family, caregivers and employers.

Our staff at CMCI is comprised of one occupational therapist:

  • Callie Krajewski

Once a doctor's order has been received, the Occupational Therapist will complete a comprehensive evaluation of:

  • Range of motion
  • Strength
  • Sensation
  • Coordination
  • Pain
  • Swelling
  • Functional postures and body mechanics

A unique, individualized treatment program is will be established, which may include:

  • Range of motion exercises
  • Strengthening exercises
  • Exercises, massage and or use of modalities to decrease pain and swelling
  • Splinting to support your injury
  • Workstation assessment/ job site evaluations
  • Functional ergonomics
  • Education regarding injury, illness and/or disability

WOMEN'S HEALTH

Our goal is to educate and retrain your muscles to allow you to live free from worry, pain or embarrasment. At our facility we can treat:

  • Stress Urinary Incontinence
  • Urge Urinary incontinence
  • Nocturnal Enuresis
  • Mixed Urinary Incontinence
  • Organ prolapsed
  • Constipation
  • Fecal Incontinence
  • Pregnancy
  • Pelvic pain
  • Coccyx pain
  • Pudendal Nerve Dysfunction

We treat using Biofeedback internal or external device used to retrain muscles. Manual Therapy of myofacial release, trigger point release, and STM for decreased muscle tension or scaring.

Ultrasound

Exercise for strength or stretching

*Throughout course of treatment, patients will recieve education and or treatment with diet, posture, toileting habits and skin care as necessary.

 

SPEECH LANGUAGE PATHOLOGY

Speech Language Pathology Services provided include evaluation and treatment for a variety of speech, language, cognitive-communication and swallowing disorders for both adults and children. Speech-language pathologists evaluate, educate and train patients and families to learn new ways to communicate following stroke or other neurological disorders. Common communication disorders treated include:

Asphasia, Apraxia, Dysarthria & Dysfluency (Stuttering)

Cognitive Therapy: Cognitive training helps improve each patient’s attention and concentration. We strive to assist patients and families to learn compensatory strategies and new ways to cope/manage memory loss.

Cognitive problems treated including: attention, concentration, visual perception, reasoning, & problem-solving. Conditions associated with these problems are: anoxia, cerebral vascular accident, Alzheimer’s disease, head injury & progressive neurological disease.

Other services available include: electro larynx training and swallowing exercises.

Progressive neurological disorders: typically include management of diet, liquid consistency, food texture recommendations, swallow management and compensatory swallowing techniques, as necessary.

Recommendations on diet, food choice and texture post-operative laryngectomy for laryngectomy patients, we also provide voice rehabilitation.

Individualized care for adult & pediatric patients: including inpatient and outpatient services for adult and pediatric patients.

Swallowing disorders: Early evaluation and treatment of swallowing problems can prevent upper respiratory congestion and/or pneumonia. Speech-language pathologists work closely with radiologists to evaluate swallowing using modified barium swallow studies to help determine the level of severity of a swallowing problem which could result from a stroke, surgery, or GERD (gastro-esophageal reflux).

 Speech therapy assessment & intervention focuses on the following:
  • Discovering your child’s strengths & weaknesses in the area of communication
  • Understanding your family’s concerns
  • Standardized & informal evaluation tools (test) determine what types of communication problems exist
  • Developing a treatment plan to improve your child’s ability to communicate
  • Therapy activities may include the use of pictures, books, toys & computer programs while modeling & eliciting improved communication skills
Feeding & Swallowing:

Some children may exhibit difficulty feeding & /or swallowing. Signs & symptoms that may indicate a need for therapy include:

  • Coughing & gaging during feeding
  •  Difficulty coordinating breathing with drinking or eating
  •  Hoarse or breathy voice quality
  •  Excessive drooling, loss of food/liquid from the mouth
  •  Prolonged meal time (greater than 30 minutes)
  •  Avoidance of food textures
  •  Problems chewing
  •  Frequent pneumonia or respiratory infections
  •  Frequent spitting up
  •  Arching or stiffening body during feeding
  •  Failure to gain weight
  •  Difficulty transitioning from bottle to food
  •  Transition from tube-feeding to oral feeds
Feeding & Swallowing Therapy
  •  Oral motor strengthening & range of motion
  •  Chewing & biting skill development
  •  Cup drinking
  •  Oral motor stimulation & desensitization
  • Oral sensory skills positioning changes
  • Alteration of mealtime schedule
  • Utensil & /or bottle modifications
  • Assessing the safety of swallow
Diagnoses which may benefit from a Speech Evaluation:
  • Autism Spectrum/Pragmatic Language Disorders
  • Articulation Apraxia / Dyspraxia
  • Phonological Disorders
  • Cognitive Communication
  • Language, Learning, Literacy Disorders
  • Oral-Motor Disorders
  • Fluency Disorders / Stuttering
  • Central Auditory Processing Disorders
  • Myofunctional (Tongue Thrust) Disorders
  • Voice Disorders
  • Hearing Impaired / Post-Cochlear