Manual Therapy
All of our clinicians have a strong manual therapy background. Keith has completed well-over 150 hours of continuing education specifically related toward manual evaluation & treatment of the spine, pelvis, and upper & lower extremities; lymphatic system, and vestibular system. Techniques performed in our clinics include:
Muscle Energy Techniques Manual Traction
Classical Joint Mobilizations & ROM
Myofascial Release Strain Counterstrain
Positional Release
Craniosacral Therapy
Strengthening
Our strengthening is focused on functional movement patterns, improving proprioception, and integration of the spine & extremities. Extremity strengthening is done through a combination of free weights, pulleys, closed chain exercises with body weight, ploymetrics, and manual therapy (PNF, or Proprioceptive Neuromuscular Facilitation). Spinal strengthening is accomplished through the use of “core” strengthening with exercise balls, pulleys, and Pilates & Yoga activities.
Work Conditioning
Workers have very specific needs to meet their job requirements. Once the worker’s injuries are stabilized, work conditioning is designed to return the client to the workforce, ready to meet their full duties so that they can safely return to full duties at their workplace. It combines aerobic conditioning; core & general strengthening; material handling tasks such as lifting, pushing, pulling, and carrying; and other specifically-designed activities to simulate the client’s workplace needs.
Functional Capacities Evaluation (FCE)
Achieve Physical Therapy’s goal is to return injured workers to the workforce whenever possible. An experienced clinician will take a pro-active approach to determining each client’s functional capabilities within which the client will be able to safely participate when returning to the workforce. Providing this information assists Vocational Rehabilitation Counselors in finding job options for injured workers to return, as active members, to the workforce. We can do a Single-Day or Extended FCE, which is done over the course of 1-2 weeks.
Vestibular Rehabilitation & Fall Prevention
Our clinicians will assess clients for the underlying reason(s) why he or she is falling, having “Vertigo,” or having episodes of imbalance. If the underlying reasons include deficits in strength, joint mobility, proprioception, or vestibular dysfunction, we will develop a treatment plan appropriate for that particular client’s needs. If other factors are discovered, we will make appropriate recommendations for referral to a specialist.
Benign Paroxysmal Positional Vertigo (BPPV) is a condition in which free-floating particles in the inner ear stimulate the cupula of the inner ear, resulting in debilitating dizziness and sensation of spinning or tumbling. The Epley Manuever and other manual techniques, reposition the particles and has been shown to resolve the vertigo in 90-95% of clients, often in 1-2 visits.
Adaptation and Habituation techniques allow clients to manage any symptoms of dizziness or imbalance resulting from a wide variety of causes, such as dysfunctional eye movement, lingering effects from inner ear infection, lingering symptoms associated with BPPV, and many other causes.