Occupational Therapy

Adult Disorders   Pediatric Disorders   Specific Programs

Occupational therapists assist children and adults with health conditions that affect their ability to manage their daily lives. Many individuals can achieve or regain a higher level of independence with this intervention. When skill and strength cannot be developed or improved, occupational therapy offers creative solutions and alternatives to carrying out daily activities.

The Continuum's occupational therapists are highly skilled in helping individuals achieve independence in all facets of their lives. The goal is to assess the needs of the client and develop customized programs in coordination with the client and family. In addition to their general knowledge and skills, they have developed specialty programs in pre-skills driving assessment, sensory integration, home safety assessments, craniosacral and myofascial therapy. (see Specific Programs for details).

Our occupational therapists have strong background and training in human growth and development with specific emphasis on the social, emotional, and physiological effects of illness and injury. The programs span all ages and when indicated they work as a team with the other therapies, physicians, and family/caregivers. In more complex cases they may co-treat with a speech-language pathologist.

EVALUATION AND TREATMENT FOR ADULTS

Diagnoses:

  • ADD (Attention Deficit Disorder)
  • ALS (Lou Gherig's Disease)
  • Amputees
  • Alzheimer's Disease
  • Arthritis
  • Cerebral Palsy
  • COPD (Chronic Obstructive Pulmonary Disease)
  • Dementia
  • Fibromyalgia
  • Guillen-Barre Syndrome
  • Hypoxia
  • Injuries
  • Multiple Sclerosis
  • Parkinson's Disease
  • Strokes (brain attack)
  • Traumatic Brain Injury
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PEDIATRIC POPULATION WHO WOULD BENEFIT FROM OUR PROGRAMS

Diagnoses:

  • Autism/Asperger's/PDD
  • Apraxia
  • Brain Injuries
  • Birth Injuries
  • Cerebral Palsy
  • Developmental Disabilities
  • Fetal Alcohol Syndrome
  • Feeding Problems
  • Learning Problems
  • Muscular Dystrophy
  • Tumors
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Treatment Approaches Include: SPECIFIC PROGRAMS

CranioSacral Therapy

CranioSacral Therapy strengthens the body's ability to take better care of you. It helps alleviate a range of illness, pain and dysfunction, including:
  • Migraines and Headaches
  • Chronic Neck and Back Pain
  • Motor-Coordination Impairments
  • Stress and Tension-Related Problems
  • Infantile Disorders
  • Traumatic Brain and Spinal cord Injuries
  • Chronic Fatigue
  • Scoliosis
  • Central Nervous System Disorders
  • Temporomandibular Joint Syndrome TMJ
  • Post-Traumatic Stress Disorder
  • Orthopedic Problems
  • And many other conditions
CranioSacral therapy is performed on a person fully clothed. Using a light touch, the occupational therapist (who has received advanced training in this specific procedure), monitors the rhythm of the craniosacral system to detect potential restrictions and imbalances. The therapist then uses delicate manual techniques to release those problem areas and relieve undue pressure on the brain and spinal cord. A session can last from about 15 minutes to more than an hour, and the initial evaluation alone is often enough to correct a problem. The result is a central nervous system free of restrictions and a body that is able to return to its greatest levels of performance.

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Home Safety Evaluations, Education and Training

Most people prefer to remain in their own homes despite injuries, illnesses, diseases or general debilities that limit functional abilities and threaten independence.

The Continuum's occupational therapists specialize in:
  • Assessment of the client's abilities (and limitations) to perform daily activities
  • Assessment of the physical living environment
  • Determining special circumstances that are potential hazards to a safe environment
  • Assessment of the family and/or caregiver's duties
  • Training and educating the client and or family/caregiver in proper body mechanics and use of special equipment.
  • Recommendations for modifications to enhance safety and functional Activities.
  • Coordinate these recommendations with the Mod Squad (see Home Safety)
  • Community Referrals (when indicated).
  • Follow-up contact to determine value and satisfaction.
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Pre-Driving Assessment and Training Program

Driving is the key to independence for individuals in their daily activities, social networking and access to resources. Losing the ability to drive may upset a person's balance of life, work, home and leisure, with a possible psychological and emotional decline. When a person is faced with a decline in function, both physically and cognitively, driving can become unsafe.

Our goal at The Continuum is to help people maintain independence and safety as they age or are faced with a disability.

A pre-driving skills evaluation can determine whether a person should continue to drive and identify possible problem areas that include:
  • Visual acuity and visual-perceptual skills
  • Hearing
  • Strength, range of motion and balance
  • Sensation and coordination
  • Cognition and reaction time
  • Driving knowledge and safety awareness
Warning Signs:
  • Incorrect signaling
  • Trouble navigating turns
  • Moving into a wrong lane or driving the wrong way down streets
  • Confusion at exits
  • Hitting curbs
  • Driving at inappropriate speeds (too fast or too slow)
  • Delayed responses to unexpected or dangerous situation
  • Scrapes or dents on car, garage, or mailbox
  • Increased agitation or irritation when driving/blames others for mistakes
  • Parking inappropriately
  • Frequently gets lost, even in familiar places
  • Car accidents or near misses
  • Ticketed moving violations or warnings
  • Confusing brake and gas pedals
  • Failing to observe signs, signals, or other traffic
  • Needs help or instructions from passengers
Once the problem areas have been identified the therapist develops a program to remediate or compensate for these limitations, if possible. If the results suggest driving is not a safe activity, resources and alternatives for community mobility will be explored as well as access training.

Referrals for further on the road testing or training may be recommended.

Concerned about a loved one's driving abilities? Encourage the person to complete the questionnaire. Check the box if the statement applies to you.

AM I A SAFE DRIVER?

I get lost while driving.
My friends and family members say they are worried about my driving.
Other cars seem to appear out of nowhere.
I have trouble seeing signs in time to respond to them.
Other drivers drive too fast.
Other drivers often honk at me.
Driving stresses me out.
After driving, I feel tired.
I have had more "near misses" lately.
Busy intersections bother me.
Left-hand turns make me nervous.
The glare from oncoming headlights bothers me.
My medication makes me dizzy or drowsy.
I have trouble turning the steering wheel.
I have trouble pushing down on the gas pedal or brakes.
I have trouble looking over my shoulder when I back up.
I have been stopped by the police for my driving recently.
People will no longer accept rides from me.
I don't like to drive at night.
I have more trouble parking lately.

If you have checked any of the boxes, your safety may be at risk when you drive. Contact your doctor or our occupational therapy department about ways to improve your safety when you drive.

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Sensory Integration Therapy

We are constantly receiving information about the physical status of our body and the environment around us. We are most familiar with the senses of sight, hearing, touch, taste, and smell. However there are other sensations as well. Our nervous system detects changes in movement and gravity and include:
  • Balance and movement
  • The knowledge of the position of our bodies
  • Joint and muscle position (proprioception)
When the process of sensory integration is disordered a number of problems in learning, motor development and/or behavior may occur. These problems may occur as a result of an injury, illness, or disease process. Sometimes there is no clear diagnosis. Signs of behaviors related to sensory integrative disorders:
  • Overly sensitive to touch, movements, sights or sounds.
    Distractible, avoids certain textures in clothes or foods. Sensitive to loud noises.

  • Under-reactive sensory stimulation
    Seeks out intense sensory experiences.

  • Usually high/low activity level
    Constantly on the move or may be slow to get going.

  • Coordination problems
    Difficulty in academic studies or activities of daily living despite normal or above normal intelligence.

  • Poor organization of behavior
    May be impulsive, distractible and can become frustrated resulting in aggressive or withdrawal behaviors.
Our occupational therapists can provide therapeutic activities, strategies and family education and training to integrate the senses, thus providing a more accurate perception of the client's inner and outer world. Special equipment and tools are used to help facilitate this process.

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