As part of the continuum of care at Cottage Health, Keck Center for Outpatient Services offers a wide array of outpatient therapy programs.
A physician referral is required for all of the programs listed here.
Pelvic Rehabilitation Program
The Keck Center for Outpatient Services has physical therapists with specialized training to assess and treat patients with pelvic floor dysfunction.
Patients With the Following Conditions are Appropriate:
- Urinary urgency/frequency
- Bladder related pelvic pain
- Chronic Pelvic Pain Syndrome
- Chronic Prostatitis
- Vulvodynia / Vestibulodynia
- Chronic Constipation
- Losing gas or stool beyond your control
- Pelvic Organ Prolapse
- Pre and Post-prostatectomy urinary incontinence and/or pain
- Pain with sexual activity
- Pain with sitting
- Daytime or night time urinary incontinence after age 5
- Losing stool beyond his or her control
Treatment May Include:
- Patient education to put you more in control of your body
- Therapeutic Exercise for Muscle / Movement Re-education / also for pain management
- EMG Biofeedback and/or Electrical Stimulation for muscle re-education / also for pain management
- Mindfulness Techniques to reduce muscle tension and pain
- Manual Therapy Techniques such as: Myofascial Mobilization and Strain Counterstrain
LSVT LOUD® is an outpatient treatment program designed to improve the speech of persons with Parkinson’s disease and other neurological conditions. Treatment is administered in 16 sessions over a four-week period, by speech-language pathologists certified in the technique.
Participation in a speech therapy evaluation requires a referral from your physician sent to the outpatient office at fax # (805) 687-5627.
LSVT BIG is a treatment specific for people with Parkinson’s Disease. It specifically addresses the unique movement impairments of people with Parkinson’s.
This exercise program is intensive and customized to each patient. As a result, it has been shown to improve walking, balance, and quality of life.
The Keck Center for Outpatient Services is fortunate to have Physical Therapists who are certified to provide this unique treatment.
Keck Center for Outpatient Services is proud to offer physical therapy services to facilitate recovery from a wide variety of vestibular disorders.
The physical therapist has extensive training and is a credentialed clinician recognized by the American Physical Therapy Association for the delivery of Vestibular Rehabilitation.
Patients with the Following Diagnoses are Appropriate:
- Acute or chronic symptoms of vertigo or dizziness
- Benign Paroxysmal Positional Vertigo (BPPV)
- Bilateral vestibular loss due to ototoxicity
- CNS disorders leading to motion sensitivity/dizziness (stroke, MS, TBI)
- Whiplash associated dizziness/Cervicogenic dizziness
- Mal De Debarquement Syndrome
Treatment May Include:
- Canalith Repositioning Procedure for BPPV
- Habituation for motion sensitivity
- Adaptation exercises for gaze stability
- Balance exercises to improve postural control and decrease fall risk
- Gait training
Specialized Wheelchair & Seating Evaluations
Keck Center physical therapists have advanced training and experience in performing wheelchair and seating evaluations for individuals who are unable to walk as their primary means of getting around the home and community.
What to Expect on Your First Visit?
- A comprehensive physical therapy evaluation of strength, range of motion, posture, balance and the ability to transfer and perform bed mobility.
- Evaluation of current equipment
- Pressure mapping if indicated
- When possible, the patient’s vendor of choice is present for the second half of the appointment to provide guidance for determining specific equipment recommendations.
- Completing the assessment process may take up to 3 visits.
- When Medicare is the primary insurance:
- Specialized power wheelchairs are reserved for the severely impaired patient with neurological diagnoses such as:
- Amyotrophic Lateral Sclerosis (ALS)
- Spinal cord injuries resulting in quadriplegia
- Stroke (CVA) with hemiplegia (depending on severity)
- Late stage Parkinson's
- Late stage Multiple Sclerosis (MS)
- Cerebral palsy
- Muscular Dystrophy
- Medicare will not pay for power scooters or power wheelchairs that will only be used for outside the home.
- Other insurances may vary in their coverage criteria.
Please Note: A physician’s referral and a valid driver’s license or current permit from the Department of Motor Vehicles are required for participation in the program.
The Adaptive Driving Program is for anyone who is concerned about their ability to drive due to a health-related condition. Cottage Rehabilitation Hospital provides an objective assessment of an individual’s driving capabilities.
Handling a motor vehicle and the need for training or specialized equipment are assessed, and a comprehensive report is provided to the referring physician.
Pre-Driving & Behind the Wheel Evaluations are Available.
A licensed Occupational Therapist provides instruction in the use of adaptive equipment and compensatory driving techniques. Instruction may also include the loading and unloading of a wheelchair.
If additional practice is recommended, a referral can be made to a Certified Driving Instructor who addresses basic vehicle operation, road skills, and driving laws. Correction of poor driving habits is emphasized.
CRH’s evaluation is conducted in a dualcontrol vehicle which can be fitted with adaptive equipment, such as hand controls, steering devices and extended mirrors. CRH will provide you with specific equipment recommendations at your request.
Psychologists help individuals face challenges that catastrophic illness and injury pose for patients and families. In cooperation with your other team members, psychologists may be involved in your care to help you and your family regain the sense of mastery, which is central to a successful rehabilitation outcome.
The psychologist may employ formal or informal testing to help you and other therapy team members better understand some of the changes in thinking and coping skills that may have occurred because of illness or injury. They may also assist you in thinking through various lifestyle changes as a result of disability.