Our physiotherapy assessments look at how a client moves after suffering a neurological illness or injury and aims to restore normal efficient patterns of movement to the greatest extent possible. This involves the assessment of tone, sensation, motor control, postural control, coordination, in addition to functional activities such as transfers, walking, stair climbing and higher level physical activities (as appropriate).
Based on our assessment findings, and the goals of the client, goals are set and treatment recommendations are made.
We provide assessments and treatment at our clinic in Waterloo, or when it is in the best interest of client care, we are able to see clients in their home or other community environments that facilitate our functional approach.
There is no waiting list for services. We are able to see clients daily, if required.
After an acquired brain injury or neurological illness, occupational therapy assessments and treatments are designed to improve the client’s ability to perform their activities of daily living. These could include activities within the home, the workplace or the community.
Occupational therapy assessment focuses on “the whole person”, looking at how the different types of impairments the client is experiencing (eg. physical, cognitive, visual, and emotional) are impacting on their functional abilities. The occupational therapist will review the client’s roles and normal functional activities. An assessment of the home environment or work site may also be beneficial in order to provide recommendations to improve the client’s ability to function in those environments.
We also complete a wide variety of assessments and reports required for insurance including auto insurance, WSIB and disability insurance. For more information on these assessments please visit our Assessments Page here.
All treatment strategies are designed to address difficulties the client is having with functional activities, with the overall goal being to maximize the client’s independence with daily activities. Some areas of intervention are addressed below.
Acquired Brain Injury Treatment focus on clients cognitive/perceptual and physical impairments and the related impact on functional activities. Occupational therapy treatment for clients with an Acquired Brain Injury may focus on treatment of impairments, as well as recommending equipment strategies to improve the clients function and collaboration with the family and other care providers.
Functional Retraining Programs are based on functional problems identified in the occupational therapy assessment. The occupational therapist will work with the client and their caregivers, strategies to increase independence with functional tasks such as dressing, bathing and meal preparation. Homemaking retraining programs may also be warranted in which education and training are provided regarding pacing, work simplification, proper body mechanics and use of assistive devices (if necessary), to facilitate return to pre-accident homemaking activities. Occupational therapists can also work with clients to help facilitate return to community activities, leisure pursuits and caregiving tasks.
Return to Work Programs are developed in collaboration with the client, the employer and other treating health professionals, a graduated return to work program is devised. Implementation of the program may involve providing job coaching and equipment recommendations. The occupational therapist will maintain client/employer contact throughout the program and will make revisions as necessary for a successful outcome. Occupational therapists can also see clients for treatment in the home or our clinic to help improve their level of functioning with the goal of preparing for a return to work.
Our kinesiologists provide treatment which promotes improvement in or maintenance of functional abilities. Our experienced kinesiologists understand the physical impairments associated with neurological conditions and are able to develop exercise programs appropriate for the client. Our kins also provide hands on treatment as needed to promote normal movement patterns. They often work closely with our physiotherapists. Treatment will be individualized for the client but may include training for improved cardiovascular fitness, balance, strength and flexibility. Sessions may also focus on taking the goals/improvements made by the client and applies them to the client’s functional activities which are practical to their lives. Kinesiology treatment may be provided in the home, clinic or community setting including gym and pool programs.
Treatment by a registered massage therapist can have numerous benefits as part of a rehabilitation program for clients with neurological conditions. Our registered massage therapist has experience working with clients with neurological injuries such as spinal cord injury, brain injury and stroke. Treatment and positioning can be adapted as required for clients with mobility problems. Massage can be beneficial for the areas affected directly by the neurological impairment as well as for other parts of the body which may be compensating for the weaker areas.
Massage therapy can assist with:
- Reducing or eliminating pain.
- Improving joint mobility and muscle length
- Reducing muscular tension.
- Mobilizing adhesions and scar tissue.
- Improving circulation.
- Improving lymphatic drainage.