Pathways Therapy provides both physiotherapy and occupational therapy to clients who have acquired brain injuries and neurological conditions. We offer assessment and treatment of clients as well as reports, treatment plans and other documentation as required.
- Brain injuries following motor vehicle accidents
- Spinal cord injury
- Neuro-muscular conditions
- Multiple Sclerosis
- Parkinson’s Disease
Our physiotherapy assessments analyze client movement patterns. This may involve assessment of tone, sensation, motor control, postural control, coordination, transfers, walking, stair climbing and higher level physical activities (as appropriate).
Based on our findings, goals are set and treatment recommendations are made, aimed at reducing functional limitations. Our functional approach is facilitated by seeing clients in their home or other community environment.
There is no waiting list for services. We are able to see clients daily, if required.
Clients with neurological and catastrophic injuries may require active occupational therapy treatment. Our occupational therapy ABI assessment includes administration of standardized and non-standardized assessments to identify cognitive and perceptual impairments.
- Physical status is assessed, in particular upper extremity motor control, postural control and transfers.
- A functional assessment is carried out to determine the individual’s ability to perform their previous activities including personal care, homemaking, community, leisure, school and work activities.
Based on the assessment findings, appropriate recommendations are made regarding the need for: occupational therapy intervention, attendant care and homemaking assistance and equipment or renovations. Treatment components may include
- retraining of motor control in the arm and hand for clients with decreased upper limb function
- retraining of cognitive- perceptual functions and training in the use of compensatory strategies for cognitive functions which are not amenable to, or are not responding to treatment.
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.
Initial Needs Assessments are performed while clients are still hospitalized and aim to facilitate a safe transition home. Through contact with the client, the family and the treating health practitioners, the client’s initial discharge needs are determined including any equipment and attendant care needs.
Acquired Brain Injury Assessments focus on clients cognitive/perceptual and physical impairments and the related impact on functional activities. Recommendations are provided related to the client’s equipment needs, need for attendant care or homemaking assistance, safety issues and the need for occupational therapy intervention.
Environmental Assessments consider the client home environment in order to make recommendations regarding equipment needs and/or renovations required for safety and independence.
Attendant Care Needs Assessments include the completion of Attendant Care Needs Forms (Form 1). This follows interviews with the client and caregivers and the completion of an occupational therapy assessment to determine client functional status and care needs.
Home Functional Assessments consider clients’ pre-accident status and their current ability to perform self-care, homemaking and care-giving tasks.They are based on observation of performance in the home after which recommendations are made regarding equipment needs, the need for further occupational therapy and the need for homemaking assistance.
Functional Retraining Programs are based on functional problems identified in the occupational therapy assessment. The occupational therapist will teach 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.
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.
Job Site Analysis includes employer client interviews, thorough observation of the work area and a review of essential job tasks. This results in a physical demands analysis to provide objective measurements of job demands. Comments may be made about our client’s current ability to perform the job and recommendations will be made regarding steps that should be taken to facilitate a timely and successful return to work.