Therapy Services

Two image collage of person using a walker in a rehab room and patient Bob Nugent using another piece of equipment with physical therapist Maria looking on.

Therapy Services

Whether you are a young person trying to return to sports following an injury or a person just wanting to get back to normal everyday activities, our therapy team can meet your needs. We have 8 physical therapists, 2 physical therapy assistants, 3 occupational therapists, 1 certified occupational therapy assistant and 2 licensed athletic trainers here to serve your orthopaedic needs. Our therapists work with physicians not only here in Richland Center but specialists from other communities in the area.

Physical Therapists assist patients of all ages in regaining joint range of motion, strength, balance and coordination, pain reduction, restoring function, gait, wound care and
strength training.

Occupational Therapists assist patients of all ages in restoring skills for the job of living. We help patients gain independence in all facets of life by working on tasks of daily living and the work environment.

Athletic Trainers provide on-site coverage at area high school sporting events to evaluate and initiate immediate medical care in case of an injury. They rehabilitate athletes following an injury, they work with athletes and coaches on programs to prevent injuries, they assist athletes in obtaining proper bracing or equipment to minimize risk for another injury. The athletic trainers evaluate concussions and work within our concussion clinic and work closely with the orthopaedic surgeon in retuning an athlete to his/her sport.

The therapists use manual muscle testing to assess each patient, comparing the involved side to the non-involved side. This helps to gage range of motion, flexibility and strength
to help create the best rehabilitation plan for you.

Prevention is another way we assist patients from obtaining further injury. Educating patients during physical therapy and teaching them safe and proper use of assistive devices helps reduce the likelihood of new or repeat injury. We also work closely with patients to teach them how to best protect their joints during activity to avoid new injuries.

From a sprained ankle to a hip replacement or any orthopaedic injury The Frank F Mohr Therapy Center staff can get you back to doing what you love to do.

Read Patient Story

Read story Richland Hospital Director of Rehab Honored

 


Cardiac Rehab – Improving Quality of Life for People with Heart/Lung Disease

Cardiac & Pulmonary Rehabilitation Program Phase I, Phase II, Phase III (Get Up & Go) & Pulmonary Rehab

Cardiac Rehabilitation at Richland Hospital is a comprehensive, three-phase program designed to assist heart patients with their recovery from a heart attack, heart surgery or other heart related procedures. The purpose of the program is to improve the quality of life and restore the heart patient to his/her optimal physical, psychological, occupational, social and recreational status.

Benefits include: Increased cardiovascular efficiency and improved physical endurance through safe, supervised exercise; Increased awareness of coronary disease, its causes, prevention and treatment; Development of a positive approach to the rehabilitation process, both emotionally and physically. Read more on the Cardiac Rehab page.

 


Lymphedema & Venous Edema Management

What is Lymphedema?

Persons suffering from Lymphedema experience chronic swelling due to permanent obstruction of pathways that carry lymph fluid from a particular area of the body.

What can cause it?

  • During a mastectomy or prostate surgery sometimes lymph nodes are surgically removed
  • Some are born with the defect of having too few or impaired lymphatics or lymph nodes
  • Trauma, surgery or radiation can sometimes cause destruction of extensive lymphatic pathways

Not everyone who has had the above health problems develops Lymphedema. In fact, 75% of those who have an impaired or damaged lymph system will not develop Lymphedema. The current pathways may be sufficient for most young people who are post mastectomy, trauma, surgery, etc. Older people are at greater risk of development of Lymphedema due to physiological changes that occur with aging.

Can it be cured?

Currently, there is not a cure for Lymphedema. With early intervention, therapy, and self-management; it can be reduced and controlled.

When does it develop?

Sometimes a new trauma or injury to an extremity triggers a Lymphedema. Some examples include: injuries, infections, rashes, insect bites, overuse of muscles, sunburn and air travel. When the body sends extra healing fluid to the area, it can overload the lymphatic system which in turn can cause a slowing in the movement of lymph fluid out of the area. As the lymph fluid and tissue waste products collect; the extremity swells and hardens. The bacteria in the fluids can then multiply making it easier for infection to spread rapidly.

Lymphedema treatment at Richland Hospital

Jane Mueller, OTR at the Richland Hospital operates a treatment program that is based on the patient’s needs. Each individually specified program can include specialized gentle massage to remove and reroute fluid, exercise programs, pneumatic pump, compression bandages and/or sleeves, skin care, activity of daily living adaptations (if needed), special sessions in precautions and life long self management plus attention to any other related physical needs. Those who have very mild swelling that goes up and down can benefit from learning self management techniques from Jane Mueller, OTR.

Precautions can help to deter Lymphedema

Prevent overloading existing lymphatic pathways by avoiding the following:

  • Over-use of affected extremity
  • Alcohol based lotions and/or harsh deodorants that could lead to skin irritation or breakdown
  • Needle sticks in involved extremity
  • Blood pressure taken in involved extremity
  • Hot tubs
  • Insect bites

Thumbnail image of Understanding Lymphedema brochure

View downloadable brochure Understanding Lymphedema

 


Occupational Therapy

  • Arthritis Care
  • Assess & Instruct in Adaptive Equipment
  • Energy Conservation Programs
  • Geriatric Rehabilitation
  • Hand Splinting
  • Hand Therapy
  • Injury Prevention Programs
  • Lymphedema
  • Neurologic Rehabilitation
  • Orthopedic and Sports Medicine
  • School Based Occupational Therapy
  • Work Modification & Simplification

 


Physical Therapy

  • Aquatic Instruction
  • Arthritis Care
  • Back Stabilization Program
  • Click Below to See Entire List
  • Body Mechanics
  • Body Mechanics Training
  • Cardiac and Pulmonary Outpatient Programs
  • Educational Programs
  • Home Assessments
  • Home Exercise Programs
  • Injury Prevention Programs
  • Manual Therapy
  • Neurologic Rehabilitation
  • Neuromuscular Care
  • Outpatient Orthopedic & Sports Medicine Program
  • Post-Operative Care
  • Postural Concerns and Treatment
  • Teaching how to walk with crutches
  • Pre-Natal Exercise Programs
  • Preseason Physical Screens
  • Prosthetic Training
  • School Based Physical Therapy
  • Therapeutic Modalities
  • Urinary Incontinence & Pelvic Dysfunction
  • Wellness Programs
  • Wheel Chair Assessment
  • Women’s Health
  • Wound Care

 


Pelvic Pain and Urinary Incontinence

Urinary Incontinence

Women of all ages can suffer from urinary incontinence. This condition can affect a woman’s quality of life and interfere with daily activities. The good news is, often urinary incontinence can be improved through the intervention of physical therapy.

The Richland Hospital’s Physical Therapy Department offers an individualized approach and private, personal care to women who suffer from urinary incontinence.

Types of Incontinence

Stress Incontinence is leakage with activity, for example:

  • Lifting
  • Coughing
  • Laughing
  • Sneezing
  • Climbing Stairs
  • Standing Up

Urge Incontinence is a strong desire to urinate, even when the bladder is not full.

Physical Therapy as treatment for Urinary Incontinence

After an evaluation, your therapist will create an individualized home program and provide you with educational materials to assist in learning how to control your symptoms.

A typical course of treatment could be 3-8 sessions spaced over a 3-10 week period. At each session, progress would be assessed and adjustments would be made in the home program as necessary.

Treatment options could include:

  • Therapeutic Exercises – Performing exercises to strengthen the pelvic floor muscles. Learning to relax the pelvic floor muscles allows for complete bladder emptying, reducing the sensation of urgency.
  • Bladder Training – Methods to decrease urgency and regulate voiding intervals.
  • Physical Agents – Specialized muscle re-education devices may be used to assist in gaining control of the pelvic floor.

Pelvic Pain

Chronic pelvic pain can be a distressing problem for women. Symptoms may include:

  • Pain in the lower back
  • Pain in the lower abdomen
  • Pain in the tailbone
  • Pain in the perineal area
  • Incontinence
  • Constipation

The pain’s origination could be the result of:

  • Difficult childbirth
  • Pelvic muscle imbalance or spasm
  • A fall
  • A fracture of the tailbone
  • Previous surgery
  • Other trauma

Treatment for Pelvic Pain

Modalities used to relax tight muscles, restore joint mobility through the use of heat, massage and muscle re-education techniques.

Exercises ‐ Stretching and/or strengthening exercises can be performed to restore normal muscle length and tone as well as gain balanced muscle strength. Postural exercise and instruction will be used in your treatment. Following the exercise program at home is important.

Education is also a very important ingredient in your success. Therefore, materials and resources are made available to you to improve your understanding of the condition and what can be done for it.

Private, Personal, Professional Care

Following an examination by your physician, you may be referred to Physical Therapy. There the therapist will do an evaluation which will include patient’s history and a physical examination, which may include an internal examination.

Your physical therapist, specially trained in this area of medicine, will then use your evaluation to determine the best treatment for you based on the Section of Women’s Health of the American Physical Therapy Association.

Making an Appointment

A referral from your physician, physician’s assistant, or nurse practitioner is needed. Then contact the Richland Hospital’s Therapy Department and schedule an appointment with Maureen Smith, PT.

Maureen Smith, PT
(608) 647-6321

The Richland Hospital, Inc.
Therapy Department
333 East Second Street
Richland Center, WI 53581

 


Pulmonary Rehab

Pulmonary Rehabilitation at Richland Hospital is designed to assist in the treatment of patients with chronic respiratory problems. The purpose of the program is to improve the quality of life of the lung patients and to enhance their overall physical, psychological, occupational, social and recreational status.

Benefits include helping patients:

  • Improve their physical capabilities
  • Understand the nature of their respiratory disease
  • Cope with the disease
  • Develop a positive self-image

Participants engage in a monitored program of exercise therapy three times per week. Education and group support sessions are held on a weekly basis before or after class. Classes aid patients in understanding their lung disease and making positive lifestyle choices. Topics include:

  • Anatomy and physiology of the lungs
  • Proper breathing techniques
  • Proper usage of medications
  • Exercise principles
  • Stress reduction
  • Diet modification

Participants usually attend the monitored pulmonary rehabilitation program for approximately six to twelve weeks. Following this program, they may continue their exercise regimen in the Phase III Maintenance program.

 


Speech Therapy Services

Richland Hospital’s speech pathologists evaluate and treat patients of all ages, pediatric through geriatric. All services are provided within the guidelines of the American Speech and Hearing Association (ASHA) and the Wisconsin Department of Regulation and Licensing. The speech pathologists are trained to provide prevention, screening, consultation, assessment, and treatment for disorders of:

Adult:

  • Aphasia
  • Voice disorders
  • Stuttering
  • Swallowing disorders
  • Cognitive difficulties (including memory)
  • Dysarthria
  • LSVT LOUD®

Pediatric:

  • Expressive Language
  • Articulation disorders
  • Receptive Language
  • Stuttering
  • Social difficulties (ex. Autism)
  • Voice disorders
  • Swallowing disorders


Jackie Rhoades, MS CCC-SLP

The Richland Hospital is happy to offer a new treatment program for individuals with Parkinson disease (PD) and other neurological conditions. Richland Hospital Speech Pathologist, Jackie Rhoades, MS CCC-SLP has received specialized training and earned certification in LSVT LOUD®.

What is LSVT LOUD®?

LSVT LOUD® is a speech program focused on a single goal “speak LOUD!” The program improves patient’s vocal loudness by stimulating the muscles of the voice box (larynx) and speech mechanism through the repetition of specific exercises. The treatment does not train people for shouting or yelling; rather, LSVT LOUD uses loudness training to bring the voice to an improved, healthy vocal loudness with no strain. Patients who have participated in this program have reported improvement in their ability to communicate.

Treatment is administered in 16 sessions over a single month (four individual 60 minute sessions per week). This intensive schedule supports motor learning, skill development, and helps the nervous system adjust and change in response to signals.

The treatment not only stimulates the motor system but also incorporates sensory awareness training to help individuals with PD recognize that their voice is too soft, convincing them that the louder voice is within normal limits, and making them comfortable with their new, louder voice. Patients are trained to self-generate the adequate amount of loudness to make their speech understood.

While LSVT LOUD has been successfully administered to individuals in all stages of PD, the treatment has been most effective among those who are in early or middle stages of the condition. Recently, LSVT LOUD has been applied to select individuals with stroke, multiple sclerosis, Down syndrome, and cerebral palsy with positive outcomes as well.

To learn more about LSVT LOUD at the Richland Hospital, contact our Therapy Department at 608-647-6321, extension 2401.

A physician’s order is needed for speech pathology services.

Visit us on FacebookVisit us on PinterestVisit us on TwitterVisit us on YouTubeVisit us on Linkedin