Conditions & Treatments
Physical Therapy Specialties
Dr. Voloshin, DPT, will personally create a customized physical therapy plan for you, designed to address the root cause of the individual issue. The result will be increased range of motion, decreased pain, improved function and an overall enhanced quality of life.
Specific treatments include:
Occupational Therapy Specialties
Yeeria Yee, (MA, OTR/L) utilizes a holistic, evidence based approach for evaluation and designs a specific treatment program for each individual. A variety of specialized treatments techniques are implemented for optimal restoration, while ensuring your ability to re-establish performance of daily living activities and return to the work environment. She works closely with surgeons or treating physicians to ensure the most favorable therapeutic outcomes for you.
Specific occupational therapy treatments include:
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Sports Physical Therapy (Prevention and Injury Rehabilitation)
In addition to rehabilitation after injury or surgery, our sports physical therapy also focuses on injury prevention and sports performance training for athletes.
We provide professional care for active people – from recreational sports individuals to elite athletes.
Our Physical Therapist will teach you how to understand the way the muscles of your body work, how to achieve peak performance, and avoid injury.
Our preventative physiotherapy interventions consist of client-specific consultations, education on warm-up routines, specific calisthenics, postural correction exercises, core and low back endurance exercises, and behavioral therapy.
Proper training and education by a physical therapist can significantly reduce sports injuries and in several cases, prevent injuries from occurring.
*Dr. Voloshin was a NCAA Division I athlete in college. He knows what it takes to perform at the highest levels and will show you how to get the same performance from your body!
Spine Injury Rehabilitation and Prevention
Our rehabilitation team works with patients in the early stages of recovery from a spinal cord injury. Our team includes a physical therapist and occupational therapist.
In the initial stage of your rehabilitation, our therapists usually put emphasis on maintaining and strengthening of existing muscle function, redeveloping motor skills as well as learning adaptive techniques to accomplish everyday tasks.
We will educate you on the effects of spine injury and how to prevent complications and also give you advice on rebuilding your life. This will help you increase your quality of life and independence.
As we teach you new skills, you will use equipment and technologies that can help you live on your own as much as possible. We encourage our patients to participate in social and fitness activities, resume their favorite hobbies, and return to their school or workplace.
Manual and Massage Therapy
Manual therapy is a very specific, hands-on approach to physical therapy. It encompasses a broad group of techniques performed by hand that are designed to restore natural movement to your body without harming your muscles or joints.
These techniques may include mobilizations or manipulations of soft tissue and skeletal joints; manual traction,;or compression bandaging.
Manual therapy has many benefits:
- Decreased pain,
- Increased range of motion
- Reduced soft tissue inflammation
- Increased movement
- Improved function
- Improved tissue repair
- Improved stability
Our therapists are highly trained professionals who understand the human body extremely well. They apply their knowledge, skills, and experience in assessing and treating patients with different types of diagnosis.
Unlike massage that is given purely for general relaxation such as at a spa, massage therapy or remedial massage therapy is provided by a qualified Physical Therapist to help heal muscle dysfunction.
Massage therapy has a number of benefits:
- Increased blood supply to a specific area of your body
- Decreased tension in your muscles and connective tissues
- Release of specific areas of spasm in your body
- Relaxation to help ease muscle tension caused by stress and anxiety
- Prepare your muscles for stretching and sports activities
- Warm and relax an area of your body before treating it with passive mobilization and manipulation.
Massage therapy often includes techniques like kneading, skin rolling, and wringing, rhythmic percussion, cupping, or plucking.
We use massage therapy as part of a treatment regimen for various conditions that include:
- Tension headaches and migraines
- Neck and low back pain
- Muscle strains and joint sprains
- Post-surgery or immobilization of a limb
- Sports injuries, etc.
Massage therapy, however, is not appropriate in cases such as over open wounds and over malignancies.
Gait, Balance, and Functional Mobility Training
Gait training helps improve your ability to stand and walk. This type of physical therapy is usually recommended by a doctor whose patient had an illness or injury that affects his/her ability to get around.
Gait training may help you gain independence in walking even if you need to use an adaptive device such as a wheelchair, crutches, or prosthetic devices.
It can help improve your balance and posture, strengthen your muscles and joints, develop your muscle memory, build your endurance, retrain your legs for repetitive motion, and lower your risk of falls as you increase your mobility.
Gait training may also help lower your risk of osteoporosis and heart disease, by increasing your physical activity and mobility.
This therapy often involves walking on a treadmill and completing muscle-strengthening activities. You may wear a harness while walking on the treadmill or while doing other exercises. In some cases, our therapist may ask you to practice stepping over objects, sitting down, standing up, lifting your legs, or doing other activities.
Balance training, as the name implies, is a type of physical therapy that can help improve your balance.
People who may be advised to undergo balance training include injured athletes, people who have fallen, patients who have had surgery, people with vertigo, patients with neurological conditions such as stroke, and older individuals who have limited functional mobility.
Our physical therapist may prescribe some balance exercises such as the single leg stance, tandem walking with a heel-to-toe pattern, walking with different head motions, and altering your visual system as you move to challenge your balance.
You may also be instructed to use special exercise equipment to help challenge your balance. These may include a wobble board, spongy pieces of foam, videos that challenge your visual system and the BAPS board.
Caution: Do not create situations that challenge your balance on your own. This could lead to falls while you are doing the exercise. You have to work closely with your physical therapist who can ensure that you do the right exercises that challenge your balance while making sure that you are safe.
Functional Mobility Training
Functional mobility is your ability to move around your environment and complete day-to-day tasks. Preparing food for yourself, getting up from a chair, or walking up the stairs are just a few examples of how functional mobility could be measured.
Individuals who do not have any injury can move around their environment freely without limitation and have no problems with completing everyday tasks. However, patients who have been immobilized for an extended period due to surgery or injury, may experience pain whenever they try to sit or walk. Other patients suffer from significantly weakened muscles and this will decrease their functional mobility.
If doing your day-to-day activities involve difficulty with mobility following an injury or if you’re experiencing dizziness, you should consult a Physical Therapist.
Our therapist will administer a series of tests the will measure your functionality to find out which part of your body may be causing the limited mobility.
They may measure your strength and range of motion as well as your posture and balance. This is done to help our therapist provide a prognosis for your specific condition, to help guide treatment, to help in goal setting for the treatment, and as a way to provide motivation for you to go through with the treatment.
The training will help increase your functional mobility and decrease your dependence on walking assistance. It will also help prevent injuries of falls by improving balance, agility, and muscle strength.
Occupational Therapy Treatment
Hand therapy is a highly specialized branch of physical and occupational therapy. It focuses on the rehabilitation of the hand and upper limbs.
Our highly trained hand therapists will assess and treat your hand, wrist, and/or your upper limb(s) to effectively reduce pain, inflammation, and scarring. Our primary goal is to get you back to doing your day-to-day tasks without pain or discomfort.
Vigor Physical Therapy and Rehabilitation offers the following Hand Therapy Treatment Programs:
We provide a high standard of specialized care to patients with traumatic hand injuries. We conduct a comprehensive assessment and use a variety of methods to achieve the best possible outcome for our patients. We see to it that these injuries are treated within an appropriate timeframe.
We fabricate splints specifically for each patient’s medical requirements:
- Static: This type of splint is used to put part or all of your elbow, wrist, and hand at rest so that the injured or diseased tissue is supported as it goes through uninterrupted healing.
- Dynamic: This splint has moving parts that stretch joints or allow controlled exercises when worn by the patient. Our hand therapist is skilled to ensure that the amount of force applied in the splint is appropriate.
- Static Progressive: This type of splint applies an adjustable force/stretch to a tight joint. The part of the splint that stretches the joint can increase the stretch incrementally as the stretch becomes easier to tolerate by the patient. The main goal of a static progressive splint is to improve motion of a stiff joint.
Wound care is for patients who have open wounds caused by trauma, pressure, vascular insufficiency, surgery, or diabetes. Physical therapy can be an adjunct treatment for wounds when standard wound care has not been successful.
Our therapists use functional therapy activities, a set of tools that incorporate functional tasks and activities in physical rehabilitation and cognitive rehabilitation to help patients become more independent. Activities can be used in a wide range of therapy settings for individuals of various disabilities and age groups.
ADL and Ergonomic Training
ADL (Activities of Daily Living) training
These activities are also called self-help or self-care activities. These include everyday tasks such as self-feeding, bathing, dressing, doing the laundry, and/or meal preparation. People who will benefit from this type of training include:
- Patients who are not as independent as the could be with self-care
- Patients who need to relearn certain skills after illness or surgery
- Patients who do not have skills at an age-appropriate level
We also provide ergonomics training to help employees and employers prevent pain, discomfort and repetitive use injuries that are common in the workplace. Our ergonomic specialists will evaluate how a work site affects the employees’ posture, body mechanics, and physical well-being. Based on the result of the evaluation, we will provide recommendations that the employer can implement to minimize unnecessary stress and strain.
After our therapists make assessments at a workplace, we may make specific recommendations such as making sure that employees use office chairs with appropriate support, desks of appropriate height, and advising employees to correct specific postural and body habits.
Pediatric Occupational Therapy
Vigor Physical Therapy and Rehabilitation also offers Pediatric rehabilitation services that focus on:
Fine Motor Skills
Fine motor skills refer to a child’s use of small hand muscles to complete tasks such as writing, drawing, manipulating buttons, zippers, or scissors. Most kids who have motor skill issues are often between two and 10-years-old. A child’s deficiency in this area is typically discovered once he/she is in school. Our therapists work with children and their families as well as school staff, using proven methods for improving fine motor skills.
Self-care skills refer to everyday tasks that allow a child to take care of his/her own body. We encourage therapeutic intervention for children who have difficulty with self-care because:
- The more they perform these tasks incorrectly, the more bad habits are reinforced.
- Age appropriate independence should be supported before these skills become a problem such as at school, camps for older children, or during sleepovers for younger children.
Some children have handwriting problems because they struggle with visual-motor skills and/or have poor hand or grip strength, which makes it difficult to correctly hold their pencil to write for a longer period of time. Sometimes, they also have issues with posture. Our therapist can support your child in overcoming obstacles, learning to form letters correctly, developing proper posture, and strengthening their muscles.
Sensory integration (SI) refers to the way the brain interprets the information it receives from the senses and turns into an appropriate behavioral or motor response. A child has sensory processing issues when he/she seems to be unusually sensitive to noise or light. He/she may also be very picky about clothes and shoes. He/she tends to be a little clumsy and has difficulty with fine motor skills. The child may also be prone to tantrums or meltdowns for no apparent reason. Our Occupational Therapists engage children in physical activities that are designed to regulate their sensory input. As a result, they feel more comfortable and secure and they are able to focus.
Visual, Perceptual, and Motor Skills
Visual perceptual skills enable a child to make sense of and interpret what he/she can see. Visual motor skills enable a child to coordinate his/her eyes and hands to write and draw. Children who have difficulty with copying shapes, lining up math problems, mazes, doing puzzles, remembering sight words, finding information on a page, writing letters or numbers, and writing legibly need to see an Occupational Therapist. Our Therapists are highly trained in the evaluation and treatment of problems with visual skills. They will work with your child to improve their abilities at home, in school, and in the community as a whole.