CRMC-West 214 E. 23 St. Cheyenne, WY 82001
CRMC-East 2600 E. 18 St. Cheyenne, WY 82001
Health & Fitness 1620 E. Pershing, Cheyenne, WY 82001

(307) 634-CARE

Outpatient Rehabilitation Program

Call for more information: (307) 633-6175

Outpatient rehabilitation services at CRMC are designed to help individuals of all ages recover from a variety of disabling injuries and illnesses, achieve their highest level of function and mobility, and return to work, school, or active retirement.

Goal-oriented treatment programs are administered by a team of qualified professionals, including physical and occupational therapists, speech pathologists, and others.

A physician's referral is necessary to enter the program.

William A. Harrison, MD
Rehabilitation Medical Director,

Arthritis Rehabilitation
Comprehensive Occupational Medicine Program
Hand Program
Occupational Therapy
Orthopedic Conditions
Physical Therapy
Speech Therapy
Stroke Rehabilitation

We offer:

• Diagnoses
• Therapeutic Approaches
• Orthopedic Conditions
• Mobilizations
• Sports Injuries Modalities
• Industrial Injuries
• Work Site Consultation
• Stroke & Speech Pathology
• Hand Injuries
• Skin and Wound Care
• Back Pain/Injuries
• Work Hardening
• Fractures/Sprains
• Therapeutic Exercise
• Amputation/Prosthetic Training
• Brain Injury Patient/Family Education and Support
• Neurological Conditions Training in Activities of Daily Living
• Headache
• Psychological Counseling
• Post-surgical Conditions
• Pain and Edema Management

Treatment Goals:

• Strengthen specific muscle groups to restore fine motor and gross skills
• Restore joint motion
• Minimize pain and sensitivity
• Educate patient and family
• Improve balance and coordination
• Facilitate speech and swallowing functions

Physical therapy

(307) 633-7310

Physical therapy is an integral part of treatment for patients with pain and/or movement dysfunction resulting from disability or disease.

Through proper evaluation and treatment, physical therapy can minimize pain and disability and maximize functional potential.

Physical therapists also help promote a healthy life by educating on injury prevention and maintaining a personal fitness program.

The Approach to Care

Assessment:
Joint motion
Muscle strength and endurance
Function of heart and lungs
Performance of activities of daily living

Treatment:
Therapeutic exercise
Modalities
Manual therapy
Cardiovascular endurance training

Physical Therapy Goals:
Decrease pain
Improve strength, endurance, balance, and range of motion
Educate patient and family

Conditions That May Benefit from Physical Therapy:
Stroke
Arthritis
Sprains/Strains
Brain Injury
Hand/Wrist Injuries
Whiplash
Spinal Cord Injury
Total Hip Replacement
Herniated Disc
Multiple Sclerosis
Total Shoulder Replacement
Cervical Facet Syndrome
Parkinson's Disease
Knee Replacement
Bursitis
Guillain Barré
Scoliosis
Tendinitis
Headache
Foot/Ankle Injuries
Back Pain

Occupational Therapy

(307) 633-7310

What is Occupational Therapy?

Occupational therapy (OT) can help people with disabilities return to their life roles of parent, spouse, employee, homemaker, or friend. Through upper body strengthening and coordination, fine and gross motor control development, training in the use of self-help aids, and work/home evaluations, OTs promote safety and help people relearn and master the skills needed for self-care, work, and play.

What are the Benefits of OT?

According to findings from recent, randomized controlled studies:

Occupational therapy shortens recovery time, improves function, and helps people become self-sufficient.

Occupational therapy assessment and intervention reduce the risk of falls in elderly patients with a history of falling to 39%.

Occupational therapy significantly reduces disability in people who have had a stroke.

Five or more occupational and physical therapy sessions per week can lead to better outcomes in patients with hip fracture.

Who can benefit from OT?

The diagnoses that may be seen by occupational therapists include, but are not limited to, the following:

Injuries (brain, spinal cord, back)
Neurological disorders (Multiple Sclerosis, Guillain Barré)
Stroke
Sensory disorders (chronic pain, sensory loss)
Musculoskeletal disorders (arthritis)
Skin disorders (burns)
Orthopedic conditions (hip fracture)

Speech Therapy

(307) 633-7310

In speech therapy, patients are evaluated and treated for hearing, language, communication, and swallowing disorders.

Patients and their families are provided the tools to overcome these difficulties in the shortest time possible.

Speech therapists work with patients with the following conditions:

• Aphasia
• Cognitive Deficits
• Swallowing Disorders
• Tracheotomy
• Laryngeal/Esophageal Cancer

At CRMC, individualized speech therapy programs are developed for each patient based on the type of problem and his or her needs.

We provide many treatments, including:

• Receptive Language Therapy (listening and reading)
• Expressive Language Therapy (speaking and writing)
• Speech Production Therapy
• Pre-operative Counseling and Post-operative Treatment
• Voice Therapy
• Cognitive Therapy (memory, problem solving, reasoning)
• Assistive Communication Devices
• Modified Barium Swallow Studies
• Nutritional Counseling
• Patient/Family Education

The following goals may be established:

· Improve speech-language expression and comprehension
· Improve oral-motor skills
· Facilitate safe oral feeding/swallowing
· When necessary, educate patient and family on alternative means of communication and strategies for safe eating

Stroke Rehabilitation

Stroke Rehabilitation Statistics

" Seventy-five percent of stroke patients who receive rehabilitation are discharged home."1
" More than three-fourths of stroke survivors discharged from rehab units can ambulate without help and most are independent in activities of daily living."2
" Rehabilitated stroke patients are less than half as likely to be hospitalized a year after their initial attack."

The goals in rehabilitation are to:

• Increase self-care skills
• Improve psychological adjustment
• Improve self-image
• Improve mobility, health, and independence
• Maximize the ability to enjoy life
• Educate the patient and family
• Prevent secondary complications and secondary stroke

CRMC rehabilitation provides the following treatment and services:

· Wheelchair positioning and mobility training
· Speech-language therapy
· Swallowing skills assessment and management
· Bowel and bladder training
· Training in the activities of daily living (eating, bathing, dressing, etc.)
· Family conferences
· Patient and family education
· Self-medication training
· Behavioral intervention
· Home evaluations to assess need for modifications and adaptive equipment
· Community re-entry activities
· Weekly support groups

1Granger, CV; Hamilton, BB; Greshman, GE: The Stroke Rehabilitation Outcome Study
2Donald Adams, MD: Stroke Rehabilitation: Indications, Outcomes, Recent Developments

Arthritis Rehabilitation

(307) 633-7310

Arthritis is the leading cause of disability in the US and affects three-quarters of people over age 60.

The most common types of arthritis affect joints in the fingers, knees, feet, ankles, hips, back, and shoulders.

Symptoms can include pain, stiffness, swelling, and difficulty moving a joint. CRMC provides comprehensive treatment for individuals with arthritis.

Program Benefits

• Individualized treatment programs that are developed based on initial evaluations
• Multidisciplinary treatment team which includes licensed, experienced physical and occupational therapists
• Regular communication with referring physicians

Program Goals

• Improve mobility, strength, and endurance
• Increase functional skills
• Reduce pain, stiffness, and discomfort
• Improve knowledge and understanding of the disease process
• Improve quality of life

Treatment

• Therapeutic Exercises
• Modalities (heat, cold, hydrotherapy)
• Self-help Devices
• Individual and Group Therapy
• Functional Skills Training
• Pain Management
• Joint Protection
• Energy Conservation
• Stress Management
• Patient/Family Education

Orthopedic Conditions

CRMC provides specialized treatment for patients with orthopedic conditions, such as amputations, fractures, multiple trauma, joint replacements, and arthritis and its related conditions.

Components of the rehabilitation program:

1. Evaluation of physical and functional abilities
2. Development of treatment goals and plan
3. Coordination of therapies
4. Home evaluation to assess need for adaptive equipment or environmental modifications

Treatment may include:

• Skin and wound care
• Physical and occupational therapies
• Training in activities of daily living - dressing, bathing, meal preparation, etc.
• Pain management
• Patient/family education
• Medication management
• Training in the use of adaptive equipment (wheelchairs, walkers, etc.)
• Nutritional counseling

The goals of orthopedic rehabilitation are to:

• Maximize independence in activities of daily living
• Increase mobility
• Improve self-care skills
• Educate on available resources

Hand Program

(307) 633-7310

CRMC offers highly-specialized services for individuals with injuries to or disorders of the hands and arms. These injuries/disorders often include burn, crush injury, fracture, amputation, arthritis, or problems related to repetitive motion trauma.

Program Benefits

• Experienced and highly-trained hand and upper extremity occupational and physical therapists
• Work site assessments and recommendations for injury prevention

A physician's prescription is necessary to refer a patient to CRMC.

Comprehensive Occupational Medicine Program

(307) 633-7300

CRMC works extensively with business and industrial clients to minimize worker's compensation costs by helping to facilitate their injured workers' safe and rapid return to work. Certified physical and occupational therapists, with extensive experience in ergonomic adaptation, functional conditioning, and prevention of workplace injuries, work to help patients reach their optimum level of recovery and prevent further occurrences.

Program Features

• Employee physical reconditioning and work conditioning
• Educational programs
• Back injury prevention
• Upper back extremity and repetitive motion injury prevention
• Body mechanics for office and computer use
• Postural stretching and exercise recommendations
• Self-management and pacing techniques
• Physical abilities testing for jobs that have been identified as high-risk for sprain or strain injuries
• Consultation on safety issues related to an employee's job site or work station
• Presentations on various employee health and wellness issues
• Early return-to-work recommendations on appropriate activity levels

Program Benefits

• Increased tolerance for work activities
• Reduced potential for on-the-job injuries
• Identification of high-risk jobs and potential problems
• Improved employee awareness
• Reduction of repetitive stress
• Improved employee morale

Disclaimer - CRMC's core values are to provide quality patient care and outstanding patient satisfaction to all our patients. Part of providing quality patient care and outstanding patient satisfaction is respecting your privacy rights and maintaining the confidentiality of your medical records. For more information on patient privacy please read our patient privacy policy. CRMC will not use or disclose your health information for any purpose not described in this Notice without your written authorization.

Health information provided on Cheyenne Regional Medical Center's web page is intended as a guideline and not as a specific medical protocol. Every actual medical situation - emergency or non-emergency - is unique to each individual, and requires the clinical judgment of a qualified physician. For more information, or clarification, we recommend that individuals contact their personal physician.

Our Web site may include information and other material prepared by other sources. We also link to other Internet sites and resources. This information and links are provided as a courtesy. We are not responsible for the availability, updating, and accuracy of any information provided on these outside sites or for the privacy or security of these outside sites.

The information on this Web site is general in nature and is not intended as a substitute for consultation with a doctor and a particular treatment plan. The material provided is not intended to create, and the receipt of it does not constitute, a doctor-patient relationship. Should you have any health-care-related question, you should contact a doctor and arrange a consultation. Any e-mail generated from this Web site may not be secure and is not intended to create, and the receipt of it does not constitute, a doctor-patient relationship. E-mail communication is not intended as a substitute for consultation with a doctor.