Origami treatment providers are specially trained in areas of brain injury rehabilitation that will accent and improve overall recovery. Once eligible, our providers are required to become Certified Brain Injury Specialists (CBIS) through the American Academy of Brain Injury Specialists. Many of them have other special certifications as evidence of competency. Please let us know if we can provide further details.
Animal Assisted Therapy (AAT)
AAT is a goal-directed intervention in which an animal meeting specific criteria is an integral part of the treatment process. AAT is delivered and/or directed by a health/human service provider working within the scope of his or her profession. AAT is designed to promote improvement in human physical, social, emotional, and/or cognitive functioning. AAT is provided in a variety of settings and may be group or individual in nature.
The companionship of an animal provides many physical and mental health benefits. Medical practitioners, veterinarians, health care professionals and others in many different fields are tapping into this unique pet-people bond for its potential therapeutic value. For example, close to half of the psychiatrists, psychologists, and family practice physicians responding to a survey conducted by Kal Kan pet foods reported that they have prescribed pets for their patients to combat loneliness, depression, and other emotional problems including inactivity and stress.
Cognitive Perceptual Motor (CPM) Retraining
CPM is a skill-building (remediation) treatment that develops basic skills so that the client will be able to progress into more complex skills. The theory mirrors how children learn skills for the first time. Likewise, adults who have sustained a brain injury can relearn skills through a systematic process offered by a trained professional. CPM is a comprehensive approach to cognitive rehabilitation developed in partnership with Michigan State University.
After a TBI, a person may not be able to perform some of the activities they could before their injury. In a traditional approach, the therapist would focus on that activity and practice it until the client is able to do it, or find an alternative. For example, if tying shoes is the goal, the client and therapist would practice tying shoes until the client could either tie their shoes, or the therapist decides it’s not a reachable goal. In that case, they would recommend a compensatory strategy like buying Velcro shoes.
CPM is based on advanced research that supports the brain’s ability to develop new pathways. In CPM, the various tools at the therapist’s disposal identify the reasons why the client is not able to perform the activity. In the shoe-tying example, questions are assessed including: Is the client seeing the laces accurately? Is he/she feeling/touching/sensing the laces accurately? Is the client able to follow the steps? Does he/she remember the steps? Once the fundamental issue is rooted out, treatment addresses that skill. And as that skill improves, the client is able to perform more and more complex activities. This approach not only addresses the immediate activity/goal (like shoe-tying), but also will transfer to all activities that use the fundamental skills addressed in treatment.
CPM treatment focuses on retraining the visual-perceptual, tactile-kinesthetic, motor, and cognitive skills affected by trauma. This approach has been successful with clients of all ages and severity levels, regardless of the length of time since the trauma occurred.
The concussion care service offers an opportunity for evaluation from a team consisting of Physiatry, Physical Therapy and/or Psychology services. Based on an initial review of presenting needs, evaluations take place to determine the extent of issues stemming from the concussion sustained. The results of the evaluations are shared with the client and a subsequent care plan is established. The care plan may include education and follow up, a referral for further testing, and/or treatment.
The team at Origami understands that returning to driving following a brain injury is an important goal toward ultimate independence. Origami offers pre-driving evaluations, which are conducted by registered and licensed Occupational Therapists who specialize in evaluating and treating individuals with neurological dysfunction. An evaluation may consist of cognitive testing, use of a Global Electric Motor (GEM) vehicle on Origami’s campus road course and/or use of a Driving Simulator (rehabilitation based, clinically researched), which provides functional assessment that can provide immediate and meaningful feedback, as well as challenges for multitasking, decision-making, reasoning, and sequencing. The simulator safely assesses on-the-road functions.
Origami's Physical Therapists use a hands-on treatment method for muscles, tendons, ligaments, nerves, and joints, called manual therapy. The goal for using these skilled hand movements is to increase range of motion; induce relaxation; decrease pain; and reduce soft tissue swelling. Functional exercises are added to provide a holistic approach to pain and joint dysfunction to help re-learn normal strength and movement patterns.
Serial casting is a non-invasive treatment modality that allows a low load, continuous stretch at a joint to improve functional use of an upper or lower extremity. Some of the goals that are achieved with casting are to reduce spasticity, prevent and reduce contractures, increase passive and active range of motion, facilitate proper positioning, and reduce pain. Casts are applied with the joint at a submaximal stretch to avoid tearing of tissues which results in scarring. After approximately 3-5 days, casts are removed and reapplied in the newly gained range of motion. A series of 5-7 casts are utilized to gain the client’s maximal range of motion and functional use of the extremity.
Clients who experience dizziness, poor balance, low activity level, and vision difficulty may benefit from this specialized service. Origami’s Physical Therapists have received additional training in vestibular rehabilitation. During the individualized, comprehensive vestibular evaluation, the Physical Therapist will assess strength, range of motion, balance, ambulation, sensation, and ocular motor tests to assess the vision and vestibular systems.
It is common to experience vision changes following a brain injury and this can affect everyday activities such as school, work, leisure, driving, and home management; therefore, every client referred to occupational therapy at Origami will receive a vision screen. If physical, cognitive, or perceptual vision complications are identified, the therapist will work closely with the client and an Optometrist who will develop a treatment plan and exercise regimen.
Vocational services assists clients in meeting vocational and/or avocational goals such as employment, school, and volunteer work. Services include assessing job skills, interests, and identifying reasonable accommodations to help a client successfully return to productive activity.