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Additional Specialty Services

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Cognitive Perceptual Motor Retraining 

Cognitive Perceptual Motor Retraining (CPM) is a skill-building, remedial treatment approach focused on the relearning foundational skills so progress is made to achieve more complex, higher level skills. Through the systematic rehabilitation offered by a trained professional, individuals with neurological dysfunction can relearn skills impacted from damage to the brain. This is a comprehensive approach to cognitive rehabilitation developed in partnership with Michigan State University.

Dry Needling

Dry needling is a treatment method performed by our expert physical therapists to help address pain, muscle tension, and restore function. Dry needling allows the therapist to target muscular tissue that is not usually palpable. It is a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments. This helps decrease restrictions that impede activity and participation in daily activities.

Home and Community Services

To facilitate healthy functioning in the home and participation in the community, therapists evaluate and establish care plans related to such areas as advanced activities of daily living, worksite support, community involvement, and safety monitoring. A rehabilitation aide may work with the client under the direction and oversight of the treating clinician(s). The treatment team determines intervention type, frequency, and duration of services, which may be short-term or long-term in nature depending on individual need. Scope of service for this CARF accredited service, including admission and discharge/transition criteria, align with the Outpatient Program.

LoveYourBrain Yoga

Origami was the first LoveYourBrain Clinical Affiliate in the nation. The FUNdamental Yoga Series is available to survivors of brain injury and caregivers. The specialized yoga practice targets relaxation, breathing, and strengthening of the body and mind. A group discussion immediately follows to focus on various themes such as mindfulness, resiliency, and gratitude. The practice is modified to all skill levels, is offered at no cost, and is available in person as well as virtually.

A retrospective study on the acceptability, feasibility, and effectiveness of LoveYourBrain Yoga for people with traumatic brain injury and caregivers.

Manual Therapy 

Origami’s physical therapists use hands-on treatment methods 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 relearn normal strength and movement patterns.

Neuro-Visual Postural Training

Neuro-Visual Postural Therapy (NVPT) addresses spatial visual processing dysfunction and its relationship to the proprioceptive base of support. Following a neurological event, these processes can be affected and may lead to vision, balance, and postural changes. Origami’s physical therapists work directly with a neuro-visual optometrist to establish the plan of care to integrate these processes to reduce the risk of falls, improve visual system, executive processing, posture, and balance.

Pelvic Health

Pelvic Health addresses pain, weakness, and dysfunction of the pelvic floor muscles. This treatment is effective for those with postpartum pelvic pain, pain following abdominal surgery, endometriosis, incontinence, constipation, and more. Men, women, young athletes, aging adults, new moms, and many more find great value in a short course of therapy with long-term results.

Post-COVID Rehab and Recovery

COVID-19 can result in neurological complications that require specialized rehabilitation and care. Origami uses a comprehensive rehabilitative approach to address individual specific post-COVID recovery needs. Our team of specialists are well equipped to provide treatment for individuals with the various complications that may result.

Serial Casting 

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.

Vestibular Rehabilitation 

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 evaluates strength, range of motion, balance, ambulation, sensation, and ocular motor tests to assess the vision and vestibular systems.

Vision Therapy 

It is common to experience vision changes following neurological dysfunction, and this can affect everyday activities such as school, work, leisure, driving, and home management; therefore, every client referred to occupational therapy at Origami receives a vision screen. If physical, cognitive, or perceptual vision complications are identified, the therapist works closely with the client and an optometrist who develops a treatment plan and exercise regimen.