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Washington County Health System
  
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Total Rehab Care has the region's most comprehensive rehabilitation services.

Center for Hand Therapy

The Hand Center at Total Rehab Care provides treatment for upper extremity conditions involving the shoulder, elbow, wrist, or hand. To provide the most effective assessment and treatment planning, our certified hand therapists continually attend educational seminars and courses. With this up-to-date knowledge base, our therapists can help patients return to or continue performing daily activities independently.

Treatment goals incorporate injury/deformity prevention, participating in functional activities, and returning to regular daily activities. Treatments may include exercise, edema/swelling control, scar management, daily activity retraining, wound care, and splinting. Modalities (ultrasound, electrical stimulation, TENS, iontophoresis, paraffin, moist heat, and fluidotherapy) may be used to enhance the therapy process.

The Hand Center offers ergonomic assessment and job analysis, as well as rehabilitation

  • Post-surgical needs
  • Cumulative traumas
  • Preventative/conservative management
  • Acute injuries
  • Joint protection/energy conservation

We treat a wide variety of medical conditions and injuries, including the following:

  • Amputations
  • Burns
  • Carpal tunnel syndrome
  • Crush injuries
  • Cubital tunnel
  • DeQuervain’s tenosynovitis
  • Finger, wrist, and elbow fractures
  • Osteoarthritis and rheumatoid arthritis
  • Pain/numbness/tingling
  • Post-surgical Dupuytren’s contracture
  • Reverse total shoulder arthroplasty
  • Rotator cuff repair
  • Reflex Sympathetic Dystrophy
  • Shoulder impingement
  • Tendon/nerve repair or injury
  • Tendonitis
  • Tennis/golfer’s elbow
  • Total shoulder arthroplasty
  • Traumatic injuries
  • Trigger finger

For more information, please call 301-714-4025.

 

Comprehensive Inpatient Rehabilitation Services

Our comprehensive inpatient rehabilitation services (CIRS) are committed to returning our patients to live life as independently and fully as possible.

Rehab programs produce the most desirable outcomes when they begin as soon as possible after the acute phase of a stroke, injury, or debilitating disease. Our admissions specialist works to arrange a smooth, swift transfer to our unit.

The CIRS medical team is knowledgeable about each patient’s medical condition and is able to recognize the earliest possible moment to begin the most effective rehab intervention. They know and understand their patients’ abilities and limitations. They recognize when it is best to intervene, and when it is important for the individual to complete tasks unassisted.

To contact our admissions coordinator, call 301-790-8618 or 301-790-8461 for general information.


Comprehensive Inpatient Rehabilitation Services
The patient guide and descriptive information for Total Rehab Care’s nationally accredited hospital-based rehabilitation program 
Click to download PDF

 

Fibromyalgia

At Total Rehab Care, we can help you cope with fibromyalgia and its symptoms on your terms.

Fibromyalgia is a syndrome characterized by a variety of symptoms. Pain and fatigue are common concerns. Women have a higher incidence of fibromyalgia, but men and children can be diagnosed with this syndrome as well.

Total Rehab Care provides a unique, multidisciplinary program to help you manage your condition. Our fibromyalgia therapy program includes an individual evaluation provided by a physical therapist and an occupational therapist, followed by group sessions, including patient education, exercise, pain management, sleep hygiene, relaxation techniques, energy conservation, coping skills, and problem solving.

For more information, call 301-714-4025.


Lymphedema

Lymphedema is swelling that may occur in the arms, legs, or trunk. This swelling can interfere with sensation, movement, strength, and overall quality of life. Lymphedema may occur following surgery or with cancer treatment.

Total Rehab Care offers treatment specifically to address lymphedema, including the following:

  • Manual lymphatic drainage by certified therapists
  • Bandaging techniques
  • Therapeutic exercises
  • Use of customized compression garments

Lymphedema services are provided by a specially trained and certified manual lymphedema drainage therapist.

 

Maryland NeuroRehab Foundation

Maryland NeuroRehab Foundation (MNRF) is a nonprofit, comprehensive neurorehabilitation program for persons recovering from traumatic brain injury, stroke, spinal cord injury, or other non-progressive neurological conditions.

 

Oncology

Total Rehab Care offers rehabilitation for oncology patients by promoting quality of life for those who have difficulty with walking, communicating, swallowing, and performing other activities of daily living; who need pain management; and who have poor endurance or swelling in the joints.

Our rehabilitation program for oncology patients includes speech therapy, occupational therapy, and physical therapy.

Voice Treatment Center

Our center evaluates and treats vocal dysfunction and voice wellness using state-of-the-art equipment, including VisiPitch and laryngeal videostroboscopy.

The Breast Cancer Program

A comprehensive program formed in conjunction with the John R. Marsh Cancer Center, the breast cancer program provides patients with integrated services that include management of pain, swelling, and scar tissue; instruction; and treatment for problems with range of motion and weakness. We can provide education for adapting daily living activities, exercise programs, and aquatic therapies.

Post-Mastectomy Program

This program offers therapeutic services for women recovering from mastectomy. Physical therapy and occupational therapy focus on swelling control, pain control, scar control, and instruction in range of motion, adaptive techniques for daily living activities, and a therapeutic aquatic exercise program. Counseling services are also available.

Head/Neck Cancer Program

A comprehensive program designed to target the specific needs of patients following treatment of oral and/or pharyngeal cancer. Our facility provides treatment and education for communication, swallowing, range of motion, and edema/scar control.


Osteoporosis

Osteoporosis is a preventable condition in which bones become fragile. This loss of bone mass creates weakness that significantly increases the chance of fractures and breaks. The osteoporosis program is a comprehensive program designed to give patients the tools to rebuild bone strength. The program includes physical therapy, occupational therapy, and nutritional education. Some of our activities are exercise, balance training, fall prevention training, aquatics, basic mechanics, and energy conservation.

 

Pediatrics

The pediatric program at Washington County Hospital's Total Rehab Care is a comprehensive therapy program designed to provide children with developmental support. Our program offers the following specialty areas:
  • Physical therapy
  • Occupational therapy
  • Speech ttherapy
  • Aquatic therapy
  • Social work
Within these areas, our trained specialists work with children with a variety of common diagnoses and conditions. These include: autism spectrum disorder, developmental delay, communication disorders, cerebral palsy, bracial plexus injuries, torticollis, sensory processing disorder, Downs syndrome, and syspraxia. Before-and-after school appointments are available. Please call 301-714-4025 for more information.

 

Pelvic Pain

Pelvic pain is often the result of hypertonicity in pelvic floor muscles. Hypertonicity is a condition in which there is increased muscle tone in the pelvic floor muscles. This means the muscles are in a continued state of contraction, which can lead to impairment in the ability to relax or contract the pelvic floor muscles.

Treatment options for pelvic pain may include the following:

  • Relaxation techniques
  • Exercise
  • Scar tissue massage
  • Modalities (TENS or ultrasound)
  • Biofeedback to assist with relaxation or contraction of pelvic floor muscles

 

Prenatal & Postnatal Care

Total Rehab Care at Robinwood offers physical and occupational therapy to pregnant and postpartum women for a wide variety of conditions. In particular, treatment has been successful for women suffering with low back pain and carpal tunnel syndrome during and after pregnancy.

Our treatments focus on the following:

  • Aquatics
  • Education
  • Postural exercise
  • Lifting techniques
  • Pain management
  • Injury prevention
  • Muscle energy techniques
  • Customized splinting
  • Worksite assessment

The Prenatal/Postnatal Aquatic Exercise Class allows gravity-eliminated activity, joint range of motion, and conditioning.

 

Support Groups

Programs of support provide an opportunity to learn, build relationships, and share with others.  The following support groups are offered thru Total Rehab Care:

Headway Support Group

Spinal Cord Injury Support Group

Stroke Support Group

 

Urinary Incontinence Program

Total Rehab Care’s urinary incontinence program offers discreet and helpful remedies and therapies for otherwise embarrassing conditions.

What is urinary incontinence? Urinary incontinence is the involuntary loss of urine. Even a few drops of urine is considered an episode of incontinence. There are two major types of urinary incontinence: stress incontinence is the sudden, involuntary loss of urine because of physical stress such as coughing, laughing, jumping, running, sneezing or lifting; urge incontinence is the overwhelming urge to urinate resulting in leaking.

How can physical therapy help?

  • Education about bladder and pelvic floor muscles
  • Techniques for bladder retraining
  • Exercises to strengthen pelvic floor muscles
  • Biofeedback, vaginal weights, and/or electrical stimulation for pelvic floor strengthening
  • Dietary modifications

 

Vestibular Balance

Individuals who experience spinning (vertigo) or light-headedness with head movements, nausea/vomiting associated with movements, loss of balance or unsteadiness, or frequent falls may benefit from vestibular balance treatment. Our staff of licensed physical therapists is trained in special procedures and exercises to treat a wide variety of balance-related problems.

 

Vision Assessment

Total Rehab Care provides comprehensive visual services to patients with neurological impairments as well as individuals with low vision.

The program is provided by an occupational therapist following the prescription or recommendation of a qualified eye specialist or physicians. Vision therapy is an effective non-surgical treatment for various types of eye problems which cannot be treated with corrective lenses alone.

Individuals who may benefit from this program include those who experience visual problems due to stroke, head injury or experiences such as crossed eyes, lazy eye, focusing problems, eye tracking difficulties, eye alignment, motor planning problems, depth perception, field deficits, eye coordination anomalies, visual perceptual anomalies, blurred vision, visual fatigue, balance, double vision, eye suppression, and scanning or saccades.

 

Voice Treatment

The Lee Silverman Voice Treatment (LSVT®) is a technique for improving the voice volume and speech intelligibility of patients with Parkinson’s disease and certain other disorders.

LSVT focuses on improving vocal loudness through an intensive set of daily exercises. The program consists of one-hour sessions, four times per week for four weeks. Treatment begins with words and moves to phrases, sentences, and ultimately to using increased effort in conversation. LSVT sessions are led by speech-language pathologists who have been certified by the LSVT Foundation. Research shows that 90% of patients improve vocal loudness from pre- to post-treatment, and approximately 80% of patients maintain improvements in their voice for one to two years after treatment.

Throughout the course of treatment, patients work towards incorporating this new and improved vocal effort into everyday tasks. Our speech language pathologists help patients to retrain themselves to become aware of their voices and able to be heard and understood in a variety of settings, such as the home, a noisy restaurant, or while driving in the car.

 

Wellness Center

Total Rehab Care offers the use of our wellness gym as a part of our Wellness Program. The gym has a variety of fitness equipment for weight training and cardiovascular exercise in a personal setting, with on-site supervision by wellness staff.

Wellness gym membership has a one-time initiation fee. The initiation includes a one-hour evaluation and orientation with a therapy team member.

A discounted Total Wellness Combo Package is also offered with a combined membership to both the aquatics and wellness gym programs. A one-time gym initiation fee still applies.

Gym Hours:

 

Monday through Thursday

8:00 am–6:30 pm

Friday

8:00 am–3:00 pm

 

© 2008
Washington County Health System
251 East Antietam Street
Hagerstown, MD 21740
301-790-8000

TDD: 1-800-735-2258