[one_full last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”#a8b9bf” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”bottom” border_size=”15px” border_color=”#becec2″ border_style=”solid” padding=”” margin_top=”100px” margin_bottom=”” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_text]
Adult Occupational Therapy Services
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Constraint Induced Movement Therapy
~ A therapeutic treatment approach that has the capability to considerably improve the functional use of a paralyzed arm for adults having suffered a stroke, brain injury or any other illness that has negatively impacted the use of an arm.[/fusion_text][/one_full][one_full last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][accordian divider_line=”” class=”” id=””][toggle title=”What is Constraint Induced Movement Therapy?” open=”no”]CIMT is a program that was developed through the hard work and devotion of the well-known neuroscientist Dr. Edward Taub out of the University of Alabama at Birmingham. His research, which began in the 1970’s and continues to today, has focused on understanding learned non-use, which is a neurological symptom that must be overcome in order to regain function in a paralyzed arm. The end result is a revolutionary therapy program that is based completely on the concept of Neuroplasticity- the ability to change the brain. It truly defines the concept of seeing Neuroplasticity in action. CIMT is a therapy program that teaches the brain how to rewire itself so that a person can regain functional use and confidence in the paralyzed arm.[/toggle][toggle title=”What is involved in Constraint Induced Movement Therapy (CIMT)?” open=”no”]Adults who are considering the CIMT program will first undergo an evaluation process to ensure that they are candidates for the protocol. Also, initial testing is performed to establish a baseline of function. Medical clearance paperwork is prepared at the evaluation session and must be signed off on by the client’s primary physician prior to starting the program.
The actual one on one therapy sessions in the clinical setting involve active participation on the part of the client, using a variety of techniques that promote repetitive use of the more-affected upper extremity for many hours a day.
[/toggle][toggle title=”How does Constraint Induced Movement Therapy Work?” open=”no”]A constraint type device is worn on the unaffected arm during the therapy session and during 90% of the hours outside of the clinic. The type of device is chosen based on the safety needs of the individual (i.e. a padded mitt, removable cast, sling, etc). Adults often wear a padded mitt.
[/toggle][toggle title=”How long does the CIMT program last?” open=”no”]The entire therapy program runs for two straight weeks. The first five days include 3-4 hour therapy sessions that are one on one with a trained therapist. After the first week, a two-day break from the clinic occurs (usually over a weekend) however the client is still required to follow the constraint protocol on those days and wear the constraint device as advised. Five days continue for the second week of 3-4 hour therapy sessions with constraint of the unaffected arm occurring at home throughout.
The adult individual is given home assignments to be completed after each therapy session. The individual also answers questions each day about how well he or she feels the arm functioned during various daily living tasks that he or she is attempting to perform at home. This promotes a mindfulness of the affected limb and is a critical aspect of the program.[/toggle][toggle title=”How much does CIMT therapy Cost?” open=”no”]CIMT is currently not reimbursed by insurance companies. For adult clients, it may be possible to bill Medicare for a portion of the expense.
The entire two-week program from start to finish costs $6000.00. This includes the follow up phone conferences that occur on a weekly basis for the first month. Monthly phone conferences occur thereafter up to the 6-month mark post-treatment and these are part of the original cost as well.
[/toggle][toggle title=”How do I know if I can be helped by this program?” open=”no”]To be evaluated for the program, the initial evaluation fee is $350.00. This fee is often refundable by insurance companies and our office provides support in assisting clients to seek this return.
Should an adult be evaluated for the program but not meet the qualifications for the program, a plan of care will be developed for that individual based on their specific needs, circumstances and personal goals.
[/toggle][toggle title=”Who is a Candidate for the program?” open=”no”]Adults with the following characteristics:
Motivated
Courageous
Have a love for life and themselves and believe in all possibilities
Alert and Oriented to Person, Place and Time
Functional Memory
Candidates for the program who have suffered a stroke must be at least one-year post stroke.
Adults looking to enter the program must have some movement in the affected arm (it need not be purposeful movement). A questionnaire is initially sent to whoever inquires about qualifying for the program. Once this questionnaire is returned, a therapist contacts the individual or family in order to advise them on how to proceed.
Adults who have moderate to severe contractures in the joints of their involved arm may not qualify for the program.
Adults with severe cognitive impairments may not qualify for the program.
[/toggle][toggle title=”Adults with a diagnosis of any of the following and who experience impaired function in one of their arms may qualify for the program:” open=”no”]Stroke (one+ year post stroke is optimal)
Traumatic Brain Injury
Hydrocephalus with one arm paralysis involvement
Multiple Sclerosis
Any other neurological impairment that impacts the ability to use one arm
[/toggle][/accordian][/one_full][fullwidth background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”” padding_top=”20″ padding_bottom=”20″ padding_left=”” padding_right=”” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_text]Even if past tradition rehabilitation methods have provided only minimal improvement, adults can still reap considerable benefits from the Constraint Induced Movement Therapy Program. The human brain is changeable (plastic) until the day you die. It is a matter of knowing how to activate change and build confidence effectively.[/fusion_text][/fullwidth][one_full last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_text]
Occupational Therapy at Home
Occupational Therapists are available to come to client’s homes in order to provide therapy services. The benefits of receiving therapy in the home include being able to improve your life skills within your natural environment. For example, improving your ability to get dressed independently after a hip or knee surgery is much easier to do using your own furniture and clothing within your natural environment. If getting into and out of bed is physically challenging, working with the occupational therapist in your own bed provides much greater opportunity for success. This also provides the occupational therapist with the opportunity to make the modifications and adaptations necessary to improve your independence within your home setting.[/fusion_text][/one_full][one_full last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][accordian divider_line=”” class=”” id=””][toggle title=”Does Insurance Cover Home Based Occupational Therapy Services?” open=”no”]Currently we accept Medicare as a valid form of payment for home based occupational therapy services. Home Care occupational therapy is successfully billed through Medicare Part B as long as you have not utilized your medicare cap for the year. To determine this, simply call Medicare, provide them with your Medicare number and ask to know how much of your Part B occupational therapy funds have been used this year. We are happy to assist you in this process, just call our office staff.[/toggle][toggle title=”Do you accept other insurances besides Medicare?” open=”no”]At the present time, we do not accept any other insurances. Services can be paid for privately upon written agreement. You can submit your paid invoices to your insurance company in order to try and get reimbursed by “out of network” coverage.[/toggle][toggle title=”How do I make an appointment?” open=”no”]Simply call the office at (631) 899-3635 and speak with one of our office assistants. She will listen to your needs and connect you with an occupational therapist who is best suited to assist you. Once you have spoken to our office staff, the assigned occupational therapist will be in touch with you as soon as all of your initial intake paperwork is in order.[/toggle][toggle title=”Do I need a prescription from my doctor?” open=”no”]Yes, in New York State, the law is that home based occupational therapy services must be provided under the supervision of your physician. Services cannot be started until our office receives a valid prescription from your physician.[/toggle][toggle title=”What does my doctor need to write on the prescription?” open=”no”]Medicare dictates that doctor prescriptions must include the following information:
Occupational Therapy Evaluation and Therapy
2 times a week (or 3 times, or once, depending on your needs) for 3 months
(Medicare allows you to utilize the same prescription for 3 months. After 3 months, a new prescription must be obtained to continue services if necessary)
Diagnosis (doctors use ICD-10 codes, these are fine)[/toggle][toggle title=”How do I set up weekly appointments?” open=”no”]Our occupational therapists realize that you have many aspects to your day that require coordinated attention. They are extremely conscientious and want to accommodate your needs. They will do their best to make your occupational therapy appointments convenient to your daily routines. Once your occupational therapist calls you to set up appointments, you will coordinate your session days and times with her. Our office staff is always available to help with this process as well.[/toggle][/accordian][/one_full][one_full last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_text]Home based occupational therapy services are not only available to people returning home from the hospital. They are available to anyone who has lost function due to an illness or injury, or even just due to aging and life situation changes. Talk to your doctor about the aspects of life and living that you find challenging to find out if occupational therapy at home is right for you. We are happy to answer any of your questions, so please call our office to inquire as well.[/fusion_text][/one_full]