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Conditions that can benefit from Physical Rehabilitation
- Low Back Pain
- Fibromyalgia
- Carpal Tunnel Syndrome (CTS)
- Knee Pain
- Neck Pain
- Adhesive Capsulitis
- Tenosynovitis
- Myofacial Pain Syndrome
- Degenerative Disc Disease
- Plantar Fascitis
- Relief of Pain & Inflammation
- Gait Dysfunction due to Musculoskeletal or Neurological Problems
- Sacroiliac Pain & Dysfunction
- Prosthetic Training Post-Amputation
- Impingement of the Shoulder (Tendonitis, Bursitis)
- Balance Deficits
- Spinal Cord Injury
- Arthritis
- Pre-op Conditions
- Post-op Surgical Conditions
- Traumatic Brain Injury
- Incontinence
- Lymphedema
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Lymphedema is the swelling of a body part as a result of lymph node or lymph vessel damage or removal. This often occurs after surgery. Lymphedema is treated with a special massage that moves lymph fluid away from the nodes or vessels that are not working or are missing towards the nodes & vessels that are working. Lymphedema treatment also includes the application of compression bandages and education of therapeutic exercises to help pump the fluid out. This series is repeated until the swelling in the body part is reduced.
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Aquatic Therapy Services
 Using water as a primary therapeutic tool, CarePartners Aquatic Physical Therapy Services creates an active and progressive rehabilitation plan for each individual patient. Therapy is goal oriented to achieve measurable functional outcomes. Patients develop strength, flexibility, mobility, coordination, balance, and increased circulation, promoting maximal gain in functional capability. One does not need to be able to swim in order to successfully be able to participate. Treatments are customized to each individual based on factors of the patient’s diagnosis, goals, and comfort level in the water. Patients are taught exercises that they can continue to use to maintain the benefits of therapy, fitness, and conditioning after therapy sessions are completed.
 AQUATICS BENEFITS
Aquatic Physical Therapy works specific muscle groups and joints without compressive loading forces and makes movement easier and less painful. The water properties (such as buoyancy and hydrostatic pressure), help make water to be an excellent environment to perform various therapeutic exercises and techniques in order to help facilitate the following benefits:
- Reduce pain
- Reduce swelling
- Increase joint range of motion
- Increase strength
- Increase relaxation
- Increase flexibility
- Increase balance/coordination
- Improve breathing capacity
- Early mobilization during the healing process
MEMBERSHIP AND CLASSES OFFERED
Membership at our main campus pool is available to our aquatic therapy “graduates.” Members are able to come at the designated membership time to work individually on their aquatic programs. Cost is $5 for an individual visit or $60 for a 15 visit package.
Membership Hours:
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Monday, Wednesday, Friday
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4 - 6 PM
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Classes:
The Community Arthritis (CAT) Class is lead by a therapist offering general stretching and conditioning exercises for people with arthritis. A doctor’s release is required to participate. One does not need to have been a patient to participate in this class.
CAT class meets Tuesday and Thursday afternoons from 3:45 to 4:30 pm. Cost is $5/visit or $40/month.
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Driver's Evaluation
Driver's evaluation is a comprehensive analysis performed by an occupational therapist.
It is used to ensure a person's safe return to driving following an illness or injury or to assess the ability of an individual to learn to drive for the first time with a disablity.
The first part of the evaluation is held in the Outpatient Center at CarePartners Health Services Main Campus. This evaluation includes a  driving history, vision screening, reaction time and cognitive testing, if needed.
The next step is an actual behind-the-wheel testing in parking lots, residential areas, in traffic and on highways. The car used for testing is owned by CarePartners Outpatient Rehabilitation Services and is fully equipped for individuals with handicapping conditions. Appropiate patients may also use their own vehicle.
Following the evaluation, the family will be provided with a summary of results which will include overall recommendations and advice an any adaptive equipment needs. Specialized training is also provided for those requiring hand controlled driving.
How do I make an appointment?
· Have your physician write a prescription for a driver’s evaluation
· Call or fax CarePartners Health Services Main Campus to schedule a driver evaluation
· Bring a current license or a learner's permit
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Orthotics & Prosthetics
CarePartners Orthotics & Prosthetics is a free-standing facility providing  comprehensive orthotic and prosthetic services on and off site to adults and children in the Western North Carolina region.
We offer a distinct advantage to persons in need of our services: a team approach to rehabilitation. Beside the certified orthotists/prosthesists (one of whom is an amputee) and other O&P professionals in our clinic, we can also offer our patients access to physician specialists in physical medicine and rehabilitation, developmental pediatricians, physical therapists and occupational therapists.
SERVICES OFFERED
- Custom orthotics for the lower extremity
- Custom designed prostheses for all levels of amputation
- Immediate post-op prosthetics
- Post-op spinal braces made to physician's specifications
- Specialty clinics: developmental orthopedic (children), amputee
- Educational programs: individualized patient education, clinical inservices for healthcare professionals, community sponsored eduaction programs
- 28+ years combined provider experience in Myoelectrics
- Free Evaluations: (828) 254-3392
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Pain Management (Workers Compensation)
CarePartners has established an interdisciplinary Pain Management Program to meet the needs of the Workers Compensation patient. Components include:
- Comprehensive multi-disciplinary evaluation to determine client appropriateness for program
- Treatment regimen including individual and group PT, aquatic therapy, body mechanics training, individual and group behavioral therapy, nutritional counseling, physician supervised medication management, and weekly team meetings and progress reports
- Half-day attendance, five days a week, four-week duration
- Established and operated under American Academy of Pain Management guidelines
- Presented under the medical direction of David Bate, MD
For more information, contact Kathy Osborne, Industrial Program Coordinator at (828) 274-9567, ext. 4284 or our South Therapy Clinic located at the Reuter Family YMCA in Biltmore Park at (828) 209-0900.
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Wheelchair/Seating Clinic
The CarePartners Wheelchair/Seating & Mobility Clinic offers individual Physical Therapy evaluations, recommendations and fittings for manual or power wheelchairs and custom seating systems for users of all ages - children and adults.
 PATIENT PROFILES
The clients served have a variety of diagnoses including, but not limited to:
- Cerebral Vascular Accident (Stroke)
- Multiple Sclerosis
- Spinal Cord Injury
- Amputee
- Traumatic Brain Injury
- Spina Bifida
- Cardiopulmonary
- Amyotrophic Lateral Sclerosis (ALS)
- Post Polio
- Cerebral Palsy
- Muscular Dystrophy
- Paraplegia/Quadriplegia
- Rheumatoid or Osteo Arthritis
OUR TEAM
Seating & Wheelchair Mobility Specialists provide comprehensive evaluations of individuals of all ages and diagnoses to determine their functional need for manual or power wheelchairs and seating systems. These specialists are physical therapists who have advanced training in the proper use and fitting of this equipment to help maximize the user's independence.
The client and family/ caregivers, physicians, treating therapists, suppliers and case managers are included as part of the team.
CLIENT EVALUATIONS
Numerous sample wheelchairs, seat and back cushions, and accessories are available in the Seating Clinic for clients to try prior to purchase.
When indicated, computerized pressure mapping systems are used to determine the best cushion for pressure relief and distribution for each individual to prevent and/ or assist in the healing of pressure ulcers.
Custom contoured seat and back cushions are often molded for clients with mild to severe orthopedic deformities.
RECOMMENDATIONS & FOLLOW-UP
Since CarePartners is not a direct supplier for the equipment, we work closely with a variety of rehab technology suppliers and/ or the DME Companies.
Once the equipment recommendation is completed, our specialists provide the the necessary documentation to the supplier to obtain funding approval.
The wheelchairs and seating systems are delivered by the supplier with the Seating Clinic Therapist to assist in the adjustments for a correct fit and to provide training in the care and safe use of the products.
Follow-up appointments are often necessary for adjustments to accommodate growth and condition changes.
Call us today at: (828) 274-6183
Click here to view a directional map to the Seating Clinic.
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Constraint Induced Movement Therapy: New Therapy Program For Stroke Survivors
 Constraint Induced Movement Therapy (CIMT) is a therapeutic behavioral technique designed to increase use of stroke-related weakness in upper extremities. In the past, movement that was recovered a year post-stroke was the best that could be expected for the rest of a person’s life. Now, research conducted at the University of Alabama and carried out through a national clinical trial, has proven that this intensive behavioral therapeutic approach has helped people who experienced a stroke 20 years ago or more regain varying amounts of upper extremity function.
First, individuals must meet program criteria and an initial evaluation by a physical therapist professionally trained at the University of Alabama in Constraint Induced Therapy. Then they participate in three and a half hours of intensive rehabilitation therapy every day for two weeks at CarePartners Outpatient Center, followed by exercises that must be completed at home each day. The therapy includes wearing a padded mitt on the stronger extremity, forcing the patient to use their weaker extremity while completing repetitive therapy tasks and timed upper extremity exercises. The mitt is worn both in the clinic and at home while completing assigned homework tasks with their affected arm.
Constraint Induced Movement Therapy has shown impressive results and while the amount of improvement will vary for each patient, a great majority of patients will show a substantial increase in the functional uses of their affected limb.
Criteria for entrance into the CIMT Program include the following, in addition to a telephone questionnaire:
- Must have had their stroke at least six months prior to starting this program (otherwise unlimited time frame and no age limit).
- Cannot have had bilateral strokes.
- Some shoulder/elbow/wrist/finger movement of affected arm.
- Ability to stand, transfer, walk, propel wheelchair without assistance from someone else.
- Ability to follow instructions.
- No major cognitive or memory deficits.
- No major problems with pain.
- No major hearing or visual deficits.
Think CIMT might benefit you? To make an appointment to complete a phone questionnaire, call CarePartners Outpatient Center at (828) 274-6179. Or, for more information on Constraint Induced Movement Therapy Research go to: www.excite.wustl.edu or www.TaubTherapy.com
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CarePartners Dysphagia Treatment Program
Swallowing dysfunction or “Dysphagia” is a secondary complication of many conditions such as stroke, traumatic brain injury, cerebral palsy, Parkinson’s Disease, amyotrophic lateral sclerosis (Lou Gehrig’s Disease), radiation therapy as a result of head and neck cancer, post polio syndrome, myasthenia gravis, and several other degenerative and muscular conditions.
CarePartners Dysphagia Treatment Program incorporates treatment therapies of surface EMG-biofeedback, Deep Pharyngeal Neuromuscular Stimulation (DPNS), therapeutic swallowing exercises, along with the newest technology utilizing neuromuscular stimulation, often called VitalStimTherapy™. This therapy regime is an active rehabilitation program combining the physiological benefits of specific neuromuscular electrical stimulation and traditional speech therapy exercises that can result in increased swallowing ability, decrease risk of aspiration and pneumonia, improve nutrition, social and emotional well being, as well as overall quality of life. For more information on VitalStim™ Therapy go to www.vitalstim.com.
Following a referral by a physician, a modified barium swallow study is scheduled, which can be performed at CarePartners Outpatient Center, followed by a customized plan of care by a Speech and Language Pathologist certified in VitalStim™ therapy. This plan of care will be shared with the patient and the referring physician. Once the therapy is started, some patients may see improvement in as little as six treatments, while others require twenty or more.
Results
Some of the results patients at CarePartners have experienced by participating in the Dysphagia Treatment Program have been increased swallowing function, increased vocal intensity, increased tone and movement of facial muscles, decreased choking episodes, and in some cases, discontinuation of a feeding tube.
CarePartners Dysphagia Treatment Program and VitalStim™ Therapy is offered through two of our Outpatient Treatment Centers, and our Home Health service area.
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Lee Silverman Voice Treatment®
One and a half million people in the United States are diagnosed with Parkinson’s Disease, and an estimated 75 percent of those individuals experience speech and voice disorders that hinder communication in social, family, and work situations. The Lee Silverman Voice Treatment® (LSVT), the first effective treatment established for improving the voice and speech problems of individuals with Parkinson’s Disease, is now offered at two CarePartners Outpatient Centers.
What Is Lee Silverman Voice Treatment (LSVT) Therapy?
The LSVT® approach is an intensive training program in which the individual with Parkinson’s learns to improve loudness, voice quality, and articulation to improve speech and sound production. Lee Silverman was a woman with Parkinson’s Disease who experienced voice and speech difficulties. In her memory, her family provided funding for the treatment approach now bearing her name. For more information on the Lee Silverman Voice Treatment Therapy, visit the LSVT website at www.lsvt.org.
LSVT uses loudness training as its basis and consists of intensive daily training sessions that emphasize high vocal and breathing exercises. A variety of exercises is used to promote vocal loudness, and the individual is encouraged to THINK LOUD. A CarePartners Speech Pathologist works with the individual to recalibrate their sense of phonatory effort, loudness, and speech production.
LSVT at CarePartners Outpatient Centers
The LSVT program is offered at two CarePartners Outpatient Centers and is covered by Medicare. A referral from an otolaryngologist or primary care physician is required.
The initial LSVT assessment is conducted by a trained and certified Speech and Language Pathologist, and includes realistic goal setting by the patient and audio taping of voice samples. Patient’s goals often include being able to read to their grandchildren, talk on the phone, or just be heard and understood by family and friends at home and in social environments.
An LSVT treatment program usually consists of 16 sessions (four days per week) for four weeks. During the treatment program, family members are encouraged to participate by assisting with short practice sessions at home.
Outpatient also offers specialty programs such as the Walk Aid, SaeboFlex and a Golf program. Additional information is available upon request.
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How To Find Us
Outpatient Center
68 Sweeten Creek Road
Asheville, NC 28803
(828) 274-6179
(828) 277-4841 (fax)
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Orthotics & Prosthetics
639 Biltmore Avenue
Asheville, NC 28803
(828) 254-3392
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East Clinic
2358 US Highway 70
Swannanoa, NC 28778
(828) 686-3529
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North Clinic
204 Stone Ridge Boulevard
Asheville, NC 28804
(828) 281-0754
(828) 254-8764 (fax)
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South Clinic
3 Town Square Blvd.
Asheville, NC 28803
(828) 209-0900
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West Clinic
Village at Biltmore Lake
1390 Sandhill Rd., Ste 1
Candler, NC 28715
(828) 418-1050
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Wheelchair/Seating & Mobility Clinic
68 Sweeten Creek Road
Asheville, NC 28803
(828) 274-6183
(828) 277-4803 (fax)
Map
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Click here to view a map of our outpatient locations.
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CarePartners Health Services
68 Sweeten Creek Road • Asheville, NC 28803 • (828) 277-4800
info@carepartners.org
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