Neurologic Rehabilitation

Making the most of your abilities after a stroke, traumatic injury, or the onset of a degenerative condition is the mission of our rehabilitation team. We use a combination of physical, occupational and speech therapies to treat conditions affecting the brain and spinal cord such as:

  • Stroke
  • Traumatic brain injury
  • Brain tumors
  • Post concussion syndrome
  • Spinal cord injury
  • Parkinson's disease
  • Multiple sclerosis (MS)
  • Guillain Barré syndrome (GBS)
  • Charcot Marie Tooth (CMT)
  • Balance disorders
  • Progressive neurologic disorders/diseases
  • Complex regional pain syndrome (RSD)
  • Amyotrophic lateral sclerosis (ALS)

Care Starts at the Bedside

Your care may begin in New Hanover Regional Medical Center, NHRMC Orthopedic Hospital or Pender Memorial Hospital. Our therapists will work with your doctor on a rehabilitation program that fits with your needs. It can start right at the bedside with important work to get you stronger.

Longer Term Therapy and Inpatient Recovery

If you need more intensive rehabilitation therapies before going home, you may be admitted to New Hanover Regional Medical Center Rehabilitation Hospital. Pender Memorial Hospital also offers a skilled nursing facility for patients who need 24-hour nursing care and additional therapy.

Ongoing Care for Neurologic Conditions

Many neurologic conditions require ongoing rehabilitation therapy. We offer specialized services and equipment to meet your needs at our outpatient rehabilitation locations. If you are not able to leave your home for therapy, NHRMC Home Care can arrange for regular visits from skilled therapists.

Physical Therapy

Physical therapists help those with brain or spinal cord conditions move more easily. They’ll work on special exercises for walking or using a wheelchair, getting in and out of a chair or bed and up and down stairs.

Occupational Therapy

Occupational therapy helps patients regain some of their fine motor skills for completing everyday tasks. We work with you to strengthen your arms and your ability to grip objects.

Some patients can be helped through the Saebo® treatment, which involves being fitted with a custom dynamic hand and wrist splint. The device is available with a doctor's order for an evaluation by one of our Saebo® trained occupational therapists.

Speech Therapy

Aphasia is a communication disorder caused by damage to the sections of the brain that control language. Patients with aphasia have difficulty speaking and understanding others. Our speech-language pathologists use tests, interviews and observation to better understand the extent of the condition and develop a treatment plan to help patients with aphasia relearn and practice language skills.

Swallowing Therapy

Stroke, brain injury, cancer or neurodegenerative diseases such as Parkinson's disease can create problems swallowing, called dysphagia. Our speech therapists help evaluate what is interfering with your swallowing and develop a treatment plan that may include swallowing exercises and neuromuscular reeducation.

You may also benefit from the use of VitalStim®. This therapy uses neuromuscular electrical stimulation (NMES) in combination with specific swallowing exercises to retrain the muscles that control swallowing.

Voice and Movement Therapy for Parkinson’s Disease

Parkinson’s disease can severely impact a person’s ability to speak and move. The disease causes the deterioration of a patient's motor skills, marked by tremors, stiffness of the limbs, slow movements and impaired balance.

Big and Loud

Our therapists at Oleander Rehabilitation are certified in the Lee Silverman Voice Treatment (LSVT®) Big and Loud programs. These programs help Parkinson's patients expand their vocal capabilities and their range of motion.

The LSVT Loud therapy works to improve:

  • Respiratory support
  • Articulation
  • Voice volume
  • Speech clarity

The LSVT Big therapy works to help patients who have:

  • Sensory problem that makes patients think their movements are too big
  • Unintentional small movements
  • Slow thinking or learning
  • Problems sustaining attention
  • Issues with procedural memory

Cognitive Therapy

Damage to the brain may interfere with how a patient can think and remember. These cognitive problems can be helped through therapy. Our speech and occupational therapists will conduct an evaluation and develop a plan to help patients with:

  • Following directions
  • Problem solving
  • Memory
  • Sequencing
  • Attention/concentration
  • Money management

Vestibular Rehabilitation

Balance conditions often come with headaches, nausea and an increased risk of falls. These conditions are often caused by problems within the inner ear. We offer vestibular rehabilitation therapy to help your central nervous system learn to compensate for these imbalances.

You will meet with an outpatient physical therapist who will develop an individualized treatment plan which may include vestibular and balance exercises to reduce symptoms of vertigo and dizziness and improve balance.