Hawaiian Rehab Services

Orthopedic Physical Therapy is the more traditional form of physical therapy focusing on the musculoskeletal system including your muscles, bones, ligaments, tendons and connective tissues. At Hawaiian Rehab our Physical Therapists are specialist in Body Mechanics. They are experienced in treating orthopedic conditions including all the joints of the body to reduce pain and restore function. This includes the spine, shoulder, elbow, hand, hips, knees and feet!

Frequently, this treatment is either before or after an operation or after an injury. This type of Therapy can help restore function and prevent surgery by using manual therapy, strengthening and motor control training to optimize a patient’s body mechanics.

A Neurologic Physical Therapist is a PT who specializes in the evaluation and treatment of individuals with movement problems due to disease or injury of the nervous system. Neurologic injuries include strokes, otherwise known as cerebrovascular events or CVA's, Spinal Cord Injuries, and Traumatic Brain Injuries. Concussions also fall into this category.

Our Physical Therapists are trained to treat these types of injuries and can help you improve your balance, ability to transfer between surfaces, walk, gain strength and endurance, move safely with less assistance, and return to some prior level of activity and independence. To reach these goals, neuro rehab may include programs to help with activates of daily living (ADLs) such as eating, dressing, bathing, toileting, handwriting, cooking, and basic daily activates.

Occupational Therapists and Speech Language Pathologist are also trained to treat neurologic diseases or injuries.

Our Occupational Therapist will perform an evaluation to determine a baseline status for your range of motion, strength, sensation, motor coordination, and pain. Depending on your condition, specialty areas such as cognition and memory may also be assessed. Based on the findings, you and your therapist will develop therapy goals that are dependent on your personal needs, which will serve to guide further treatment. At follow up sessions, the occupational therapist will use various treatment techniques which may include heat or cold treatment, manual therapies such as soft tissue massage or stretching, therapeutic exercises including range of motion and strengthening, cognitive training, as well as patient education to help you achieve your goals.

As part of your treatment sessions, you will be taught a home exercise program to help you achieve your therapy goals, and to maintain your outcomes once you have graduated from occupational therapy.

Our therapist will perform an evaluation to determine a baseline status for your hand, wrist, and elbow motion, strength, sensation, motor coordination, and pain. Based on the findings, you and your therapist will develop therapy goals that are dependent on your personal needs. If needed, the therapist may fabricate a removable custom orthosis. This process involves conforming a heat activated material to your hand or arm, which upon cooling will offer stable support. While many custom orthoses serve to immobilize an injured area, others can assist with regaining motion if stiffness is a concern.

At follow up hand therapy sessions, the therapist will use various treatment techniques which may include heat or cold treatment, manual therapies such as soft tissue massage or stretching, therapeutic exercises including range of motion and strengthening, as well as patient education and a customized home exercise program to help you achieve your goals.

Designed to get you back to work after an injury. Our occupational or physical therapist will perform a functional capacity evaluation to determine a baseline status for your range of motion, strength, and other physical capabilities. Utilizing a job description and your physician’s guidance, you and your therapist will develop an exercise program that emphasizes job simulation for your specific work position. During follow-up treatment session, you and your therapist will progress your program to rebuild your strength, endurance, and confidence.

Treatments are typically 2-4 hours long and 2-3 days per week, depending on your physician’s recommendation. Throughout your work hardening program, your therapist will provide comprehensive patient education on pacing, stress management, back care, body mechanics, ergonomics, and injury prevention to ensure a successful return to work. At program completion, you will be provided with a comprehensive home exercise program to ensure long term success.

Developed to help an athlete or fitness enthusiast expedite their full return to sport after an injury such as a rotator cuff repair or an ACL tear. Our Physical Therapists can also help you set a safe ramp-up to return to sport after time off.

The goal of Sports Physical Therapy is to return to sport, but it can also help maximize mechanical efficiency, improve sports performance and prevent future injuries.

Our therapists are athletes alike and will work with you to create an individualized program based on your needs and specific goals.

Do you have swelling in your arms or your legs? Many conditions can cause swelling in a limb or other body part. Common causes include vascular disease, lymph node removal, and cancer treatment. Complete Decongestive Therapy (Lymphedema Therapy) focuses on reducing the swelling and controlling the pain.

At Hawaiian Rehab we will utilize a combination of compression, specialized manual therapy, skin care and exercise to reduce swelling and prevent infection. Commonly treated conditions include Lymphedema, Venous Insufficiency, and Lipedema. Guided light exercise may encourage lymph fluid drainage and help prepare you for returning to everyday tasks.

Your therapists may also recommend customized compression garments to assists in reducing swelling.

Vestibular Rehabilitation Therapy (VRT) is a form of physical therapy that uses specialized exercises that result in gaze and gait stabilization. VRT exercises are essential in stimulating and retraining the vestibular system. Most Vestibular Rehabilitation treats the inner ear to reduce or eliminate symptoms of dizziness or spinning. The inner ear is our body's gyroscope, when it isn't functioning correctly you will feel dizzy, have blurred or double vision, nausea and be prone to falls.

Commonly treated conditions include BPPV, vestibulopathy, migraine related vertigo, and vertigo resulting from concussion or traumatic brain injury. Your physical therapist will assess the cause of your dizziness and treat you with repositioning maneuvers, balance exercises, and exercises to coordinate the eye and the inner ear.

You may have significant relief in as little as one appointment!

In addition to dizziness or vertigo, after concussion you may have trouble focusing and be prone to headaches. A physical therapist can help you with a program to gradually improve endurance with mental and physical tasks to allow you to return safely to work, school and sports.

Your program will focus on balance and problem-solving tasks in addition to treatment of the inner ear if needed.

Speech Therapy starts with an assessment and treatment for adults and children with communication disorders, swallowing dysfunctions, and cognitive impairments. Speech Language Pathologists (also called speech therapists) can help with speaking, reading, writing, or swallowing after a setback due to a neurological illness or injury. A child may be referred to Speech Therapy for many reasons including hearing impairments, cognitive or developmental delays, weak oral muscles, chronic hoarseness, cleft lip or cleft pallet, autism, motor planning problems, articulation problems, fluency disorders, respiratory problems or breathing disorders, feeding or swallowing disorders, and traumatic brain injuries. For children, those who start therapy before age five tend to have better results. This does not mean that those who start therapy as older children or adults won’t be successful in Speech Therapy, though their progress may be slower due to learned patterns that need to be changed.

LSVT LOUD is an effective speech treatment for people with Parkinson's disease (PD) and other neurological conditions.

LSVT LOUD trains people with PD to use their voice at a more normal loudness level while speaking at home, work, or in the community. Key to the treatment is helping people "recalibrate" their perceptions so they know how loud or soft they sound to other people and can feel comfortable using a stronger voice at a normal loudness level. The treatment is built on tailored exercises that strengthen the voice box (larynx) and speech system. While LSVT LOUD focuses on vocal loudness, research shows the treatment can also help with other qualities that improve communication, including articulation and intonation and even facial expression.

LSVT BIG trains people with Parkinson disease (PD) to use their body more normally. People living with PD or other neurological conditions often move differently, with gestures and actions that become smaller and slower. They may have trouble with getting around, getting dressed and with other activities of daily living. LSVT BIG effectively trains improved movements for any activity, whether “small motor” tasks like buttoning a shirt or “large motor” tasks like getting up from sofa or chair or maintaining balance while walking. The treatment improves walking, self-care and other tasks by helping people “recalibrate” how they perceive their movements with what others actually see. It also teaches them how and when to apply extra effort to produce bigger motions – more like the movements of everyone around them.

Both LSVT LOUD & BIG treatments are delivered in a one-on-one setting and are tailored to each person’s own abilities and goals so that they work towards what's meaningful to them. It requires (and can only be given by) an

LSVT LOUD/BIG Certified Clinician as part of prescribed physical therapy or speech therapy program.