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LEBA THERAPEUTIC SERVICES INC


ESCNJ Board PresentationNarrated by Dr Deborah Eisenberg PT DPT MSClinical Services DirectorFebruary 23 2018INTRODUCTIONEvidence ased tractice provided by hTs and tTsManagement presence at each siteEx

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Document on Subject : "LEBA THERAPEUTIC SERVICES INC"— Transcript:

1 LEBA THERAPEUTIC SERVICES INC. ESCNJ Bo
LEBA THERAPEUTIC SERVICES INC. ESCNJ Board Presentation Narrated by Dr. Deborah Eisenberg PT, DPT, MS Clinical Services Director February 23, 2018 INTRODUCTION • Evidence .ased tractice provided by hT’s and tT’s • Management presenc

2 e at each site • Experienced clinician
e at each site • Experienced clinicians provide in - services to therapists and educational school personnel • Parent/Guardian annual surveys • Individualized Home Exercise Programs distributed 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 2

3 Piscataway Regional Day School Academy
Piscataway Regional Day School Academy Learning Center Nu View Academy Center For Lifelong learning Bright Beginnings Learning Center New Brunswick Therapists LE.! Therapeutics’ Sites 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 3 LEBA Therapeut

4 ics' IN - SERVICES 3/1/2018 LEBA THERAPE
ics' IN - SERVICES 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 4 Home Exercise Work Sheets 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 5 PARTIAL WEIGHT BEARING GAIT TRAINING • Carole Binen - Sokol PT, ALC • Electric treadmill repetitive stepping

5 improves function of the lower limbs
improves function of the lower limbs • PT assisted stepping improves spatial temporal gait variables • Pace, level of assistance controlled by PT • Improved walking seen with individuals with cerebral palsy and Down syndrome 3/1/2018

6 LEBA THERAPEUTIC SERVICES INC. 6 3/1/201
LEBA THERAPEUTIC SERVICES INC. 6 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 7 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 8 Video will be inserted here NEUROMUSCULAR ELECTRICAL STIMULATION • Effective tool to contract and strengthen muscles for t

7 hose who are unable to activate and exe
hose who are unable to activate and exercise targeted muscles required for function • Increases functional skill performance via improved strength, range of motion, and decreased spasticity • Surface electrodes 3/1/2018 LEBA THERAPEUTI

8 C SERVICES INC. 9 3/1/2018 LEBA THERAPEU
C SERVICES INC. 9 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 10 ADAPTIVE EQUIPMENT • Kim Fake, OTR, ALC • Team assessment in each site by parent, teacher, OT, PT, and Assistive Technology Certified Vendor • Equipment for school and home

9 • Wheelchairs, standers, gait trainers
• Wheelchairs, standers, gait trainers, adapted strollers, classroom seating systems, home bathing systems, beds, and car seats 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 11 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 12 3/1/2018 LEBA THERAPEUTI

10 C SERVICES INC. 13 Custom Orthotics •
C SERVICES INC. 13 Custom Orthotics • Orthotist conducts screenings, evaluations, fabrications, fittings, repairs, and modifications of all forms of custom orthotics for students in each ESCNJ site, as scheduled by hT’s and tT’s •

11 Iand splints, forearm splints, !Ch’s,
Iand splints, forearm splints, !Ch’s, Sah’s, Sure Steps, sneakers, TLSh’s, and lycra body suits 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 14 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 15 Assistive Technology • Sheryl Wurmbrand , OTR, AL

12 C • Attention and Eye Gaze software pr
C • Attention and Eye Gaze software program • Customized activities to assess and teach attention skills, functional tracking, fixating, and accessing computer programs • Synced to match students’ eye movements • Goal to reveal mea

13 ns to adapt the environment maximizing
ns to adapt the environment maximizing interaction in the classroom 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 16 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 17 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 18 Occupational Therapy • Individual and inte

14 grated classroom group sessions, using
grated classroom group sessions, using adapted equipment to facilitate Activities of Daily Living skills, sensory modulation via Sensory Diets including weighted and deep pressure vests, fine motor and perceptual motor skills, grapho mot

15 or skills, computer key boarding, and v
or skills, computer key boarding, and vocational training. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 19 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 20 Felissa Szold, OTR, ALC • Virtual reality gaming systems use the person’s movement along wit

16 h the controllers, to regulate the acti
h the controllers, to regulate the activities of the game. • Research shows that virtual reality games develop gross and fine motor skills, and visual and social skills. • tT’s practice jumping, running, walking, and balance in a tas

17 k specific way that is meaningful and m
k specific way that is meaningful and motivating. • hT’s practice crossing midline, using bilateral skills, eye - hand coordination, and turn taking. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 21 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 22

18 3/1/2018 LEBA THERAPEUTIC SERVICES INC.
3/1/2018 LEBA THERAPEUTIC SERVICES INC. 23 Video Modeling • Shown to improve new skill acquisition and generalization of skills, specifically for students with ASD • Gross motor skills learned via You Tube videos • Used for jump rope

19 , jumping jacks, ball skills • Recent
, jumping jacks, ball skills • Recent study concluded improved throwing accuracy following school based therapy that incorporated video modeling. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 24 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 25 Joli Se

20 mon , DPT, PRDS - Yoga • GRTL – Get
mon , DPT, PRDS - Yoga • GRTL – Get Ready to Learn Program • Shown to reduce irritability, social withdrawal, hyperactivity, and non - compliance specifically in children with ASD. • Incorporated in classrooms to maximize academic

21 engagement and optimize classroom time
engagement and optimize classroom time when facing behavioral challenges. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 26 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 27 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 28 Lynette Huth , OTR, ALC • Sensory R

22 oom - Provides students with a variety o
oom - Provides students with a variety of stimuli to help them develop and engage their senses for optimizing memory and improve learning. • Therapists assess how a student reacts to sensory stimuli and activities are designed to stimulat

23 e sight, touch, smell, hearing, taste,
e sight, touch, smell, hearing, taste, balance, and body awareness. • Using lighting, music, aromas, and textures therapists can alter level of attention, and prepare the student for learning via self organization, self control, problem

24 solving, inspiring creativity and explo
solving, inspiring creativity and exploration, and improving fine motor skills and language development. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 29 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 30 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 31 Video w

25 ill be inserted here Fitness and Wellnes
ill be inserted here Fitness and Wellness • Research has shown that children with chronic conditions have higher rates of obesity and sedentary life styles. • Good health and fitness needed for increased access and participation in recr

26 eational activities with peers, in gym,
eational activities with peers, in gym, on the playground, for vocational success, and to prevent onset of progression of impairments that lead to functional limitations throughout life 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 32 3/1/2018 L

27 EBA THERAPEUTIC SERVICES INC. 33 Gregory
EBA THERAPEUTIC SERVICES INC. 33 Gregory Schwalje , DPT, CLL • Aquatic therapy using the swimming pool in CLL - zero entry pool, whirlpool, lazy river, and 6 lane lap pool • Provides resistance for strength training, buoyancy and warmth

28 for muscle relaxation, and water press
for muscle relaxation, and water pressure for improved body awareness. • Students can move more freely than they can on land, and students enjoy assisted swimming 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 34 3/1/2018 LEBA THERAPEUTIC SERVI

29 CES INC. 35 3/1/2018 LEBA THERAPEUTIC SE
CES INC. 35 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 36 Dan Steinhauser , PT, ALC • Strength training – Weakness is highly related to motor function, seen in CP and Developmental Coordination Disorder • Positive correlation with task

30 – oriented and functional strength t
– oriented and functional strength training with carryover into daily activities. • Current evidence for high velocity progressive resistance exercises using increased loading with resistance bands, weighted balls, bars, and vests, a

31 nd free weights. 3/1/2018 LEBA THERAPEU
nd free weights. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 37 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 38 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 39 Kinesiotaping • Successful technique adapted from adult sports physical therapy tool box •

32 Shown to positively affect children rela
Shown to positively affect children related to sitting posture and dynamic activities • Semi elastic surface tape that can activate muscles students have difficulty contracting on their own or to relax muscles during functional activitie

33 s. 3/1/2018 LEBA THERAPEUTIC SERVICES IN
s. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 40 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 41 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 42 Survey Questionnaire In 2015/16 Solicited: PT Students Solicited: 299 PT Responses: 72 (24.08%) OT Students So

34 licited: 523 OT Responses: 129 (24.67%)
licited: 523 OT Responses: 129 (24.67%) In 2016/17 Solicited: PT Students Solicited: 301 PT Responses: 93 (30.90%) OT Students Solicited: 601 OT Responses: 192 (30.28%) 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 43 2015/16 & 2016/17 Survey Re

35 sults In 2015/16: Strongly Agree: 60.66
sults In 2015/16: Strongly Agree: 60.66% Agree: 30.31% Total Agreements 90.97% Disagree: 2.76% Strongly Disagree: 0.48% N/A: 5.79% Excluding N/A 96.56% Agree/Strongly Agree In 2016/17: Strongly Agree: 63.97% Agree: 29.25% Total Agreements 93

36 .22% Disagree: 1.67% Strongly Disagree :
.22% Disagree: 1.67% Strongly Disagree : 0.70% N/A: 4.41% Excluding N/A 97.51% Agree/Strongly Agree Note: Strongly Disagree of 1 Parent/Guardian Note: Strongly Disagree of 1.5 Parent/Guardian 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 44 1. The t

37 herapist makes me feel comfortable conta
herapist makes me feel comfortable contacting him/her. 2. I am confident that the therapist has my student’s best interest in mind. 3. I am confident that the therapist is using up to date therapy techniques. 4. I am satisfied that the thera

38 pist addresses my concerns by providing
pist addresses my concerns by providing me with useful information. 5. The therapist communicates with me whenever it is needed. Survey Questionnaire. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 45 6. The therapist offers additional assistance whe

39 n I request it, in a timely fashion. 7.
n I request it, in a timely fashion. 7. The therapist provides me with activities to do at home. 8. The therapist sets appropriate expectations for my student and helps my student to reach them. 9. The therapist helps me in working with my

40 district, doctors and other equipment/or
district, doctors and other equipment/orthotic vendors. 10. I can see that my student is making appropriate progress. Survey Questionnaire (cont.) 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 46 Testimonials - “(My student) has made incredible pr

41 ogress. We never imagined he would be p
ogress. We never imagined he would be physically capable to do what he does now. Very satisfied. Thank you Carole!!” - “Debbie is an amazing therapist and (we) feel very fortunate that my child continues to receive PT from her. Therapy

42 has absolutely made a 100% positive chan
has absolutely made a 100% positive change for my child mentally and physically. Wish all could have PT 5 days/week!! So Beneficial.” - “(my child’s) coordination and core strength has made such significant progress. He is catching a ba

43 ll so much better too. Thank you!” -
ll so much better too. Thank you!” - “ A+ therapist!! This school is so fortunate to have Sheryl as an O.T. She has made permanent positive, life - altering changes possible for my child, assisting with many areas promoting independence a

44 nd necessary life skills, self - help,
nd necessary life skills, self - help, including feeding, dressing, shoes, fine motor, writing, keyboarding, etc. etc. etc. Wish we had OT with her daily!” - One of the parents told Gila that he is working in Pennsylvania and the only re

45 ason he hasn’t moved his family there
ason he hasn’t moved his family there is because of BBLC’s OT’s & PT’s - Cassandra has gone above and beyond my expectations in helping facilitate repairs to Kate’s wheelchair and acquiring/fitting a new travel chair. Kate has met

46 or exceeded many of her goals. I’m ver
or exceeded many of her goals. I’m very pleased with the PT she receives. - Greg is the BEST PT Mikey has ever had. He has made such remarkable strides with him. 3/1/2018 LEBA THERAPEUTIC SERVICES INC. 47 LEBA THERAPEUTIC SERVICES, INC . 4

47 95 Harrison Avenue Highland Park, New Je
95 Harrison Avenue Highland Park, New Jersey 08904 732 - 572 - 3536 Fax 732 - 572 - 3539 Info@lebats.com www.Lebats.com Harold Granek President h.granek@lebats.com Roseanna Perez Director of Operations r.cancian@lebats.com Dr. Deborah Eisenb