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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 presence at each site • Experienced clinicians

2 provide in - services to therapists an
provide in - services to therapists and educational school personnel • Parent/Guardian annual surveys • Individualized Home Exercise Programs distributed 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 2 Piscataway Regional Day School Academy Learning Center Nu View Academy Center

3 For Lifelong learning Bright Beginning
For Lifelong learning Bright Beginnings Learning Center New Brunswick Therapists LE.! Therapeutics’ Sites 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 3 LEBA Therapeutics' IN - SERVICES 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 4 Home Exercise Work Sheets 2/26/2018 LEBA THERAPEU

4 TIC SERVICES INC. 5 Therapeutic Serv
TIC SERVICES INC. 5 Therapeutic Services Include: - Partial Wight Bearing Gait Training - Neuromuscular Electrical Stimulation - Adaptive Equipment - Custom Orthotics - Assistive Technology - Occupational Therapy - Virtual Reality - Video Modeling

5 - Yoga - Sensory Room -
- Yoga - Sensory Room - Fitness and Wellness - Aquatic Therapy - Strength Training - Kinesiotaping 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 6 PARTIAL WEIGHT BEARING GAIT TRAINING • Carole Binen - Sokol PT, ALC • Electric treadmill repetitive ste

6 pping improves function of the lower li
pping 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 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 7 2

7 /26/2018 LEBA THERAPEUTIC SERVICES INC
/26/2018 LEBA THERAPEUTIC SERVICES INC. 8 Video will be inserted here NEUROMUSCULAR ELECTRICAL STIMULATION • Effective tool to contract and strengthen muscles for those who are unable to activate and exercise targeted muscles required for function • Increases functional skill perfo

8 rmance via improved strength, range of
rmance via improved strength, range of motion, and decreased spasticity • Surface electrodes 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 9 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 10 ADAPTIVE EQUIPMENT • Kim Fake, OTR, ALC • Team assessment in each site by parent, teacher, O

9 T, PT, and Assistive Technology Certifi
T, PT, and Assistive Technology Certified Vendor • Equipment for school and home • Wheelchairs, standers, gait trainers, adapted strollers, classroom seating systems, home bathing systems, beds, and car seats 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 11 2/26/2018 LEBA THERAPEUTIC

10 SERVICES INC. 12 Custom Orthotics
SERVICES INC. 12 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 • Iand splints, forearm splints, !Ch’s, Sah’s, Sur

11 e Steps, sneakers, TLSh’s, and lycra b
e Steps, sneakers, TLSh’s, and lycra body suits 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 13 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 14 Assistive Technology • Sheryl Wurmbrand, OTR, ALC • Attention and Eye Gaze software program • Customized activities to assess and teach

12 attention skills, functional tracking, f
attention skills, functional tracking, fixating, and accessing computer programs • Synced to match students’ eye movements • Goal to reveal means to adapt the environment maximizing interaction in the classroom 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 15 2/26/2018 LEBA THERAPEUT

13 IC SERVICES INC. 16 Occupational The
IC SERVICES INC. 16 Occupational Therapy • Individual and integrated 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,

14 grapho motor skills, computer key boa
grapho motor skills, computer key boarding, and vocational training. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 17 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 18 Felissa Szold, OTR, ALC • Virtual reality gaming systems use the person’s movement along with the controllers, to regula

15 te the activities of the game. • Re
te 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 task specific way that is meaningful and motivating. • hT’s practice crossing m

16 idline, using bilateral skills, eye - h
idline, using bilateral skills, eye - hand coordination, and turn taking. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 19 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 20 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 21 Video Modeling • Shown to improve new skill acquisition and general

17 ization of skills, specifically for stud
ization of skills, specifically for students with ASD • Gross motor skills learned via You Tube videos • Used for jump rope, jumping jacks, ball skills • Recent study concluded improved throwing accuracy following school based therapy that incorporated video modeling. 2/26/2018 LEBA

18 THERAPEUTIC SERVICES INC. 22 2/26/2
THERAPEUTIC SERVICES INC. 22 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 23 Joli Semon, DPT, PRDS - Yoga • GRTL – Get Ready to Learn Program • Shown to reduce irritability, social withdrawal, hyperactivity, and non - compliance specifically in children with ASD. • Incorpor

19 ated in classrooms to maximize academic
ated in classrooms to maximize academic engagement and optimize classroom time when facing behavioral challenges. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 24 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 25 Lynette Huth, OTR, ALC • Sensory Room - Provides students with a variety of

20 stimuli to help them develop and engage
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 stimulate sight, touch, smell, hearing, taste, balance, and body awareness. • Using lighting, music, a

21 romas, and textures therapists can alte
romas, and textures therapists can alter level of attention, and prepare the student for learning via self organization, self control, problem solving, inspiring creativity and exploration, and improving fine motor skills and language development. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 26

22 2/26/2018 LEBA THERAPEUTIC SERVICES
2/26/2018 LEBA THERAPEUTIC SERVICES INC. 27 Video will 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 i

23 n recreational activities with peers, i
n recreational 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 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 28 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 29 Greg

24 ory Schwalje, DPT, CLL • Aquatic the
ory 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 for muscle relaxation, and water pressure for improved body awareness. • Students can

25 move more freely than they can on land
move more freely than they can on land, and students enjoy assisted swimming 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 30 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 31 Dan Steinhauser, PT, ALC • Strength training – Weakness is highly related to motor function, seen in CP and D

26 evelopmental Coordination Disorder
evelopmental Coordination Disorder • Positive correlation with task – 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

27 , and vests, and free weights. 2/2
, and vests, and free weights. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 32 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 33 Kinesiotaping • Successful technique adapted from adult sports physical therapy tool box • Shown to positively affect children related to sitting posture a

28 nd dynamic activities • Semi elastic
nd dynamic activities • Semi elastic surface tape that can activate muscles students have difficulty contracting on their own or to relax muscles during functional activities. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 34 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 35 2/26/2018 LEBA

29 THERAPEUTIC SERVICES INC. 36 Survey
THERAPEUTIC SERVICES INC. 36 Survey Questionnaire In 2015/16 Solicited: PT Students Solicited: 299 PT Responses: 72 (24.08%) OT Students Solicited: 523 OT Responses: 129 (24.67%) In 2016/17 Solicited: PT Students Solicited: 301 PT Responses: 93 (30.90%) O

30 T Students Solicited: 601 OT Respons
T Students Solicited: 601 OT Responses: 192 (30.28%) 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 37 2015/16 & 2016/17 Survey Results In 2015/16: Strongly Agree: 60.66% Agree: 30.31% Total Agreements 90.97% Disagree: 2.76% Strongly Disagree: 0.48% N/A

31 : 5.79% Excluding N/A 96.56
: 5.79% Excluding N/A 96.56% Agree/Strongly Agree In 2016/17: Strongly Agree: 63.97% Agree: 29.25% Total Agreements 93.22% Disagree: 1.67% Strongly Disagree : 0.70% N/A: 4.41% Excluding N/A 97.51% Agree/Strongly Agree Note: Strongly Disa

32 gree of 1 Parent/Guardian Note: Strong
gree of 1 Parent/Guardian Note: Strongly Disagree of 1.5 Parent/Guardian 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 38 1. The therapist 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 con

33 fident that the therapist is using up to
fident that the therapist is using up to date therapy techniques. 4. I am satisfied that the therapist addresses my concerns by providing me with useful information. 5. The therapist communicates with me whenever it is needed. Survey Questionnaire. 2/26/2018 LEBA T

34 HERAPEUTIC SERVICES INC. 39 6. The t
HERAPEUTIC SERVICES INC. 39 6. The therapist offers additional assistance when 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 t

35 herapist helps me in working with my dis
herapist helps me in working with my district, doctors and other equipment/orthotic vendors. 10. I can see that my student is making appropriate progress. Survey Questionnaire (cont.) 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 40 Testimonials - “(My student) has made incredible

36 progress. We never imagined he would be
progress. 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 has absolutely made a 100% positive change

37 for my child mentally and physically.
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 ball so much better too. Thank you!” - “ A+ therapist!! This school is so fortu

38 nate to have Sheryl as an O.T. She h
nate 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 and necessary life skills, self - help, including feeding, dressing, shoes, fine motor, writing, keyboarding, etc. etc. etc. Wish we

39 had OT with her daily!” - One of th
had OT with her daily!” - One of the parents told Gila that he is working in Pennsylvania and the only reason 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

40 and acquiring/fitting a new travel cha
and acquiring/fitting a new travel chair. Kate has met 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. 2/26/2018 LEBA THERAPEUTIC SERVICES INC. 41 LEBA THERAPEUTIC SERVICES

41 , INC . 495 Harrison Avenue Highland
, INC . 495 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 Eisenberg Clinical Directo