Physical Therapy

LifeLine Partners, Inc. provides a multitude of Physical Therapy services, including the following:

pinred.gif (1013 bytes) Cardiovascular Therapy pinred.gif (1013 bytes) Vestibular/Balance Dysfunction
pinred.gif (1013 bytes) Orthopedic Conditions pinred.gif (1013 bytes) Neck and Back Pain
pinred.gif (1013 bytes) Joint Replacement pinred.gif (1013 bytes) Geriatric Debility Program
pinred.gif (1013 bytes) Sports/Trauma Injuries pinred.gif (1013 bytes) Stroke/Neurological Rehabilitation
pinred.gif (1013 bytes) Ankle/Knee Sprains pinred.gif (1013 bytes) MS/Parkinson's Rehabilitation
pinred.gif (1013 bytes) Functional Capacity Evaluations pinred.gif (1013 bytes) Worker Rehabilitation

Getting Started:

Patients can begin Physical Therapy (PT) by either securing a prescription for PT from their doctor, then contacting their closest LifeLine Partners, Inc. clinic,  or by having their doctor fax the prescription directly to LifeLine Partners, Inc. Alternativley, patients without a PT prescription may be eligible for PT under Ohio's new Direct Access Law. These patients should contact their closest LifeLine Partners, Inc. clinic for instructions on how to proceed with receiving PT treatment. All Physical Therapy services are available to all races, religions and age, including pediatrics, adolescents, young adults, adults and senior citizens. Transportation to/from the closest LifeLine Partners, Inc. clinic is available for a nominal fee.

Defining Patient Goals:

Once verified to receive Physical Therapy, the patient is contacted to schedule an evaluation with a staff Physical Therapist. During this evaluation, simple measurements are obtained and goals are defined, along with a schedule of routine clinic visits. Depending on insurance provider, as many as 24 visits are provided, allowing the patient to receive maximum benefit of the program. Typical PT visits take about an hour with Cardio Vascular, Functional Capacity Evaluations and Worker Rehabilitation visits running longer. Functional Capacity Evaluations are usually completed in a single visit.

Continuing Rehabilitation After Discharge:

After discharged from Physical Therapy, the patient has the option to enroll in the Maintanance Program for a nominal month-to-month fee. The Maintanance Program allows the patient to continue his/her therapy by using all available clinic resources such as treadmills, bicycles and weight machines, at any LifeLine Partners, Inc. location. This program provides an economical means to allow the patient to maintain their rehabilitation goals and sustain their post-therapy level of independence.


Cardiovascular Therapy:

The Cardio Vascular Program is designed to treat patients who have experienced a Myocardial Infarction (Heart Attack) and/or Coronary Artery Bypass Graft (CABG), or who have been diagnosed with Coronary Artery Disease or Congestive Heart Failure. Vital signs are closely monitored throughout all exercise activities, including acquisition of real-time cardiac telemetry (EKG).  All staff clinicians are CPR certified and are trained in identifying abnormal EKG rhythms.

monitor_bp72.JPG (63647 bytes) ekg_setup72.JPG (59788 bytes)
Blood pressure is closely
monitored throughout all activities.
EKG electrodes are attached to
monitor real-time cardiac telemetry.

Typical Cardio Vascular visits begin with a warming up several muscle groups through light stretching. Arms and legs are then exercised using weights or elastic Theraband, and progressed each visit as tolerated by the patient. Additional activities include the use of arm bikes, leg bikes and treadmills for aerobic benefits.


Orthopedic Conditions:

Physical Therapy is frequently prescribed to treat a variety of musculoskeletal conditions, including degenerative/arthritic conditions, acute/chronic injuries or for those rehabilitating after limb amputation. Upon the patient's evaluation with a staff Physical Therapist, therapy goals are defined and a unique Plan of Care is developed. Typical goals include reduction in pain levels and improvements in Joint Range of Motion and Muscle Strength/Stability.

core_strength.JPG (68601 bytes)
A patient uses a Swiss Ball for
strengthening of core muscles.

Clinicians work closely with each patient to ensure that all goals are reached, as defined by the Plan of Care. A typical Orthopedic Plan of Care includes Therapeutic Exercise, Hands-On Joint/Muscle Mobilization and Modalities such as Ultrasound or Electronic Stimulation to reduce pain levels.


Joint Replacement:

LifeLine Partners, Inc. offers Physical Therapy for patients who have received a hip or knee replacement, and are ready to begin rehabilitation, as approved by their referring physician. Great attention is paid to progressing the patient to pre-defined goals of Joint Mobility and Muscle Strength.

bike.JPG (63696 bytes)
A patient using a recumbant bike to
rehabilitate her total knee replacement.

A typical Joint Replacement Plan of Care includes Therapeutic Exercise, Hands-On Joint/Muscle Mobilization and Modalities such as Ultrasound or Electronic Stimulation to reduce pain levels.


Sports/Trauma Injuries:

Whether a torn ACL playing football or a neck injury due to a motor vehicle accident, a multitude of injuries can be successfully treated with Physical Therapy. The main goals of rehabilitation for the Trauma patient include reduction in pain levels and restoration of Joint Mobility and Muscle Strength. Rehabilitation for the Sports Injury patient is taken a step further, with progression to sport-specific goals such as regaining a golf swing, pitching a baseball or building endurance to complete a marathon.

rtc_rehab.JPG (65240 bytes)
Manual therapy is frequently used to rehab rotator cuff injuries.

A typical Sports/Trauma Injury Plan of Care includes Therapeutic Exercise, Hands-On Joint/Muscle Mobilization and Modalities such as Ultrasound or Electronic Stimulation to reduce pain levels.


Ankle/Knee Sprains:

Although not as severe as a torn ligament, an over-stretched ligament can be as painfull and debilitating. Sprains to joints in the wrist, shoulder, hip, knee and ankle can be caused by impact or overuse, resulting in pain and a reduction in Joint Mobility. 

knee_rehab.JPG (70591 bytes)
A patient using an exercise machine for knee rehabilitation.

Physical Therapy focuses on restoration of Joint Mobility through Therapeutic Exercise and Hands-On Joint/Muscle Mobilization. Modalities such as Ultrasound and Electronic Stimulation are used to provide temporary relief of pain symptoms.


Functional Capacity Evaluations:

As a prerequisite to employment, an employer may request the successful completion of a Functional Capacity Exam. Here, the candidate must demonstrate the ability to safely perform several activities which require strength, agility and endurance, while maintaining acceptable vital signs.

fce.JPG (62311 bytes)
A patient is tested on weight lifting capabilities.

A typical FCE exam requires up to four hours to complete. Upon completion of an FCE, a final report is made available to authorized parties. 


Vestibular/Balance Dysfunction:

One common cause of dizziness is thought to result from a condition called Benign Paroxysmal Positional Vertigo (BPPV), where small bits of calcium carbonate are dislocated in the inner ear, possibly from head injury. Other causes for balance dysfunction include ear infection, disorders of the inner ear, advanced age or reductions in vision or the ability to feel one's surroundings. Depending on the cause, balance can usually be improved through strategic movements of the head or exercises used to re-train the balance system and develop leg strength.

balance.JPG (73277 bytes)
The Single Leg Stance is used for
advanced balance skill testing.

Patients who successfully complete a Balance Dysfunction Plan of Care, typically reduce related symptoms such as nausea, vertigo, lightheadedness and vertigo.


Neck and Back Pain:

Their are numerous causes of neck and back pain, with the most popular being due to trauma, overuse and injury. More complex conditions include Spinal Stenosis (a narrowing of the spinal canal),  Ankylosing Spondylitis (inflammation of the spine and sacroiliac joint), Spondylolisthesis (a disarticulation of one vertebra on top of another), Degenerative Joint Disease (a breakdown of cartilage, causing painful bone-on-bone articulation) and Radiculopathy (numbness or tingling progressing down the arms or legs).

neckpain.JPG (65678 bytes)
A patient receives joint mobilization to relieve neck pain.

Depending on the cause, Joint Mobility can be improved through hands-on Joint Mobilization and Therapeutic Exercise. Proven interventions such as Maitland's, McKenzie, Mulligans, Cyriax, Myofacial Release, Muscle Energy and Joint Distraction techniques are frequently used, along with Ultrasound and Electrical Stimulation to reduce pain and improve range of motion.


Geriatric Debility Program:

The effects of advanced age include reduced Muscle Strength and Joint Mobility, with related difficulty in performing Activities of Daily Living (ADL) such as walking and shopping. Maintaining balance is also an issue, as the risk for falling also increases with age. Therefore the key components of the Geriatric Debility Program include development of Muscle Strength along with Balance Exercises, to reduce the risk of falling and improve the ability to perform ADL's.

treadmill.JPG (61472 bytes)
A patient enjoying a stroll on a motorized treadmill.

Patient's are progressed to achieve all goals in Muscle Strength, Balance and Ambulatory Endurance. LifeLine Partners also provides evaluation, procurement services and training for patients wishing to use assistive ambulatory devices such as canes and walkers.


Stroke/Neurological Rehabilitation:

The goals of rehabilitating the Stroke/Neurological patient include avoiding Muscle Contracture, developing Muscle Strength/Coordination and increasing Joint Mobility. As a result, the ability to perform Activities of Daily Living is greatly enhanced, leading to improved independence.

stroke.JPG (52385 bytes)
Pulley use helps to rehabilitate
shoulder strength and mobility.

Physical Therapy for the Stroke/Neurological patient focuses on Therapeutic Exercise, Active/Passive Stretches and Balance Activities.


MS/Parkinson's Rehabilitation:

Multiple Sclerosis and Parkinson's Disease are two conditions which have yet to be cured, but have symptoms that are treatable through medication and Physical Therapy. By maintaining Muscle Strength, Joint Mobility and Static/Dynamic Balance, patients are able to lead a more independent lifestyle.

parallelbars.JPG (66358 bytes)
Parallel Bars are used to develop leg strength and balance.

Therapeutic Exercises such as the use of arm bikes, leg bikes and treadmills, along with parallel bar activities help increase Muscle Strength and develop Rhythmic Initiation, critical for those with related neurological impairments.


Worker Rehabilitation:

LifeLine Partner's Worker Rehabilitation Program is designed to safely progress the patient in activities which are specific to their work environment, such as assembling parts, stacking objects or climbing ladders. Hand-Eye Coordination, Balance Skills and Muscle Strengthening are key components to the program for most patients.

worker_rehab.JPG (64445 bytes)
A patient is instructed in emulating a work environment task.

Job-specific activities are emulated either in the clinic or off-site, to best prepare the patient for returning to work. A typical Worker Rehabilitation visit can require up to three hours to complete, with as many as three visits per week prescribed. Upon completion of the Worker Rehabilitation Program, a final report is made available to authorized parties. The Worker Rehabilitation Program is certified by the Ohio Bureau of Workers' Compensation.