Outpatient rehabilitation services are those provided to patients who are not staying with us overnight.
Occupational & Physical Therapy
Our therapist provide comprehensive physical and occupational therapy to help patients regain their functional independence by allowing them to return to normal daily self-care, work and leisure activities.
Our outpatient services are offered at six sites:
Call (603) 230-5600 to schedule an appointment.
Speech & Language Therapy
Speech and language therapy helps individuals with communication and swallowing problems. Speech and language pathologists evaluate and treat speech, language, voice and swallowing disorders in adults and children.
Our speech and language pathologists provide both inpatient and outpatient services.
SEMG biofeedback training for improvement of swallowing function;
Recommendations for optimal diet texture and swallowing strategies to maximize swallowing safety and efficiency;
Training of caregivers in facilitating and enhancing functional communication and swallowing;
Training in strategies to maximize functional communication skills in cases where return of normal speech and/or language skills is not a realistic goal;
Development of an exercise program to improve neuromuscular performance for more effective speech, voice or swallowing function;
Direct training and instruction to improve the quality of speech and voice, often through the use of Visipitch biofeedback.
- Videofluoroscopic swallowing study - Used to identify anatomic and physiologic abnormalities. Using this information, we develop treatment strategies to improve your safety and efficiency of swallowing.
- Swallowing therapy - This includes neuromuscular re-education through biofeedback, therapeutic exercise and patient/caregiver training in feeding and swallowing techniques.
- Lee Silverman voice training - This is for individuals with Parkinson's disease, and other conditions resulting in a hypophonic voice, who wish to increase the volume and improve clarity of their speech.
Outpatient pulmonary rehabilitation is an important addition to medical therapy. It benefits people with chronic lung disease including emphysema, chronic bronchitis, asthma, interstitial lung disease and neuromuscular disorders. Our approach to pulmonary rehabilitation is multi-disciplinary and offers individually tailored care plans and progress evaluations, therapeutic exercise activities, emotional support and education.
The pulmonary rehabilitation program is an outpatient service designed to help pulmonary patients:
- Understand causes, effects, risk factors and management of pulmonary disease;
- Improve their ability to exercise, work and perform daily activities;
- Prevent infection and promptly recognize signs when they occur;
- Decrease hospitalizations through improved health;
- Enjoy independent living with comprehensive outpatient support.
Aquatic therapy is a beneficial addition to traditional occupational and physical therapy. Water eases early weight-bearing, reduces swelling and pain, and assists and strengthens movement. Also, the resistance provided in a high-level aquatic workout allows for excellent strengthening exercises and cross training for all types of injuries.
- Chronic pain;
- Decreased conditioning;
- Knee, hip or shoulder replacements;
- Back injury or post-surgical back pain;
- Muscle spasm;
- Orthopaedic trauma;
- Reduced endurance;
- Spinal cord injury;
- Stroke (CVA);
- Reduced endurance;
- Prenatal fitness.
Aquatic therapy is offered at the Center for Sports Medicine and Orthopaedic Rehabilitation.
The indoor pool at the Center for Sports Medicine is 90 degrees and has turbo jets, stairs, and shallow and deep water that allows therapists to provide advanced and professional care. Additionally, the pool has entry stairs and a seat lift. Flotation devices including belts, cuffs and tethers are also available. A locker room and shower facilities are located next to the pool.
Hand therapy is the specialized treatment of an upper extremity injury designed to restore range of motion, strength and overall function. Hand therapists are part of the occupational therapy department and treat a variety of orthopaedic, cumulative trauma and hand trauma injuries. Our specialized hand therapists have advanced training in the treatment of complex hand injuries.
After carefully evaluating a patient’s injury, hand therapists design a treatment program specifically for the patient. The therapists will look at how the injury impacts independence at home and at work and will modify treatment as needed to help the patient return to normal activities independently and without risk of further injury. As part of rehabilitation services’ team-based approach to care, therapists work closely with a patient’s referring physician and communicate frequently to ensure the best outcome.
- Nerve injuries/repairs;
- Tendon injuries/repairs;
- Crush injuries;
- Fractures (including postsurgical) of the hand, wrist and elbow;
- Multiple trauma of the hand;
- Dupytren’s release (postoperatively);
- Repetitive motion injuries (including carpal tunnel and lateral and medial epicondylitis);
- Burn injuries;
- Ligament/soft tissue injuries.
Hand therapy is offered at the Center for Sports Medicine and Orthopaedic Rehabilitation, Concord Hospital Medical Office North and Concord Hospital Medical Office East.
Returning to work following an injury can be difficult. Industrial rehabilitation services, or return-to-work services, provide patients with therapy designed to make their transition back to work as smooth and safe as possible. While the majority of people benefiting from return-to-work services are those recovering from work-related injuries, these services can also benefit people recovering from orthopaedic surgery and those suffering from recurrent injuries and repetitive trauma.
Comprehensive preventive and rehabilitative services for treating all conditions are available. Services include:
- Pre-placement employment screenings;
- Treatment of acute injuries;
- Functional capacity evaluations to determine a patient’s optimal performance and readiness to return to work;
- Work conditioning program to help patients restore their functional work level and allow them to return to previous employment and function;
- Work station evaluation to determine if the configuration may be contributing to symptoms or limiting progress in recovery.
Other Specialty Therapy
Balance, Dizziness & Vertigo Rehabilitation
Many suffer from dizziness or vertigo- often referred to as BPPV (benign paroxysmal positional vertigo). Our clinics specialize in the rehabilitation of patients with vertigo. Patient education, strengthening, safety awareness, posture and balance exercise, and special techniques that affect sensory and balance centers of the brain and limbs are all important components of a rehabilitation program.
Our comprehensive Concussion Assessment and Management Program (CAMP) to address all aspects of concussion related issues from prevention and education to post concussion treatment. Physical and occupational therapists are involved in community outreach, baseline testing and post concussion evaluation and treatment. Our comprehensive evaluations include an assessment of neurocognitive deficits (via the ImPACT® Test), as well as assessments of balance, vestibular function, associated musculoskeletal injuries (neck, face, shoulder, spine) and cognitive function. After testing is completed, the athlete or individual will complete a rehabilitation program which includes a progression through evidence based protocols for post-concussion exercise programs and cognitive training. We work collaboratively with your medical provider to guide you through a safe return to activities, sports and/or work.
We have therapists who specialize or are certified in the treatment of lymphedema. Special massage and bandaging techniques and education are utilized by the lymphedema specialist.
Men's Health Program
Our Men’s Health program is designed to meet the needs of men throughout their lifespan. Our primary goal is to help each man enhance the quality of their life by addressing bowel and bladder dysfunctions, abdominal, low back and pelvic area pain. Following evaluation, our specially trained therapist design comprehensive programs aimed at helping patients achieve their highest level of function and health.
Some practitioners are specialists in the evaluation and treatment of lower extremity injuries and dysfunctions. Treatment can consist of the fabrication of a custom fitted shoe insert, as well as additional information on appropriate footwear.
Women’s Health Program
Our specialized treatment program is designed to meet the needs of women of all ages. It focuses on the treatment of conditions such as urinary incontinence, pelvic pain and scarring, pregnancy and post-partum issues, osteoporosis, lymphedema and post mastectomy related issues. Our highly skilled professionals help women achieve their lifestyle goals by providing a personal approach and the latest evidenced-based care.