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Cognition and Cognitive Care Program

Cognition is composed of memory, attention, problem solving, reasoning, and planning/organizing skills. Each of these components are critical for safe and independent living. Cognition may become impaired following a brain injury (accident, fall, concussion, stroke, etc.) or progressive in nature (dementia, Alzheimer’s Disease, etc.).  Our Speech Therapy and Occupational Therapy teams specialize in cognitive assessment and appropriate treatment paths to maximize brain function and maintain spared skills. Our focus is on use of appropriate compensatory strategies to aid in cognitive success. 

We offer TWO speciality programs that focus on cognition:

  • Post-Concussion Recovery:   Collaborative Team effort between physical therapists, occupational therapists, and speech-language pathologists who focus on:
    • TMJ involvement:  Often overlooked in concussion is the traumatic impact to the Tempero-Mandibular Joint (TMJ) at the jaw. PT can help! Long term TMJ alignment issues contribute to difficult chewing, headache, chronic neck pain, difficulty sleeping and more.
    • Cranio-sacral re-balancing: Cranio-sacral work is highly specialized and only done by advance trained therapists who gently and specifically restore the flow of cerebrospinal fluid and energy throughout the body
    • Cognitive peformance:   Similar to re-booting a computer, the brain often needs to “relearn” cognitive tasks through repetitive neural connections.  Speech-Language Pathologists lead the cognitive re-training efforts and re-learning skills through stimulation tasks and learning beneficial compensatory strategies. Occupational Therapists focus on the functional application of the new learned skills into daily life events.
    • Cervicogenic and vestibular intervention:  Again, often overlooked following concussion, our physical therapists identify problems and prevent lifelong struggles with dizziness and impaired balance.
    • Cervical and mechanical spine alignment issues:   The forces behind a concussion impact the head and neck orthopedically.   This is a critical piece of total recovery following a concussion injury. 
  • Cognitive Care Program:
    • New to our outpatient setting!!!
    • Involves clinical observation, interview, and formal assessments (with speech therapy and occupational therapy) to identify accurate cognitive stage/level and severity
    • Following identification of cognitive stage/level, the SLP/OT provides patient and families with:
      • Effective communication strategies and interaction methods
      • Compensatory strategies for management of personal safety
      • Appropriate activities to maximize function and quality of life
      • Home exercise program; focusing on maintenance of skills and practice of compensatory strategies
      • Community resources to assist patient and caregiver for improved quality of life