Physiotherapy

Physiotherapists use the science of human movement to help promote, restore and improve health and function in their patients. Many individuals will work with a physiotherapist to enhance physical performance, reduce pain with activities or to rehabilitate an injury and recover from various surgical procedures. The primary method of treatment employed by a physiotherapist includes exercise rehabilitation, which is directed and focussed exercise designed to restore mobility, improve balance and proprioception as well as to strengthen and condition areas of concern or restore muscular imbalance. In addition, they may employ a wide range of modalities to help control pain and restore movement to restricted areas. Such modalities may include acupuncture, soft tissue therapy, joint mobilizations, taping, electrical stimulation such as TENS, heat and cold compresses.

CVE’s physiotherapists will work with you and coach you on how to achieve your health goals and give you the tools to achieve success, whether you are looking to improve athletic performance, reduce pain from day to day life or to rehabilitate you after an injury.

Occupational Reactivation

Occupational Reactivation

Occupational reactivation

CVE’s team of Occupational Therapists will perform specific evaluations to create programs which can help prevent relapse as well as assist individuals to return to gainful employment, volunteer work, school or activities of daily living utilizing a variety of tools and intervention techniques.

Strategies and intervention used include:

  • Psycho-educational
  • Develop master of illness (self-management skills and recovery)
  • Pain management and coping
  • Training with stigma countering and disclosure strategies
  • Context specific social skills and skills in social networking development
  • Help maintain communication with family and peers

Help develop a health and wellness daily routine

Occupational Therapy Services also include:

  • In Home Activities of Daily Living Assessments (both Section 44 & 25)
  • Housekeeping and Home Maintenance Benefits
  • Caregiving Benefits
  • Non-Earner benefits
  • Attendant Care/Form 1 Completion
  • Hospital Discharge Planning
  • Pre-claim Evaluations
  • Gradual/Modified Return to Work Planning
  • Assistive Device Implementation and Education
  • Driving Assessment
  • OCF 18/22 Dispute Assessments

Progressive Goal Attainment

Progressive Goal Attainment

CVE’s Progressive Goal Attainment Program (PGAP) is a standardized ten (10)-week intervention program with the primary goal to maximize the rate of progress in rehabilitation and reduce the probability of the development of chronicity. PGAP is a suitable intervention for individuals with pain-related limitations who are in need of an active mobilization intervention and for whom psycho-social issues such as fear of re-injury or pessimistic outlook are considered to be important contributors to disability. PGAP focuses on disability reduction as opposed to pain reduction. It is an Evidence-Based Treatment Program for Reducing Disability Associated with Pain, Depression, Cancer and other Chronic Health Conditions.

The process of treatment in the initial weeks of the program is to focus on developing a structured activity schedule that will assist the individual in resuming activities that have been adversely impacted by injury or illness. Activity goals are established in order to promote resumption of family, social and occupational roles. In the final stages of the program, the intervention focuses on activities that will facilitate re-integration into the workplace.

Occupational Therapy Services

Occupational Therapy Services

CVE’s team of Occupational Therapists utilize a systematic approach based on evidence and professional reasoning to enable individuals, groups and communities to develop the means and opportunities to identify, engage in and improve their function in the occupations of life. The process involves assessment, intervention and evaluation of the individual related to occupational performance in self-care, work, study, volunteerism, and leisure.

Occupational therapy intervention typically includes:

  • Customized treatment programs to improve one’s ability to perform daily activities
  • Comprehensive home and job site evaluations with adaptation recommendations
  • Performance skills assessments and treatment
  • Adaptive equipment recommendations and usage training

PTSD Pre-Vocational Program

PTSD Pre-Vocational Program

Directed by an Occupational Therapist, CVE’s PTSD Pre-Vocational Program addresses trauma triggers and warning signs, by exploring coping mechanisms and symptom stabilization, as well as providing education and implementation of health and wellness strategies in order to improve overall level of function. Using a multi-disciplinary approach including a review and collection of medical/vocational documentation along with consultation and collaboration with other health care professionals as well as the referral source to facilitate recovery, emphasis is placed on the progress towards the individual’s functional goals using evidence-based strategies. The intensive program provides sufficient support and ongoing evaluation, as proven to be effective in improving PTSD symptoms and reduction in depression over a shorter period of time. The flexible program structure has been developed based on current successful application of Occupational Therapy methods and techniques in improving client function and mental health and can be provided in clinic or in the community to best meet the client’s needs and interests.

Aqua Therapy

Aqua Therapy

CVE’s Aqua Therapy program is a customized program designed to help individuals who suffer from mental or physical conditions increase energy levels, improve range of motion and joint function, overall fitness levels, and reduce stress. The program is suitable for people of all abilities and can be adapted to various client’s needs. It is administered one-on-one by an Occupational Therapist or a Registered Kinesiologist and is carried out in local community pools within proximity to the individual.

Exercise Therapy

Exercise Therapy

CVE’s Exercise Therapy program is an individualized exercise program designed to restore specific strength, flexibility, and endurance to meet the needs and goals of every individual, provided by a Registered Kinesiologist or Certified Personal Trainer who is a member of the Canadian Society of Exercise Physiology. Health-related fitness appraisals based on individual goals and needs are completed, baseline measures are taken and barriers to physical activity are identified all within the initial assessment, either in-clinic or in the individual’s home. An exercise program unique to the individual is then created, designed to improve impairments and weaknesses in order to enhance physical performance at work or home, and is implemented at a frequency and duration determined within the initial assessment.

Chiropractic Treatment Services

Chiropractic Treatment Services

Chiropractors specialize in the assessment, diagnosis and treatment of musculoskeletal pain and disorders with a specialized focus in rehabilitation of the spine. Chiropractors at CVE use an evidence-based approach to the care of injured individuals and for those suffering long-standing chronic pain that focuses on education, pain-control methods, functional improvement of the joint complexes and soft tissues as well as active re-training and rehabilitation of the injured individual.

Chiropractic intervention typically includes:

  • The diagnosis of musculoskeletal disorders
  • Soft tissue therapy
  • Spinal and joint mobilization and/or manipulation
  • Rehabilitation via home-based exercises
  • Functional strength and conditioning training in gym, including education on training principles, programming and periodization for lifelong progression and maintenance of physical strength and ability

Yoga Therapy

Yoga Therapy

Offered by a Certified Yoga Instructor, CVE’s Yoga Therapy Program provides a one-on-one customized practice, enabling the client to experience the physical and mental health benefits of yoga in order to provide them with the tools to manage independently upon completion. The depth and slowed pace of breathing promotes balance between sympathetic and parasympathetic nervous system activation (the mechanism mediating the stress response), resulting in mental and physical states of relaxation.  Yoga practice encompasses a wide breadth of unique postures that help cultivate balance, coordination, strength and flexibility. The practice of yoga requires simultaneous, sustained attention to breathing, joint positioning, movement, and the senses, thereby promoting greater mind-body attunement, mindfulness and awareness. These abilities can be generalized to foster improved self-management and functioning in response to a variety of life events. By giving clients the skills to achieve these states of being, yoga fosters enhanced coping with stress and mental health issues.  The practice can be adapted for people with all types of abilities and needs. As it requires no specialized equipment, it can safely be practiced in a variety of settings and modified to suit various environments and time restrictions.

Cognitive Work Hardening Program

Cognitive Work Hardening Program

CVE’s Work Hardening Programs refer to conditioning programs for injured individuals who are out of work, or who are working at less than full capacity. CVE has two types of Cognitive Work Hardening Programs:

  • Clinically Based Work Hardening Program
  • Community Based Work Hardening Program

Clinically Based Work Hardening Program

Highly specialized cognitive conditioning program that transitions the individual from standard rehabilitation to return to work by simulating workplace activities and surroundings in a structured, supportive and monitored environment. Best suited for individuals who have received physical or psychological services and need further practice or strategies learnt in therapy in a controlled, simulated workplace environment. An initial assessment is completed by an occupational therapist to determine activity tolerances and workplace barriers. A customized program is then formulated which includes a systematic program of gradually progressive, work-related activities performed with the goal of psychologically reconditioning the individual in order to facilitate future return to employment in a competitive workplace setting. The program can be adapted to individuals requiring specialized equipment or assistive devices.

Community Based Work Hardening Program

Under the guidance and supervision of an Occupational Therapist and vocational counsellor an employer is selected from the community to assist in enhancing an individual’s competitive workplace skills by allowing them to practice in an actual workplace setting. Best suited for individuals who have completed all traditional therapies and require more time to build physical, cognitive and/or psychological tolerance. Employers are chosen based on similarities with the individual’s pre-accident employment tasks and responsibilities. This program provides an individual with an opportunity to practice work related activities prior to engaging in a gradual return-to-work program with their pre-injury employer. Also, this program is suited for individuals whom a gradual return to work is not currently possible with their employer.