Overview

Overview

Heal. Improve. Restore. Excel.

Fairview Hospital offers complete services for all components of occupational therapy, physical therapy, speech therapy and sports medicine. Our highly trained therapists and athletic trainers are experienced to treat all of your rehabilitation needs.

Fairview Park Gemini Recreation Center 

21225 Lorain Rd, Fairview Park, OH 44126
440.331.3180

Specialized services include:

Physical therapy

  • Aquatic therapy
  • Arthritic conditions
  • Back rehabilitation/safety
  • Orthopedic and neuromuscular rehabilitation
  • Sports rehabilitation
  • Strengthening/conditioning
  • Total joint replacement rehabilitation

Athletic Training Services

  • Post rehabilitation exercise programming (PREP) includes self pay programming for:
    • Cancer patients and survivors (Fitness Forward)
    • Diabetic patients (Get Fit)
    • Personalized strength and conditioning programs

Fairview Hospital Wellness Center

3035 Wooster Rd, Rocky River OH, 44116
440.356.9103 (option 2)

Specialized services include:

Physical Therapy (PT)

Occupational Therapy (OT)

Speech Therapy

Aquatic Therapy

Aquatic Therapy

If you have difficulty exercising on land, aquatic therapy may provide a comfortable and therapeutic alternative for gaining strength, endurance and mobility. The unique properties of water decrease joint compression forces, may reduce inflammation and provide feedback for improving posture. The resistance of the water during exercise also provides a safe environment for addressing balance, strength and postural deficits.

Who can benefit from aquatic rehabilitation?

Performing exercise in water can be especially beneficial for patients with a variety of musculoskeletal and neurological conditions, including:

  • Orthopaedic disorders
  • Post-surgical cases
  • Sports rehabilitation
  • Arthritis
  • Impaired balance disorders
  • Back pain
  • Chronic pain

While aquatic rehabilitation is ideal for many, it is not often recommended for patients with incontinence, seizure disorders, open wounds or non-healing ulcers, chlorine allergies or extreme fear of water.

What will aquatic rehabilitation involve?

An initial evaluation take place in one of Cleveland Clinic’s physical therapy departments, which allows the physician therapist the ability to design a specific plan of care for rehabilitation. If aquatic therapy is recommended, the therapist will establish follow-up physical therapy sessions in the water. Aquatic therapy may be provided in an on-site pool or a community recreation center that is a short distance from the physical therapy clinic. It is not necessary for patients to know how to swim before beginning an aquatic therapy program. Aquatic therapy treatment sessions are approximately 30 to 45 minutes in length and typically last anywhere from two to four weeks, on average. Sessions are specially tailored to meet each patient’s individual needs and are often coordinate with a land-based physical therapy plan.

Patients should bring the following to aquatic therapy sessions: swimsuit (required), towel, water bottle, water shoes and a combination lock to securely store belongings.

We request that caregivers be present to aid patients who require assistance with dressing, showering or walking to and from the pool area.

What types of recovery/outcomes can be expected?
Many patients find aquatic therapy provides a safe way to help regain their strength, balance, range of motion and flexibility while helping to reduce pain and swelling. Treatment and outcomes vary based on patient diagnosis; however, once the patient’s aquatic goal are achieved, the program may progress to land-based therapy as needed.

Call for an appointment, 216.444.6262.

Breast Cancer

Breast Cancer

If you have been diagnosed with breast cancer, Cleveland Clinic physical and occupational therapist are here to support you whit a comprehensive, multidisciplinary approach to your evaluation and rehabilitation. Therapy sessions are customized to meet your individual needs, and are designed specifically to work in conjunction with your ongoing breast cancer treatment regimen to produce the best possible outcomes.

Who can benefit from breast cancer rehabilitation?
Rehabilitation therapy can benefit patients who have just been diagnosed with breast cancer, are currently receiving treatment or are in survivorship. Breast cancer rehabilitation is recommended for those who have experienced or are currently experiencing, any of the following:

  • Lumpectomy and mastectomy surgery
  • Reconstructive surgery
  • Lymphedema or lymph node removal
  • Radiation and chemotherapy
  • Decreased arm movement
  • Scar formation or radiation included skin changes
  • Cognitive deficits
  • Fatigue or decrease endurance
  • Risk for developing fracture from osteoporosis

What may rehabilitation involve?

  • Range of motion strengthening and cardiovascular exercise
  • Joint, soft-tissue and scar mobilization
  • Lymphedema education
  • Lymphedema treatment (lymphatic drainage and exercise)
  • Energy conservation and lifestyle modification techniques
  • Survivorship care plan (exercise, wellness and bone health)

What types of recovery/outcomes can be expected?
Studies of breast cancer surgery patients have shown that a well-designed rehabilitation and exercise program has many benefits including:

  • Early functional use of post-surgical arm
  • Improved upper and lower body strength
  • Greater shoulder joint flexibility
  • Reduced levels of fatigue
  • Improved body image
  • Reduced levels of fatigue
  • Improved body image

Call for an appointment: 216.444.6262.

Cancer

Cancer

Cancer rehabilitation is a comprehensive, multidisciplinary approach to the evaluation and treatment of patients diagnosed with various forms of cancer. A rehabilitation program can address issues such as weakness, soft tissue tightness, joint stiffness, fatigue and swelling or edema. Individualized therapy sessions offer a variety of treatment techniques and evidence-based practice in order to maximize the benefits of exercise throughout the various phases of cancer. Therapists are available in multiple treatment settings including: pre-operative, post-operative, acute care, home health, inpatient and outpatient rehabilitation. Therapy staff work in conjunction with the medical team to create an individualized care plan designed to optimize overall functional outcomes.

Who can benefit from cancer rehabilitation?
Cancer rehabilitation is appropriate for individuals undergoing the following medical management:

  • Postsurgical
    • Prostatectomy
    • Hysterectomy
    • Oophorectomy
  • Radiation therapy and chemotherapy

Therapy services are also appropriate to address ongoing exercise and wellness needs, as well as to provide recommendations for hospice needs/services.

What may rehabilitation involve?
After a thorough evaluation and development of a plan of care, treatment often consists of:

  • Survivorship care plan (exercise, wellness, bone health)
  • Range of motion, strengthening and cardiovascular exercise
    • Joint, soft tissue and scar mobilization
  • Desensitization techniques
  • Balance/relaxation, energy conservation and lifestyle modification techniques

Lymphedema management including:

  • Skin care
  • Decongestive exercises
  • Compression therapy including measurement and fitting of off the shelf and custom garments
  • Manual lymph drainage

What types of recovery/outcomes can be expected?
Specific length and outcomes of cancer rehabilitation vary depending on when therapy is initiated, the severity of symptoms and the patient’s goals for rehabilitation. Many patients attend therapy sessions one to two times per week for several weeks or possibly several months, as needed. Therapy services are often coordinated with the patient’s current treatment regimen in order to maximize tolerance and convenience and improve overall function.

Call for an appointment, 216.444.6262.

Driver Evaluation

Driver Evaluation

The loss of the ability to drive is often a major obstacle to enjoying social activities, returning to independent living or employment following an illness or disability. Cleveland Clinic’s Adult Driver Evaluation Rehabilitation Program is designed to evaluate a person’s current driving ability, assess driving skills and help individuals return to independent driving, as long as they are safe to do so. Services are provided by occupational therapists trained as driver rehabilitation specialists and are experts in the evaluation and treatment of visual, physical, sensory and cognitive/perceptual dysfunctions that may impair driving. We offer a Driving Evaluation program, a Driving Rehabilitation program and assistance with Vehicle Modification.

Who can benefit from drivers evaluation rehabilitation?
Drivers who have experienced any physical, neurological, visual or cognitive change in function that has impacted driving performance will benefit from rehabilitation. To be eligible for participation in the evaluation rehabilitation program, individuals must meet the following requirements:

  • A valid drivers’ license or temporary permit
  • A physician certification, if you have a history of seizures, that seizures are under medical control
  • A physician’s order for an occupational therapy driving evaluation

What does driver’s evaluation and rehabilitation involve?
A review of the patient’s medical chart and the physician’s recommendations, assessment of vision, visual perceptual skills, cognition, range of motion and strength, and reaction time.

  • A two-hour driving evaluations
  • Follow-up sessions range from 60 minutes to two hours
  • On-the-road assessment
  • Assessment conducted in a Cleveland Clinic vehicle (personal vehicles are not used due to insurance and safety consideration)

If safe driving concerns are identified, or if training to ensure the safe use of adaptive equipment is required, a specific goal oriented therapy program is developed to decrease driving risk, which may involve additional therapy visits. If needed, Cleveland Clinic can aid with the selection of adaptive equipment and provide guidance in the professional installation of this equipment. Initial driver’s assessments are $350 for a two-our evaluation. Follow-up sessions, if needed, are $100 per hour. These fees are out-of-pocket as they are not currently covered by insurance.

What types of recovery/outcomes can be expected?
Cleveland Clinic’s Driver Evaluation and Rehabilitation Program is designed to assess driving skills and help individuals return to independent driving, as long as it is safe for them to do so. Individuals review initial assessments and discharge progress with their therapist and referring physician. The final decision to drive or discontinue driving is made by the individual and his or her referring physician. Guidance is provided for individuals who should no longer be independent drivers.

Call for an appointment, 216.444.6262.

Falls Prevention

Falls Prevention

Cleveland Clinic’s fall prevention therapy applies a multifaceted approach to intervention strategies aimed at reducing the risk of patients falling with physical activity. Exercise programs are focuses on building muscle strength and therapy activities and dynamic balance training. Treatment can be performed in groups or individually.

Who can benefit from falls prevention therapy?
Research indicates that a cumulative effect of multiple interacting factors increases fall risk. Those with the following risk factors can benefit from falls prevention therapy:

  • History of falls
  • Gait disorder, use of an assistive device
  • Balance disorders
  • Muscle weakness
  • Arthritis
  • Visual deficits
  • Neurologic deficits
  • Impaired daily living activities (dressing hygiene, feeding, etc.)
  • Depression
  • Cognitive impairment
  • Over 80 years old
  • Taking more than four medications
  • Cardiovascular deficits

What may falls prevention therapy involve?
The falls prevention program focuses on multiple factors that can lead to increased fall risk. Patients are evaluated to determine risk for falling and a personalized rehabilitation program is developed based on individual needs.

Therapy may be individual or in a group setting and treatment is likely to include:

  • Core strengthening
  • Balance retraining
  • Functional activity training

What types of recovery/outcomes can be expected?
A longer-term therapy program, treatment length and associated outcomes vary depending on individual needs. However, the goals of falls prevention therapy are to:

  • Provide information on how to create a safe environment
  • Decrease, eliminate or manage falls risk factors
  • Build strength and endurance with an exercise program that individuals continue independently
  • Implement lifestyle changes that address ongoing risk factors, including
  • Medication review
  • Regular hearing and vision testing
  • Physical activity

Call for an appointment, 216.444.6262.

Hand, Wrist, Elbow

Hand, Wrist, Elbow

Cleveland Clinic hand occupational therapists specialize in the rehabilitation of patients with injuries, surgeries or conditionals such as carpal tunnel syndrome, fractures and tendonitis that may involve the hand, wrist and elbow and hinder activities of daily living, such as buttoning a shirt or opening a container. Therapy sessions are customized to meet individual patient needs, and are designed to produce the best functional outcomes for patients.

Who can benefit from hand, wrist and elbow occupational therapy rehabilitation?
Rehabilitation therapy can benefit a wide variety of patients. Some of the common injuries or conditions treated include:

  • Arthritis affecting the hand, wrist or elbow
  • Postsurgical rehabilitation
  • Carpal tunnel syndrome
  • Tendonitis
  • Fractures of the wrist and hand
  • Dupuytren’s disease
  • Epicondylitis (Tennis elbow)
  • Cubital tunnel syndrome
  • Bone spurs at or about the elbow
  • Bursitis of the elbow
  • Bicipital tendonitis
  • Traumatic hand or arm injuries
  • Traumatic elbow injuries/dislocations
  • Joint replacements of the hand, wrist and elbow
  • Traumatic amputations
  • Performing arts/overuse injuries

What may rehabilitation involve?
Occupational therapists work collaboratively with orthopaedic and plastic surgeons to promote optimal outcomes for individuals with trauma, elective surgery, injury or pathology to the upper extremity. Services provided include:

  • Evaluation of sensibility, strength, range of motion, pain, edema, wounds
  • Education of injury
  • Range of motional program
  • Strengthening exercise
  • Splinting
  • Function and sensory re-education
  • Performing arts/overuse injuries
  • Edema/lymphedema control
  • Activities of daily living
  • Joint protection principles for rheumatoid arthritis patients
  • Wound care
  • Computer ergonomics
  • Return-to-work services

What types of recovery/outcomes can be expected?
Recovery and length of rehabilitation varies per patient depending on when hand therapy is initiated, the severity of symptoms or surgical limitation and the patient’s goals for rehabilitation. Therapy services are coordinated with any ongoing medical treatment prescribed by your physician. Potential outcomes of rehabilitation treatment can include:

  • Decreased pain
  • Improved mobility
  • Improved strength
  • Improved sensation
  • Improved hand coordination
  • Return to occupational and/or recreational activities

Call for an appointment, 216.444.6262.

Lymphedema

Lymphedema

Lymphedema is an abnormal accumulation of lymph fluid that results in swelling, most often in the arms and/or legs, although it can affect other parts of the body as well. Lymphedema can develop when lymphatic vessels or nodes are missing, removed or not working properly. Left untreated, lymphedema can cause an increase in the size of the limb and also reduce oxygen to the skin, limit wound healing and increase the chance of infection.

If you have been diagnosed with lymphedema, Cleveland Clinic physical and occupational therapists are here to support you with a comprehensive approach to your rehabilitation. Therapy sessions are customized to meet individual needs and provide the best functional outcomes.

Who can benefit from lymphedema rehabilitation?
Individuals with the following conditions can benefit from lymphedema rehabilitation:

  • Congenital lymphedema
  • Oncologic lymphedema (after lymph node dissection sentinel lymph node biopsy, radiation therapy)
  • Breast cancer treatment, both surgical and nonsurgical management
  • Vascular edema/lymphedema
  • Face, neck, trunk, breast, genital and extremity swelling

What may rehabilitation involve?
Physical and occupational therapists at Cleveland Clinic are currently utilizing Complete Decongestive Therapy (CDT) as the standard of care to treat lymphedema. The treatment consist of four parts; manual lymph drainage, skin care guidelines, decongestive exercise and compression therapy (compression bandaging, garments and pumps). Typically, there is an aggressive phase when the therapist customizes the above treatment approach during intense therapy to decrease swelling and improve tissue texture by reducing hardened or fibrotic tissue. During this phase, therapists emphasize patient/family education to ensure that the patient can self-manage his or her lymphedema and continue the necessary techniques in the maintenance phase. The maintenance phase often includes daily wearing of a compression garment in addition to compliance with all aspects of CDT on an ongoing basis.

What types of recovery/outcomes can be expected?
The results of and length of time needed for lymphedema rehabilitation vary depending on the extent of swelling present, the tissue texture of the skin and other comorbidities (such as diabetes, high blood pressure, etc.). Patient compliance with treatment recommendations and interventions is important for good treatment outcomes. Many patients experience improvement in their lymphedema symptoms if therapy is performed one to three days per week, with an emphasis on educating them about their therapy.

Call for an appointment, 216.444.6262

Orthopaedic Bone & Joint

Orthopaedic Bone & Joint

If you have been diagnosed with an acute or chronic musculoskeletal condition, Cleveland Clinic physical and occupational therapist are here to help you through the entire care continuum – from inpatient care in the hospital to outpatient services close to home. Our experienced staff members utilize a variety of treatment approaches and philosophies to help each patient reach their full functional potential.

Who can benefit from bone and joint rehabilitation?
Rehabilitation can benefit patients with a wide range of orthopedic problems, such as joint and muscular pain as a result of injury, disease or degenerative process. Orthopedic bone and joint rehabilitation also aids with:

  • Ankle injuries
  • Arthritis
  • Back pain/problems
  • Cartilage injuries
  • Elbow pain/problems
  • Foot pain
  • Hand and wrist pain/problems
  • Hip problems
  • Knee injuries
  • Neck and shoulders pain/problems
  • Osteoporosis
  • Postoperative rehabilitation from total joint replacements ad fractures
  • Sport-related injuries
  • Work-related injuries

What may rehabilitation involve?
A physical or occupational therapy evaluating is the first step in the rehabilitation process. The evaluation identifies areas to deficit, including strength, range of motion and functional abilities. An individualized treatment plan is established to address areas of deficiency as well as meet the patient’s own goals for treatment. It also determines the frequency of therapy visits. Treatment plans can include, pain reduction/management, manual therapy techniques, restoration of motion and strength through exercise, education and functional training.

What types of recovery/outcome can be expected?
Treatment plans are designed to maximize physical abilities in order for patients to return to full functional, recreational, daily and occupational activities. The length of rehabilitation, as well as possible outcomes, varies depending on when therapy is initiated, the severity of symptoms and the patient’s goals for rehabilitation. Therapy services are often coordinated with any ongoing medical treatment prescribed by the patients treating physician.

Call for an appointment, 216.444.6262.

Speech, Language, Swallowing

Speech, Language, Swallowing

Cleveland Clinic’s licensed speech pathologists provide evaluation and treatment of speech, language, cognition and swallowing. Our therapist specialize in treating people with articulation, language, stuttering, voice, cognition, swallowing disorders and more – delivering customized therapy sessions specific to each patients individual needs.

Who can benefit from speech language and swallowing rehabilitation?
Cleveland Clinic’s speech, language and swallowing rehabilitation services are available for patients of all ages from pediatrics to geriatrics. Evaluation and treatment services are available for :

  • Pediatric speech and language disorders
  • Neurological conditions, such as:  
    • Stroke
    • Traumatic brain injury (TBI)
    • Neuromuscular speech disorders resulting from multiple sclerosis, Parkinson’s disease, amyotrophic lateral sclerosis (Lou Gehrig’s disease), etc.
  • Geriatric-related conditions (patient /family education and counseling for Alzheimer ‘s disease , dementia)
  • Swallowing disorder (dysphagia)
  • Voice disorders
  • Articulation disorders
  • Stuttering /fluency

What may rehabilitation involve?
After a thorough evaluation, our speech- language pathologists select a technique or a combination of techniques to serve their patients specific needs.

Techniques can include, but are not limited to:

  • Articulation improvement
  • Aphasia/language therapy
  • Cognitive retraining for money and attention as well as organizing and planning
  • Swallowing therapy/modified barium swallowing exam
  • Stuttering/fluency
  • Voice improvement
  • Patient and family education

What types of recovery/outcomes can be expected?
The duration and frequency of treatment varies depending on the patient’s needs and will be determined by the evaluating speech-language pathologist. Evaluations are completed on a one-on-one basis and typically last for approximately one hour. If follow-up treatment is recommended, sessions often range from 45 to 60 minutes in length. While no two patients are alike, the goal of rehabilitation is to improve speech quality, language and swallowing to help patients achieve a better quality of life.

Call for an appointment, 216.444.6262.

Spine & Back

Spine & Back

Physical therapy is an effective, noninvasive option for the management of acute spinal disorder and prevention of recurrence of spinal disorders. Cleveland Clinic’s spine physical therapy services include a comprehensive evaluation, assessment of functional ability, and individualized treatment sessions designed to offer multiple therapeutic options.

Who can benefit from spine and back rehabilitation?
Spine and back rehabilitation is recommended for individuals with the following:

  • Acute or chronic back or neck pain
  • Degenerative disk disease
  • Herniated disk (ruptured disk)
  • Spinal stenosis
  • Post-surgical pain
  • Sacral lliac dysfunctions (SI joint)
  • Scoliosis
  • Spondylolisthesis
  • Sciatica

Each rehabilitation plan is tailored to the patient’s specific diagnosis, needs and goals.

Our staff is trained in a diverse number of treatment approaches, which are provided in a one-on-one setting that may consist of:

  • Aquatic physical therapy
  • Core stabilization exercise
  • Correction of body mechanics
  • Home exercise program
  • Joint mobilization/manipulation
  • Postural correction
  • Soft tissue mobilization
  • Stretching/flexibility exercise

What types of recovery/outcomes can be expected?
Individual outcomes vary depending on when therapy is initiated, the severity of symptoms and the patient’s goals for rehabilitation. Therapy services are often coordinated with any ongoing medical treatment prescribed by the patient’s treating physician to maximize progress and functional outcomes.

Call for an appointment, 216.444.6262.

Sports Medicine

Sports Medicine

Cleveland Clinic Sports Health is a unique center within the Department of Orthopaedic Surgery. It brings together top orthopaedic surgeons, sports and exercise medicine physicians, physician assistants, physical therapists, athletic trainers, registered dietitians, radiologists and exercise physiologists to keep athletes in the game.

To learn more about Cleveland Clinic Sports Medicine program at the Fairview Park Gemini Recreation Center, call 440.331.3180 or visit our comprehensive webpage.

Stroke & Neurological

Stroke & Neurological

Cleveland Clinic offers a comprehensive outpatient physical, occupational, and speech therapy program for patients with neurological conditions. This program can help individuals with neurological deficits progress toward a more independent lifestyle. Family members are encouraged to participate in therapy sessions to apply learned skills in the home environment.

Who can benefit from the stroke and neurological rehabilitation?
Our neurological treatment therapists can address a wide range of patient needs – from those requiring daily assistance to those ready to return to work. Our program is beneficial for adults diagnosed with neurological diseases or conditions including:

  • Stroke
  • Multiple sclerosis
  • Parkinson’s disease
  • Traumatic bring injury

What may rehabilitation involve?
Our therapists evaluate the specific needs of the patient and develop a customized treatment plan which may include:

  • Physical Therapy
  • Gait analysis and training to promote improved skills for walking
  • Use of a suspended treadmill for partial body weight support
  • Use of motor learning devices along with skilled treatment
  • Balance (fall risk reduction) and/or transfer training (sit to stand, wheelchair to bed or chair, floor to stand)
  • Home management, leisure and work skills training
  • Functional cognitive/safety training
  • Adaptive equipment for self-care and home management
  • Low vision training
  • Driving rehabilitation
  • Speech Therapy

Call for an appointment, 216.444.6262