Copley’s Physical Therapists are licensed professionals who apply proven therapeutic techniques to help manage and improve many health conditions in order to restore optimal function.

Lymphedema
What is lymphedema and what can therapy do for me?
Lymphedema is a chronic progressive accumulation of lymphatic fluid in the body, causing persistent swelling which may lead to changes of the skin and surrounding tissues. This swelling can also impact the ability to move properly and perform regular daily activities. The primary treatment for this condition is Complete Decongestive Therapy (CDT), which includes manual lymphatic drainage, compression bandaging, decongestive exercise, and skin care. Conditions that benefit from this type of treatment include but are not limited to: post-cancer treatment lymphedema, chronic venous stasis, primary lymphedema, and persistent swelling.

Vestibular
What is vestibular rehabilitation?
Vestibular rehabilitation is a type of therapy that targets symptoms such as dizziness, vertigo, gaze instability, imbalance, and falls related to the above. Disorders involving the inner ear can be targeted to help individuals manage these symptoms and improve their quality of life. Treatments include habituation exercises, gaze stabilization exercises, balance training, and in the case of Benign Paroxysmal Positional Vertigo (BPPV) repositioning maneuvers to treat the condition.

NeuroNeuro Physical Therapy (Neuro PT)
Focuses on helping individuals recover from neurological conditions affecting the brain, spinal cord, and nerves. Our specialized therapy services are designed to improve mobility, function, and overall quality of life for patients with a range of neurological disorders. Whether you are recovering from a stroke, brain injury, spinal cord injury, or managing chronic conditions like Parkinson’s disease or multiple sclerosis, our team of skilled therapists provides tailored treatment plans to address your specific needs.

• Fall Prevention & Balance Training: Focused exercises to enhance stability and reduce fall risk.
• Adaptive Equipment Training: Teaching the use of assistive devices for greater independence in daily activities.
• Education & Support: Empowering patients and caregivers with the knowledge to navigate their rehabilitation journey.

Orthopedic Rehabilitation
Orthopedic rehabilitation focuses on the recovery and healing of the musculoskeletal system, including bones, joints, muscles, tendons, ligaments, and soft tissues. Whether you’re recovering from an injury, surgery, or managing a chronic condition, our skilled therapists design customized treatment plans to restore function, alleviate pain, and improve mobility.

PACU (Post-Anesthesia Care Unit) Physical Therapy:
In the PACU, our therapists work with patients immediately after surgery to ensure they are safely cleared for discharge. This service helps assess mobility, reduce pain, and support early recovery to make the transition home smoother and more comfortable.

Conditions treated include:

• Arthritis
• Back and Neck pain
• Painful and limiting conditions of joints such as shoulders and knees
• Overuse injuries
• Work-related injuries through our Work Conditioning Program
• Sports-related injuries
• Stroke/CVA
• Other neurological conditions
• Sprains, strains, and fractures
• Postoperative conditions such as total joint replacements and other surgical repairs such as ACL reconstruction and Rotator Cuff repairs
• Wounds
• Incontinence Conditions
• Amputations/prosthetic training
• Balance disorders and frequent falls
• Vertigo (BPPV)

Copley offers physical therapy in three locations:

• Copley Hospital in Morrisville
• Tamarack Family Medicine in Morrisville
• Hardwick Rehabilitation Clinic in Hardwick

Copley’s Occupational Therapists are licensed professionals who use therapeutic activities to help people of all ages improve their physical and cognitive life skills.

Our occupational therapists use a holistic approach to assess your needs for your home or work environment. They’ll assess your physical, cognitive, sensory, visual, motor and/or psychological disabilities, and provide training to help you return to optimal function in self-care and at work.

They’ll instruct you and family members in the use of adaptive equipment; fabricate splints to support injured arms and hands; and provide cognitive retraining for neurological impairments.

Conditions treated include:

• Arthritis
• Painful and limiting conditions of joints in the hands, wrists, elbows, and shoulders
• Overuse injuries of arms and hands
• Work-related injuries and arms and hands
• Stroke/CVA
• Other neurological conditions
• Sprains, strains, and fractures of upper extremities
• Postoperative conditions such as total joint replacements and other surgical repairs

Concussion/Brain Injury Program at Copley Hospital

The Concussion/Brain Injury Program is for individuals who have experienced brain injury, regardless of age or mechanism of injury. A sampling of diagnoses could include, though are not limited to:

Traumatic Brain Injury

• Falls
• Motor vehicle accidents
• Exposure to toxins/lack of oxygen

Acquired Brain Injury

• Stroke
• Seizure disorder
• Overdose

The Copley team will address:

• Neurocognitive Assessment
• Visual dysfunction
• Communication/Language deficits
• Deficits in memory, attention, and problem solving
• Balance/vestibular issues
• Management of cognitive fatigue
• Return to school/work (Activity Modification)
• Patient and family education
• Multiple other issues relating to brain injury

Our goal is to get brain injury patients as independent and functional as possible.

Copley’s Speech Language Pathologists are certified and licensed medical and educational professional who evaluate and treat a wide range of speech, language, and swallowing disorders.

Conditions treated include:

Language Disorders –presenting as a variety of comprehension or expressive language deficits in phonology, morphology, syntax and semantics.

Dysphagia-swallowing disorders as a result of illness, surgery, stroke, or injury.

Voice Disorders – voice quality that is impacted by pitch, volume, hoarseness, breathiness, and other aspects involved in the production of speech.

Cognitive and Communication Disorders- components that impact intellectual processing such as attention, comprehension, expressive language, executive function, word finding and memory skills.

Dysfluency/ Stuttering-repetitions of sounds, syllables, words or phrases in spontaneous speech.

Articulation/Phonological Disorders-use of substitutions, omissions, in the production of speech.

Verbal/Oral Apraxia-motor planning in producing speech or oral motor movements of oral structures.

Other Speech/Language Services include:

Augmentative and Alternative Communication – offering new possibilities for people who cannot speak. Low and high technology offering an array of options, including communication board and effective voice output applications.

SPEAKOUT! Program-our speech language pathologists are licensed through the Parkinson Voice Project, to help people with Parkinson’s and related neurological disorders regain and retain their speech and swallowing. This highly effective, evidence-based treatment combines education, individual and group speech therapy, daily home practice, and continuous follow-ups. Patients are empowered to “speak with INTENT,” transitioning speech from an automatic function to an intentional act.

Conditions treated include:

• Language Disorders – including difficulty making sense of the environment, comprehending spoken language or communicating thoughts, feelings, and experiences.
• Swallowing Disorders, also known as dysphagia. This usually occurs as a result of illness, surgery, stroke, or injury.
• Voice Disorders – when the quality of voice is affected, such as having a hoarse, breathy, or nasal voice, or when speech volume is too high or low.
• Speech Fluency issues, such as Stuttering, the most commonly recognized speech problem.
• Articulation Disorders – difficulties making sounds correctly. These problems may begin in childhood or may occur later in life as a result of stroke, injury, or illness.
• Cognitive Communication Disorders – common in adults after a head injury or stroke. These disorders cause difficulty in thinking clearly, remembering or problem solving.

Other Speech/Language Services Include

• Augmentative and Alternative Communication – offering new possibilities for people who cannot speak. Technology offers an array of options, including voice synthesizing computers and communication boards.
• Communication Enhancement – improving everyday communication skills, such as pitch, projection, accent and nonverbal communication.

Common Diagnostic Problems Evaluated

• Stroke/CVA
• Traumatic Brain Injury
• Laryngectomy
• Head/Neck Cancer recovery
• ALS
• Parkinson’s Disease
• Autism
• Apraxia
• Aphasia
• Cleft Palate
• Dysphagia

Hand therapy addresses the entire upper limb, focusing on hand, wrist, elbow, and shoulder girdle issues. At Copley we work closely with the doctors at Mansfield Orthopaedics to provide both postoperative and non-operative rehabilitation. Common conditions treated include; tendonitis, fractures, tendon/ligament/ nerve repairs, carpal tunnel syndrome and other nerve irritations. Our therapist will assess the patients individual needs to develop a tailored treatment plans that can include exercises, modalities, education, custom splinting, and manual therapy technique.

Hand Therapists are Physical or Occupational Therapists who have additional training and specialize in the rehabilitation of patients who have had hand to shoulder injuries, surgeries or diseases that impair function and cause pain. Certified Hand Therapists (CHT) and members of the American Society of Hand Therapists (ASHT).

Hand Therapists evaluate for and fabricate custom orthoses, apply modalities to relieve pain and help heal injuries and teach individualized exercise programs.

Conditions treated include:

• Carpal Tunnel Syndrome
• Arthritis
• Fractures of the upper arm, elbow, wrist, hand or fingers
• Tendon repairs
• Nerve repairs
• Finger amputations
• Surgical repairs and replacements of the joints of the thumb, hand, wrist, elbow hand and fingers
• Shoulder injuries

Brain Injury Program
May include work with Occupational Therapy, Physical Therapy, and Speech and Language Pathology specialists depending on your specific needs.

• • Includes the following diagnoses:
    • Stroke/CVA
    • Traumatic Brain Injury (TBI)
    • TBI-related vertigo
    • Concussion/Post Concussion Syndrome
    • Brain tumor removal
    • Chronic Tick-Borne illness (Lyme Disease, Bartonella, etc)
    • Long-Term COVID recovery
  • Treatment focuses on:
    • Symptom management
    • Memory/Cognition
    • Speech/Communication
    • Swallowing and Dysphagia
    • Vision and visual perception
    • Upper/lower extremity limitations
    • Balance and gait dysfunction
    • Return to work
    • Facilitating and improving participation in all tasks of daily living

Copley Hospital’s Cardiopulmonary Rehabilitation Program helps improve your quality of life following a heart event such as a heart attack or for those diagnosed with a lung disease.

Our cardiac rehabilitation and pulmonary rehabilitation treatment programs are geared towards helping you reach a higher level of functioning through exercise and new skills to better manage your condition.

Learn more about our Cardiopulmonary Rehabilitation Program.

Our team work with children of all abilities to strengthen skills that increase one’s ability to participate in daily routines including:

• • • Developmental milestones
    • Motor skills
    • Self help skills
    • Regulation
    • Sensory processing

The foot care program at Copley includes toenail cutting, ingrown toenail release and corn and callous removal. This program aims to decrease foot injury and infection by providing preventative care for those who are unable to perform care at home safely, and may include patients with diabetes, peripheral vascular disease, neuropathy, and/or patients with impaired mobility due to stroke, brain injury or neurodegenerative disorders. Once patients are enrolled in the program, they will have scheduled follow ups as needed to maintain foot health.

Giving women with urinary incontinence the skills they need to regain bladder control. It works by improving the strength and function of the muscles that support the bladder, urethra and other pelvic organs.

Pelvic Floor

Pelvic Floor Physical Therapy (Pelvic Floor PT) is a specialized form of therapy aimed at treating conditions related to the muscles, ligaments, and connective tissue in the pelvic region. Whether you’re experiencing urinary incontinence, pelvic pain, or discomfort after childbirth, our expert therapists offer tailored treatment plans to help you regain control, improve function, and enhance quality of life.

Strengthening & Relaxation Exercises: Targeted exercises to improve pelvic floor muscle strength and relaxation, helping to manage conditions like incontinence or pelvic pain.

Biofeedback & Neuromuscular Re-education: Techniques to retrain the pelvic muscles for improved control and function.

Bladder & Bowel Control: Working through your daily habits and pelvic floor coordination to ensure proper bladder and bowel control.

Postpartum Recovery: Support for new mothers experiencing pelvic floor challenges, including abdominal separation, urinary incontinence, and pelvic organ prolapse.

Sexual Health & Pain Management: Treatment for pelvic pain and discomfort during intercourse, addressing issues like vaginismus and vulvodynia.

An Ergonomics Assessment is a personalized evaluation aimed at optimizing your workspace or daily activities to reduce the risk of injury and improve overall comfort and productivity. Whether you’re dealing with chronic pain, discomfort, or fatigue due to poor posture, repetitive tasks, or improper workstation setups, our ergonomics specialists are here to help. We offer this service at the hospital and at local businesses throughout the community.

• Comprehensive Workspace Evaluation: We assess your workstation setup, including desk, chair, computer, and tools, to ensure they align with ergonomic principles, promoting better posture and reducing strain.

• Posture and Movement Analysis: We evaluate your posture and body mechanics during work or daily tasks to identify habits that may contribute to discomfort or pain.

• Ergonomics Training: Education on proper posture, stretching techniques, and movement strategies to avoid strain and fatigue during daily activities.

• Injury Prevention Plans: We help design strategies to reduce the risk of musculoskeletal disorders (MSDs), such as carpal tunnel syndrome, back pain, or neck strain, caused by poor ergonomic practices.

• Return-to-Work Support: Assistance in adapting the work environment for individuals recovering from injury or surgery to ensure safe and effective reintegration into the workplace.

Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.

Copley Hospital’s Work Conditioning program provides therapy services from acute injury to full return to work through a program of physical therapy treatment. Work conditioning, which may include a functional capacity evaluation, uses physical conditional and functional activities to maximize the individual’s ability to return to work as safely and quickly as possible with a focus on prevention of re-injury.

Treatment includes rehabilitation, strengthening, conditioning and functional testing.

Copley’s Work Conditioning program consists of 1-2 hour sessions 3 times a week for up to 4 weeks in our hospital rehabilitation gym.

Your physical therapist will work collaboratively with you, your case management team, your physician and your employer in order to ensure an effective program and safe return to work.

What to Expect During Therapy:

You will receive an initial assessment which the physical therapist will use to design a plan to help maximize your physical function. Your treatment plan will include:

• Real simulated work tasks
• Conditioning exercises
• Education about body mechanics, safety and injury prevention, self-management

You will be required to perform postures and motions with workloads that are involved in performing job-specific tasks. We strive to simulate moves needed for your specific job duties.
At the end of the program, you may receive a Functional Capacity Evaluation.

Functional Capacity Evaluation (FCE):

A Functional Capacity Evaluation (or FCE) is an objective assessment used to determine an individual’s ability to perform general functional activities or work-related tasks.

During an FCE, you will perform various activities that simulate on-the-job work while a physical therapist measures your maximal functional level.

The assessment provides crucial information in developing an effective return-to-work program as well in assessing the abilities of individuals seeking vocational rehabilitation determinations.

Benefits of an FCE include:

• Comprehensive assessment of your capacity to return to work after injury
• Identifying work site modifications for a safe and successful return to work
• An evaluation of the level of function for job retraining, should you be unable to return to the previous job

The FCE is based on the Matheson System of Work Evaluation.