Our creative, proven approach to therapy delivers long-lasting results.
Each year, thousands of Americans experience an Acquired Brain Injury (ABI) – an injury to the brain that occurs after birth. A large number of these injuries are related to a Traumatic Brain Injury (TBI) or a stroke.
Brain injuries often occur suddenly, thrusting the patient and family into a whole new world where day-to-day activities are difficult or impossible. While neuro rehab can’t reverse damage to the brain, it can help remove the barriers that stand in the way of living the best life possible.
As a leader in neuro rehab for more than 30 years, Rehab Without Walls® addresses the unique needs of people who have experienced brain injury due to a medical condition (like an aneurysm) or trauma (like a fall or car accident). Our proven approach combines multiple specialties to address the wide range of brain injury effects such as:
- Decrease in strength, balance and endurance
- Memory loss
- Loss of communication skills or abilities
We take a interdisciplinary team approach, which means patients get the right care in the right place at the right time. And we’re not just focused on what patients can do today; we’re looking months and years down the road.
Our approach to brain injury rehabilitation
Our innovative model of care is based on research, best practices and our many years of experience with complex neurorehabilitation. The model has four key parts:
We start with an in-depth assessment to determine the patient’s current level of functioning in three categories:
- Activities – which tasks the patient can and can’t do successfully, including activities of daily living
- Impairments – which bodily functions the patient does and doesn’t have, such as bladder and bowel control
- Participation – which life situations the patient can and can’t take part in, including employment and hobbies
We work with the patient and family to establish goals that include ambitious, yet realistic, timelines for meeting them. Goals can be functional or personal.
Examples of these goals may include:
- Exhibiting safe behavior in the home environment, using compensatory strategies when appropriate
- Performing health maintenance tasks such as taking medication and brushing teeth independently
- Exhibiting adequate short-term memory and organizational skills to allow for return to work
- Buying groceries and cooking dinner
- Going along on a child’s school field trip
- Playing the trumpet again
Assembling a interdisciplinary team
After setting goals, we assemble the team who will design and implement a customized rehabilitation plan. A brain injury can affect so many parts of the body and mind, given this, it is important for multiple specialties (physical therapists, vocational counselors, neuropsychologists and others) to work together. The team is overseen by a physician and led by a clinical coordinator who ensures that:
- There are no gaps or overlaps in services
- All team members communicate often
- Family members are involved and updated
Creating and implementing a personalized rehab plan
Our brain injury rehab plans are truly customized for each patient. For example:
- If a patient wants to return to work at an office, fine motor skill retraining will incorporate a computer. Cognitive skill training may include wayfinding in their office park
- If a patient is a passionate swimmer, physical therapy will be in a pool rather than the gym
- If the patient is a firefighter, a higher level of strength and balance training can be part of the plan
We take a real-world approach to rehabilitation because we have found this promotes the most long-lasting results. In the patient’s world, the real world, it simply means getting back to life as fully and as independently as possible following illness or injury.
Where we provide brain injury rehabilitation
We offer brain injury programs across the United States in three types of care settings:
- Residential facilities (adults) – These centers provide 24/7 care, as well as intensive neurorehab therapy for patients who are on the path to recovery. More about our residential facilities
- Residential school (children) – The Texas Hill Country School offers brain injury and autism services for children and adolescents ages 6 – 22
- Home and community (adults and children) – With this approach, therapy takes place in the home, at the workplace, in school or elsewhere in the patient’s community. More about home and community rehab
- Outpatient neuro rehab (adults and children) – In selected locations, we offer both individual and group sessions in fully equipped rehabilitation centers. Learn more about outpatient neuro rehab
Whether therapy takes place in a clinic or at home, we customize rehabilitation strategies to help patients reach their goals in the most effective way.
Focused on the future
“The most important thing Rehab Without Walls does on a daily basis is focus on getting our patients back to life.”