Neuro Rehab Clinic

The Western Michigan University Neuro Rehab Clinic offers occupational therapy services for adolescents and adults who are recovering from various neurological conditions. Our students work in partnerships to provide services to clients under the direct guidance of a WMU OT faculty member. We serve individuals who are uninsured, underinsured, or have exhausted their therapy benefit yet show potential for improvement with continued OT services. There is no cost for services. Our referral sources include clinics, physicians, hospitals, and community members in Grand Rapids and surrounding areas. Clients may also self-refer. 

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Our goal is to provide evaluation and intervention from a holistic perspective in order to address safety, occupational performance, and general well-being. Intervention is designed to improve independent living skills, motor skills, and cognitive skills that target the individual's needs. Common diagnoses treated in the clinic include: 

  • Stroke

  • Post-concussion syndrome
  • Parkinson’s disease

  • Guillain-Barré syndrome 

  • Spinal cord injury 

  • Traumatic brain injury 

  • Neurovisual conditions

Under the guidance of a licensed and registered occupational therapist, students provide an extensive evaluation consisting of formal and informal assessments as well as designing intervention directed toward improving occupational performance. Interventions may work to remediate underlying problems and/or assist clients to compensate for persistent deficits. Students will be guided in developing client-centered and occupation-based intervention plans supported by appropriate theoretical approaches and empirical evidence. Students will also work to establish a strong therapeutic relationship with clients guided by the theoretical concepts such as The Model of Human Occupation. 

The WMU Neuro Rehab Clinic offers a comprehensive evaluation and treatment for each person. Evaluation is scheduled for 1-2, 1-hour sessions and consists of interview, standardized and non standardized assessments, functional assessments and structured observations of occupational tasks. These assessments help to identify issues that may impact independence in the areas of gross and fine motor, visual motor integration, cognition and perception, sensory processing and emotional regulation. While the primary focus of the evaluation is on the client's physical and cognitive factors, screens may also be provided to identify psychosocial factors that may impact independence and performance of desired occupations. The evaluation identifies strengths, needs, and potential related to independence and may also provide recommendations for additional services as is appropriate. 

Intervention is scheduled for one hour sessions, one to two times per week. An individualized intervention plan is developed in collaboration with the client and any individuals identified as significant by the client. Frames of references used to guide intervention plans include rehabilitative, cognitive rehabilitation, motor control such as NDT and PNF, biomechanical and applicable psychosocial approaches. Interventions administered in therapy are client-centered and occupation-based and may include: 

  • Restoring ability to perform self-care skills including feeding, dressing, and grooming 

  • Training in home management including meal preparation, laundry, and bill paying, community mobility, and shopping

  • Use of neuromuscular re-education techniques to improve fine, gross, and visual motor control skills (i.e. electrical stimulation, mirror box therapy, modified constraint-induced movement therapy, therapeutic taping)

  • Educating and trialing adaptive equipment and assistive technology to increased independence and quality of life

By the end of the semester, it is expected that students will have developed the following basic competencies regarding working with adults with neurological disorders. 

  • Evaluation through the use of standardized and non-standardized assessment tools 
  • Building a therapeutic relationship and using therapeutic use of self 
  • Developing client-centered and occupation based intervention plans supported by appropriate theoretical approaches and empirical evidence. 
  • Providing intervention directed toward improving occupational performance and independence using applicable approaches as indicated by individual client factors 

 To make a referral or request more information, contact the clinic supervisor, Holly Grieves, OTD, OTRL at holly.grieves@wmich.edu or (517) 388-1652. 

Neurologic Occupational therapy fellowship

 We are excited to announce a new partnership with Mary Free Bed for the 2022-23 fellowship year. For more information about eligibility, the application process, and curriculum details, please refer to this flyer or visit Mary Free Bed's website.