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What is Occupational Therapy?

What is Occupational Therapy?

In this day and age, you’ve probably heard the term Occupational Therapy, but you may not be familiar with what it means. Is it the same as physical therapy? Not quite, but it does fall under the physical rehabilitation umbrella. Does it have to do with one’s job? Possibly, but not always.

Occupational therapists (OTs) and occupational therapy assistants (OTAs) are dedicated healthcare professionals who help people of all ages participate in activities and daily tasks that are meaningful and important to them.

Occupational therapy is a science-driven healthcare profession that examines the person, the environment, and the tasks the person desires to perform. The goal is to restore the person’s function or adapt the task or environment for optimal performance.

 

Who can benefit from Occupational Therapy (OT) services?

 

OT can help anyone experiencing difficulty with activities of daily living (ADLs). These difficulties might be due to an injury such as a broken wrist or a recent illness or hospitalization that resulted in general weakness and fatigue.

Occupational Therapy - SteeringSome activities that might benefit from OT are:

  • Dressing
  • Bathing
  • Toileting
  • Cooking
  • Leisure Activities
  • Work Tasks
  • Other tasks that are meaningful and important to the person

Occupational therapist can also help with chronic health conditions such as, arthritis, COPD, multiple sclerosis or Parkinson’s disease that have impacted a person’s physical or cognitive ability to complete daily tasks.

 

What will an occupational therapist do?

 

The OT will start with an evaluation to collect information on your health history, current limitations, and goals for therapy. From there they will develop an individualized plan of care to help you achieve these goals.

Occupational Therapy with Shirley Faw, OTR/LInterventions could include:

  • Exercises or stretches to help you gain strength or range of motion
  • Splinting
  • Adaptive equipment education and training
  • Safety training and education
  • Pain management
  • Suggestions for home modifications or activity modifications to help you better perform specific activities. 

Our OT’s at The Rehabilitation Center also have specialized training in lymphedema treatment and management, pelvic health issues or concerns, ergonomics assessments and interventions, and aquatic therapy interventions.

 

Having difficulty with something you want to do or need to do?

 

We have a team of OTs and OTAs at The Rehabilitation Center who are here to help you achieve your goals. If you have questions or want to know if you could benefit from Occupational Therapy Services, call our office at (828) 268-9043.

The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Visit website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Visit website

4 steps to a pain-free home office

4 steps to a pain-free home office

Setting up your home office for optimal performance and decreased musculoskeletal strain

Image: Home Office PainThe COVID-19 pandemic has disrupted almost every aspect of our lives since early 2020, and work life is a significant part of that. Many who had previously commuted to an office location every day found themselves suddenly working from home in varying conditions.

Although sitting on the comfy couch in your pajamas might sound like a more comfortable way to work, you are at risk for musculoskeletal strain or pain from awkward sitting postures. Here are some tips for setting up a home office and preventing pain and injuries.

There are three main elements of office and workplace ergonomics:

  • Chair
  • Workstation/desk for keyboard and mouse
  • Monitor or computer screen

 

1. Choose the right chair

Photo: Adjustable Office Chair

Your body will thank you for investing in a proper desk chair. Although a chair from the kitchen table can work for short term (1-2 weeks), it’s worth investing in an adjustable office chair if you will be working remotely for a longer time.

An optimal office chair will:

  • have some adjustable features for height, seat pan depth, tilt, arm rests, and head rests.
  • provide support at your lumbar (low back).
  • allow for your feet to rest flat on the floor.

If your feet do not touch the floor, a small stool or box can be used to allow for foot support. Additionally, there should not be any pressure from the edge of the chair on the backs of your knees.

2. Set up your workstation or desk

Photo: Adjustable Workstation

An ideal workstation should:

  • be adjustable so that you can sit or stand throughout the day.
  • have a “waterfall” or smooth edge – sharp edges put pressure on your wrists. Pipe insulation or other padding can be used to cover sharp edges if necessary.
  • be large enough to accommodate a keyboard, mouse, document holder, and monitor. If you are working from a laptop, an external keyboard and mouse are recommended.

The height of the workstation (keyboard and mouse) should allow for a neutral arm position with elbows at approximately 90 degrees. Measure from your elbow to the floor and subtract 2-3 inches for optimal placement.

There are many options for an external keyboard and mouse; they are not one-size-fits-all. Find a keyboard and mouse that allow your wrists to sit in a neutral position and avoid extreme or awkward positions (bending the wrist too far in any direction). The size of the keyboard and mouse should be a good fit for the size of your hands.

3. Place your monitor or computer screen

Photo: Standing Workstation

Your monitor or computer screen should be placed:

  • at the correct distance from your eyes to reduce eye strain and forced positioning of the head.
  • at the correct height to avoid neck pain.
  • in a position that reduces glare from natural and artificial light.

 

A monitor should be about arm’s length or 20-36 inches away from your body, depending on font size, number of screens, and your eyesight. If you find yourself constantly leaning forward to see the monitor, it is too far away; or you need to make the font size on the monitor larger.

The height of the monitor should allow for a neutral head position to reduce strain on your neck. You don’t need a fancy solution; a stack of paper, books, or small box is an easy way to adjust the monitor if it is too low.

Reducing glare can help reduce eye strain or engaging in awkward postures to see the monitor more clearly. Monitors should be placed perpendicular to windows if possible, and indirect lighting is recommended to help reduce glare. If overhead light is the cause of glare on the monitor, consider using a task light as needed. To give your eyes a break, every 20 minutes take 20 seconds to look at an object at least 20 feet away.

Considerations for dual monitors: If you use both monitors equally, center them in front of you. You may need to move the monitors further away so that both screens are within your central field of vision. You shouldn’t  have to rotate your neck repeatedly to look between the two monitors. If you use one monitor primarily and the other monitor occasionally, center the monitor you use the most in front of you.

4. Develop healthy work-from-home habits

 

Once you have your home office set-up, remember to take breaks and change positions throughout the day. Small breaks, changing positions, and standing up for a stretch break can increase blood flow, reduce the risk of injury, and decrease fatigue.

Lauren Hutchins, MS OTR/L

Need help?

 

Yes, The Rehabilitation Center can help you with your home office. 

If you are experiencing discomfort, overuse injuries or muscle strains from your current work station set-up, the occupational therapists at The Rehabilitation Center can provide an assessment and recommendations specifically for you. Give them a call at 828-238-9043.

Author: Lauren Hutchins, MS OTR/L, The Rehabilitation Center 

The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Visit website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Visit website

Common Causes and Treatments for Balance Disorders

Common Causes and Treatments for Balance Disorders

Balance Disorders

By Flavio Leite, PT, DPT, physical therapist at The Rehabilitation Center in Linville

Balance…we search for it in our everyday lives. Juggling work, family, and after school activities can figuratively make your head spin. But if you feel that your head is literally spinning then you may want to sit down and take a few moments to look over the causes and treatments of balance disorders.

A balance disorder is a condition that makes you feel unsteady as if you are moving or spinning even though you are standing still or lying down.

Various studies indicate that “dizziness” is among the three most common complaints encountered in the primary care setting, sharing equal time with headaches and lower back pain.  Over the age of 75, it is the number one reason for an office visit and hospital admission.  As the population ages, the total number of complaints regarding balance disorders is likely to increase.

 

Different people will experience different symptoms

 

  • Some people may experience frequent falls or loss of balance.
  • Some people may report blurry vision, especially when looking for items at the supermarket. They may also be unable to read signs while driving.
  • Some people may feel dizziness or vertigo when lying down, getting up, looking up/down, or bending over to retrieve objects from the floor.
  • Some people may experience lightheadedness, faintness, or a floating sensation.
  • Other people may experience confusion or disorientation.

 

The most common causes of a balance disorders

 

  • Cardiac problems – individuals with cardiovascular disease who have difficulty with blood supply to the brain or to the lower extremities may experience balance issues.
  • Impaired vision – especially at night when there is less light.
  • Inner ear problems or damage to any of the vestibular system apparatus – will affect the way the vestibular system responds to the challenges of the environment you are in.
  • Central nervous system diseases – balance disorders are common in diseases such as multiple sclerosis and Parkinson’s disease.
  • Head injury – even a mild head trauma such as getting hit in the head with a ball while playing sports may cause you to experience episodes of dizziness or balance problems.
  • Peripheral nerve injury – peripheral neuropathy as a result of diabetes or other type of nerve damage in the legs will negatively impact your balance.
  • Muscular weakness – such as lower extremity weakness will increase your risk for falls.
  • Medication – it is very important to check with your pharmacist regarding the side effects of or interaction of medications, since many medications may cause dizziness or lightheadedness.

 

As you can see, there are many potential causes of a balance disorder – including medical conditions and medications. That is why you should consult with your provider to rule out a more serious medical condition as the cause of your symptoms.  If the cause is a medical condition or medication, your provider may treat the condition or suggest a different medication.  Your provider may also suggest that you see an ENT doctor (physician who specializes in the ear, nose, and throat) or refer you to a physical therapist specializing in treating balance disorders.

If you are referred to a physical therapist here are a few things that you should expect. The physical therapist will perform an initial evaluation starting with an interview and then will ask you about events that may have caused the problem or when you first experienced the symptoms; ask you to describe the symptoms, when they occur, what alleviates or makes them worse, and so forth. Questions will be asked about your medical history to see if it may contribute to your balance problem. You will also be asked about medications you are taking which may contribute to some of the symptoms previously discussed.

 

How a physical therapist can help

 

Photo: Physical Therapy Balance TreatmentThe physical therapist will perform:

  • Functional tests to assess your ability to perform functional tasks such as walking on uneven terrain, making turns and moving your head while walking, ascending/descending stairs, looking up and looking down, and bending over to retrieve objects.
  • Positional tests to assess your ability to perform transitional movements such as sitting to lying down, lying down to sitting, rolling to right/left when lying down.
  • Assessment of the systems of balance. The physical therapist will perform a systematic evaluation of the visual system, the somatosensory system, and the vestibular system.
  • Assessment of other systems such as your coordination, strength, flexibility, and sensation – especially in the lower extremities.

Once the physical therapist completes the initial evaluation, he/she will discuss the findings with you.  The physical therapist will talk about your rehabilitation potential; then, will inform you about the rehabilitation program and develop a customized plan of care.

The plan of care will vary according to your needs.  The frequency of treatment may be once or a couple of times a week, depending on your particular condition.  Some exercises are done at the clinic and some are done at home.  The physical therapist works closely with you.  Adhering to the treatment program is the key to getting better, improving your balance, and being able to do more.

If you are suffering with balance issues, contact The Rehabilitation Center to see how physical therapy could help you.

The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Visit website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Visit website

Dry needling therapy to increase muscle function and reduce pain

Dry needling therapy to increase muscle function and reduce pain

By Michael Moore, PT, DPT, physical therapist at The Rehabilitation Center in Boone

Dry needling doesn’t sound like a fun day at the park but intramuscular stimulation, as it is sometimes called, is a treatment used to target and restore muscle function while reducing muscle pain. During dry needling, a practitioner inserts several filiform needles into your skin. Filiform needles are fine, short, stainless steel needles that don’t inject fluid into the body. That’s why the term “dry” is used.

 

Photo: Dry NeedlingWhat happens during Dry Needling?

 

Practitioners place the needles in “trigger points” in your muscle. The points are areas of knotted or hard muscle. The technique may help release the knot and relieve any muscle pain, spams, or stiffness by improving blood flow and diminishing nerve sensitivity. In addition, easing the trigger points may improve flexibility and increase range of motion. That’s why this method is often used to treat sports injuries, muscle pain, and even fibromyalgia pain.

 

Is it the same as acupuncture?

 

Dry needling is not acupuncture, a practice based on traditional Chinese medicine and performed by acupuncturists. Traditional Chinese Medicine is based on the use of “meridians,” “pulses,” or “chi” drawn from ancient Chinese medicine and philosophy. Dry needling is a part of modern Western medicine principles, and supported by research accepted by physicians in the United States.

 

What can Dry Needling treat?

 

Evidence suggests the use of dry needling in treating many conditions seen by physical therapists such as:

  • chronic neck and back pain
  • cervicogenic headaches
  • knee osteoarthritis
  • carpal tunnel syndrome
  • trigger point pain
  • and more.

Dry needling should not be seen as a replacement for physical therapy. However, it is a very beneficial complement to physical therapy treatment as it can restore muscle function and reduce muscle pain.

If suffering with these conditions, contact The Rehabilitation Center to see if dry needling is right for you.

 

The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Visit website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Visit website

References:

American Physical Therapy Association. Description of Dry Needling in Clinical Practice. http://www.apta.org/StateIssues/DryNeedling/. Published February 2013.

Dunning J., Butts R., Mourad F., Young I., Flannagan S., Perreault T. Dry Needling: A Literature Review with Implications for Clinical Practice Guidelines. Phys. Ther. Rev. 2014;19:252–265. doi: 10.1179/108331913X13844245102034.

What is Occupational Therapy?

All Physical Therapy and Rehabilitation Services

The Rehabilitation Center is dedicated to practicing Physical and Occupational Therapy within an evidence-based, clinical practice paradigm. Our goal is to offer high quality service to all patients with the expectation of improving function and quality of life. In support of our mission, The Rehabilitation Center staff is actively engaged in continuing education and clinical competency reviews. We offer a full range of services including functional employment testing.

 

Employers: We are a WorkSTEPS Licensed Provider

 

The Rehabilitation Center therapists are trained and licensed to administer WorkSTEPS functional employment testing for your employees. We offer these services at our Boone location.

  • worksteps licensed providerpre-employment post-offer testing
  • post-employment fit-for-duty testing
  • return-to-work fit-for-duty

Contact us today for more information >  

 

Physical Therapy and Occupational Therapy

Neurological Rehabilitation

  • CVA
  • Head Injury
  • Concussion evaluation and management
  • Demylinating Diseases
  • Parkinson’s Disease
  • Peripheral Neuropathy
  • Cerebellar Disorders
  • Peripheral & Central Vestibular Disorders
  • Bell’s Palsy
  • Spinal Cord Injury
  • Functional Electrical Stimulation

 

Orthopedic Rehabilitation

  • Musculoskeletal Disorders and Conditions
  • Rehabilitation following trauma, injury, accident
  • Post-surgical rehab for musculoskeletal conditions
  • Geriatric Rehabilitation
  • Consultation for specific exercise programs
  • Treatment of Movement Impairment Syndromes
  • Manual therapy for spine and extremities
  • Total Joint rehab with attention to functional outcomes
  • Aquatic therapy for appropriate conditions
  • Work Conditioning

 

Lymphedema Management

  • Manual Lymphatic Drainage
  • Compression Bandaging
  • Patient Education

 

General Medical Rehabilitation

  • Weaknesses / Loss of flexibility
  • Deconditioning / Loss of function
  • Rehabilitation of cancer patients

 

Women’s Health

  • Incontinence
  • Pelvic pain and dysfunction
  • Osteoporosis management

 

Chronic Pain / Disease Management

Rehabilitation Center Therapists

Rehabilitation Center Therapists

Emily Roberts, PT, DPT

System Director of Rehab and Wound Care Services

Education: BS Physical Therapy – UNC Chapel Hill 1989, Doctorate of Physical Therapy – Evidence in Motion 2013

Special Training / Certifications: APTA Certified Clinical Instructor, Competence in Vestibular Rehabilitation 2005

Clinical Interest / Specialty Area: Neuro Rehabilitation, Balance and Vestibular Rehabilitation

Alicia DeBord, PT, CLT

Rehabilitation Supervisor for TRC Boone and Linville

Education: Bachelors in Health Sciences and Masters of Physical Therapy – Misericordia​ University 2002

Special Training / Certifications: Certified Lymphedema Therapist 2009

Clinical Interest / Specialty Area: Orthopedics, Post-surgical rehab, Low back pain and neck pain, Chronic Pain, Fibromyalgia, Cancer-related rehab

Scott R Albert, DPT

The Rehabilitation Center Boone

Education: Bachelor’s Degree in Applied Health Sciences 2008, Bowling Green State University, Bowling Green, OH; Doctor of Physical Therapy 2011, Gannon University, Erie, PA

Clinical Interest / Specialty Area:Orthopedic Rehabilitation: shoulder, knee, hip and ankle, Post-Operative Rehabilitation, Aquatic Physical Therapy, Total Joint Rehabilitation, Balance, Generalized deconditioning and loss of functional mobility

Elizabeth Ardoin, PT

Boone

Education: MS Physical Therapy – Duke University, 1997, BS Biology – Clemson University, 1992

Special Training / Certifications: Vestibular Rehab, NDT Training

Clinical Interest / Specialty Area: Neurological Rehab, Balance Training, Vestibular Rehab, Strokes

Whitney Barrier, PT, OCS

Boone

Education: MPT – Western Carolina University 2009, Orthopedic Clinical Specialist 2017

Clinical Interest / Specialty Area: Orthopedics, Functional mobility

AJ Best, MS, PTA

Boone

Education: Southwestern Community College 2011 – Physical Therapy Assistant; University of Tennessee, 2000 – Masters of Science

Special Training / Certifications: Personal trainer, former Red Cross Instructor

Clinical Interest / Specialty Area: Aquatic rehabilitation, functional movement

Pam Chaney, PTA

Linville

Education: AAS – PTA – Stanly Community College 1996

Clinical Interest / Specialty Area: Orthopedics, General Rehabilitation

Susan Curtin, DPT, COMT

Boone

Education: Doctorate in Physical Therapy – Western Carolina University, May 2014; Bachelor of Science – Appalachian State University, May 2011

Special Training / Certifications: Certification in Orthopedic Manual Therapy, December 2016

Clinical Interest / Specialty Area: Spine and extremities, Orthopedics, Post-operative rehabilitation, Balance, Chronic Pain, TMJ, Headaches

Yvonne Erickson, COTA/L, LMBT

Boone

Education: OTA Associate of Arts Degree from Duluth Technical College 1990, Massage Therapy from Caldwell Community College 2012

Special Training / Certifications: Lymphedema training, myofascial release

Clinical Interest / Specialty Area:Manual Therapy, Orthopedics, Lymphedema, Neuro

Shirley Faw, OTR/L

Boone

Education: BS Occupational Therapy – Texas Woman’s University 1979

Special Training / Certifications:: NDT Adult Hemiplegia, Certified Lymphedema Therapist – Dr. Vodder School

Clinical Interest / Specialty Area: Upper extremity injuries, Wrist, elbow and hand injuries, Custom splints, Physical Disabilities

Michelle Forrest, OTR/L, CLT-LANA

Boone

Education: BS Occupational Therapy – Lenoir Rhyne College, 1999

Special Training / Certifications: Certified Lymphedema Therapist – Dr. Vodder School, Licensed by Lymphology Association of North America (LANA), Women’s Health Training – Herman and Wallace

Clinical Interest / Specialty Area: Lymphedema Treatment including manual lymphatic drainage, compressions garments, and aquatic therapy; Oncology and Breast Healthcare; Women’s Health / Pelvic Pain Care / Urinary Incontinence; Hand Therapy; Neurological Rehab (CVA and Brain Injury)

Katherine Graham, PT, MA

Boone

Education: BS in Physical Therapy – UNC- Chapel Hill, MA Clinical Psychology with minor in Rehabilitation Psychology

Special Training / Certifications: NDT Adult Hemiplegia Certification, Advanced Vestibular Rehab APTA, LSVT BIG Therapy for Parkinson’s Disease, Licensed Psychological Associate

Clinical Interest / Specialty Area: Neurology, CVA, Traumatic Brain Injury, Vestibular and Balance Disorders, Parkinson’s Disease

Lynda P. Greene, PT

Boone

Education: BS – University of North Carolina at Chapel Hill

Special Training / Certifications: NDT Certified – Pediatrics

Clinical Interest / Specialty Area: Neurology, CVA, Pediatrics, Low back and neck pain

Maritza Greene, PT, DPT

Boone

Education: BSPT – Winston Salem State 2001, Doctorate of Physical Therapy – Evidence in Motion 2015

Special Training / Certifications: Women’s Health, Orthopaedics Pre/post surgical orthopedic intervention, Lumbar and Cervical spine, Chronic Pain, General Health Coaching intervention

Clinical Interest / Specialty Area: 

Lauren Hutchins, MS OTR/L

Boone

Education: Bachelor of Science-2005: Murray State University, Master of Science-Emergency Management-2005: Jacksonville State University, Master of Science-Occupational Therapy-2013: University of Wisconsin, La Crosse  

Special Training/Certifications: Certified Ergonomics Assessment Specialist, The Back School, WorkSteps

Clinical Interests/ Specialty: Ergonomics Assessment and Modifications, Neurological Rehabilitation (Parkinson’s, CVA, Brain Injuries), Assessment and treatment of deficits in activities of daily living, Assessment and treatment of injuries and impairments of the upper extremities 

Charlie Hypes, PT

Linville

Education: Bachelor of Science – East Carolina University 1985

Clinical Interest / Specialty Area: Orthopedics, Neurological, Chronic Pain

Emma Lattner, DPT

Boone

Education: East Carolina University BS Exercise Physiology 2016, Doctor of Physical Therapy 2019

Special Training/Certifications: Bioness, Wheelchair Seating and Mobility

Clinical Interests: Neurologic and Orthopedic populations

Flavio Leite, PT, DPT

Linville

Education: Doctorate of Physical Therapy – Nova Southeastern University, 2016, Master in Physical Therapy – Nova Southeastern University, 1998, AS Physical Therapist Assistant – Miami Dade College, 1996, BA Architecture – University of Miami, 1992

Special Training / Certifications: Vestibular Rehabilitation Certification – Emory University, NDT Certification – Management of Adults with Stroke and Brain Injury – NDTA

Clinical Interest / Specialty Area: Neuro Rehabilitation, Balance and Vestibular Rehabilitation

Laura Klein McKenzie, DPT

Boone

Education: BS in Exercise Physiology from University of Florida – 2001, DPT from Duke University – 2005

Special Training/Certifications:  APTA Certified Clinical Instructor

Clinical Interests/ Specialty Area:  General Orthopedics, hypermobility, all patients who laugh at my jokes

Michael Moore PT, DPT

Boone

Education: Bachelor’s degree in exercise physiology from ASU 2015, Doctorate of Physical Therapy from Western Carolina University 2019, Certified in Dry Needling through the American Academy of Manual Therapy

Clinical Interests: Orthopedic and Sports Rehab

Heather Pannill, DPT

Boone

Education: BS in Athletic Training – Appalachian State University 2013, Doctorate of Physical Therapy – Winston-Salem State University 2016

Special Training/Certifications: Certified Athletic Trainer, APTA Credentialed Clinical Instructor

Clinical Interests/Specialty Area: Dizziness, Balance, Sacroiliac Joint, Ankle, Knee

Day Watson, DPT

Linville

Education:, Bachelor of Science in Nutrition, minor Spanish – University of Tennessee 2001, Master of Physical Therapy – Western Carolina University 2007, Doctor of Physical Therapy – Arcadia University 2012

Special Training/Certifications: Certified Clinical Instructor, APTA

Clinical Interest / Specialty Area: Orthopedics, Neurological. Vestibular, Aquatic therapy

Tiffany Weitzen, PTA

Boone

Education: Associate of Applied Science in Physical Therapist Assistant studies – Caldwell Community College & Technical Institute, May 2013, Bachelor of Science in Art Education – Appalachian State University, December 2008

Special Training/Certifications: Myofascial Release

Clinical Interests/Specialty Area:  Pre- and post-operative joint replacements; balance training. 

Rebecca Westveer, PT

Boone

Education: The University of North Carolina at Chapel Hill – Master of Physical Therapy – 2001, Appalachian State University – Bachelor of Science in Exercise Science, Minor in Psychology – 1999

Special Training/Certifications: Advanced training in Orthopedic diagnosis and treatment

Clinical Interests/Specialty Areas: Orthopedics, Post-operative rehabilitation, Balance training, Functional mobility training

Michelle Ziegler, MPT

Boone

Education:B.S. Biology 2005 from UNCA;  Masters of Physical Therapy 2011 from Western Carolina U.

Special Training/Certifications: LSVT BIG, prior training and certification in SFMA

Clinical Interests/Specialty Area: Orthopedics