CSPT offers a wide spectrum of rehabilitative services to assist our clients in reaching the summit of their physical functional capabilities, whether that be in sport, work, recreation or just everyday life. Regardless of your diagnosis or injury, you can rest assured that our professional staff will provide you with a quality rehab program customized to your specific needs through an appropriate combination of therapeutic modalities, hands-on manual techniques, therapeutic exercise, instruction in proper body mechanics and posturing, and instruction in a home program to provide you with the tools to continue your healing process and prevent future symptoms.

Physical Therapy Services

We offer Yakima's Widest Variety of Therapy Services to best meet your needs, including:

• Orthopedic Rehabilitation
• Athletic Injury Rehabilitation
• Aquatic Therapy
• Vestibular Rehabilitation
• Massage Therapy
• General Outpatient Orthopedic Therapy
• Post-Surgical Rehabilitation
• Athletic Injury Rehabilitation
• Back/Spine Rehabilitation
• Work-Related Injuries
• Overuse Injuries
• Headaches
• Motor Vehicle Accident Recovery
• Wellness Programs
• Custom Orthotics
• Vestibular Therapy (Vertigo, dizziness)
• Pelvic Floor Therapy (Urinary Incontinence Therapy, pelvic pain)

Occupational Therapy Services

• Hand & Arm Therapy– Traumatic, Repetitive motion and Post-Surgical
• Activities of Daily Living Training
• Adult Rehabilitation– Stroke, Mobility Training, TBI, Self-Care Skills Training, Home Management Skills and Community Re-integration
• Coordination & Dexterity
• Fluido Therapy
• Pre-Work Screens
• Chronic Pain Behavior Class
• Low Vision Rehabilitation

Return to Work Services:

• Work Conditioning
• Work Hardening
• Ergonomic Evaluations
• Industrial Work Rehabilitation
• Physical Capacity Exams
• Functional Capacity Evaluations
• Activity Coaching: Progressive Goal Attainment Program (PGAP)

Distinct Additional Services

• Scenar Treatment
• Functional Training
• Gait Analysis
• Rock Taping
• Mulligan Techniques
• Traction Treatment
• Biofeedback for Pelvic Floor

Aquatic Therapy

Our 24th Avenue location features a 20' x 25' warm water therapy pool for aquatic exercise therapy. The low patient to therapist ratio (1-2 persons per therapist) ensures optimum effects for your therapy. The water is kept at 88° to 92° F and the room temperature is kept at a warm 85°-92° F. The Therapy Pool is open from 8:00 am to 6:00 pm, Monday through Friday.

Patients who have finished therapy can continue to use the pool for exercise on a fee basis, by appointment. The pool usage is limited to five people at a time to ensure maximum space for you to comfortably complete your aquatic exercises.

The advantages of warm water exercise include:

• Muscular relaxation
• Reduced pain sensitivity
• Decreased muscle spasm
• Increased ease of joint movement
• Increased muscular strength and endurance
• Ideal temperature for fibromyalgia and Rheumatoid arthritis
• Reduced gravitational forces
• increased peripheral circulation
• Improved respiratory muscles
• Improves body awareness, balance and proximal trunk stability
• Improved morale and confidence

Performing therapeutic exercises in the water has many advantages, including:

• Buoyancy: the "unweighting" effect of the pool allows people to perform some activities in the water that they may be unable to perform on land, such as walking for someone with comprised weight-bearing on their legs or someone with back pain.
• Resistance: the water provides a natural resistance to everyday movements allowing your muscles to become stronger.
• Hydrostatic pressure: the light pressure of the water against the body combined with movement serve as a natural way to decrease swelling and edema.

Orthopedic Rehabilitation

CSPT offers full quality rehabilitation for a wide range of orthopedic injuries including:

• Post surgical recovery
• Pre-surgical strengthening
• Motor vehicle accident recovery
• Work related injuries
• Back pain/strain
• Sacroiliac dysfunction
• Orthotic consultation, evaluation and fabrication
• Muscular imbalances and weakness
• Joint stiffness and limitation
• Everyday sprains and strains of the joints and muscles

CSPT will address these or any other injury that may be limiting your ability to participate comfortably in work, recreation, sport, or everyday activities.

Athletic Injury Rehabilitation

Our professional staff can assist you in achieving your best possible recovery from a sports-related injury. Your customized rehabilitation program will include sport specific training to get you back on the field of play as soon as recommended and keep you there.
Additionally, therapists experienced in biomechanical assessment can provide you with information on what specific areas of your body may benefit from a combination of strengthening, stretching, and proprioceptive training. We want to assist you in improving your performance in sport, whether recreational or for competition, and help with preventing future injuries.

Vestibular Rehabilitation

CSPT has therapists specially trained in the treatment of vestibular disorders. Problems with dizziness can be relieved by learning the correct exercises to alleviate these symptoms. Controlling these symptoms will allow you to return to your previous level of activity while decreasing the worry of falling or becoming dizzy.

Massage Therapy

Massage therapy is proven to induce relaxation, relieve stress, improve circulation, prevent insomnia and lower blood pressure. Our licensed massage therapist can treat pain associated with:

*Pregnancy *Fibromyalgia *Chronic Pain

We bill L&I, personal injury and most medical insurances when massage is determined medically necessary. On-site seated massage is available at your work place or gathering for 6 or more persons.

Rates: $50.00 for 1 hour and $30.00 for 1/2 hour
Seated massage: $15.00 for 15 minutes.

Massage Therapy and Gift Certificates are available at all locations.

Mulligan Techniques

Principles of the Mulligan Concept

The Mulligan Concept is a manual therapy approach to restore functional motion and reduce symptoms. It utilizes gentle manual repositioning during active motions to promote optimal joint mechanics. Most of the techniques can be reinforced with home exercises and taping.

For more information on Mulligan techniques and treatment, please visit the Mulligan website.

Watch a video on Mulligan Techniques

Urinary Incontinence Therapy

This program is for the treatment of stress and urge incontinence by learning appropriate exercises to strengthen the pelvic floor muscles and regain control of your bladder. The Urinary Incontinence Therapy uses biofeedback to learn how to exercise the correct muscles and, as needed, electrical stimulation. The program can work with functional activities you may participate in where incontinence currently interferes.

PGAP

The Progressive Goal Attainment Program (PGAP):
This is a treatment program that can help workers who have been injured recover by increasing their activity. Activity Coaching is standardized intervention delivered by professionals trained in the Progressive Goal Attainment Program (PGAP®).

Activity coaching can help:

• Reduce psychosocial barriers to rehabilitation progress.
• Promote re-integration into life-role activities.
• Increase quality of life.
• Facilitate return to work.
• Prevent long-term disability.

The Activity Coaching process

• The client and activity coach meet weekly for approximately 1 hour for a maximum of 10 weeks.
• Meetings may be over the phone.
• Initial stages focus on structured activity to help the client resume activities.
• Final stages focus on activities that facilitate re-integration into the workplace.

Who may be a candidate?

• Injured workers who have not returned to work around 4 weeks after the date of injury AND have not improved with early interventions such as active physical therapy.
• Surgery is not likely in the near future.
• Activity coaching is available for workers who do not speak English.

For more additional information please visit the Labor & Industries page on Activity Coaching.

When you walk in our door, we understand that you are trusting us to help you achieve improved physical function. We do not take that lightly. Our treatment staff is composed of highly qualified, licensed Physical Therapists and Physical Therapy Assistants who will be able to individualize your treatments to meet your specific needs. There is truly a difference.

For more information, contact us at one of our two convenient locations: