Rehabilitation Services

310 North 10th Street Bismarck, ND 58501

Rehabilitation Services at CHI St. Alexius Health include occupational therapy, physical therapy and speech therapy. The services are designed to accommodate the unique needs of patients of all ages requiring rehabilitative care.

Occupational therapy is a healthcare profession concerned with the development, recovery and maintenance of daily living activities. Occupational therapy may include education, exercises, and the use of devices which compensate for permanent loss of function.

Physical therapy is a healthcare profession concerned with maximizing movement and function that has been impaired by injury, surgery, or medial conditions. Physical therapy may include education, exercises, treatment modalities and other interventions. Physical therapy provides care for a wide range of medical conditions.

Speech-language pathologists at CHI St. Alexius Health evaluate and treat patients of all ages (infant through geriatrics) to address speech, language, cognitive, voice and/or swallowing difficulties.

Occupational therapists are highly trained in specialty areas:

  • Customized treatment programs focusing on strength, coordination, range of motion and other deficit areas
  • Apartment stays to help patients and families simulate a home environment to prepare for discharge to home
  • Activities of daily living focusing on increasing independence with self-cares
  • Upper extremity strength, coordination, sensory, range of motion testing
  • Splinting for various upper extremity needs
  • Adaptive equipment training
  • Caregiver training
  • Cognitive activities to address problem-solving, safety awareness, money management and memory
  • Myofascial Release

Physical therapists are highly trained in specialty areas:

  • Joint and muscle injury or disease
  • Brain or nerve injury or disease
  • Post- surgical recovery
  • Cancer related lymphedema care
  • Personalized exercise programs
  • Balance and coordination training
  • Mobility and gait training
  • Fall prevention
  • Family or care giver education
  • Prosthetic training
  • Evaluation and assessment regarding orthopaedic bracing
  • Wheelchair fitting
  • Wheelchair mobility training
  • Evaluation for need of home equipment and information on accessibility

Speech-language pathologists are highly trained in specialty areas:

  • Autism Certification
  • Beckman Oral Motor Exercises
  • Braintrain computer program for cognitive functioning
  • PECS (Picture Exchange Communication System)
  • PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets)
  • Tongue Thrust
  • Videoflouroscopy (swallow evaluation)
  • Voice Evaluation and Treatment, including Videostroboscopy (flexible & rigid)
  • Lee Silverman Voice Training Program (LSVT)

Common diagnoses and populations served:

  • Autism
  • Cerebral Vascular Accident (CVA)
  • Transient Ischemic Attack (TIA)
  • Parkinson’s Disease
  • Traumatic Brain Injury (TBI)
  • Developmental Delay
  • Premature Birth
  • Head & Neck Cancer
  • Laryngectomy

CHI St. Alexius Health’s Pediatric Therapy Services is dedicated to children and their families. Whether a child is speaking, walking or trying something new for the very first time, we look forward to taking that journey with you. If you are questioning whether your child is on the right path to achieving success, speak with your healthcare provider about therapy options.

We utilize a team approach for the treatment of neurological, orthopedic and genetic disorders, as well as problems associated with premature birth and developmental delays. Our team includes occupational, physical, and speech therapists who work closely with a child’s physician. Our goal is to assist each child to live the fullest life possible by enhancing function and promoting independence through therapeutic programming.

Occupational therapy addresses a variety of concerns that may arise throughout the development of your child.
These concerns may include, but are not limited to:

  • Concerns with hand strength
  • Picky eaters
  • Hand-eye coordination
  • Touch sensitivity
  • Auditory sensitivity
  • Development of the premature infant

Common conditions treated through OT include, but are not limited to:

  • Autism and autism spectrum disorders
  • Sensory processing disorders
  • Down Syndrome
  • Cerebral Palsy
  • Spina Bifida
  • Plagiocephaly and Torticollis
  • Stroke
  • Congenital spinal cord injuries

Physical therapy focuses on gross and fine motor skills, strength and endurance, balance and coordination and sensory processing and integration.
Common conditions treated by physical therapy include, but are not limited to:

  • Autism and autism spectrum disorders
  • Sensory processing disorders
  • General developmental delays
  • Down Syndrome
  • Cerebral Palsy
  • Spina Bifida
  • Plagiocephaly and Torticollis
  • Stroke
  • Congenital spinal cord injuries

Speech-language pathologists work with children of all ages. For example, infants and toddlers may receive speech therapy if they have feeding and swallowing problems or need assistance in developing verbal communication. Preschool children also may require extra help to learn basic skills, such as communicating wants and needs. School-age children go to speech therapy to learn how to correct articulation errors and improve language skills.
Areas of treatment include:

  • Articulation / phonological delay (sound errors)
  • Auditory processing
  • Augmentative and alternative communication
  • Autism or related disorders
  • Cognitive / language deficits
  • Dysarthria / Apraxia of speech (slurring or sound substitution)
  • Expressive and/or receptive language delays (using and/or understanding language)
  • Dysphagia
  • Fluency / stuttering
  • Pragmatics / social skills
  • Reading and written language
  • Tongue thrust
  • Traumatic brain injury
  • Voice or resonance

CHI St. Alexius Health Speech-Language Pathologists have additional training in the following areas:

  • Braintrain computer program
  • Picture Exchange Communication System (PECS)
  • Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPTS)
  • Voice evaluation and treatment, including videostroboscopy
  • Videoflouroscopy (swallowing evaluation)

FREE Screening
CHI St. Alexius Health offers a free screening, by appointment, for children 0 - 13 years old. A typical screening session takes approximately 20 minutes. The purpose of the screening is not to diagnose a disorder, but identify areas of concern and need for possible evaluation. Please contact Rehabilitation Services’ receptionist at 701.530.8200 at least two days in advance of when your child would be available for a screening. If a formal evaluation is recommended, please contact your insurance provider for information regarding your benefits and coverage.