A Caucasian woman balances herself on an exercise ball.

Therapy Options Right for You

The best therapy services don't come from technology or facilities alone; they come from an experienced team, focused on one person at a time - you.

AdventHealth Shawnee Mission’s state-of-the-art outpatient rehabilitation clinics, powered by PT Solutions Physical Therapy, feature a wide variety of therapy options for all ages and diagnoses. No matter your age or activity level, our goal is to help each individual return to normal daily activities as soon as possible.

Our specially-trained therapists follow significant and ongoing scientific evidence to guide their approach to physical therapy intervention and prevention of injuries to keep you well long after your therapy treatments end. 

Our Services

11 items. To interact with these items, press Control-Option-Shift-Right Arrow
Balance & Vestibular Therapy

The Balance & Vestibular Rehabilitation Program at Therapy Specialties can help patients overcome their problems related to imbalance and dizziness to improve their daily lives. Patients undergo a comprehensive evaluation by one of our trained vestibular therapists. The therapist will then design a customized rehabilitation program to meet each patient’s needs.

Conditions

If you have been diagnosed with one of the following conditions, talk with your physician about how the Balance & Vestibular Rehabilitation Program at AdventHealth Shawnee Mission can help improve your quality of life.

  • Benign paroxysmal positional vertigo (BPPV)
  • Infection of the inner ear
  • Labyrinthitis
  • Neuronitis
  • Post-surgery for acoustic neuroma
  • Meniere's disease/endolymphatic hydrops
  • Central vertigo resulting from stroke or traumatic brain injury
  • Reduced or absent functioning in one or more balance systems
  • History of loss of balance or falls
Cancer Rehabilitation

If you or a loved one are faced with a cancer diagnosis, or have a history of cancer, there are often physical side effects that decrease your quality of life. Cancer-related fatigue, pain, weight changes, nausea, osteoporosis, and neuromuscular deficits are just a few of the areas physical therapy can address to improve this. Physical therapy during and following cancer treatment promotes physical function, decreases fatigue and increases psychological well-being.

Comprehensive Individualized Programs

Patients receive one-on-one treatment with a licensed physical therapist. Treatment starts with a 60-minute evaluation specific for patients with cancer. The evaluation consists of an interview and collection of data including function, strength, range of motion, vital signs and mobility. Then a treatment plan is developed that is specific to each patient’s needs and goals.

Patients are given an individualized home program to be performed between sessions for maximum benefit. Subsequent treatment sessions are 45 minutes and are tailored to each patient’s needs. Sessions may include:

  • Therapeutic exercise specific for cancer-related fatigue, nausea, decreasing BMI, osteoporosis, pain and neurological deficits
  • Manual therapy and modalities for pain control and joint/muscle restrictions
  • Balance and gait (walking pattern) interventions
  • Flexibility training
  • Return-to-work and/or daily functional activities.

For more information or to schedule an appointment with a therapist from the Cancer Rehabilitation Program, call Therapy Specialties at 913-676-2444.

Location

Life Dynamics Health & Wellness Building
9120 W 75th Street
Shawnee Mission, KS 66204
913-676-2444

Hand Specialty Center

Our Hand Therapy Team works with patients who may have been affected by accidents or repetitive trauma to hands or arms. Our occupational therapists work one-on-one with the patient to return to a productive lifestyle.

Hand therapy rehabilitation includes:

  • Management of acute or chronic pain 
  • Desensitization following an injury or trauma 
  • Sensory re-education after an injury 
  • Design and implementation of exercise programs to increase motion, dexterity or strength
  • Customized splints to protect repaired structures, prevent or correct deformity, or substitute for lost function 
  • Training in the use of adapted methods to perform daily living skills 
  • Management of open or sutured wounds to aid healing 
  • Control of hypertrophic (raised or swollen) hypersensitive scars 
  • Reduction of swelling 
  • Conditioning prior to return to work. 

Locations

Life Dynamics Health & Wellness Building
9120 W 75th Street
Shawnee Mission, KS 66204
913-676-2444

AdventHealth Shawnee Mission Hand Specialty Center
23351 Prairie Star Parkway, Suite A125
Lenexa, KS 66227
913-676-8626

Lymphedema Program

Lymphedema is an accumulation of protein rich fluid that occurs when lymphatic vessels are impaired or lymphatic transport is reduced. The swelling may occur anywhere in the body, but is most commonly observed in the arms and legs.

There are two types of lymphedema:

  • Secondary lymphedema is the most common and is caused by the surgical removal of lymph nodes, radiation, trauma, infection or chronic venous insufficiency.
  • Primary lymphedema is less common and is due to a congenital defect in the lymphatic system. Swelling may show up at any time along the life span (usually at birth, during adolescence or after age 35) for no apparent reason. Swelling most often occurs in one or both legs.

Comprehensive lymphedema services are provided by licensed occupational therapists with certification and extensive experience in the treatment of venous and lymphatic disorders.

Our comprehensive treatment program includes:

  • Education on skin care, lymphedema precautions and prevention of infection
  • Exercise prescription
  • Manual lymph drainage
  • Multi-layered, short-stretch, compression bandaging
  • Measuring and fitting for compression garments
  • Application of the sequential pneumatic compression pump in appropriate cases.

Location

Wound Care Center at Shawnee Mission Medical Center
*Please enter on the east side of the SMMC campus, following signs for the Wound Care Center. 
9100 W. 74th Street
Shawnee Mission, KS 66204
913-676-2444

Neurological Rehabilitation

Neurological rehabilitation is a specialized service for children and adults with neurological dysfunction caused by stroke, acquired brain injury, cancer, multiple sclerosis, Parkinson's disease, Guillain-Barré and a variety of other disorders. The neuro team includes experienced physical therapists, occupational therapists and speech pathologists who provide one-on-one evaluation and treatment.

Location

Life Dynamics Health & Wellness Building
9120 W 75th Street
Shawnee Mission, KS 66204
913-676-2444

Occupational Therapy

If your arms or hands are injured, or you have a medical condition such as stroke, a AdventHealth Shawnee Mission occupational therapist will help you explore your potential and then work with you to assure you reach optimal functioning.

An integral component of our Therapy Specialties, Occupational Therapy (OT) is used to help patients improve arm and hand strength, as well as flexibility, dexterity and fine motor skills. Occupational therapists also work with patients to enhance their ability to perform daily living skills such as dressing, grooming, personal hygiene and eating.

Occupational therapists work with both inpatients and outpatients to assess each person's ability to function, they develop and track individualized treatment plans, and they help patients learn to make adaptations designed to enhance quality of life.

For more information about Occupational Therapy, call the ASK-A-NURSE Resource Center at 913-676-7777.

Orthopedic Therapy

The physical therapists on the Orthopedic Team focus on disorders affecting the arms, shoulders, legs, knees and hips. These therapists also specialize in total joint replacement rehabilitation and education. Patients experience one-on-one therapy, a continuity of care and reassurance that a qualified practitioner is directing their return to functional activity.

Locations

Life Dynamics Health & Wellness Building
9120 W 75th Street
Shawnee Mission, KS 66204
913-676-2444

Shawnee Mission Health - Prairie Star
23351 Prairie Star Parkway, Suite A125
Lenexa, KS 66227
913-676-8500

Speech Therapy

Our speech pathologists work with a variety of communication disorders in children and adults of all ages. We help people with all aspects of communication including listening, talking, thinking, remembering, reading and writing, as well as alternate forms of communication such as sign language and augmentative communication. We also help people with swallowing problems.

Communication Disorders

Communication disorders come in many forms. Those disorders commonly treated by our team of certified speech-language pathologists include:

  • Aphasia or language difficulties related to stroke 
  • Accent reduction or English as a Second Language (ESL) 
  • Auditory processing disorders 
  • Augmentative communication systems (evaluation and modification) 
  • Alaryngeal speech for laryngectomees 
  • Memory deficits/cognitive deficits 
  • Speech reading for hearing impaired 
  • Voice disorders (vocal nodules, spastic dysphonia, Parkinson's, etc.) 
  • Dysfluency or stuttering 
  • Dysarthria/dyspraxia and other articulation disorders 
  • Dysphagia or swallowing disorders.

Location

Life Dynamics Health & Wellness Building
9120 W 75th Street
Shawnee Mission, KS 66204
913-676-2444

Spine Therapy

The Spine Team at Therapy Specialties focuses specifically on rehabilitation and education designed to help those with disorders affecting the spine. Our therapists are dedicated to using advanced manual therapy approaches, including spinal, joint and soft tissue mobilization, to meet the individual needs of each patient. Patients undergo one-on-one therapy sessions to evaluation and review quantity and quality of movement, conduct a postural assessment, perform joint and soft tissue assessments and test muscle balance and neural mobility. Our therapists specialize in safe and appropriate progression of exercises and patient education.

Conditions treated by the Spine Team include:

  • Cervical disorders, including headaches
  • Thoracic and rib disorders
  • Lumbar disorders, including sprain/strain, compression fractures, degenerative joint disease, disc facet syndrome, instability, adverse neural tissue tension and nerve root impingement
  • Sacroiliac dysfunction
  • Fibromyalgia 
  • Post-surgical spine rehabilitation
  • Scoliosis
  • Concussions

Locations:

Life Dynamics Health and Wellness Building
9120 West 75th Street
Shawnee Mission, KS 66204
913-676-2444

Leawood
5420 West 151st Street
Leawood, KS 66224
913-632-9664

Prairie Star
23351 Prairie Star Parkway
Suite A125
Lenexa, KS 66227
913-676-8610

Women's Continence Program

Bladder leakage, or urinary incontinence, affects one out of every 10 women of all ages, and one out of five women over age 40. Even though urinary incontinence is such a common health problem among women, surveys show that most women wait, on average, seven to nine years before seeking treatment for the condition. Many are embarrassed about the problem and some think it's just a normal part of being a woman or aging. If you experience incontinence, you are not alone. There's no need to be embarrassed about seeking treatment and you do not need to learn to live with it. There are many treatment options available to you.

Simple, First-Step Treatment

AdventHealth Shawnee Mission Women's Continence Program was designed to provide simple, non-invasive treatment for the management, and oftentimes resolution, of bladder leakage. This program emphasizes changing urinary behaviors and exercising pelvic muscles. These methods have been designated by the U.S. Agency for Health Care Policy & Research (AHCPR) as being the preferred first-step treatment for urinary incontinence. The program is staffed by female physical therapists who are sensitive to the issues surrounding incontinence and specially trained in the nerve, muscle and organ process of urinary control.

The Women's Continence Program provides treatment primarily for stress, urge and mixed incontinence problems (see information below). However, many other types of urinary leakage exist. A discussion and exam with your physician will assess whether the program can help your particular condition.

A woman enters the program by medical prescription from her primary care or specialist physician. Participation in the Women's Continence Program may be combined with prescription drugs or other treatment options. Some women benefit from participating in the program either before or after surgical procedures for incontinence. Each woman's treatment plan is customized to meet her individual medical and personal needs.

The Program Includes:

  • Evaluation of urinating habits and fluid intake
  • Guidelines to reduce an irritable bladder
  • Techniques of bladder training by timed voiding and urge deferral, if needed
  • Computerized testing of pelvic muscles to determine strength, endurance and coordination.

Women of any age who are concerned about bladder leakage limiting their lifestyle are encouraged to seek the advice of their health care practitioner regarding these and other treatment options for incontinence.

Types of Incontinence

Stress: The most common form of leakage, stress incontinence occurs during normal activities such as coughing, sneezing, laughing or exercising. These activities place downward pressure on the bladder and weakened pelvic muscles cannot control the force. There may be actual changes in anatomy with this condition, such as a dropped bladder or a sagging urethra.

Urge: Urge incontinence is another common form of bladder leakage. Also called overactive bladder or detrusor instability, this type occurs when there is poor coordination between nerves, bladder and muscles. The detrusor muscle of the bladder becomes irritated, signaling the brain and consciousness with a strong urge to urinate. These urges can occur even if the bladder is not full. The bladder muscle squeezes urine out before pelvic muscles can prevent this from occurring. Most leakage episodes in this form of incontinence occur on the way to the bathroom. Urinary frequency (going more than every two to four hours) and nocturia (frequent urination at night) are also characteristics of this condition.

Mixed: Some women suffer from mixed incontinence, a combination of the stress and urge leakage patterns.

Women's Rehab Services

Women of all ages, from adolescence, through the childbearing years, and during menopause and beyond, experience a range of uniquely female health challenges. In some cases, an individualized exercise therapy program is an effective strategy for preventing and treating the pain and discomfort that often accompanies a variety of women's health conditions.

Women's Rehabilitative Services offers a comprehensive approach to helping women feel and look their best at every stage of life. Therapists provide specialized treatment and private consultation for adolescent females, pregnant moms, women who have undergone hysterectomies or breast surgeries, those who experience incontinence, pelvic pain and women with osteoporosis. Women who are diagnosed with pelvic floor dysfunctions and those who are experiencing obstetrical musculoskeletal problems can depend on our team of experts for effective intervention. Our focus is on providing personalized care that enables women to lead active, vital lives.

In addition, the SportsCare staff at AdventHealth Shawnee Mission coaches active females who are involved in a range of athletic pursuits. They provide helpful strategies designed to prevent injuries from occurring. Women who have sustained an injury can come to SportsCare for advice and therapy that will minimize recovery time.

Busy Mom Exercises

The following article is a continuation from a feature in MyHealthKC magazine.

When life gets hectic for busy moms, and there’s no time to catch that power aerobics or relaxing yoga class at the gym, there are still simple yet effective things to do at home to get fit and feel fabulous. Whether your kids are infants or teens, all moms need to learn some extra care for their muscles and joints so they can keep going with less aches and pains. This is especially true in postpartum and breastfeeding moms whose joints and ligaments are still loose and healing. Middle-aged and peri-menopausal moms who may be experiencing early arthritic changes, bone density or muscle tone losses also need to learn special care and exercise for their particular bodies.  

If moms of any age can learn to pay attention to three basic principles of body alignment and movement in all they do – whether at the gym or in the home, they can protect themselves from injury and move forward towards fitness. Physical therapists see many women in the clinic who hurt themselves doing too high level a core or yoga class for their body’s condition. They have poor awareness of the postures and movements that allow their bodies to sit, stand or move with ease.  

Physical therapists stress these three basic principles when prescribing general fitness exercises: 

  1. Find  your body’s own “neutral spine” position
  2. Maintain  these spinal postures  by  properly activating  your deep core, pelvic and shoulder girdle muscles
  3. Build strength and endurance in the major power muscles of your legs—your gluteals, quadriceps, hamstrings, calves and feet. 

These three things are more easily said than done because they require body awareness, focus and practice.

Neutral Spine Versus Natural Spine

The natural curves of your spine may not be the same as the more proper neutral spine position. Depending on how we’ve learned to use our bodies over time, or how tired we are, we may be getting though our busy days by just hanging on our joints, ligaments and rope-like muscles. Over time, this can cause pain and strain. The curves that our low back and neck naturally fall into, due to habits or weakness, may be too extreme for ease of movement.  

Neutral spine by contrast, is that position where the joints are not too closed or open, and there is equal tension in the surrounding soft tissues, like muscles and ligaments. When you finally learn how to find this neutral position, it’s like magic. You feel taller and lighter because you’re standing up straighter with the weight of gravity more equally distributed in your joints, instead of pulling you down. Then the challenge comes in maintaining that neutral posture throughout your movements, and this requires proper core strength.

Deep Core Muscles

The deep core muscles include the pelvic floor (muscles of bowel and bladder control), the corset-like abdominal muscle that pulls the belly button inward, the respiratory diaphragm, and the deepest back muscles that hold the spine upright and vertical. The phrase, “pull in your core,” has become such a buzz phrase in fitness classes that physical therapists always wonder when we hear that, how many women are actually doing it correctly, especially if movements are fast with legs and arms flying!

When core muscles are weak, it usually requires slow, mindful movements at first to keep them holding the spine still while the limbs are moving. Small ranges of motion in the arms and legs should come first during core exercises, then larger, faster limb movements, then resisted movements (like with weights or bands), then finally, adding in twists or changes in body direction – all keeping the spinal joints in neutral. If you can’t hold your spine still during one of those levels, moving on to the next level leaves you vulnerable to injury.

The following exercises help promote all three basic fitness principles for busy moms, but if you have trouble understanding or performing them, it is recommended you seek help, especially a new mom whose abdominal and pelvic floor muscles have been stretched from pregnancy and birth. Extra attention and a one-on-one session with a women’s health therapist can help.

Wall Angel Spinal Stretch

This exercise will help you find and maintain a neutral spinal posture, while stretching tight muscles that can pull you out of good alignment and cause back strain.

  1. Stand with your back against a wall and feet hip-width apart.
  2. Find, feel and activate your deepest core muscles, first with a gentle pelvic floor or Kegel contraction (as if holding back gas or urine), then continue to layer on the deep stomach muscle by pulling the belly button inwards towards the spine and upwards as if to tuck under the rib cage. (Don’t just hold your breath here!)
  3. Keeping this core engaged, start to slowly slide down the wall, making sure your hips, kneecaps and second toes are in an imaginary line. Go down just enough to feel the power muscles of your legs – the quads, calves and gluteals – kick in. Don’t descend so deeply you can’t get up, feel pinching in your knees or see the knees slide beyond your toes. You should feel you that are working hard with your core and legs, and that your spine is lengthening and getting closer to the wall.
  4. Now focus on your upper trunk and “angel wings” by gently pulling your shoulder blades back and down towards your spine and the wall. Let your shoulders and arms follow this blade motion. Keeping the shoulder blades contracted, raise arms toward the wall to form your “wings”. Your elbows, wrists and hands may or may not be touching the wall here, depending on how tight your shoulder girdle muscles are. Tuck your chin gently to bring your ear back over your shoulder. You should feel like this is giving you a double chin but don’t worry, it’s just stabilizing your head on your body!
  5. After aligning yourself in this manner from head-to-toe, start to slowly slide your arms or “wings” upwards and overhead parallel to the wall, without losing any of your good postures. Stop if you feel your back is beginning to arch or shoulder blades are pulling away from the wall. Hold here for both stretch and strengthening, starting with short 10-15 second holds, then increasing up to 30-45 seconds.   

As you advance in this exercise, you will see you can take your arms up further without losing your wall position, and that all of your body parts more closely touch the wall. This exercise can be made harder and promote postural strength by placing a resistive exercise band around your wrists and thighs to push out against when your reach your maximal overhead reach.

Wall Squat with Advancing Challenges Away from Wall

This exercise builds power and endurance in both your core and leg muscles, especially as you advance to adding longer holds, movements and challenges away from the wall.

  1. Start against a wall just like in the Wall Angel Stretch, but this time, with only your buttocks touching. Your trunk should be bent slightly forward from the hips, and again, hips, kneecaps and second toes in an imaginary line.  
  2. Activate and maintain that same deep core throughout as you slowly slide down just enough to feel leg muscles working, but not past your toes. Hold there to tolerance for strength and endurance building. 
  3. Start with as little as 5-10 seconds, but work up to 15-20-30 seconds. With time, you can even challenge yourself to minutes of holding, but don’t be surprised if your legs get shaky and sore in all the right places if your body’s not ready for this! Each time you come out of your wall squat,  be mindful to keep your core muscles contracted and visualize pushing up with the strong leg muscles you are creating, not just popping up to lock your knees or hips. 

There are many ways to take this wall squat to a higher level. For example, you can add an element of balance challenge by placing a large exercise ball behind your back while sliding up and down. Or, you can add in arm or leg movements once down in your squat, like alternately lifting your heels as if marching, or arm lifts forward, out to the side or overhead. When stronger, try holding a medicine ball or weight first close to, then farther from your body while sliding or holding, all the time keeping proper core and leg alignment.   

If staying against the wall becomes too easy, even with these challenges, you are probably ready to try using these same muscles away from the wall. Walking forwards, backwards and side-to-side while this same squat is called “duck walking” or “monster walking”, and physical therapists use this as a high-level, full-body strength and endurance move. You can advance your duck or monster walk to the use of resistive bands around thighs or ankles, or again holding weighted objects first close to, then further away from your body, all the while paying attention to muscle activation and alignment. Make sure you both swing and stand on each leg in that same proper hip, kneecap and second toe alignment. If you need to focus on upper body strength and posture, try holding a broom stick lined up along your spine from your tailbone to the back of your head, while duck walking. Only when these straight directional challenges feel easy, should you add in a change of body direction while in your squat – like lunging different directions or twisting, while holding your core tight.

Bridging Bottom Buster

Here’s another exercise that stresses proper core and leg strength, especially the gluteals, but in a reclining position. If you find yourself down on the floor with the kids but still want some me-time to tone and strengthen your legs, try this.

  1. Lay on your back with hips and knees bent, feet flat on the floor and at a comfortable distance from your buttocks. Make sure hips and knees are in a line and pointing straight throughout this exercise. Don’t let femurs bones or knees roll in or out during the movement of this exercise or you will be activating different muscles and pulling on your joints at abnormal angles.  
  2. Again, start by finding and activating the deep core, but this time, add in a gentle gluteal squeeze (just enough to feel the muscles tense, without arching the low back or rolling the hips in or out).  With these three muscles turned on, you have just activated your “pelvic girdle,” whose job it is to keep your low back and pelvis stable while moving.
  3. Now, visualize that from your belly button to your groin creases, you are box full of your family’s fine china with no packing inside. On an exhale and with your pelvic girdle muscles holding, lift your hips to gently lift your box of china so as not to shift or break any piece. If feeling too weak to do this, you can assist your lift with a gentle push through your feet, keeping thighs and knees in line, and/or through your palms flat down at your side. Your goal is to be able to lift your china box with minimal assist from hands and feet and high enough to form a straight line from the side that goes through your shoulders, spine, hips and kneecaps, forming as near a 45 degree angle with the floor. If you have a low back condition and/or are weak, be careful not to arch your back. You should not feel any pinching in your back.
  4. You can hold at the top a few seconds for endurance, but a greater core challenge will come when you try to lower your china box without shifting the plates, one vertebra at a time, tailbone last, before letting the pelvic girdle release. Start with low repetitions and frequent breaks on this one. If you can do 2-3 sets in good form and without fatigue, you may challenge yourself by placing resistance, like a weight, across the top of your pelvis to lift, or shift your weight into one leg when your box is lifted and try to extend the other leg out without tipping, dropping your hips or shifting the plates in your box.  

Linda Mufich is a Physical Therapist who specializes in the care and fitness of women in all stages of their lives – teen and women athletes, pregnant and postpartum moms, menopausal and geriatric clients. For more information or to make an appointment for a women’s specialty evaluation, call Therapy Specialties at 913-676-2444.

As with any exercise program, it is advisable to consult with your health care provider about your readiness to exercise. Don’t push into any pain, numbness or tingling sensations, and remember to listen to your body. 

Holding hands.

Hand Specialty Center Unique to Kansas City

Our Hand Specialty Center is the only facility in the greater Kansas City area to exclusively offer a full spectrum of services for the delicate treatment of hands and wrists. Our team of doctors and therapists have specialized training in caring for a variety of hand injuries and congenital deformities.

Our Locations

Facilty Type
A Caucasian woman balances herself on an exercise ball.
Trusted Rehab Specialists

Just a Click Away

If you’re in need of physical therapy or other rehabilitation services, finding the right doctor is the first step to feeling whole again. Your path to good health starts at AdventHealth Shawnee Mission, formerly Shawnee Mission Health.

From Treatment to Recovery

A Customized Playbook

It can be a difficult balancing act: You want to re-engage in your active life. But you also need to take the time to heal. We're here to help you stay on a safe and steady course to recovery. Using your customized care plan as their guide, our multidisciplinary team will connect you to the medical professionals, community resources, and local support services you need to help you get back to doing all the things you love.