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Physical and Occupational Therapy

A treatment plan is created based upon the information from the referring physician, findings of an Intake Evaluation, and the functional demands of the client's job.

This treatment plan could include:

> Conditioning exercises (exercycle; upper-body ergometer; treadmill)

> Range of motion/strengthening exercises

> Instruction in a home exercise program

> Postural training

> Body mechanics training

> Aquatic exercises and/or Work Hardening


Re-assessments are performed providing feedback to all rehabilitation team members, including the referring physician. Additionally, all such information is communicated to all interested parties involved in each case. This includes the employer, the insurance company, and any attorneys if litigation is involved. The treatment plan is constantly modified in response to the patient's progress with the goal being to allow the patient to return to the pre-morbid level of functional capacity. From the beginning of treatment, performing activities that are functionally based and mimic actual central job tasks are an integral part of a client's program. Learn about new developments in our rehabilitative programs in The Donley Update, our periodic newsletter (pdf).

Injured workers with complicated elbow, wrist or hand injuries may receive occupational therapy. The occupational therapist has special training in the treatment of upper extremity injuries. In addition to therapeutic exercise, the occupational therapist is able to make splints and provide suggestions for adaptive equipment.

For further details, see how Donley Center physical and occupational therapists help patients manage pain and learn what a Functional Capacity Evaluation (FCE) is.

As a patient's performance improves and more challenging tasks are appropriate to add to a patient's program, the formal Work Hardening portion of their program is added. When a patient has achieved a functional level that meets the central job demands, the Patient Care Coordinator (PCC) contacts the referring physician for approval for release back to work. The return to work of the patient is then presented to the employer for final approval. At this point, the patient may be discharged from occupational and/or physical therapy if the patient is returning to work on a full-time, full-duty basis. However, if the job is being temporarily modified and/or if the patient's work hours are going to be modified to allow a gradual return to full-time work, occupational and/or physical therapy may continue, in order to address the issues of increased endurance or increased functional load while the patient moves toward full-duty, full-time work.

RI Department of Labor and Training
Dr. John E. Donley Rehabilitation Center
249 Blackstone Boulevard, Providence, RI 02906

Phone: (401) 243-1200
Fax (401) 222-3887
TTY via RI Relay: 711
5/16/17 MDF
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  DLT is an equal opportunity employer/program. Auxiliary aids and services available upon request