Movement Disorders
Movement disorders refer to a group of neurological conditions that affect the ability to control movement. They can result from problems with the nervous system, including the brain, spinal cord, and nerves. Movement disorders can be classified into several categories, including hypokinetic disorders (such as Parkinson's disease), hyperkinetic disorders (such as dystonia and FMD), and ataxia.
Dystonia is a hyperkinetic movement disorder characterized by involuntary muscle contractions that cause twisting and repetitive movements or abnormal postures. These movements can affect one or more body parts and can be painful and disabling. Dystonia can occur at any age and can affect both children and adults.
Functional movement disorder (FMD) is another hyperkinetic disorder that affects movement. FMD is characterized by abnormal or involuntary movements that are not caused by a neurological disease or injury but rather by psychological factors. FMD can cause a range of symptoms, including tremors, spasms, jerks, and weakness, and can affect any part of the body.
Our Approach
At BeyondRehab, our approach to neuro physical therapy is centered around our belief in the power of the human body and brain to heal and adapt. Our approach is rooted in the principles of neuroplasticity, which is the brain's ability to adapt and form new neural connections in response to changes in the environment or behavior. By utilizing evidence-based techniques and individualized treatment plans, we aim to help our clients regain control of their movements, improve their function, and ultimately improve their quality of life.
Our team takes a holistic approach to therapy, addressing not just the physical symptoms of the movement disorder, but also the emotional and psychological aspects that can impact overall well-being. We believe in empowering our clients to take an active role in their own recovery, providing education and support to help them achieve their goals.
We begin with a comprehensive evaluation of the individual's current abilities and limitations. Based on this evaluation, we work with the individual to set realistic goals and develop an exercise program to target those areas. We use evidence-based techniques to help individuals increase mobility, strengthen muscles, improve coordination and balance, and ultimately, enable self-management strategies.
Our Programs
We offer two specialized programs for the treatment of movement disorders: Dystonia PT and FMD Program.
Our Dystonia PT program is designed to help individuals with dystonia improve their mobility, reduce pain, and restore their functional abilities. Our program includes a range of techniques and strategies, such as sensory discrimination training, motor imagery, and task-specific training, to help retrain the brain and improve motor control. We work closely with your physician and other healthcare providers to ensure coordinated care.
Our FMD Program is designed to help individuals with FMD reduce their symptoms and improve their quality of life. Our program includes a range of techniques and strategies, such as cognitive behavioral therapy, mindfulness-based stress reduction, and graded motor imagery, to help address the psychological and physical factors contributing to FMD. We work closely with your healthcare providers to ensure an integrated approach to your care.
Personalized physical therapy program for Cervical Dystonia to improve function and quality of life.
Discovering Your Strengths and Building Brain-Body Connection: Our Individualized Functional Neurological Disorder Program
Key Features
-
Is there any financial support available?Yes, on a limited basis. We have partnered with several non-profit organizations who may be able to support you on a case-by-case basis. Please reach out to us to obtain more information.
-
What is the typical group size?The group size will be anywhere between 6 and 8 people. We try to make sure that all the participants have similar presentations to ensure everyone is able to benefit from this program.
-
Does my health insurance cover the cost of this program?The program is meant to promote self-management techniques for people with Parkinson’s disease. Thus, it won't be reimbursable by any insurance company.
-
What is the format of the program?The program is delivered in a virtual format, allowing for easy access to patients regardless of their location.
-
Who is eligible for the program?The program is designed for individuals with Parkinsons and are seeing some of the issues related with Parkinsons. Feel free to connect with us to see if this is a suitable program for your underlying conditions.
-
What is the format of the program?The program is delivered in a virtual format, allowing for easy access to patients regardless of their location from the comfort of their home.
-
Is there any financial support available?This program is provided free of cost to all the Hawaii residents. This program is supported by a community grant from the Parkinson's Foundation.
-
Who is eligible for the program?The program is designed for individuals with Parkinsons and are seeing some of the issues related with Parkinsons. Feel free to connect with us to see if this is a suitable program for your underlying conditions. This particular program is available to all the Hawaii residents.
-
Is there any financial support available?Yes, on a limited basis. We have partnered with several non-profit organizations who may be able to support you on a case-by-case basis. Please reach out to us to obtain more information.
-
Does my health insurance cover the cost of this program?This program is a fee-for-service program and is not covered by insurance. However, we can provide a superbill for you to submit to your insurance provider for potential reimbursement.
-
What kind of support is available during the program?You will have access to a range of support and resources during the program, including bi-weekly 1:1 check-ins with your clinician, personalized treatment plans, educational content, and access to resources for recommended exercises and self-management techniques.
-
Who is eligible for the program?Our program is designed for individuals who are experiencing symptoms related to cervical dystonia, including abnormal movements and postures of the head and neck, functional and non-motor changes that limit engagement in daily activities and decrease function. The program is personalized and can be tailored to meet the specific needs of each individual. It is suitable for individuals of all ages and levels of function.
-
What is the format of the program?The program is delivered in a virtual format, allowing for easy access to patients regardless of their location from the comfort of their home.
-
What is the best way to communicate with my therapist between treatments?Clients are encouraged to communicate with the clinician between the appointments by email. We also recommend clients keep track of improvement in their conditions on a week-by-week basis. Appropriate tools will be provided that can be used to communicate specific concerns with the clinician.
-
What can I expect in my Personal Therapy Journey?Our mission is to provide you with whole person-centric care. It will start with understanding your underlying conditions, ongoing treatment plans followed by multi-system assessment and goals setting. We will also provide self-management tools (or resources on how to get it) and techniques, as well as recommendations for continued community-based exercise. You will also have easy communication with the Clinician between the sessions.
-
How much does a typical session cost with BeyondRehab clinician?The cost depends on your specific program needs and frequency. We highly value your individual needs and will meet with you to develop an individualized program and provide you cost structure before the start of the program.
-
Do I need a prescription (referral) to see a clinician with BeyondRehab?No, you will not need a referral for our specialized 1:1 care or group care programs.
-
Can I self-claim for these specialized 1:1 Care or Group Programs from my Insurance company?This depends on the insurance you have, but YES, most patients can get some reimbursement for their treatments. You should be able to print claim forms off your insurance company’s website and send them in with the needed receipts and treatment codes (CPT codes and ICD 10 codes- also known as the Superbill) that will be provided to you upon request. The amount of reimbursement is completely dependent on your insurance plan. If you call your insurance company to inquire, you should ask about reimbursement for “out-of-network Physical Therapy” expenses. You may also use several providers who can help you in submitting these superbills such as: www.reimbursify.com www.thesuperbill.com *Changes in many health insurance plans and deductibles have made it Cheaper to Not use your insurance for some services (like PT) if you have high PT co-pays or a high deductible.
-
Do you accept Private Insurance?We are a fee-for-service clinic that is not in-network with any private insurance provider. Upon request, a Superbill can be provided that include the necessary codes to send self-claims to your insurance company.
-
Do you accept Medicare for PT services?The US government has specific laws that control where Medicare beneficiaries can spend their healthcare dollars and persuade healthcare providers to enroll in their system. Because we are a non-participating Medicare Provider, we can only accept Medicare beneficiaries as patients when the patient does not want Medicare billed for any PT services. This request to not involve Medicare in payment must be made up front by the patient and be made of the patient’s own free will.
-
How do I Pay?Patients pay in full at the time of service and are provided with a receipt with the necessary codes/info to send in self-claims to insurance if they so choose. We accept all major credit/debit cards, bank transfers and HSA*. *HSA can be used to pay for most of the services.
-
Is there any financial support available?Yes, on a limited basis. We have tied up with several non-profit organizations who are willing to support the wellness needs of PD community. Please reach out to us for more details.
-
Does my health insurance cover the cost of wellness consultation?The wellness services at BeyondRehab are meant to promote general fitness and health in people with Parkinson’s disease. Our wellness services are not medical visits, which means that health insurance does not cover the cost of a wellness assessment.
-
What should I have nearby for an online wellness consultation for Parkinson's disease?Please have a water bottle, sturdy chair, and yoga mat nearby if you have one.
-
What should I wear for an online wellness consultation for Parkinson's disease?Please wear comfortable clothing and closed-toe exercise or walking shoes.
-
What comprises an online wellness consultation for Parkinson's disease?During an online wellness consultation for Parkinson's disease, we will review your health history, daily fitness routine, and discuss your goals to optimize your lifestyle. There will be a detailed Parkinson-specific movement assessment to evaluate your muscle strength, flexibility, endurance, balance, and coordination. Based on the assessment, we will create a personalized exercise plan tailored to your fitness level and resources. You will receive written instructions of the recommended exercise routine, ways to track your fitness, and other Parkinson-specific exercise resources.
-
What is the difference between a wellness-based exercise consultation and physical therapy?Our wellness visits are designed to help people increase and maintain physical fitness and wellbeing, and all wellness clients will receive a basic health screening along with recommendations for targeted exercises to help you improve your flexibility, strength, cardiovascular fitness, and how to stick with your new exercise program.