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GENERAL QUESTIONS

What insurance do you accept?

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Gallien Therapy Services accepts most insurance plans, including Tricare, Blue Cross Blue Shield, Medicare, and United Health. Feel free to call our office to ensure your insurance is on our list of contracts.

 

Do you accept Tricare?

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Yes. Gallien therapy has been a Tricare provider for over 25 years. We are honored to aid in the HAFB mission by providing quality health care to active duty, dependents, and retired service personnel.

 

Because you are off base, will I have to pay more for Tricare services for speech?

No. There is no military provider for speech therapy services at HAFB, so all requests are referred to community providers.

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Can I choose where I get my therapy?

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Yes. The choice of therapy provider is always the patient's.

PHYSICAL THERAPY

What is physical Therapy?

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Physical Therapy (PT) helps people recover from surgery, accident, or injury. A physical therapist evaluates a person from the standpoint of their mobility, balance, and strength. What are they having difficulty doing? What do they want to get back to doing? The basic premise of Physical Therapy is to look at the person's physical dysfunction and determine the steps to take to improve the person's physical condition.

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What do physical therapists do?

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As physical therapists, we can identify musculoskeletal dysfunctions based on abnormal movement patterns, reduced range of motion, and expressed symptoms utilizing various tests and measures that are specific patient and specific target tissues that may be affected. After determining your particular impairments, we can provide patients with manual interventions, strength and stabilization exercises, flexibility training, and proper body mechanics with functional movements. Each patient is different and will be provided an individualized approach to their symptoms.

 

 

How do I choose a physical therapy clinic?

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As a patient, you have the right to choose where you would like to receive your physical therapy services. At Gallien Therapy, we exclusively specialize in orthopedic physical Therapy. By focusing on just that one area, we give our patients the most specialized care.

 

What happens in a therapy session?

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During a PT session, the therapist usually applies hands-on techniques such as joint mobilization for a stiff joint or soft-tissue work of stretching or massaging tight muscles.

PT always involves exercises of some sort, from a low-level stretch to a well-rounded strengthening program. Physical therapy modalities are rehabilitation technologies that relieve pain, reduce swelling, decrease muscle spasms, and improve circulation. These modalities include ultrasound, electrical stimulation, heat, and ice. The exercise prescription and hands-on techniques are central to each PT session.

Do I have to do home exercises?

Patients go to Therapy only two or three times a week. The responsibility for improvement falls on the individual, too. The stretching and strengthening exercises are something that has to be done almost daily. You're not going to get the progress or

the improvement you need is just relying on going to your therapy visits, so you have to do exercises at home.

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How does the billing process work?

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After verifying your benefits, each session will be submitted to your health insurance company for review. Coverage of insurance is strictly dependent on your individualized plan. We do our best to provide you with this information regarding your copay or coinsurance before your initial evaluation so you know your out-of-pocket costs.

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How many visits will I need?

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On your first visit, you will have the opportunity to discuss your care plan with your physical therapist, who will estimate the number of visits you need. We encourage our patients to complete their physical therapy plan to maximize their benefits and return to their active lifestyle.

 

Do I need an appointment to be seen?

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Yes. We want to make sure that you get the most from each visit. Times are specifically reserved for our patients. Office hours are from 8 a.m. until 5 p.m., Monday through Friday. Your appointment time has been reserved for you. If you are running late or need to cancel an appointment, please call 575-437-1967 as soon as possible, preferably 24 hours in advance.

How long will each treatment last?

Your initial evaluation should last approximately 60 minutes, with follow-up appointments lasting 45-60 minutes, depending on your care plan.

 

 

How should I dress?

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We recommend wearing comfortable, loose-fitting clothes, including T-shirts, sweats, shorts, and good supportive shoes like the gym. Sandals, high heels, and office attire are not recommended.

 

What do I need to bring with me?

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Ensure you bring your physical therapy prescription/referral by your doctor, medication list, and payment information (insurance cars, workers' compensation claim number, and case manager's contact information).

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What happens during my first visit?

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During your first visit, a thorough interview, evaluation, and examination will be tailored to your expressed symptoms. This can include various manual techniques, exercises, movement analyses, and general education to assist with self-management techniques. You should expect to move throughout your treatment, so we recommend bringing comfy clothes and supportive shoes. Other interventions may include electrical stimulation therapy, cold therapy, heat therapy, and asandltrasound therapy to address pain and inflammation management.

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Why is Physical Therapy a good choice?

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More than half of all Americans are suffering from pain. Whether it is cute or chronic pain, there's a ton of evidence showing that pain in America is a widespread problem that commonly results in sick days from work and can be a precursor to opioid use and dependency. However, many do not even know that Physical Therapists are well-equipped to manage pain and its source.

Physical Therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and Physical Therapists can help correct the condition and relieve the pain.

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Isn't Physical Therapy just exercise, motivation, and ice packs with some people watching you move?

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The Physical Therapists and Physical Therapist Assistants at Gallien Therapy are highly educated and skilled providers who spend years studying the human musculoskeletal system, biomechanics of the human body, injuries, surgeries, and how to utilize movement and exercise as medicine to heal the body. In addition, these are motivational individuals who are skilled experts in monitoring exercise forms, practicing progressions, and

creating individualized treatment programs for the patient. Ice packs are one of the many resources therapists can use to reduce inflammation. In addition, physical therapists offer a wide array of manual therapy techniques to facilitate the healing process we use during your treatment sessions.

 

What can physical Therapy do to help me prepare for and recover after surgery?

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Your physical therapist can prepare you for surgery by providing an exercise program that targets the primary muscle groups affected by your condition. Increased muscle strength and flexibility will lead to a shorter and more successful surgical outcome.

Your physical therapist will help you after surgery by increasing your range of motion, strength, and mobility. The rehabilitation will also be focused on helping reduce pain associated with your surgical procedure.

ADULT SPEECH

What type of speech/language therapy does Gallien Therapy offer?

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What is a speech-language pathologist?

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A speech-language pathologist is an American Speech-Language-Hearing Association (ASHA)-certified specialist at Gallien Therapy, who treat pediatric patients and adults in the areas of voice, swallowing, cognitive Therapy, language therapy, motor speech, and more. They are passionate therapists who provide quality care to our patients.

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Neurological speech and language therapy

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Speech-language Therapy can be helpful for individuals who experience new or longstanding difficulties with communication, cognition, voice, speech, and swallowing as a result of changes in the brain, such as brain cancer, brain injury, stroke, and/or degenerative conditions (Parkinson Disease, Dementia, ALS, Primary Progressive Aphasia).

 

Oncology speech and language therapy

For individuals embarking on radiation therapy for oral, head, and neck cancer(s), SLP services can help to manage common changes in swallowing that occur early on in radiation therapy and/or later on into survivorship.

 

 

Voice therapy

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Voice therapy consists of various exercises, techniques and behavior modifications. These activities are developed to improve a patient’s vocal quality so that they can be heard and understood in a variety of environments.

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Swallow Therapy

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Swallow therapy consists of various exercises, techniques, strategies and diet modifications. We educate the patient and caregiver on ways to minimize the risk of aspiration (choking) so that the patient can safely reach his/her least restrictive diet and maintain a good quality of life.

 

 

Aphasia therapy

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Aphasia therapy consists of various language treatments to improve the patient’s ability to talk, understand, read and write more effectively. We educate the patient and caregiver on ways to decrease communication barriers and improve overall communication skills.

 

 

Cognitive Therapy

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Cognitive Therapy consists of various activities and strategies to improve a patient’s attention, executive functioning, organization, memory, orientation and visuospatial skills. In addition, this type of Therapy enhances a patient’s ability to manage activities of daily living (i.e., making financial decisions, medication management).

 

 

What are the benefits of speech and language Therapy?

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The benefits of speech and language therapy vary for each patient depending on their individualized goals.

We help patients speak more clearly and fluently, understand/use language more efficiently, improve vocal quality, increase swallow safety and enhance their cognitive skills for a better quality of life.

When patients finish therapy, they can safely utilize strategies and techniques independently or with minimal assistance outside the clinic. In addition, we expect them to confidently maintain their level of communication, swallowing skills, cognitive abilities and vocal quality in various scenarios of their daily life.

PEDIATRIC SPEECH

What type of speech/language therapy does Gallien Therapy offer?

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Pediatric speech and language therapy

 

Pediatric Speech and Language Therapy looks at different areas of communication, including receptive and expressive language, articulation (pronunciation of sounds), fluency (stuttering), feeding and swallowing, pragmatics (use of language); and communication disorders associated with Autism. Gallien Therapy’s pediatric speech therapy program works with children 3-18 to improve overall language skills and help patients engage and attend to tasks to increase understanding and expression of their wants and needs to familiar and unfamiliar listeners. Pediatric Therapy also focuses on safe and sufficient swallow to reduce any signs or symptoms of choking or distress when engaged in meals

 

How is a child evaluated?

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The very first appointment with the Speech Language Pathologist is the initial evaluation. The evaluation involves an interview, testing and clinical observation. At the beginning, the therapist asks various questions about the patient’s medical history, their complaints and their ultimate goals for Therapy.

 

The therapist then administers tests to establish a baseline and to determine areas of improvement. Based on the interview responses and the performance on the tests, the therapist then develops a plan of care and goals for that patient.

Next, we schedule the patient for the recommended appointments. During the follow up appointments, the therapist educates the patient on their goals, plan of care, and discusses strategies and techniques that are helpful for the patient to utilize. The therapist also develops various tasks/activities for the patient to perform throughout their future sessions to help reach their goals.

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How do I know my child has a problem?

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If your child is struggling to speak or understand what’s being spoken to them, consult a speech-language pathologist. If you sense any signs of speech difficulties, pursue an evaluation as soon as possible. Delays in beginning therapy may contribute to increased delays in skills and an extended time needed to achieve age-appropriate communication. Starting early, while a child is most receptive, will have the most benefit on their development. By helping your child develop the best communication skills, you will give them the most important elements to creating valuable relationships and socializing with their peers.

 

At Gallien Therapy, our goal is to help children become active language learners and confident communicators. By customizing Therapy to suit each child's particular needs, we offer comprehensive solutions to diverse speech disorders. In addition, we are all committed to collaborating and helping every parent improve their child’s communication abilities and overall growth.

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How long will my child need speech therapy?

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Every child is given a thorough assessment by our highly trained Speech Language Pathologists. During this assessment they will develop a customized plan for your child.

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How do you test my child’s speech and language development?

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We use standardized tests as well as informal assessments to assess your child’s speech and language development. We will then provide a customized treatment plan for your child.

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Can a child with speech delays catch up?

Yes, children with speech delays are able to catch up to same aged peers.

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What is the right age for a child to start speaking?

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Children develop at different rates. By 12 months your child should be pointing, waving, and performing other basic non-verbal gestures for communication. Around two years of age your child should have approximately 50 words and the skill to combine words into two-word phrases should be emerging. By 3 years of age, a child should be 75% intelligible to the unfamiliar listener. By age 4, there may be some errors, but the unfamiliar listener should understand the child 100% of the time in all communication situations.

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How long are therapy sessions?

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Our speech therapy sessions are 30 minutes for individual sessions and 60 minutes for evaluations.

 

What is the right age for speech therapy?

Early intervention is proven to help children’s overall development; however, it is never too late! As soon as you have concerns about your child’s speech and language development, give us a call!

of their daily life.

SWALLOWING

Why Choose Gallien Therapy for Your Swallowing Therapy?

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Over 30 years of experience working with swallowing problems

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Lead Therapist Pam Gallien has been performing Modified Barium

Swallows for the past 27 years, performing thousands of these swallowing evaluations over that time to determine cause and treatment for her patients

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Clinic offers both evaluation and treatment services for dysphagia. Therapists follow your treatment from beginning to end.

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Therapists have extensive continuing education in dysphagia offering the latest treatment option.

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Therapists are certified in AmpCare; Beckman; McNeil Dysphagia Approach; Myofascial Release

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What is a Modified Barium Swallow Study (MBSS) ?

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A modified barium swallow study (MBSS) is a radiological imaging procedure that allows clinicians to evaluate and treat swallowing disorders. The procedure allows the speech pathologist (SLP) and radiologist conducting the test examine the function of the swallow in real time, identifying structural or functional deficits impacting success of the swallow.

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What are signs and symptoms of dysphagia?

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Coughing during or right after eating or drinking

Wet or gurgle sounding voice during or after intake

Extra effort or time required to chew or swallow

Food or liquid leaking from mouth or getting stuck in mouth

Feeling of food or liquid “getting stuck” in the throat

Recurring pneumonia

Weight loss or dehydration from not being able to eat enough

 

What can cause a swallow disorder?

Stroke, brain, spinal, cord injury,

Progressive neurological diseases including Parkinson’s disease, ADLS

Dementia conditions such as Alzheimer’s

Aging Process

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How Do Swallowing Problems affect people?

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Poor nutrition (weight loss) or dehydration

Risk of aspiration (food or liquid entering airway) which can lead to pneumonia

Decreased enjoyment of eating and drinking

Embarrassment or isolation in social situations involving eating

 

What kind of treatment is available for swallowing deficits?

Exercises, positions, strategies to help swallow more effectively

Use of techniques such as Neuromuscular Electrical Stimulation or Myofascial Release to improve muscle function for swallow

OCCUPATIONAL THERAPY

What is Occupational Therapy?

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Occupational therapy is a rehabilitative field that helps people who may have challenges or something standing in their way to perform their daily activities so that they can function optimally. In pediatric occupational therapy, occupations refer to all the activities that occupy and give meaning to a child’s life, climbing, catching a ball, writing their name, cutting with a scissor or tying their shoes. The occupational therapist evaluates the child’s fine motor, visual perceptual, sensory processing, gross motor and social skills. Therapy sessions use play to help children improve their skills for greater success at home, in school, and on the playground.

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Would my child benefit from occupational therapy?

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Your child could benefit from occupational therapy services if you have noticed that your child:

 

Doesn't like to be held or cuddled

Has not met developmental milestones

Difficulty performing tasks with both hands

Poor attention to tasks

Difficulty with transition

Is clumsy or seems uncoordinated

Has difficulty maintaining posture

Walks on toes

Has poor balance and body awareness.

Has sensory reactions to such things as noise, food, or clothing.

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What can I expect when I take my child to occupational therapy?

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At Gallien Therapy, our pediatric OT department loves helping children reach their greatest occupational potential. Initially, a comprehensive evaluation is provided to assess a child’s current level of functioning with their occupations of play, self-care, and learning. OT is driven by an individualized plan of care with goals written to directly help your child’s development. With our evidenced-based, therapeutic solutions and adaptations, we are able to tailor OT goals to suit the specific needs of each and every child, regardless of age or diagnosis. We commonly treat delays in fine motor skills, eye hand coordination, visual perceptual skills, core strength, primitive reflex integration, self-care skills, and sensory processing.

 

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What are Gallien Therapy Occupational Therapists experts in?

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· Coordination and motor planning

· Handwriting Skills

· Fine Motor Skills

· Sensory Processing

· Strength and Endurance Training

· Picky Eating

· Reflex Integration

· Social-Emotional Skills

· Body Regulation

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What is a Sensory Processing Problem?

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Sensory processing describes the way each individual interprets their environment through their senses. The sensory input that we receive by interacting with objects through taste, touch, sound, sight, and smell helps us learn more about the world around us. As we grow, our sensory preferences develop and become unique to each person.

 

What can be done for a sensory problem?

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For children who demonstrate difficulty with sensory processing, occupational therapy can help. Occupational therapists are trained to implement sensory strategies to improve regulation and increase tolerance to input which may be aversive. They can develop a unique “sensory diet” for each child, which consists of various strategies that allow children to receive the input they need in a safe manner. Sensory integration can improve attention and increase tolerance to a variety of sensory information

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