The Rehab Center at Box Butte General Hospital offers comprehensive therapy services designed to help you recover, move better, and feel your best. Our experienced team includes physical therapists, occupational therapists, and speech-language pathologist who work together to support your individual goals.
We also offer specialized services such as pediatric therapy, pelvic health, aquatic therapy and pre/postnatal therapy. Each treatment plan is personalized, using proven techniques tailored to your needs and stage of recovery. Our team takes a patient-centered, team-based approach so your care is coordinated and focused on what matters most to you.
We understand that busy schedules and multiple appointments can make care challenging. For your convenience, we offer back-to-back scheduling whenever possible, allowing you to move easily from one appointment directly to therapy. To support your overall well-being, our staff can also connect you with lifestyle medicine or nutrition specialists as part of a whole-person approach to health. In addition, our Wellness Center offers physical exercise to help you safely use a full range of equipment and work toward your health and fitness goals.
Physical Therapists specialize in musculoskeletal impairments that limit a patient's ability to move, walk or complete meaningful tasks. They treat a wide range of injuries and impairments ranging from stroke, recovering from surgery, or returning to sports.
Physical Therapy can include:
- Pelvic Floor
- Dry Needle
- Laser
- Aquatic
- PEDS
- Functional Capacity Evaluation (FCE) - According to Matheson, "Functional capacity evaluation (FCE) is a systematic method of measuring an individual's ability to perform meaningful tasks on a safe and dependable basis. FCE includes all impairments, not just those that result in physical functional limitations. In general, the purpose of FCE is to collect information about the functional limitations of a person with medical impairment." As Matheson-trained evaluators, we focus on answering the referral source's questions by using evidence-based tools and producing a final report that will move the case along the system.
Occupational Therapists focus more on the patient's activities of daily living. They are able to provide education and adaptive equipment to patients so that they can return to completing work, home, or recreational activities.
Occupational Therapy can include:
- Certified Hand Therapy
- Ergonomic Evaluations
- Wheel Chair Evaluations
- Laser
- PEDS
Occupation-based is an OT term that means the treatment approach is based on the client and what they want to be able to do in their daily life—basically, what is fulfilling and meaningful to the client. So, when an Occupational Therapist evaluates a client for a hand or arm injury, such as a broken finger, OT looks at not only how much strength and motion the client has in their hand, but what the client needs to be able to do with their hand in order to return to work, school, to their every day activities.
OTs then use a variety of methods to help the client reach their goals. These may include manual stretching, strengthening, modalities like heat and cold applications, or custom splinting. OTs can also assist in showing clients how to compensate or how to use adaptive equipment in order to function in their previous roles or until their bodies are able to function again at their previous level.
Diagnoses seen by OTs in hand therapy include fractures of the hand/arm, lacerations and amputations, burns, surgical repairs of tendons and nerves, tendonitis, rheumatoid arthritis and osteoarthritis, and carpal tunnel syndrome. Our OTs are specially trained to evaluate and treat your specific needs related to injuries of the hand. They assess and coordinate care for impairments related to your hand so you can return to work or recreational activities.
Ergonomics job site evaluations
Ergonomics is the science of fitting the job to the worker and adapting the work environment to the needs of employees. An overall goal of ergonomics is to promote health and safety and optimize productivity.
An ergonomic evaluation can identify risk factors at your job site and provide recommendations to help:
- Decrease production errors.
- Increase efficiency and productivity.
- Compliance with government regulation.
- Reduce worker discomfort.
- Reduce costs.
- Improve safety/decrease injury and illness.
- Decrease lost time.
- Decreased labor turnover.
The ergonomic evaluation includes evaluation and quantification of work site risk factors, recommendation of engineering and administrative controls to reduce the identified risk conditions, and education of management and workers to reduce those risk conditions. Our OTs are trained in this area and are available to come to your work place to evaluate your specific needs. With coordination from your physician and employer, your work station can be assessed for needs related to improving your ability to carry out your work safely and with less stress or strain on your body.
Speech-Language Pathologists specialize in the ability to evaluate and treat issues related to a patient's ability to talk, swallow, comprehend information and problem-solve. They also provide education and helpful ways to deal with memory or attention issues.
Speech-Language Therapy can include:
- Swallow Studies
- Vocal Therapy
- Cognitive Therapy
- Brain Injury & Stroke Support Group Therapy
Speech/language pathology (SLP) is a health profession providing services to persons who have disruptions in the areas of speech, language, cognition, hearing and/or swallowing. These disruptions may be developmental or due to traumatic events such as brain injury, stroke, head/neck cancer, neurological disease or functional etiologies.
The purpose of the SLP Department is to provide a continuum of services including prevention, identification, diagnosis, consultation and treatment. In order to provide quality care, the SLP maintains current licensure with the Nebraska State Department of Health and certification with the American Speech Language and Hearing Association.
Services are provided through physician referral to infants through geriatrics in the following settings: hospital inpatients, swing bed patients, outpatients and contracting agencies such as nursing facilities and other hospitals.
Modified barium swallow studies are completed in conjunction with the Medical Imaging Department.
Sports Rehab is conducted by the Rehab & Wellness Center Sports Rehab Team. This team is comprised of our physical therapists, occupational therapists, coaches, and physicians. Local area athletes, primarily involved in high school athletics, are evaluated for their specific injuries or needs and are provided with follow-up treatment as needed.
Students are screened at the local high school and at the Rehab & Wellness Center at Box Butte General Hospital. These screenings allow for a free assessment of injuries where the athlete will be provided with a recommendation for follow-up care or a suggested referral to their physician if needed.
Alliance Training Room Hours: 4-5 PM, Monday-Thursday, except on game days
Hemingford Training Room Hours: 3:45-4:30 PM, Wednesdays, except on game days
Hyannis Training Room Hours: 2-3 PM, 2nd & 4th Monday of each month, except on game days
Each athlete is eligible for two free visits with the Sports Rehab team at The Rehab and Wellness Center! Athletes receiving care are progressed back to play as soon and as safely as possible. Each athlete receives individualized care that is specialized to their unique needs. Through coordination of your trainer, coach and physician, you as an athlete can receive the care you need to return to the sport you play.
Brian Shelmadine, DO, also provides a Monday morning clinic for student athletes. For more information on this clinic, call GNMSS at 308-762-7244.
Most Value-able Player recognition
BBGH Rehab and Wellness Center launched the BBGH Most Value-able Player program in 2019. Each week a student-athlete from both Alliance High School and Hemingford High School is chosen as the MVP of the week and featured on the BBGH Facebook page.
The staff of BBGH is committed to the values of Safety, Excellence, Compassion, Integrity, Devotion and Teamwork every day. BBGH strives to promote these values in our community and recognizing the values in others magnifies our message to continually work to achieve greatness.
What is a Most Value-able Player? Our definition is the player that lives the following values:
SAFETY: Making the right plays, following directions, ensuring the safety of you and your team.
EXCELLENCE: Exceeding the expected, striving for greatness.
COMPASSION: Demonstrating kindness, understanding and a willingness to help others.
INTEGRITY: Doing the right thing for you, your team and your community.
DEVOTION: Commitment to the game, the team and the sport.
TEAMWORK: Working with your team to achieve greatness.
Recognizing contributions during the game, at the event or off the court allows students to strive for greatness. You might be familiar with the story of Rudy, the football player with big dreams. It wasn’t his skill that made him exceptional; it was his drive, his courage and his unwillingness to stop. He lived the values of Notre Dame football. Those same students roam our hallways, play on our teams and give their best even if they never get off the bench. They live the values of Safety, Excellence, Compassion, Integrity, Devotion and Teamwork every day, and we want to recognize them.
The Rehab and Wellness Center provides both inpatient and outpatient care, including physical therapy, occupational therapy and speech-language pathology services.
Inpatient care might be received if your doctor feels it is necessary upon admission and/or you have had a decline in function during your hospital stay, or if you are a swing bed patient. Therapy services may include strengthening; gait training; increasing functional independence; training in activities of daily living; receiving a customized home exercise program; and swallowing, speech or cognitive training. This will continue during the duration of your hospital stay to improve your ability to return home or improve your ability to carry out your daily tasks safely when you are discharged from the hospital.
Outpatient services may be received if your doctor feels it is necessary and after you have been discharged from the hospital. You may require outpatient services after recent hospitalization, surgery, increased pain, decline in function, a sports injury, etc. Therapy services include strengthening; postural training; gait training; increasing functional independence; training in activities of daily living; customized home exercise program; and swallowing, speech and cognitive training. Each therapy discipline will evaluate your needs and coordinate their efforts to meet your specific goals.
