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As defined by the American Occupational Therapy Association ...

Occupational Therapy involves the "therapeutic use of work, self-care and play activities to increase independent function, enhance development, and prevent disability. It may include adaptation of task or environment to achieve maximum independence and to enhance the quality of life."

Our Occupational Therapists will work one-on-one with you to develop a customized treatment program to improve your daily living skills and/or arm function. Although our Occupational Therapists work in our clinics and long-term care centers, patients may also be seen in their homes if this best fits their needs.

In addition to programming geared toward improving daily living skills, we specialize in:

Hand Therapy
Incontinence / Bladder & Bowel Health
Driving Aptitude & Cognitive Testing

Please click on one of these topics if you'd like more information...

Other areas our Occupational Therapists treat are:

  • Helping individuals deal with aging or a disease process to remain as independent and safe as possible
  • Assisting families and caregivers in knowing how to manage their loved ones within the home or other environment
  • Assessing cognitive abilities of individuals with Alzheimer's Disease or dementia for environmental safety
  • Helping individuals recover from or prevent an injury
  • Providing recommendations for home modifications for safety and accessibility
  • Recommending assistive devices to increase independence in daily life
  • Assessing and making recommendations for wheelchair seating and positioning
  • Rehabilitating individuals who have a hand injury or surgery
  • Custom making splints for the hand and upper extremity
  • Performing work site and ergonomic evaluations

Hand Therapy
Treat Your Hands Well
You want your hand, wrist, forearm and elbow to be pain free and efficient in order to carry out all your daily living and work activities. After all, we do most everything with our hands and arms. Treatment of these areas is a specialized and diverse service due to the complexity of the structures, which are all interrelated.
Did you know...?
  • There are 30 bones in the arm, not including most of the shoulder
  • At least 29 muscles function to move our fingers and thumb
  • The tendons of our hands connect the muscles to the bone and have a sheath surrounding them. For our joints to be able to move, the tendons glide freely within this sheath
  • Our bones are held together and our tendons held to the bones with numerous ligaments for stabilization
All of these are in close proximity and often when one structure is injured or painful, others are also involved. Without all of these structures working in unison, we are not able to perform our day-to-day activities without various degrees of interference or limitations. At Agape Therapy, our hand specialists are trained to determine the source of the problem, the secondary effects and treat them with an individualized plan of care.

When is Hand Therapy a Good Idea?

You may require treatment after surgery, for conservative management in order to avoid surgery or to assist in the recovery from an injury. The treatment you receive will be determined according to a detailed evaluation and established protocols for your diagnosis. An individualized plan of care will be developed just for you, which will take into account your specific needs. Your first session will be an initial evaluation, when your specific plan of care can be immediately established, with treatment initiated on that first session.

How Can Hand Therapy Help Me?
  • Reducing inflammation and pain
  • Influencing and minimizing scar formation
  • Controlling edema or swelling
  • Improving motion and flexibility
  • Improving strength
  • Improving fine motor and gross motor coordination
  • Increasing functional use of your hand and arm for use in everyday activities

Types of Diagnosis That Hand Therapists Treat:
  • Fractures
  • Tendonitis
  • Tendon repair/surgery
  • Arthritis
  • General or specific strengthening
  • Neuromuscular diseases
  • Pain syndromes
  • Ligament repair/surgery
  • Joint contractures and limited mobility
  • Pain management

  • Agape Therapy Incontinence Program
    Our program is based on 20 years of research and treatment of individuals with incontinence, or the lack of bladder control. It is a non-invasive program composed of three components:
    · lifestyle changes,
    · physiological quieting,
    · four simple exercises referred to as the "Fabulous Four" exercises.

    The first component is lifestyle changes, which will be incorporated into an individual's daily life to increase success in urinary control. The second component, physiological quieting, refers to the nervous system as it relates to muscle balance, which is needed to assist with managing incontinence. The third component, Fabulous Four exercises, addresses muscle weaknesses that impact urinary control.

    Our program is confidential and we treat all ages. To start our program, it is recommended, but not required, that you have a complete internal exam by your physician. A referral from your physician is needed for insurance coverage.

    Not sure if this program is for you? Take this quiz for help in deciding...

    Bladder Control Self Quiz
    1. Do you have trouble getting to the bathroom in time?
    2. Do you wake up frequently at night with the need to go to the bathroom?
    3. Do you leak if you cough, sneeze, lift heavy objects, or during any strenuous activity?
    4. Do you wear pads just in case?
    5. Do you have difficulty starting urination?
    6. Do you ever avoid activities due to concerns with incontinence?

    If you answered yes to any of the above questions, you may benefit from our program at Agape Therapy. Contact Linda, at 277-3166 if you have any questions.

    Driving Aptitude Assessment
    Do you know if you are safe behind the wheel? We can help.
    Our driving aptitude assessment is not an on-the-road test. It is an objective, in-clinic test designed to assist with the difficult decision if you or a loved one are safe to drive. A physician's referral is necessary for the service to be covered by private insurance. It may be covered by Medicare if it is part of, or establishes a treatment plan.

    Why Test?
    Your safety and the safety of the community may be at risk. Individual testing is necessary to obtain a thorough understanding of each person's abilities in order to determine if it is safe to drive. You and the physician making the decision may be protected from liability by having objective data supporting the decision.

    What is tested?
    Testing is completed by a registered, licensed Occupational Therapist. It normally lasts between one and two hours. The test includes:

    Visual Assessment - acuity screening, visual field recognition, scanning patterns, divided visual attention, and processing time.

    Visual Perception - depth perception, visual closure, visual memory, and position in space.

    Motor Skills - strength, coordination, and range of motion.

    Cognition - memory, following directions, ability to anticipate hazards, driving knowledge, thinking skills, and percent of cognitive assistance needed.

    Behavior - impulsivity, frustration tolerance, attention span, and distractibility.

    What happens after testing?
    The results are available immediately and may be shared with the person being tested. They will include testing results and the recommendation that will be made to the referring physician of the person's predicted driving ability. The physician will be notified immediately of the results of the testing, if desired. In addition, a written report will be sent to the physician within five working days. At that point the physician will determine the person's ability to continue to drive and may forward that decision to the Iowa Department of Transportation.
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