Our physical therapists (PT), occupational therapists (OT), and speech therapists (ST) provide inpatients with individualized and comprehensive evaluations of their motor, cognitive, swallowing, and language functions, as well as other physical functions and abilities to perform daily living activities. Based on this, we create the optimal rehabilitation program, providing rehabilitation for a maximum of 2–3 hours per day, 365 days a year in our rehabilitation ward.

Physical therapy

Occupational therapy

Speech and hearing

We provide various recreational activities for inpatients or patients in residential care to maintain and improve their physical functions through enjoyable activities, to increase the effectiveness of dementia prevention, and to refresh their minds.

Creative recreation

Enjoy making seasonal collages, wall decorations, and accessories.

Events

Seasonal events will be held. Preparation is done together with inpatients and patients in residential care.

Oral and swallowing exercises

Before lunch, dental hygienists and speech therapists jointly conduct oral and swallowing exercises.

Occupational activity

Various occupational activities are carried out according to the patient's interests.

Horticultural therapy

We aim to promote social well-being through engagement with horticultural plants, such as flowers and vegetables.

A condition in which any behavior related to “eating” is impaired in one's diet is called “dysphagia.”

　　　Inability to eat by mouth・・・
causes dehydration and malnutrition

　　　Decrease in swallowing function・・・
causes aspiration pneumonia and choking.

　　　Loss of enjoyment in eating・・・
decreases motivation in life.

Under the guidance of our physicians, speech therapists, dental hygienists, nurses, and dietitians work together to provide feeding and swallowing rehabilitation.
Our goal is not to provide nutritional intake for each patient but to support a life of “enjoying food safely and securely.”

(1) Speech therapists provide swallowing evaluation and training
We evaluate the entire process, from recognizing food to taking it into the mouth, chewing, swallowing, and the sequence of actions from the throat to the esophagus. In some cases, a swallowing videofluorography is performed.

(2) The oral cavity is evaluated by a dental hygienist.
The primary evaluation involves oral function, such as evaluating whether oral hygiene is maintained and whether dentures are in place. In some cases, a dental consultation will be arranged.

(3) We provide meals suited to each patient's condition after reviewing them with speech therapists and dietitians.
The meal format is gradually upgraded from swallowing initiation diet, through swallowing training diet, to nursing care diet to implement safe oral transition.

ADL refers to Activities of Daily Living. A refers to Activity and DL refers to Daily Living (daily living). These refer to the basic daily living activities necessary for daily life, including 'transfers, mobility, eating, dressing, toileting, bathing, and grooming.'
Our hospital emphasizes early recovery of ADL activities necessary for discharge home or admission to a facility and provides support 24 hours a day as a team approach in cooperation with the rehabilitation department and other professions.

Practice in changing clothes

Practice in managing one's personal appearance

For patients who need more advanced activities of daily living to be discharged home, we actively support them in acquiring instrumental activities of daily living (IADLs).

Practice using a vacuum cleaner

Dishwashing practice

This refers to medical treatments that use physical forces, encompassing therapies that involve electrical currents, sound waves, heat, and cold stimuli. Each physical stimulus is intended to produce some therapeutic effect, such as excitation or inhibition of cells, tissues, nerves, or muscles, and physiotherapy is sometimes considered a part of physical therapy. In such cases, they are broadly classified into “exercise therapy,” “physiotherapy,” and “movement training” and are performed mainly in rehabilitation settings under the specific direction of a physician.

Thermotherapy:
hot packs and physiopacks

＜Effect＞
・Pain control
・Increased range of motion and decreased joint stiffness
・Improved circulation
・Thermal action
・Relief of mental and physical muscle tension
(relaxation effect)

＜Indications＞
Non-inflammatory joint diseases (e.g., osteoarthrosis)
Myofascial diseases (e.g., lower back pain)

Thermotherapy: Microwave Therapy

Thermotherapy for deep heating

＜Effect＞
・Thermal action
・Increased blood flow
・Pain control
・Decreased viscoelasticity of soft tissue

＜Indications＞
Non-inflammatory joint diseases (e.g., osteoarthrosis)
Myofascial diseases (e.g., lower back pain)
Sprain
Neuralgia, etc.

Electrical stimulation therapy:
High voltage pulse therapy (high voltage)

Used to minimize electrical resistance and provide deep stimulation

＜Effect＞
・Pain control
・Increased blood circulation
・Function-improving action

＜Indications＞
Cervicobrachial syndrome, thoracic outlet syndrome, subacromial impingement syndrome, medial and lateral epicondylitis of humerus, carpal tunnel syndrome, lower back pain, knee pain, foot pain, prevention of disuse atrophy of quadriceps muscle, and other pain disorders.

Electrical stimulation therapy: Interference wave

Two types of currents (medium frequency) are interfered within the body to produce the effects of electrical therapy.
The current can be increased until the deep muscles respond.

＜Effect＞
・Relieving chronic pain and stiffness ・Improvement of poor circulation ・Promotion of tissue metabolism

＜Indications＞
Osteoarthrosis of the cervical spine, cervical radiculopathy, periarthritis of the shoulder joint, ulnar nerve palsy, tennis elbow, lower back pain, osteoarthrosis, sprained ankle joint, and other painful diseases.

Ultrasound therapy

Sound waves and vibrations with frequencies too high to be heard by the human body are used to apply a micro-massaging effect to tissues and to provide a warming effect through Joule heat for treatment.

＜Effect＞
・Pain control
・Improvement of muscle function
・Healing promotion effect

＜Indications＞
Pain, contracture, adhesion, muscle spasm, scar tissue, periarthritis, ligament injury, swelling, and edema.

Spinal traction therapy

＜Effect＞
・Correction of minor displacement of intervertebral discs and intervertebral joints
・Intervertebral joint release and unloading
・Elongation of soft tissue around intervertebral joints
・Improvement and promotion of circulation by massage effect
・Enlargement of intervertebral foramen
・Relaxation of spastic muscles by stretching effect

＜Indications＞
Cervical spine and lumbar spine disorders and intervertebral disc hernia
Other symptoms originating from the spine

In recent years, these physiotherapy techniques have been rarely used alone but in combination with exercise therapy.
The American Physical Therapy Association (APTA) states that “if used in the field of physical therapy, it should be combined with other treatments such as exercise therapy, and physical therapy should not be used alone unless there is clear evidence that it is clearly more effective as a standalone treatment.”
We will provide a combined approach in consultation with the physician, combining a choice of energy (heat, electricity, and sound waves) and exercise therapy, depending on the purpose of treatment.

Each physiotherapy modality cannot be used for individuals with certain implanted electronic devices, such as pacemakers, or for those with contraindicated conditions, diseases, or affected areas. In addition, there are physiotherapy modalities that are prohibited to be used in certain combinations. We will provide safe treatment under the specific direction of the physician.

To make the best use of time outside of rehabilitation, we also promote independent practice (home work) for patients. We will create a self-guided practice menu tailored to each patient's needs and encourage them to practice in their leisure time to achieve their rehabilitation goals earlier.