As part of the continuum of care at Cottage Health, Keck Center for Outpatient Services, located at Cottage Rehabilitation Hospital in Santa Barbara, offers a wide array of outpatient therapy programs. All of the Keck outpatient programs include one-on-one treatment with one of our highly trained therapists.
A physician referral is required for all of the programs listed here.
Pelvic Rehabilitation Program
The Keck Center for Outpatient Services has physical therapists with specialized training to assess and treat patients with pelvic floor dysfunction.
- Is your bladder controlling your life?
- Is pelvic pain interfering with your ability to have a happy and healthy sex life?
- Have you had to give up activities that involve sitting — such as riding your bike or going out to
dinner with friends?
- Is your school-aged child wetting his or her pants during the day or wetting the bed?
If you answer yes to any of these questions, Pelvic Floor Therapy may help with these and
similar issues.
Women
Men
Children
- Bedwetting after age 5
- Difficulty fully emptying his or her bladder
-
Having to go to the bathroom frequently (more often than 8 times per day)
-
Leaking urine, not making it to the bathroom on time
-
Constipation or straining to empty his or her bowels
Treatment Interventions Include:
- Patient education to put you more in control of your body
- Therapeutic exercise for muscle/movement re-education and posture education and training
- EMG biofeedback and/or electrical stimulation for muscle re-education or pain management
- Rehabilitation ultrasound imaging to help visualize your anatomy and learn how to use your
muscles in real time
- Mindfulness techniques to reduce muscle tension and pain
- Manual therapy techniques such as myofascial release and strain counterstrain
How to Initiate Therapy
A medical provider’s referral may be dropped off or faxed to Cottage Rehabilitation Hospital (CRH), Keck Center for Outpatient Services. We accept Medicare and most other insurances.
Our Physical Therapists
CRH Keck Center Physical Therapists have specialized training to assess and treat patients with pelvic floor dysfunction.
Natalie Hickenbotham, PT, PRPC has been practicing as a physical therapist since 1986. In 2010,
she developed the Pelvic Floor Rehabilitation Program at Keck Center for Outpatient Services. She
earned her Pelvic Rehabilitation Practitioner Certification in 2014. Natalie is committed to providing
optimal care to men and women in our community who are experiencing any of these challenging
conditions.
Melissa Runquist, DPT, PRPC has been practicing as a physical therapist since 2009. She
works with women with pelvic pain, urinary and bowel incontinence, pregnancy and postpartum
musculoskeletal pain. Melissa is bilingual and is committed to providing quality care to the Santa
Barbara community. Melissa earned her Pelvic Rehabilitation Practitioner Certification in 2019.
Kristin Quezada, MPT has been practicing as a physical therapist since 1996. She began taking
continuing education courses in pelvic floor physical therapy in 2014 which included how to treat
women with urinary incontinence, care of the postpartum patient and pediatric incontinence.
LSVT Loud
LSVT LOUD® is an outpatient treatment program designed to improve the speech of persons with Parkinson’s disease and other neurological conditions. Treatment is administered in 16 sessions over a four-week period, by speech-language pathologists certified in the technique.
Participation in a speech therapy evaluation requires a referral from your physician sent to the outpatient office at fax # (805) 687-5627.
PWR! MOVES
PWR! MOVES is a treatment specific for people with Parkinson’s Disease. It specifically addresses the unique movement impairments of people with Parkinson’s.
The exercises are intensive and customized to each patient. As a result, it has been shown to improve walking, balance, and quality of life.
The Keck Center for Outpatient Services is fortunate to have Physical and Occupational Therapists who are certified to provide this unique treatment.
Vestibular Rehabilitation
Keck Center for Outpatient Services is proud to offer physical therapy services to facilitate recovery from a wide variety of vestibular disorders.
The physical therapist has extensive training and is a credentialed clinician recognized by the American Physical Therapy Association for the delivery of Vestibular Rehabilitation.
Patients with the Following Diagnoses are Appropriate:
- Acute or chronic symptoms of vertigo or dizziness
- Benign Paroxysmal Positional Vertigo (BPPV)
- Labyrinthitis
- Neuritis
- Bilateral vestibular loss due to ototoxicity
- CNS disorders leading to motion sensitivity/dizziness (stroke, MS, TBI)
- Whiplash associated dizziness/Cervicogenic dizziness
- Mal De Debarquement Syndrome
Treatment May Include:
- Canalith Repositioning Procedure for BPPV
- Habituation for motion sensitivity
- Adaptation exercises for gaze stability
- Balance exercises to improve postural control and decrease fall risk
- Gait training
Specialized Wheelchair & Seating Evaluations
Keck Center physical therapists have advanced training and experience in performing wheelchair and seating evaluations for individuals who are unable to walk as their primary means of getting around the home and community.
What to Expect on Your First Visit?
- A comprehensive physical therapy evaluation of strength, range of motion, posture, balance and the ability to transfer and perform bed mobility.
- Evaluation of current equipment
- Pressure mapping if indicated
- When possible, the patient’s vendor of choice is present for the second half of the appointment to provide guidance for determining specific equipment recommendations.
- Completing the assessment process may take up to 3 visits.
Insurance Considerations:
- When Medicare is the primary insurance:
- Specialized power wheelchairs are reserved for the severely impaired patient with neurological diagnoses such as:
- Amyotrophic Lateral Sclerosis (ALS)
- Spinal cord injuries resulting in quadriplegia
- Stroke (CVA) with hemiplegia (depending on severity)
- Late stage Parkinson's
- Late stage Multiple Sclerosis (MS)
- Cerebral palsy
- Muscular Dystrophy
- Medicare will not pay for power scooters or power wheelchairs that will only be used for outside the home.
- Other insurances may vary in their coverage criteria.
Adaptive Driving
Referrals
Please Note: A physician’s referral and a valid driver’s license or current permit from the Department of Motor Vehicles are required for participation in the program.
The Adaptive Driving Program is for anyone who is concerned about their ability to drive due to a health-related condition. Cottage Rehabilitation Hospital provides an objective assessment of an individual’s driving capabilities.
Handling a motor vehicle and the need for training or specialized equipment are assessed, and a comprehensive report is provided to the referring physician.
Pre-Driving & Behind the Wheel Evaluations are Available.
Training
A licensed Occupational Therapist provides instruction in the use of adaptive equipment and compensatory driving techniques. Instruction may also include the loading and unloading of a wheelchair.
If additional practice is recommended, a referral can be made to a Certified Driving Instructor who addresses basic vehicle operation, road skills, and driving laws. Correction of poor driving habits is emphasized.
Equipment
CRH’s evaluation is conducted in a dualcontrol vehicle which can be fitted with adaptive equipment, such as hand controls, steering devices and extended mirrors. CRH will provide you with specific equipment recommendations at your request.
Psychology/Neuropsychology Services
Psychologists help individuals face challenges that catastrophic illness and injury pose for patients and families. In cooperation with your other team members, psychologists may be involved in your care to help you and your family regain the sense of mastery, which is central to a successful rehabilitation outcome.
The psychologist may employ formal or informal testing to help you and other therapy team members better understand some of the changes in thinking and coping skills that may have occurred because of illness or injury. They may also assist you in thinking through various lifestyle changes as a result of disability.
