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The
TOP Team Approach
Minimizing Pain
& Maximizing Function
We
treat patients of all ages who want to return to an independent
life of well-being by actively working toward recovery.
Maximum
Results - Superior Rehabilitative Care
At
TOP Rehab we use state of the art equipment and the latest treatment
technology to assure our patients maximum results.
Our team approach to rehabilitation means that you and your doctor
will work with our highly experienced, qualified, licensed staff.
What
we can treat:
-
ADHD
-
Autism
-
Back
injuries i.e. post-op rehabilitation and disc problems
-
Balance
problems/dizziness/vertigo
-
Burns,
open wounds, lacerations
-
Foot
and Ankle Disorders
-
Hand
rehabilitation: carpel tunnel syndrome, tendonitis, tendon repairs
-
Hypotonia
(low tone)
-
Lymphedema
-
Musculoskeletal/muscle
diseases/soft tissue injuries: bursitis, tendonitis, whiplash,
sprains & strains
-
Muscle
strains/sprains and muscle diseases - fractures, sprains, strains
-
Neck
Problems
-
Neurological
disorders: Parkinson's Disease, post-polio syndrome, multiple
sclerosis, stroke, closed head and spinal cord injuries
-
OB/GYN
- urinary incontinence, pelvic floor muscle weakness, low back/pelvic
pain
-
Occupational/work
related injuries
-
Orthopedic
conditions and post-operative rehabilitation: joint injuries,
joint replacement, arthroscopy, fractures, poor posture, scoliosis,
neck and back disc problems
-
Pediatrics:
Cerebral Palsy (diplopic, quadriplegic, athebid), Down’s Syndrome,
developmental delays/PDD, sensory integration disorder
-
Poor
Posture/ Scoliosis
-
Rheumatic
Diseases: osteoporosis, arthritis, fibromyalgia
-
Soft
Tissue Injuries: Bursitis, Tendonitis
-
Speech
and language disorders
-
Swallowing
and voice disorders
-
Temperomandibular
Joint Dysfunction (TMJ)
-
Vestibular
Rehabilitation
Scheduling
Appointments
To
schedule your appointment for evaluation call:
Tullahoma Office: (931) 455-5189 7
AM to 6 PM, Monday through Friday
Manchester
Office: (931) 728-5189 8
AM to 6 PM, Monday, Wednesday, & Thursday

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Physical
Therapy
TOP
Rehab Services, Inc., is a comprehensive locally owned and
operated rehabilitation facility conveniently located to serve the
people of Coffee, Franklin, Bedford, and Moore counties.
Our services include physical, occupational, and speech
therapy on an outpatient basis.
Our
TOP team of highly trained licensed therapists and support staff
takes a personal interest in our patients.
Our state-of- the-art facilities afford them the use of
the latest techniques and equipment for optimum patient treatment.
TOP’s therapists are
involved with restoring functional and independence at all levels.
Examples include: helping someone to walk again following a
stroke or head injury, helping a child with developmental delays, or
helping an athlete return to their sport as quickly and safely as
possible.
TOP’s therapist work
directly with physicians, dentists, podiatrists, nurse
practitioners, & physician's assistants to develop their patients' plan of
treatment.
TOP’s objective is to meet
each patient’s total rehabilitation needs. We are proud of our success record. Restoring a patient to his/her most functional level as
quickly as possible is our primary goal.
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Occupational
Therapy
Who
Needs Occupational Therapy?
· People
with repetitive motion or cumulative trauma injuries including
carpal tunnel syndrome, upper extremity tendonitis, etc
· People
needing wound care
· People
with work-related injuries
· People
who have had a stroke or heart attack
· People
with arthritis, multiple sclerosis, or other serious illnesses
· Children
with birth injuries, learning problems, or developmental
disabilities
· People
with burns, spinal cord injuries, or amputations
·
People
with broken bones or other upper extremity injuries from sports,
falls, or accidents
Adult
Occupational Therapy Services
·
Evaluations and
treatment of upper extremity injuries examples: tennis elbow,
shoulder injuries, trigger finger, tendonitis, carpal tunnel
syndrome, fractures, trauma, etc.
·
Specialized in the
evaluation and treatment of upper extremity wounds
·
Customized treatment
programs aimed at improving abilities to carry out daily living and
vocational activities
·
Comprehensive
evaluation of job environments and recommendations on necessary
adaptations
·
Assessment of and
treatment for work performance skills
·
Recommendations and
training in the use of adaptive equipment to replace lost function
·
Instructions to family
members and caregivers in safe and effective methods of caring for
persons with disabilities
·
Extensive dynamic and
static upper extremity splinting program including assessment and
fabrication of splints.
·
Work Hardening
·
Functional Capacity
Evaluation
·
Pre-Work Screens
·
Ergonomic Evaluations
·
Wheelchair
Evaluations
Pediatric
Occupational Therapy Services
·
NDT
facilitation/techniques
·
Sensory integration (SI)
treatment principles
·
Specialized visual
perceptual testing and treatment
·
Fine motor coordination
and dexterity
·
School system
evaluations and treatment
·
Splinting
·
ADL training
·
Oral motor
facilitation/desensitization
·
Behavior modification
·
Motor planning/ideation
activities
Hand
Therapy
A
Certified Hand Therapist (CHT) has a minimum of five years experience and
4,000 or more hours of clinical practice in hand therapy.
They must also pass a national exam.
This degree of certification means patients working with an upper
extremity injury can often hasten their return to a productive lifestyle.
A CHT is recognized by the medical community as a specialist in upper
extremity rehabilitation.
OUR
SERVICES INCLUDE THE FOLLOWING:
·Hand/Upper
Extremity Rehabilitation
·Custom Splinting
·Assessment
of Adaptive Equipment Needs
·Wound Care
·Ergonomics
·Functional
Capacity Evaluations of the Upper Extremity
Custom Splinting
TOP Rehab is very proud to have a highly qualified CHT on staff.
Any splint can be custom fabricated for you on site, often while you
wait. Our premier Occupational
Therapy team will work to ensure that you are treated compassionately and with
respect. We can provide
custom static and dynamic upper extremity splints.
Static splints are typically provided to protect injured or surgically
repaired structures, support weakened structures to increase functional
performance of daily activities and to correct joint deformity.
Dynamic splints are used to either assist with regaining mobility or to
allow early protected mobilization as in the case of a tendon repair.

Dynamic Splint
Sample
Static Splint Sample
Types of Conditions Treated
by CHT
Hand
Therapy Injuries to the hand and upper extremities can be complex, involving
bone, tendon, nerve and/or skin. Recovery
is equally dependent upon expert physician care and early, appropriate therapy.
The goal of treatment is to help patients regain full hand and upper
extremity function for daily activities. We
provide care for patients with the following conditions:
·
Cumulative trauma
·
Carpal Tunnel Syndrome
·
Tendonitis and Trigger Finger
·
Osteoarthritis and Rheumatoid
Arthritis
·
Surgical/Non-Surgical Fractures
·
Tendon Lacerations
·
Burns
·
Wrist and Elbow Injuries
·
Nerve Injuries
·
Amputations
·
Soft Tissue Injuries
·
Reflex Sympathetic Dystrophy
·
Systemic Lupus Erythematosus
·
Scleroderma
·
Shoulder Conditions (such as
rotator cuff, tendonitis, frozen shoulder)
Hand/Upper Extremity Rehabilitation
A
CHT can identify problems unique to the upper extremities and can
effectively treat and rehabilitate patients with conditions involving the upper
extremities. Our focus is on
providing continuum of care throughout the recovery process while valuing the
importance of one-on-one time with each patient.
Our experienced hand therapist can offer patients help by assisting with
any of the following areas; to return them to a productive lifestyle.
·
Education Regarding Management of
Arthritic Symptoms (which include techniques to minimize joint deformity,
appropriate types of exercise, splinting & joint protection training)
·
Management of acute or chronic
pain
·
Desensitization following nerve
injury or trauma
·
Sensory re-education after
nerve injury
·
Design and implementation of
exercise programs to increase motion
and/or strength
·
Prosthetic training
·
Training in the performance of
daily life skills through adapted methods
·
Training in ergonomic
principles
·
Management of Joint stiffness
& swelling
Wound Care
Any patient who has a wound, acute or chronic,
that is not showing signs of healing after 3 weeks or patients with complicated
surgical wounds should be considered as a candidate for wound care.
Speech
Therapy
What do
Speech Pathologists Do?
Speech-language
pathologist help people develop their communication abilities as
well as treat speech, language, swallowing, and voice disorders.
Their services include prevention, identification,
evaluation, treatment, and rehabilitation.
Activities
to Encourage Speech & Language Development
· Teach your baby to
imitate your actions, including clapping you hands, throwing kisses,
and playing finger games such as pat-a-cake, peek-a-boo, and the
itsy-bitsy-spider.
· Talk as you bathe, feed,
and dress your baby. Talk
about what you are doing, where you are going, what you will do when
you arrive, and who and what you will see.
· Identify colors.
Count items. Use gestures such as waving goodbye to help
convey meaning.
· Introduce animal sounds
to associate a sound with a specific meaning: “the doggie says
woof-woof.”
· Read to your child.
Sometimes “reading” is simply describing the pictures in
a book without following the written words.
· Use good speech that is
clear and simple for your child to model.
Ask questions that require a choice.
“do you want an apple or an orange?”
“Do you want to wear your red or blue shirt?”
· Expand vocabulary.
Name body parts, and identify what you do with them.
“This is my nose. I
can smell.”
Industrial
Rehabilitation Isernhagen
Programs
- FCE,
work hardening/conditioning
- Prework/post-hire
screens
- Ergonomic/job
analysis & onsite rehab services
- CTD
prevention
- Back/neck
school
- Industrial
exercise programs

AQUATIC
THERAPY
Aquatic
therapy is a type of physical therapy that involves performing exercises in the
water. Aquatic therapy is especially beneficial for people who have
difficulty with weight bearing activities due to arthritis, recent fracture,
sprains, or their weight. Exercising in the water provides several
benefits that exercise on land can not.
First,
buoyancy of the water provides an unloading of the weight bearing joints of the
spine, knee, and hips. This is helpful for those who can not tolerate
exercise
on land due to joint pain. Water also provides assistance and resistance
while exercising so that one can progress through various levels of activity
while increasing strength.
Aquatic
therapy is beneficial for a variety of patient populations. People who
suffer from arthritis often have an improvement in range of motion from aquatic
therapy. Water unloads uncomfortable extremities while helping to loosen
stiff joints. Another patient population that has found aquatic therapy to
be quite beneficial, includes patients with fibromyalgia.
AQUATIC
EXERCISE PROGRAM
TOP
Rehab also provides an water exercise program designed for people with arthritis
and related conditions. Water exercise is especially good for people with
arthritis, because it allows you to exercise without putting excess strain on
your joints and muscles. The aquatic exercise program gives participants the opportunity to do
gentle activities in warm water, with guidance from a trained instructor.
Although it is a non-clinical program (Doctor prescription is not required),
participants have enjoyed some physical benefits such as decreased pain and
stiffness. Perhaps the most valuable asset to an aquatic exercise program is the social
interaction. This friendly and supportive atmosphere allows members to make new
friends. This class meets on Monday, Wednesday, and Friday at 11:45 to
12:45 & 4:30 to 5:30. The classes cost $3 per session, if you would
like more information about this class, please call us!
TOP
Rehab has 2 convenient locations to serve the Middle Tennessee Area.
Manchester Office
205
S. Woodland St.
Manchester
Office: (931) 728-5189 8 AM to 6PM, Monday, Wednesday,
& Thursday
205
South Woodland St., Manchester, TN 37355
Staff
Meet
our TOP Staff
Lisa Hatfield, RPT
Owner/Physical
Therapist
TOP Rehab Services, Inc.
Lisa
Hatfield received her bachelor’s degree cum laude in 1981
from the University of Pittsburgh. From 1981 through 1986,
she worked as a staff physical therapist, at a nursing home, a
hospital and a clinic in the Pittsburgh area, while she pursuing
further training through, specialized courses and seminars on
such subjects as pain management, electrotherapy posture, rolfing
and work capacity evaluation.
In
1986, Lisa moved to Tullahoma, joining the staff of TheraCare
in Murfreesboro. Two
years to the month after moving to, Tullahoma, she struck out
on her own opening TOP Rehab in Jackson Medical Plaza in Tullahoma.
After five years in rented quarters, TOP Rehab opened its newly
constructed building further out North Jackson Street and in 1998
opened a branch office in Manchester.
Over
the past 12 years, TOP Rehab has developed along two distinct
but related lines treating patients on physician referral and
offering individually structured programs as the Wellness Center.
Andrea
Barnett Turner, RPT.,
Tullahoma
Clinical Coordinator, Therapist
TOP Rehab Services, Inc.
Andrea
was raised in Tullahoma and graduated from Tullahoma High School
in 1994. She attended the University of Tennessee at
Chattanooga earning her B.S. in Physical Therapy in August of
1998. Andrea moved to Glasgow, KY where she worked at the
local hospital, T. J. Samson Community Hospital. In June of
2002 she joined the TOP Rehab team, moving back to Tullahoma to
be closer to family. Andrea's area of interest include
neck and back pain, post-op rehab and wound care. Andrea
is married and has three children: Clay, Jack and Mallory.
Ashley Schilling, DPT.,
Physical Therapist TOP Rehab Services, Inc.
Ashley Schilling began work at TOP Rehab in October of 2008. She
grew up on a family farm in central Iowa. She received her
bachelors degree in biology with a minor in psychology from Iowa
State University. She then completed her doctor of physical
therapy degree at Washington University in St. Louis. Upon
graduation she received the “Director’s Award” for
outstanding academic and leadership achievements. Her interest
in health care was sparked at a young age by her grandmother who
returned to school to become an RN at the age of 50. During her
doctoral training, she participated in a selective
interdisciplinary clinical research training program funded by
the National Institutes of Health. She presented her study’s
results at the national American Physical Therapy
Association’s Combined Sections Meeting in Las Vegas February
of 2009. She currently treats pediatric and adult patients with
neurological injuries, diseases and disorders. She is an APTA
certified clinical instructor and enjoys working with current PT
and PTA students during their clinical training. She has a
passion for learning about the latest advances in rehabilitation
medicine and enjoys working in a comprehensive team setting.
Ashley moved to middle Tennessee in August of 2008 and has grown
to love the warm fall and wild winter weather of the mid-south.
Her personal interests include traveling and spending time with
her husband, Kyle, running, swimming, hiking, skiing, live music
and reading.
Angela
Wehrle, DPT., Physical Therapist
TOP Rehab Services, Inc.
Angela
Wehrle has been a member of TOP Rehab Services staff for three
and a half years. Angela was born and raised in Tullahoma. She
is a graduate of the University of Tennessee at Chattanooga and
has a Doctorate degree in Physical Therapy. Prior to this
she earned a Bachelor of Science degree in Biology from Rhodes
College in Memphis Tennessee.
Tracey Mason, PTA., Physical
Therapist Assistant TOP Rehab Services, Inc.
Tracey grew up in Decherd, TN. She attended Franklin Co High
School where she played softball and swam on the swim team.
She graduated from high school in 2003. After high school
she attended Motlow Community College for 2 years then
entered the Physical Therapist Assistant program at
Chattanooga State. She completed the PTA program in May 2007
and graduated with an Associates of Applied Science Degree.
She passed her state boards in May 2007 and joined Top Rehab
on June 11, 2007. She was married to Shaun Mason on June 2,
2007. She now lives in Tullahoma with her husband, 4 dogs, 1
cat, and expecting first baby in Dec 2009.
Shawn Tallman, PTA., Physical Therapist
Assistant TOP Rehab Services, Inc.
Brian
Boyd, OTR/L, CHT, Occupational
Therapist & Certified Hand Therapist
TOP Rehab Services, Inc.
Brian Boyd has recently earned the distinguished CHT designation after
completing all required clinical studies and examinations.
These requirements include at least 5 years of clinical
experience as a therapist, a minimum of 4,000 hours in direct
practice in hand therapy, and successful completion of advanced
clinical skills and theory in upper quarter rehabilitation and
passing a comprehensive examination. We are fortunate to
have a CHT to provide treatment in the Tullahoma area.
Brian obtained his Occupational Therapy degree from the
University of Alabama-Birmingham. He did his clinical
training in upper extremity rehabilitation at Siskin Rehab
Hospital and Erlanger Regional Trauma Center in Chattanooga, TN
and HealthSouth Hand Clinic in Huntsville, Alabama. Brian
and his wife live in Cowan with their two children ages 2 and
5.
June MacNeil,
Occupational Therapist TOP Rehab Services, Inc.
June graduated from Mercy College in Dobbs Ferry, New York with
a bachelor’s degree in Health Science & MS in Occupational
Therapy. June also has a BA in Psychology with honors, and she
graduated from New York School of Interior Design.
From 2000 to 2001 June worked as an Occupational Therapist at
Blue Ridge Rehabilitation Association, Inc. in Charlottesville,
VA. She also worked at Martha Jefferson Homecare, Inc. as an
Occupational Therapist during that time. June then moved to
Tennessee to be closer to her family: her sister and
brother-in-law, niece and niece’s family and nephew and his
children. From 2001 to 2006 she worked at Vanderbilt University
and Medical Center in Nashville, TN as an Occupational Therapist
and Ergonomist. From 2003 to 2006 she worked at Baptist Hospital
in Nashville, TN as an Occupational Therapist in an Inpatient
Rehabilitation Unit. In 2006, June joined the TOP Rehab, Inc.
Team.
June lives in Tullahoma with her standard schnauzer named Pepper
and her cat Two. She enjoys being outdoors gardening, hiking and
sailing. June has recently started taking lessons in oil
painting.
Teresa
Massa, COTA., Certified Occupational Therapist Assistant TOP Rehab
Services, Inc.
After growing up in
Nashville, TN, Teresa attended the University of Tennessee in
Knoxville. She graduated with a Bachelor of Science degree in
Education. Teresa taught Kindergarten briefly in Tennessee and
Colorado and then moved to Tullahoma with her two children. As
an instructor for the Skills School for Childhood Development,
she found a growing interest in occupational therapy. In May
2008 Teresa graduated from Nashville State Technical Community
College with an Associate's in Applied Science as an
occupational therapy assistant. Teresa primarily treats
pediatric patients as well as students in the Manchester City
School System.
Anita Pierre-Louis,
M.S.P. CCC-Speech Language Pathologist TOP Rehab Service, Inc.
Anita Pierre-Louis joined TOP Rehab Service, Inc in January
2009. She has 22 years of experience working with both children
and adults. Areas of expertise include feeding/swallowing,
articulation, language, augmentative communication and cognitive
disorders in both populations. Anita holds the Certificate of
Clinical Competency from the American Speech-Language-Hearing
Association. She has also many years of providing supervision of
graduate and post-graduate students in the fiend of Speech
Pathology.
Judy Babb, LMT.,
Massage Therapist TOP Rehab Services, Inc.
Judy
has been a practicing Massage Therapy in the local community for
over 20 years. She specializes Integrative Therapy, but
her passion is in Lymphedema Therapy. Judy makes sure that
each person receives customized therapy according to their own
needs. Judy is available by appointment only.
Ron Clippard, LMT., Massage
Therapist TOP Rehab Services, Inc.
Ron began his career in bodywork after becoming inspired at
a book signing in 1995 hosted by author Dr. Andrew Weil.
Realizing an unfulfilled desire to practice in the
healthcare field, he enrolled at the Tennessee Institute of
Healing Arts and graduated in 1997 with a certificate in
Therapeutic Massage and NeuroMuscular Therapy. Ron practiced
privately until being invited to join the team at TOP Rehab
in late 2000. Ron continues to pursue excellence in the
field of hands-on therapy with enthusiasm, compassion and
joy.
Crystal Hale, LMT., Massage
Therapist TOP Rehab Services, Inc.
Crystal Hale was born and raised in the small village of La
Fayette, IL. While playing volleyball in high school she
ruptured her ACL. It was during her Physical Therapy after
surgery that she was first fascinated with the science and
art of rehabilitation. After graduating from high school she
went to college. After paying for two years of college and
many changes of her major she decided to head home and work
at the family nursery until she was clear on her goals.
Crystal started the Massage Therapy program at the Institute
of Therapeutic Massage and Wellness in Davenport, IL in 2003
and continued to work at the same time. While at ITMW,
Crystal received the award for Community Service. She also
had the opportunity to work on the Quad City Steamwheelers,
the Arena Football team. After graduating with her certificate
in Massage Therapy and becoming nationally certified,
Crystal moved to Manchester, TN to get a job and to be with
her boyfriend, William Hale. Crystal found the beginning of
a new adventure when she joined the TOP Rehab, Inc. team.
Crystal and William married in 2005 and now have two
energetic boys. Crystal continues to pursue her dreams of
being a great Massage Therapist, mom, wife and eventually
one day the Physical Therapy Assistant she has wanted to be
since high school.
Heath McCullough, ATC., Certified
Athletic Trainer TOP Rehab Inc.
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