Licensed and Certified Therapists

Rehab Dynamics currently has numerous talented, licensed and certified therapists on staff.

CO-OWNERS

Ann Nagle, P.T. A.T.P. – Graduated from the University of Michigan with a Bachelor of Science degree in Physical Therapy. She has worked as a pediatric physical therapist in the Toledo area since 1989. She received her NDT certification in 1992 and has had years of experience treating children with complex neuromotor issues. In addition to handling skills, she developed a passion and expertise in the evaluation and provision of seating and mobility/assistive technology for children and adults with neuromotor issues. Ann currently holds her ATP certification from RESNA.

Maureen Kane-Wineland, Ph.D., OTR/L – Graduated from Western Michigan University with a Bachelor of Science in Occupational Therapy. She worked as an occupational therapist in numerous settings including hospitals, clinics, home health agencies, schools, and early intervention programs. She was very active in developing pediatric therapy programs in a number of settings and in 1985 began the first pediatric private practice in Toledo. After completing her Masters in Educational Psychology/Special Education in 1987, she went on to assist with the development of the Masters in Occupational Therapy program at the Medical College of Ohio. After several years of teaching her love for children and their families led her back to private practice in 1996 with the establishment of Rehab Dynamics, Inc. In addition to completing her SIPT certification, Maureen also completed her Ph.D. in Educational Psychology with a Special Education minor. Her research examined the effects of prenatal drug exposure on motor development in infants and toddlers ages 0-3. In June of 2002, Maureen presented her doctoral work at the World Occupational Therapy Association 2002 Conference. She later become certified as an Interactive Metronome Trainer and has extensive training in the D.I.R/Floortime Model, as well as and P.L.A.Y. Project.

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SPECIALIZED TRAINING & CERTIFICATIONS

Sensory Integration and Praxis Test (SIPT)/ Sensory Integration/Sensory Processing: Certification to administer the testing/therapy requires numerous specialized courses,  and extensive instruction in administration and interpretation of the test, as well as in conducting the treatment for individuals with sensory issues. The treatment programs are very individualized and based on the way the child processes the sensory input (vision, hearing, touch, movement, smell etc.). The therapist learns to identify over-responsivity, under-responsivity, seeking behavior, or difficulty with processing multiple types of information and to help design strategies to address these challenges so more functional skills and better engagement can occur.

Therapeutic Listening (TL): certificate requires coursework and instruction regarding how to use this specialized auditory input to enhance regulation, calming, and focus. Recently the program has expanded to allow easier access for families by providing some aspects of it via an app on smartphones.

Interactive Metronome (IM): certification requires intensive training, several specialized courses, followed by a comprehensive exam. The program uses a special computer program to address the timing and sequencing of movements of the hands and feet and has extensive research demonstrating the benefit of using it with individuals with motor, sensory, learning, and processing challenges.

D.I.R./Floortime/P.L.A.Y. Project: Specialized intervention approach for children with an autism spectrum disorder that focuses on following the child’s lead and interests to build engagement and increased interest in interacting with others, as well as develop additional skills.

Feeding/Oral Motor/Oral Placement Therapy: Therapists specializing in these areas are required to take extensive training to learn techniques to address a variety of oral concerns including ARFID (avoidant resistant feeding disorder), tongue and lip ties, and poor control of the muscles around the lips and in the mouth. Because of these issues, children may have difficulty swallowing or even accepting food in the mouth, moving the food around in the mouth or chewing it, or be very picky eaters.

Augmentative and Alternative Communication (AAC): Training in this area is also very specialized as therapists learn to use a variety of methods of communication to help individuals who cannot use verbal speech to communicate. These include using special tablets or laptops with programs that generate speech using a variety of different ways to select what needs to be said including direct selection, switches, head control, or even eye gaze. Other options can also include books, communication pictures, or choice boards.