Rehabilitation Programs at Winning Wheels

Winning Wheels' Rehabilitation Program focuses on maximizing participant's potential to return to a maximum level of functioning. Our goal is for each person to live as independently as possible after experiencing neurological impairment.

Winning Wheels specializes in serving individuals with neurological impairments. A neurological impairment is a group of disorders that primarily relate to the central nervous system comprised of the brain and spinal cord. Among the more common diagnostic categories and conditions are cerebral palsy, epilepsy, brain injury, and multiple sclerosis. A neurological impairment or disability may affect an individual?s speech, motor skills, vision, memory, muscle actions and learning abilities.

Formal therapies (speech therapy, physical therapy and occupational therapy) provide a functional and practical approach to rehabilitation at Winning Wheels.

The first two weeks following admission, a comprehensive assessment is completed by staff from all departments to identify strengths and needs. The results of this assessment are developed into a plan to assist individuals in attaining their goals. Progress is monitored at least quarterly.

Brain Injury Comprehensive Integrated Inpatient Rehabilitation Program

Winning Wheels has been serving individuals with traumatic brain injuries since the early 1980's. A comprehensive program has been specifically designed to provide extensive rehabilitation services to individuals with special needs due to traumatic brain injuries (TBI).

A Brain Injury Comprehensive Integrated Inpatient Rehabilitation Program is a program of coordinated and integrated medical and rehabilitation services that is provided 24 hours per day and endorses the active participation and choice of the persons served throughout the entire program.

The primary purpose of the Winning Wheels Traumatic Brain Injury Program is to provide a structured, post-acute rehabilitation program for brain-injured individuals in the area of enhanced physical functioning, behavior/social skill retraining, leisure education, cognitive therapy, and activities of daily living. This specialized program assists patients to achieve maximum potential of function and self-sufficiency.

Each participant's daily regime of physical, occupational, speech, psychosocial and recreational therapies is supplemented by both individual and small group forums as well as one-to-one counseling as needed.

Cognitive Rehabilitation

Recovery from brain injury or cognitive impairments related to chronic illness can be facilitated with cognitive rehabilitation. Individuals often experience changes in memory, attention, and concentration. The ability to plan and initiate activities may have been disrupted. Carrying out the tasks of daily living may require concentrated effort. Former work functions may be difficult to perform. Changes in cognitive functioning may range from mild to severe.

The goal of cognitive rehabilitation is to achieve the most independent or highest level of functioning. Treatment is based on individualized goals that take into consideration the patient's current pattern of strengths and weaknesses. Cognitive rehabilitation treatment goals include:

  • Relearning of targeted mental abilities
  • Strengthening of intact functions
  • Relearning of social interaction skills
  • Substitution of new skills for lost functions
  • Optimizing control over the emotional aspects of an individual's functioning, including management of impulsivity and anger

What is the Treatment Process?

Treatment is highly individualized for each person. After an initial interview and discussion of patient goals, medical records and neuropsychological evaluation results, if available, are reviewed. A cognitive rehabilitation plan is developed as a collaborative effort.


A primary goal of cognitive rehabilitation is achieving significant and measurable improvements that enable individuals to enjoy a more productive and satisfying life after injury. Treatment is targeted, practical and geared to developing greater independence, improving everyday functioning and achieving academic and vocational goals. When appropriate, tasks from a person's school or work environment are incorporated into the process of rehabilitation.

Comprehensive Integrated Inpatient Rehabilitation Program

Winning Wheels' Comprehensive Integrated Inpatient Rehabilitation Program is a program of coordinated and integrated medical and rehabilitation services that is provided 24 hours per day and endorses the active participation and choice of the persons served throughout the entire program. The persons served, in collaboration with the interdisciplinary team members, identify and address their medical and rehabilitation needs. The individual needs of the persons served drive the appropriate use of the rehabilitation continuum of care, the establishment of predicted outcomes, the provision of care, the composition of the interdisciplinary team, and discharge to their communities of choice. An integrated interdisciplinary team approach is reflected throughout all activities.

The program provides a disclosure statement to each person served that addresses the intensity of care that will be provided. The intensity of care identified in the disclosure statement is based on a preadmission assessment of the person served. This assessment includes information on the person's diagnosis, prognosis, morbidity, co-morbidity, premorbid level of function, support system, mental status, and ability to tolerate the intensity of care.

A Comprehensive Integrated Inpatient Rehabilitation Program clearly identifies the scope and value of the medical and rehabilitation services provided.

Spinal Cord Injury

Winning Wheels Spinal Cord Injury Program provides long-term rehabilitative care and intensive physical, occupational and recreational therapy, to help those with spinal cord injuries to relearn the basic skills of everyday life. Counseling is also provided to patients, helping them to learn to cope with their injury and rediscover the fulfilling life that lies ahead for them.

Developing independence is especially important. Patients learn independent living skills, such as cooking, laundry and money management.

Having a spinal cord injury doesn't mean that those injured have to stop participating in fun activities. Winning Wheels' Recreational Therapy Program shows patients that they can have alot of fun, from power wheelchair soccer, outrigger canoeing and bicycling to specially adapted video games.