Brain Injury Rehabilitation Program

Rehabilitation Hospital of the Pacific (REHAB) inpatient Brain Injury program provides acute rehabilitation for patients who have sustained an acquired or traumatic brain injury.

A brain injury can result from trauma, tumor or disease that disrupts the function of the brain. Brain injury can cause a wide range of deficits affecting thinking, language, learning, emotions, behavior and/or sensation. Symptoms could range from mild to severe and can impact problems in functional independence and relationships with friends and families. This can impact a person’s performance at home, at school/work and out in the community.

The clinical team at REHAB is dedicated to providing a comprehensive and individualized plan using an interdisciplinary team approach. Each team will work closely with patients and their family/caregiver to address specific needs and goals. REHAB’s patient centered care model is focused on the patient to maximize his or her potential. REHAB staff is also comprised of Certified Brain Injury Specialists (CBIS) who have the expertise and knowledge to work with special needs following a brain injury.

REHAB’s goal is to assist every patient become as independent as possible using a wide array of programs and services.


Now Meet Your Team!

What to Expect

Using Technology

Comprehensive Family Training

Community Re-Integration

Recreational Therapy

Support Groups 


Let’s Meet the Recovery Team!

  • Patient and patient’s family or caregiver
  • Physiatrist (Rehabilitation Doctor)
  • Rehabilitation Nurses
  • Physical Therapist
  • Occupational Therapist
  • Speech Therapist
  • Recreational Therapist
  • Rehabilitation Psychologist
  • Dietitian
  • Case Manager 

Team of specialists has the expertise and knowledge to address deficits associated with brain injury. REHAB is dedicated to program development to improve the quality of life for patients. REHAB’s team keeps up to date on the latest trends while using the most advanced technology and techniques.  

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REHAB’s Brain Injury program: What to Expect

  •  24 hour Nursing Care
  • All of our patients receive intensive therapy 3 hours/day, 5 days/week of physical, occupational and/or speech therapy
  • A Comprehensive Assessment by the members that make up your treatment team. This includes a medical assessment, physical assessment, swallowing assessment, cognitive/communication assessment, nutritional assessment, a leisure interest assessment and/or a psychological assessment all tailored towards your deficits and needs. Specialized testing may also include a vision assessment by our trained Occupational Therapists.
  • Treatment approaches utilize a combination of both traditional therapy techniques as well as the use of advanced techniques and technology based on your needs.
  • Team Conference/Family Conference
    • Team Conference – your team, led by your rehabilitation doctor, will meet weekly to discuss your progress and to adjust your treatment plan to progress you towards meeting your goals.
    • Family Conference (as needed)– a family conference may be requested by your team or your family members/caregivers where all team members are present to discuss your progress and answer any questions/address any problem issues regarding your treatment/progress 

Discharge Planning

Your team will work closely with you and your family to ensure that you have a safe transition back into the home and community, order any necessary equipment (i.e .wheelchair, canes), identify resources that you may need and to help transition you to outpatient therapy.

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Advanced Techniques and Technology 

  • Kosasa Gait and Seating Clinic – the only clinic of its kind in the State of Hawaii, dedicated to providing the appropriate gait and seating services using advanced technology to help patients reach their greatest potential
    • The Biodex Unweighing System is a suspension system used on land or on a treadmill to enable patients to safely improve gait and standing balance
    • The NESS L300 and NESS H200 are neuromuscular stimulation technology to improve gait and upper extremity movement 
    • The motoMed Viva2 is a motor assisted movement therapy trainer which allows patients to work on leg/arm strengthening and range of motion
    • X-Sensor Pressure Mapping System is a system to determine optimal wheelchair seating posture to reduce risk of skin breakdown; identify the need for specialized items such as pressure-relieving cushions, back supports and other wheelchair accessories
    • The Tibion Bionic Leg is a robotic device to improve sit to stand, gait and stair climbing skills
    • The Myomo is a neuro-robotic device that helps to increase movement in the weak or partially paralyzed arm
    • The Nintendo WII is a system used to improve patient’s flexibility, strength, cognitive function, hand-eye coordination and mobility
  • Speech Therapy
    • VitalStim Therapy – REHAB speech therapists are certified in the use of the only FDA approved neuromuscular electrical stimulation technology to treat swallowing problems
  • Occupational Therapy
    • The SaeboStretch® is a dynamic hand splint that helps prevent joint damage while improving range of motion
  • Vision Clinic
    • The Dynavision is a system designed to improve oculomotor skills, visual perceptual awareness, visual attention, eye-hand coordination, visuomotor reaction time, active upper extremity range of motion and coordination, muscular and physical endurance and motor planning

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Patient and Family Education

  • Patient Education Binder – all brain injury patients are provided with an educational binder containing information from the State of Hawaii, Department of Health with additional information provided by the brain injury team. REHAB’s intention is to minimize impairments and educate patients and their families regarding brain injury.
  • Patient and Caregiver Education and Training (CET) – REHAB is committed to provide adequate training to patients and caregivers to allow a safe transition back into the home and community settings. Patients and family members/caregivers are scheduled for a 3 hour CET prior to discharge. During this time, patients meet with each of the disciplines involved in his or her care to receive hands-on training to demonstrate to patient’s family/caregivers how to safely assist.

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Community Re-Integration Programs

The programs provide opportunities for patients to apply learned skills from therapy sessions in a community based setting; target areas include safety awareness, problem solving, money management, community mobility, social skills and community resource awareness for overall executive skill functioning 

  • Creative Arts Program - provides an inspirational and creative outlet for patients who are learning to physically and emotionally cope with their disabilities; program is a source of inspiration and a testament to the ability of individuals with physical and cognitive challenges, while encouraging them to develop their talents through different art mediums; all patients and former patients have the opportunity to learn how to paint with their disabilities; private art sessions for inpatients provided every Wednesday
  • Home Environment Lab – a clinic for patients to practice functional tasks such as cooking and laundry skills
  • Home Visits/Assessments – as determined by patient’s team to ease the transition back into the home setting
  • Community Assessments – as determined by patient’s team to ease the transition back into the community
  • Psychological counseling assistance in adaptation of life changes including adjustment to disability, sexuality/relationships, pain management, cognitive changes and emotional issues
  • Nutritional support and education to help patients work on healthy eating 

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Recreational Therapy

  • Aquatic Therapy – Open daily for individual or group therapy sessions using a variety of floatation devices and weights to help patients strengthen muscles and improve cardiovascular system function; pool provides an atmosphere conducive to recovery from injury or disability and is equipped with a specially designed hydraulic lift to assist in transporting individuals directly into the pool
  • Animal Assisted Therapy – treatment using interaction with animals to promote positive and beneficial changes in the patient’s emotional and social well-being; Simba, REHAB’s 6-year-old Golden Retriever was trained from birth and works 5 days a week for 8 hours a day; recreation therapists use Simba to set therapeutic goals, guide the interaction between patient and animal and evaluate goal progress
  • Cooking Therapy – small group cooking classes are scheduled to address areas of deficits in life skills, increase socialization as well as to improve performance during functional tasks
  • Other patient services include music/karaoke/piano, arts and crafts, DVD movies, books/reading materials, table top games, bowling, miniature golf, leather crafts, basketball, picnicking, holiday celebrations, bingo, casino night and card games 

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Brain Injury Support Groups

Inpatient Brain Injury Support Group - led by REHAB’s Rehabilitation Psychologist to discuss issues related to brain injury and rehabilitation

Brain Injury Association- support group meets on the second Wednesday of each month from 7 PM to 8:30 PM in Wo4 and on the first Saturday of each month from 1 PM to 3 PM in Wo4. In addition, the educational meetings are held on the third Wednesday of each month from 7 PM to 8:30 PM in Wo4.

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