A National Cancer Institute-designated Comprehensive Cancer Center

Make an appointment: 800-826-HOPE
Rehabilitation Bookmark and Share

Rehabilitation Services


Rehabilitation (noun): The process of restoration of skills by a person who has had an illness or injury so as to regain maximum self-sufficiency and function in a normal or as near normal manner as possible.*
 
Cancer and its treatment can interfere with one's ability to engage in necessary and meaningful acitvities of daily living (ADL's). City of Hope Rehabilitation Specialists strive to minimize these effects to ensure the patient maintains or regains the maximum degree of function, comfort, and quality of life possible at any stage of the cancer journey. Rehabilitation Services are available to both inpatients and outpatients of all ages.
 
If you would like to be evaluated by Rehabilitation Services, please ask your physician for a referral.
 
*Definition credited to medterms.com
.
Contact Us:
Telephone:     626-256-4673 extention 63339 or 62412
Fax:                  626-930-5369
Hours:              Monday-Friday, 8:00 a.m. to 5:00 p.m.
Location:         Main Medical Building, Room 1026
 
**All Rehabilitation Services require a doctor's order or prescription.**

 

 
 

Physical Therapy

City of Hope's Physical Therapy Program helps patients who have been weakened by disease or treatment regain and maintain their maximum level of function and independence.
 
Side Effect Management
Fatigue and pain including post-surgical pain are common during treatment and recovery.  Our physical therapists are highly experienced in treating these conditions with a variety of techniques such as manual therapy, transcutaneous electric nerve stimulation, modalities, customized bracing, body positioning, therapeutic exercise and education.
 
Wound Care
Cancer patients can experience skin problems for a variety of reasons, including after effects from radiation therapy or delayed healing. Skilled in wound care, including the cleansing and application of dressings, our therapists work closely with plastic and reconstructive surgeons and nurses to bring the latest treatment advances to our patients.
 
Mobility Training
Patients may experience loss of mobility for many reasons including weakness, pain, loss of sensation, neurological deficits, or joint problems. City of Hope Physical Therapists are available to assess patients and provide treatment to address these problems in order to achieve the highest level of mobility possible.
 
Balance Disorders
City of Hope Physical Therapists are experts at assessing and treatment balance disorders that may arise from disease, cancer treatment, or prolonged bedrest. They provide important assistance in helping patients prevent falls.
 
Musculoskeletal Disorders
Our Physical Therapists are highly qualified to assess and treat a variety of musculoskeletal disorders that arise from cancer or cancer treatment. These problems are typically addressed with strengthening exercise, and use of prosthetics or orthotics.
 
Reconditioning/Strengthening
Prolonged bedrest and hospitalization have be shown to result in rapid decline in overall strength and flexibility. Our Physical Therapists provide treatment to help patients prevent of minimize this loss of strength, or to restore it as quickly as possible
 
Incontinence
Our outpatient Physical Therapy Staff are available to assist patient who experience incontinence. (See Continence Recovery Program)
 
Palliative Support
Physical therapists also play an integral role in the comprehensive palliative support of patients, providing pain management and quality end-of-life care.

If you would like to be evaluated by a Physical Therapist, please ask your physician for a referral.

 

 

Occupational Therapy

City of Hope's Occupational Therapy program focuses on restoring skills and teaching adaptive techniques to help patients resume their day-to-day lives with the greatest independence possible.

Comprehensive Breast Cancer Program
Our Occupational Therapists have developed a comprehensive breast cancer rehabilitation treatment program. Patients are evaluated by an Occupational Therapist prior to surgery where baseline status is determined. Patients are provided with education regarding exercise and activity to begin immediately following surgery and are followed up until the patient has regained her arm range of motion and resumed day to day activities.
 
Building Endurance and Function
Cancer patients can sometimes encounter difficulties performing normal everyday tasks as a result of fatigue or limitations in physical function. Occupational therapists assist patients in addressing these problems by using a combination of adaptive techniques, energy conservation measures and the use of specialized equipment.
 
Adaptive Techniques and Equipment for Activities of Daily Living
Occupational Therapists are uniquely qualified to develop adaptive techniques or suggest adaptive equipment to assist patients in achieving the highest level of independence in day to day functioning as possible. Often a combination of exercise, habit change, and use of equipment lead to the restoration of one's independence after physical changes brought about by cancer or its treatment.
 
Lymphedema
City of hope offers lymphedema assessment and treatment by Certified Lymphedema Therapists. (See Lymphedema Program).
 
If you would like to be evaluated by an Occupational Therapist, please ask your physician for a referral.
 
 

Recreation Therapy

Intensive cancer treatments can be as emotionally demanding as they are physically challenging.
 
City of Hope’s Recreation Therapy Department works to promote a greater sense of well-being in patients through leisure activities that foster intellectual, emotional, social, and educational growth. Our Recreation Therapists are an essential component of both the adult and pediatric treatment teams.
 
Through an array of programs – both group and individualized – children, adolescents, and adults can pursue their personal interests in an environment that is as welcoming and respectful as it is compassionate and supportive. Our therapists provide guidance and resources to help patients adjust to the hospital environment, find ways to be active, and give voice to their emotions, feelings, and stressors, as well as to meet and interact with others in similar situations.
 
Recreation therapy is provided for inpatients. If you would like to participate in recreation therapy, please ask your physician for a referral.
 

Speech and Language Pathology

Sometimes treatments for cancer  can cause temporary or permanent changes in speech, communication, swallowing, or cognitive skills. Through retraining or the use of prosthetic devices, these effects can often be minimized or, in some instances, reversed.
 
Speech
City of Hope’s Speech and Language Pathologists are experts at restoring speech to patients who have undergone a variety of surgical and reconstructive procedures. They provide training in the most up to date techniques for alternative speech, including a variety of voice prostheses.
 
Swallowing
Our Speech and Language Pathologists are also experts at treating swallowing disorders. They are an integral part of the Head and Neck Team and work closely with the surgeons, dieticians, and oncologists to ensure the best possible outcomes.
 
Cognitive Deficits
They also provide treatment for cognitive disorders that may arise from the cancer or as a result of the treatment, including memory and other cognitive exercises, and adaptive strategies.
 
If you would like to be evaluated by a Speech and Language Pathologist, please ask your physician for a referral.

 

 

Lymphedema Treatment

Cancer patients often contend with swelling or edema (a build-up of fluid) as a result of having lymph nodes removed during surgery or damaged from radiation or cancer. This condition is known as lymphedema.
 
City of Hope Rehabilitation Services has therapists who are certified in the treatment of lymphedema. This certification ensures that the therapists have completed extensive education and training in the latest treatment techniques and use of compression garments to ensure the best possible outcomes.
 
The swelling characteristic of lymphedema can result in great discomfort, the inability to fit into clothes and the loss of range of motion and function. Swollen limbs can adversely affect body image and make it difficult to perform daily activities such as walking and reaching. The affected area is also at risk for infection.
 
Lymphedema therapists use a combination of treatments to manage the condition. These may include manual lymph drainage, compression bandaging, exercise, the use of a pneumatic sequential compression pump, and/or compression garments.
 

City of Hope Rehabilitation Services has Certified Lymphedema Therapists. This certification ensures that the therapists have completed extensive education and training in the latest treatment techniques and use of compression garments to ensure the best possible outcomes.

 

 

Continence Recovery Program

Incontinence can be an unwanted side effect of certain surgeries such as prostatectomies or bowel surgeries. It can interfere with one's engagement in work, hobbies, socialization, and quality of life. This can lead to isolation of those that suffer from incontinence.
 
City of Hope Rehabilitation Services provides treatment for incontinence using a program designed here at City of Hope specifically for CIty of Hope patients for both men and women. Using a combination of biofeedback and progressive pelvic floor exercises, patients can regain the confidence and quality of life they deserve by reducing or eliminating incontinence.
 
If you would like a referral to the Continency Recovery Program, please ask your physician for an order or a prescription.

 

 

STAR Certification

City of Hope is proud to announce that it has become a STAR (Survivorship, Training, and Rehabilitation) Certified Institution with it's first cohort of certification recipients in collaboration with Oncology Rehab Partners. The goal of this program is to ensure our patients receive the most up-to-date, evidence based rehabilitation services available.
 
These members of the City of Hope health care team completed 25 hours of training and successfully passed the certification exam:
 
NAME TITLE
Melanie Ahrens,  DPT Physical Therapist
Linda Allen, PTA Physical Therapist Assistant
Peggy Burhenn, MS, CNS, AOCNS Professional Practice Leader
Toni Carreras-Irwin, RC, RTC Recreation Therapist Lead
Joseph Chao, MD Physician, Medical Oncology
Michael Chou, DPT Physical Therapist
James Corradi, PTA, HFS-HCSM Physical Therapist Assistant
Shaka Graves, RTC Recreation Therapist
Jennifer Hayter, MA, OTR/L, CLT-LANA, SWC Director, Rehabilitation Services
Sherry Hite, MOT, OTR/L Occupational Therapy Lead
Norma Hook, MPT Physical Therapist
Tracy Jimenez, MPH, RD, CSO Clinical Dietician
Valerie Linane, MA, CCC Speech and Language Pathologist
Cecilia Mangali, DPT Physical Therapist
Priscilla Park, MA, OTR/L Occupational Therapist
Sonia Smith, RN, NP Supervisor, Outcomes Research
Belinda Torrez, MA, OTR/L, CLT-LANA, PAM Occupational Therapist
Peggy Trindle, RN, CPHN Quality Improvement Specialist
Ron Vandenbrink, RPT Physical Therapist
Gouri Varatkar, MPTh, GCS Physical Therapy Lead
Carin van Zyl, MD Physician, Supportive Care
 

Support this program

It takes the help of a lot of caring people to make hope a reality for our patients.  City of Hope was founded by individuals’ philanthropic efforts 100 years ago. Their efforts — and those of our supporters today — have built the foundation for the care we provide and the research we conduct. It enables City of Hope to strive for new breakthroughs and better therapies, ultimately helping more people enjoy longer, better lives.

For more information on supporting this specific program, please contact our Philanthropy Department at 800-667-5310 or philanthropy@coh.org. Or, to make a gift that supports all the research at City of Hope, donate online now.
 
We thank you for your support.
 
 
 

Rehabilitation

Rehabilitation Services


Rehabilitation (noun): The process of restoration of skills by a person who has had an illness or injury so as to regain maximum self-sufficiency and function in a normal or as near normal manner as possible.*
 
Cancer and its treatment can interfere with one's ability to engage in necessary and meaningful acitvities of daily living (ADL's). City of Hope Rehabilitation Specialists strive to minimize these effects to ensure the patient maintains or regains the maximum degree of function, comfort, and quality of life possible at any stage of the cancer journey. Rehabilitation Services are available to both inpatients and outpatients of all ages.
 
If you would like to be evaluated by Rehabilitation Services, please ask your physician for a referral.
 
*Definition credited to medterms.com
.
Contact Us:
Telephone:     626-256-4673 extention 63339 or 62412
Fax:                  626-930-5369
Hours:              Monday-Friday, 8:00 a.m. to 5:00 p.m.
Location:         Main Medical Building, Room 1026
 
**All Rehabilitation Services require a doctor's order or prescription.**

 

 
 

Physical Therapy

Physical Therapy

City of Hope's Physical Therapy Program helps patients who have been weakened by disease or treatment regain and maintain their maximum level of function and independence.
 
Side Effect Management
Fatigue and pain including post-surgical pain are common during treatment and recovery.  Our physical therapists are highly experienced in treating these conditions with a variety of techniques such as manual therapy, transcutaneous electric nerve stimulation, modalities, customized bracing, body positioning, therapeutic exercise and education.
 
Wound Care
Cancer patients can experience skin problems for a variety of reasons, including after effects from radiation therapy or delayed healing. Skilled in wound care, including the cleansing and application of dressings, our therapists work closely with plastic and reconstructive surgeons and nurses to bring the latest treatment advances to our patients.
 
Mobility Training
Patients may experience loss of mobility for many reasons including weakness, pain, loss of sensation, neurological deficits, or joint problems. City of Hope Physical Therapists are available to assess patients and provide treatment to address these problems in order to achieve the highest level of mobility possible.
 
Balance Disorders
City of Hope Physical Therapists are experts at assessing and treatment balance disorders that may arise from disease, cancer treatment, or prolonged bedrest. They provide important assistance in helping patients prevent falls.
 
Musculoskeletal Disorders
Our Physical Therapists are highly qualified to assess and treat a variety of musculoskeletal disorders that arise from cancer or cancer treatment. These problems are typically addressed with strengthening exercise, and use of prosthetics or orthotics.
 
Reconditioning/Strengthening
Prolonged bedrest and hospitalization have be shown to result in rapid decline in overall strength and flexibility. Our Physical Therapists provide treatment to help patients prevent of minimize this loss of strength, or to restore it as quickly as possible
 
Incontinence
Our outpatient Physical Therapy Staff are available to assist patient who experience incontinence. (See Continence Recovery Program)
 
Palliative Support
Physical therapists also play an integral role in the comprehensive palliative support of patients, providing pain management and quality end-of-life care.

If you would like to be evaluated by a Physical Therapist, please ask your physician for a referral.

 

 

Occupational Therapy

Occupational Therapy

City of Hope's Occupational Therapy program focuses on restoring skills and teaching adaptive techniques to help patients resume their day-to-day lives with the greatest independence possible.

Comprehensive Breast Cancer Program
Our Occupational Therapists have developed a comprehensive breast cancer rehabilitation treatment program. Patients are evaluated by an Occupational Therapist prior to surgery where baseline status is determined. Patients are provided with education regarding exercise and activity to begin immediately following surgery and are followed up until the patient has regained her arm range of motion and resumed day to day activities.
 
Building Endurance and Function
Cancer patients can sometimes encounter difficulties performing normal everyday tasks as a result of fatigue or limitations in physical function. Occupational therapists assist patients in addressing these problems by using a combination of adaptive techniques, energy conservation measures and the use of specialized equipment.
 
Adaptive Techniques and Equipment for Activities of Daily Living
Occupational Therapists are uniquely qualified to develop adaptive techniques or suggest adaptive equipment to assist patients in achieving the highest level of independence in day to day functioning as possible. Often a combination of exercise, habit change, and use of equipment lead to the restoration of one's independence after physical changes brought about by cancer or its treatment.
 
Lymphedema
City of hope offers lymphedema assessment and treatment by Certified Lymphedema Therapists. (See Lymphedema Program).
 
If you would like to be evaluated by an Occupational Therapist, please ask your physician for a referral.
 
 

Recreation Therapy

Recreation Therapy

Intensive cancer treatments can be as emotionally demanding as they are physically challenging.
 
City of Hope’s Recreation Therapy Department works to promote a greater sense of well-being in patients through leisure activities that foster intellectual, emotional, social, and educational growth. Our Recreation Therapists are an essential component of both the adult and pediatric treatment teams.
 
Through an array of programs – both group and individualized – children, adolescents, and adults can pursue their personal interests in an environment that is as welcoming and respectful as it is compassionate and supportive. Our therapists provide guidance and resources to help patients adjust to the hospital environment, find ways to be active, and give voice to their emotions, feelings, and stressors, as well as to meet and interact with others in similar situations.
 
Recreation therapy is provided for inpatients. If you would like to participate in recreation therapy, please ask your physician for a referral.
 

Speech and Language Pathology

Speech and Language Pathology

Sometimes treatments for cancer  can cause temporary or permanent changes in speech, communication, swallowing, or cognitive skills. Through retraining or the use of prosthetic devices, these effects can often be minimized or, in some instances, reversed.
 
Speech
City of Hope’s Speech and Language Pathologists are experts at restoring speech to patients who have undergone a variety of surgical and reconstructive procedures. They provide training in the most up to date techniques for alternative speech, including a variety of voice prostheses.
 
Swallowing
Our Speech and Language Pathologists are also experts at treating swallowing disorders. They are an integral part of the Head and Neck Team and work closely with the surgeons, dieticians, and oncologists to ensure the best possible outcomes.
 
Cognitive Deficits
They also provide treatment for cognitive disorders that may arise from the cancer or as a result of the treatment, including memory and other cognitive exercises, and adaptive strategies.
 
If you would like to be evaluated by a Speech and Language Pathologist, please ask your physician for a referral.

 

 

Lymphedema Program

Lymphedema Treatment

Cancer patients often contend with swelling or edema (a build-up of fluid) as a result of having lymph nodes removed during surgery or damaged from radiation or cancer. This condition is known as lymphedema.
 
City of Hope Rehabilitation Services has therapists who are certified in the treatment of lymphedema. This certification ensures that the therapists have completed extensive education and training in the latest treatment techniques and use of compression garments to ensure the best possible outcomes.
 
The swelling characteristic of lymphedema can result in great discomfort, the inability to fit into clothes and the loss of range of motion and function. Swollen limbs can adversely affect body image and make it difficult to perform daily activities such as walking and reaching. The affected area is also at risk for infection.
 
Lymphedema therapists use a combination of treatments to manage the condition. These may include manual lymph drainage, compression bandaging, exercise, the use of a pneumatic sequential compression pump, and/or compression garments.
 

City of Hope Rehabilitation Services has Certified Lymphedema Therapists. This certification ensures that the therapists have completed extensive education and training in the latest treatment techniques and use of compression garments to ensure the best possible outcomes.

 

 

Urinary Incontinence Program

Continence Recovery Program

Incontinence can be an unwanted side effect of certain surgeries such as prostatectomies or bowel surgeries. It can interfere with one's engagement in work, hobbies, socialization, and quality of life. This can lead to isolation of those that suffer from incontinence.
 
City of Hope Rehabilitation Services provides treatment for incontinence using a program designed here at City of Hope specifically for CIty of Hope patients for both men and women. Using a combination of biofeedback and progressive pelvic floor exercises, patients can regain the confidence and quality of life they deserve by reducing or eliminating incontinence.
 
If you would like a referral to the Continency Recovery Program, please ask your physician for an order or a prescription.

 

 

STAR Certification

STAR Certification

City of Hope is proud to announce that it has become a STAR (Survivorship, Training, and Rehabilitation) Certified Institution with it's first cohort of certification recipients in collaboration with Oncology Rehab Partners. The goal of this program is to ensure our patients receive the most up-to-date, evidence based rehabilitation services available.
 
These members of the City of Hope health care team completed 25 hours of training and successfully passed the certification exam:
 
NAME TITLE
Melanie Ahrens,  DPT Physical Therapist
Linda Allen, PTA Physical Therapist Assistant
Peggy Burhenn, MS, CNS, AOCNS Professional Practice Leader
Toni Carreras-Irwin, RC, RTC Recreation Therapist Lead
Joseph Chao, MD Physician, Medical Oncology
Michael Chou, DPT Physical Therapist
James Corradi, PTA, HFS-HCSM Physical Therapist Assistant
Shaka Graves, RTC Recreation Therapist
Jennifer Hayter, MA, OTR/L, CLT-LANA, SWC Director, Rehabilitation Services
Sherry Hite, MOT, OTR/L Occupational Therapy Lead
Norma Hook, MPT Physical Therapist
Tracy Jimenez, MPH, RD, CSO Clinical Dietician
Valerie Linane, MA, CCC Speech and Language Pathologist
Cecilia Mangali, DPT Physical Therapist
Priscilla Park, MA, OTR/L Occupational Therapist
Sonia Smith, RN, NP Supervisor, Outcomes Research
Belinda Torrez, MA, OTR/L, CLT-LANA, PAM Occupational Therapist
Peggy Trindle, RN, CPHN Quality Improvement Specialist
Ron Vandenbrink, RPT Physical Therapist
Gouri Varatkar, MPTh, GCS Physical Therapy Lead
Carin van Zyl, MD Physician, Supportive Care
 

Support This Program

Support this program

It takes the help of a lot of caring people to make hope a reality for our patients.  City of Hope was founded by individuals’ philanthropic efforts 100 years ago. Their efforts — and those of our supporters today — have built the foundation for the care we provide and the research we conduct. It enables City of Hope to strive for new breakthroughs and better therapies, ultimately helping more people enjoy longer, better lives.

For more information on supporting this specific program, please contact our Philanthropy Department at 800-667-5310 or philanthropy@coh.org. Or, to make a gift that supports all the research at City of Hope, donate online now.
 
We thank you for your support.
 
 
 
Patient Care Overview

City of Hope Locations

Faces of Cancer

Meet City of Hope patients and their families.
 
 
Clinics/Treatments/Services
As a Comprehensive Cancer Center – the highest designation given by the National Cancer Institute – we are widely regarded as a leader in cancer prevention and treatment.

Cancer Expertise Matters


NEWS & UPDATES
  • Valentine’s Day is synonymous with dinner reservations, red roses, heart-shaped boxes of chocolates and — more often than not — unrealistically high expectations. Managing those expectations is great advice for all couples on Feb. 14 — and is especially important for couples confronting a cancer diagnosis. Focu...
  • With measles, what starts at a theme park in California definitely doesn’t stay at a theme park in California. Since the beginning of the current measles outbreak – traced to an initial exposure at Disneyland or Disney California Adventure during December – more than 100 people have been diagnosed with a diseas...
  • Even the most loving and secure relationship can be rattled by a life-threatening illness. When a woman is diagnosed with breast cancer, research shows one of the most important factors in helping her cope is having a supportive partner. But that partner can struggle with knowing what to say or how to best supp...
  • It’s been more than a century since Nobel Laureate Paul Ehrlich popularized the idea of a “magic bullet” targeting disease. Cancer researchers ever since have remained in hot pursuit of targeted therapies that home in on cancer cells while leaving normal cells unaffected. Linda Malkas, Ph.D., associate chair of...
  • Cancer patients face a daunting journey marked by challenges and uncertainties. For those undergoing bone marrow, or stem cell, transplantation, one complication poses a particular threat — chronic graft-versus-host disease (GVHD). Now, one researcher may have found a better way to control that threat. GVHD res...
  • Michele Dahlstein, a 50-year-old breast cancer survivor from Upland, California, celebrated her last day of chemotherapy on Dec. 30. She shares her story in her own words: I was diagnosed with breast cancer (invasive ductal carcinoma stage 2) on Aug. 11, 2014, after my yearly mammogram at City of Hope’s W...
  • The treatment of urologic cancers, including bladder cancer, is rapidly evolving. Here, urologic oncologic surgeon and kidney stone specialist Donald Hannoun, M.D., an assistant clinical professor in the Division of Urology and Urologic Oncology at City of Hope | Antelope Valley, explains the changes in hi...
  • A woman confronting metastatic breast cancer faces challenges that, at the outset, seem overwhelming. Research tells us these patients are especially vulnerable to anxiety, depression, hopelessness and other sources of distress. At the same time, they are asked to make complicated choices about their medical ca...
  • California health officials are opting to be safe rather than sorry when it comes to e-cigarettes. The increasingly popular devices are a public health threat, according to a California Department of Health report released Jan. 28. The department is seeking statewide regulation of e-cigarettes, saying they  emi...
  • “Not beyond us.” On World Cancer Day, researchers and caregivers around the globe are embracing this refrain. Specifically, the day calls for action to support healthier lifestyles, early cancer detection, quality of life and access to care. In a time of impressive scientific discovery and narrowing...
  • With more advanced cancer treatments and therapies saving lives every day, it’s safe to say cancer is “Not beyond us,” the official tagline for this year’s World Cancer Day. This year’s World Cancer Day observance takes place on Wednesday, Feb. 4, and focuses on cancer prevention, detection an...
  • Does our environment increase our risk of cancer? What about plastic bottles, radiation, chemicals, soy products …? Do they cause cancer? With so many cancer fears, rumors and downright urban legends circulating among our friends and colleagues, not to mention in the media and blogosphere, why not ask the...
  • With this week’s World Cancer Day challenging us to think about cancer on a global scale, we should also keep in mind that daily choices affect cancer risk on an individual scale. Simply put, lifestyle changes and everyday actions can reduce your cancer risk and perhaps prevent some cancers. According to ...
  • If you haven’t heard the term “precision medicine,” you will. If you don’t have an opinion about access to it, you will. On Friday, President Barack Obama unveiled details of the Precision Medicine Initiative, an effort intended to accelerate cancer research in a powerful way, giving doctors new knowledge and n...
  • The lack of a practical way to produce and store enough stem cells for larger-scale therapies and clinical trials is creating a bottleneck in stem cell research. A new grant to City of Hope from the California Institute for Regenerative Medicine (CIRM) will help solve that problem. The $899,728 grant, awarded T...