Therapy Department

Therapy Department

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Butler County Health Care Center Therapy Department provides services for those who have suffered functional loss due to an illness or injury. Occupational Therapy, Physical Therapy and Speech Therapy services are available to patients of all ages from infant to adult to geriatrics. The therapy team at Butler County Health Care work together with patients and families to design a care plan to meet each patient's individual goals and needs. Occupational Therapy, Physical Therapy and Speech Therapy focus on helping people overcome life challenges so that they can adjust and live a productive life. However, each therapy is unique in which part of recovery it affects.

Occupational Therapy

Occupational Therapy (OT) is concentrated on the promotion of health and well-being through occupation. This means how individuals occupy their time such as eating, sleeping, dressing, job duties and leisure activities.

If at any point in life an illness, injury or disability prevents someone from effectively or independently functioning in one more of these occupation areas then OT services are needed.

The ultimate goal of Occupational Therapy is to restore function for patients from infants to the elderly.

Occupational Therapy may address:

  • Self-care skills (feeding, dressing)
  • Life skills (cooking, medication management)
  • Optimize access and use of supportive technologies
  • Accessibility
  • Transition to adulthood
  • Leisure participation
  • Hand therapy (carpal tunnel, post-operative therapy)

Treatment may include:

  • Complete decongestive therapy for Lymphedema
  • LSVT BIg (Parkinson's movement training)
  • Wheelchair evaluation
  • Dynamic balance training
  • Fine motor development (grasping objects)
  • Sensory processing (tacticle sensitivities)
  • Use of adaptive equipment
  • Vision perception training
  • Splinting


Physical Therapy

Physical Therapy (PT) is a healthcare specialty that includes the evaluation, assessment, and treatment of an individual with functional mobility limitations.

PT is needed when health problems make it hard to move around and do every day tasks. PT assists individuals from pediatrics to geriatrics, who have sustained disabilities, impairments or limitations in their overall physical function.

These limitations can be the result of disease, injury, pathologic processes or post-operative recovery. The focus of Physical Therapy is on restoring mobility of an individual.

Physical Therapy may address the following diagnosis:

  • ACL reconstruction and/or meniscal repairs
  • Rotator cuff repairs
  • Ligamentous sprains
  • Ankle sprains and Achilles repairs
  • Joint replacement
  • Sports injuries
  • Back and neck injuries
  • Tendinitis/bursitis
  • SI/pelvic dysfunction

Treatment may include:

  • Strengthening and flexibility exercises
  • Coordination and balance exercises
  • Heat or ice therapy
  • Electrical stimulation
  • Iontophoresis
  • Traction
  • Massage
  • Ultrasound


Speech Therapy

Speech therapy treats swallowing, language, and speech disorders in individuals of all ages from birth to senior citizen status.

The focus of Speech Therapy is to improve the safety and quality of life for individuals affected by disorders resulting from such things as stroke, Parkinson's Disease, ALS, traumatic brain injury, vocal cord disfunction, and developmental abnormalities.

Speech disorders may include:

  • Vocal abnormalities
  • Receptive and expressive language disorder
  • Articulation and phonological disorder
  • Hearing impairments
  • Langauge disorder
  • Pragmatic/social language disorder
  • Motor speech disorders
  • Fluency disorders
  • Cognitive or other developmental delays
  • Swallowing and tongue thrust

Treatment may include:

  • Vital Stim (electrical stimulation of the throat muscles)
  • Diet analysis for safety of swallow
  • LSVT loud (Parkinson's voice training)
  • Therapeutic exercise
  • Cognitive (thinking) therapy
  • Articulation training
  • Language training
  • Compensatory strategy training
  • Assessment for use of assistive technology for severe speech and language disability
Meet Our Therapists
Meet Our Therapists

Lindsey Crook, PT, DPT

Lindsey Crook is a native of Shelby, NE, graduating from Shelby High School.  She received her Associated of Science Degree from Central Community College, graduating with honors.  In 2010, Lindsey graduated Summa Cum Laude with a Bachelor of Science Degree in Biology from the University of Nebraska-Omaha.  She received her Doctorate of Physical Therapy Degree from the University of Nebraska Medical Center in 2013. Lindsey has practiced in a variety of settings including inpatient, outpatient, skilled nursing facility and home health.  She holds certifications in orthotic fitting and kinesiology taping. 


Kyle Eller, PT, DPT

Kyle Eller is a native of David City, NE, graduating from Aquinas High School. He received his bachelor’s degree in Exercise Science from Nebraska Wesleyan University in 2010.  In 2013, he received his Doctorate in Physical Therapy from UNMC where he was awarded The Student Professionalism Award. Kyle has practiced in a wide range of areas including inpatient, outpatient and school settings. He has a particular interest in post-operative rehabilitation and sports medicine, as well as treating other orthopedic conditions. He holds membership with the American Physical Therapy Association and is a Certified Specialist in Soft Tissue Manual Tool (STSM) and Functional Dry Needling.

Rachel Koch, MS, CCC-SLP

Rachel Koch is a native of Clarkson, NE, graduating from Clarkson High School.  She received her Bachelor of Science in Speech-Language Pathology and Audiology in 2011.  In 2013, Rachel received her Masters of Science in Communication Disorders from the University of Nebraska-Lincoln.  Rachel has field work experience from Columbus Community Hospital with inpatient and outpatient rehab, as well as in the public school setting. She is certified in eSwallow Neuromuscular Electrical Stimulation Therapy for the treatment of swallowing disorders as well as LSVT Loud for the treatment of voice disorders.



Kristine Polacek is a native of David City, NE, graduating from Aquinas High School.  She received her Bachelor of Science Degree in Nutrition, Exercise, and Health Science from the University of Nebraska-Lincoln in 2015.  In 2018, she received her Doctorate of Physical Therapy Degree from the University of Nebraska Medical Center.  Kristine’s clinical experience includes outpatient pediatrics, outpatient orthopedics, and acute rehabilitation.  She has a particular interest in working with children with a variety of developmental disabilities and musculoskeletal issues, as well as treating all patient populations with orthopedic condition.


Andy Valenti, PTA

Andy Valenti is a native of Brainard, NE, graduating from East Butler High School.  He received his Bachelor’s Degree in Exercise Science from the University of Nebraska in Omaha.   In 2013, he graduated with honors from Clarkson College earning his Associate of Science, Physical Therapist Assistant degree. Andy practiced as a PTA in the skilled nursing care setting for 4 years in Omaha.  He has special interest in Parksinson’s disease, neurological disorders, post-operative rehabilitation, and other orthopedic conditions.  He holds certification in the Parkinson’s disease wellness and recovery program PWR! Gym Therapist and is working on certification in LSVT BIG.   

Staci Worm, MOT, OTR/L

Staci Worm is a native of David City, NE, graduating from David City High School.   She received her Bachelors of Rehabilitative Studies in 2014.  In 2015, Staci received her Masters in Occupational Therapy from the College of Saint Mary.   Staci has field work experience from Columbus Community Hospital Wiggles and Giggles, outpatient pediatrics and Nebraska Methodist Hospital on the inpatient rehab floor. Staci is trained in Handwriting Without Tears (HWT) and Sequential Oral Sensory (SOS) Feeding.   She has also received specialized training in Sensory Integration, Sensory Modulation, Pediatric Vision Rehabilitation Pediatric Development, Therapeutic Listening and Astronaut Training.

Hannah Wurl, OTD, OTR/L

Hannah Wurl is a native of Brainard, NE, graduating from East Butler High School.  She received her Bachelor of Science in Biology from Doane College.  In 2013, Hannah received her Doctorate in Occupational Therapy from Creighton University.  Hannah’s clinical experience includes skilled nursing management and patient care, program development for dementia care, neurorehabilitation, Parkinons’ disease movement training and lymphedema therapy.   Hannah holds certification in the Parkinson’s disease wellness and recovery programs titled LSVT BIG and PWR! Gym Therapist and is a certified Lymphedema Therapist s.  


Cardiac and Cardiopulmonary Rehabilitation services are beneficial for patients recovering from a heart attack, heart surgery or who have chronic lung or heart disease. Cardiac Rehabilitation focuses on strengthening the heart while Cardiopulmonary Rehabilitation focuses on strengthening the lungs. The goals of both Cardia and Cardiopulmonary Rehabilitation are to create individuated plans to help regain strength, prevent conditions from worsening and improve a patient's health and quality of life.

Cardiac Rehabilitation

Cardiac Rehabilitation is a planned program of health education, counseling, and training to help people with heart conditions enjoy better health.

Cardiac Rehab is a program for people who have endured:

  • coronary artery bypass surgery
  • heart attack
  • angioplasty or stent placement

Our Cardiac Rehab department will help you to:

  • regain strength to return to your usual activities
  • develop a healthy diet
  • exercise regularly
  • help manage stress and your emotions

Cardiac Rehab is covered through most insurance companies and Medicare, depending on specific diagnosis. For more information about Cardiac Rehabilitation, please call (402) 367-1255.


Cardiopulmonary Care

Breathing problems can be in the form of chronic lung problems like asthma, bronchitis, and emphysema, but can also include those who suffer from heart problems, cystic fibrosis, lung cancer or the after-effects of an accident.

Respiratory Treatment
Butler County Health Care Center has a Respiratory Therapist on staff who aids in the treatment of chronic lung illnesses. Upon physician referral, a respiratory therapist performs procedures that are both diagnostic and therapeutic. Treatment of patients with breathing disorders involves the use of equipment to administer oxygen. Treatment may also entail administration of medications in aerosol form.

Pulmonary Rehabilitation
Cardiopulmonary rehabilitation takes place on an individual basis. Patients suffering from chronic lung problems work to expand their lung capacity to its fullest potential so they can achieve an optimal lifestyle. This often involves low-impact aerobic exercise sessions and counseling. A physician's referral is necessary for this program. Please contact Cindy Yound, RN at (402) 367-1255 for additional information.