Rehabilitation Services

Recovering from an injury, illness or surgery can be challenging. The Androscoggin Valley Hospital Rehabilitation Services team can help! Our expert therapists will design a program to get you back to optimal functioning as soon as possible, using a wide variety of therapies and state-of-the-art equipment.

Inpatient and Outpatient Programs

Physical Therapy

Using evidenced based practice, our physical therapists help patients achieve maximum levels of physical mobility, strength, endurance, balance and coordination.  Manual techniques, exercise, stretching, weights and electrotherapy equipment such as TENS may be used.  Physical Therapists also work on relieving pain, allowing patients to move easier. 

"Angela Lanzillo, Physical Therapy Assistant, is top notch, always informative and professional." - AVH Patient

"Therapists were very patient with me and never made me do anything that was painful." - AVH Patient

"The care was very good." - AVH Patient

Occupational Therapy (OT)

The occupational therapists focus on increasing, enhancing and adapting patients' environment and daily living skills to increase their level of independence. We offer on- and off-site programs, including job site analysis, ergonomic evaluations and functional capacity evaluations.

"I had Amanda Reardon, Certified Hand Therapist, by request.  I have had her in the past as has my wife.  She's excellent.  AVH should consider her a great asset to its Occupational Therapy Department." - AVH Patient

"I had very good care.  Amanda Reardon did a great job." - AVH Patient

"The therapist and staff were very helpful.  They are great." - AVH Patient

Speech Therapy

The speech and language professionals at AVH use a wide variety of techniques to help with speech and communication problems, swallowing issues, cognitive challenges, and hearing problems.

Specialized Services

Aquatic Therapy

Aquatic therapy is a valuable form of treatment for people with arthritis, fibromyalgia, back problems and those recovering from injury or surgery, such as total hip or knee replacements or ACL repairs. Working in water dramatically reduces stress on joints, bones and muscles; minimizes swelling of an injured limb; and provides a safer environment in which to address balance difficulties.  In pediatric therapy, the fun environment of the pool allows therapists to challenge children with decreased muscle tone, and improve coordination and functional skills.

Aquatic Therapy is a valuable form of treatment which produces very successful results. It is provided by certified AVH clinicians at the Royalty Athletic Club in Gorham.

Early Intervention

Early intervention is a comprehensive, coordinated, multidisciplinary program of services designed to intervene at the early stages of disability in an infant or toddler under the age of three. Occupational, physical and speech therapies can all be provided as needed for infants or toddlers with one or more of the following developmental disabilities: physical, cognitive, adaptive-communicative, sensory and emotional. Early intervention is designed to support the families as well as the children.  Early Intervention is offered through FCESS (Family Centered Early Supports and Services).

Ergonomics: Preventing Workplace Injury

The AVH Rehabilitation Ergonomics Team can help you ensure that everyone feels comfortable and safe in the work environment. We help fit the workplace to the people who do the work, making it an easier, more productive experience. The members of our ergonomics team begin by assessing the work environment and consulting with employees, then apply their experience in physical and occupational therapy to deal with functional positioning and adaptive solutions.

Home Health

Our physical, occupational and speech therapists help rehabilitate those who are home-bound so they can attain their particular goals, such as returning to life in the community. Visit our Home Health and Hospice web page for more details.


Any patient requiring physical, occupational or speech therapy can receive rehabilitation with a doctor's order.  Along with other members of the multi-disciplinary team, our therapists provide treatment to help patients regain their functional mobility and independence and return to their previous lifestyle.  Staff can order equipment (such as mobility and bathroom aids) and perform Home Safety Evaluations to make life safer and easier when returning home.

Nursing Homes

AVH therapists offer physical, occupational and speech therapy to residents at Coos County Nursing Homes in Berlin and West Stewartstown, NH. For information, please call Coordinator Diane Gorham at (603) 752-2343 or (603) 246-3321.


AVH provides physical and occupational therapy services to the Gorham, Milan and Errol schools (SAU 20).  Physical therapy and sensory based occupational therapy are provided to Berlin Schools (SAU 3) and physical therapy services are provided to the Colebrook school district (SAU 7).  Students receive therapy services within the school environment during the school day.  Students who receive aquatic therapy as part of their program are seen at the Royalty Athletic Club in Gorham.

Physical therapists work to maximize gross motor abilities which include walking, running, jumping and hopping. They ensure safe mobility in the school environment.

Occupational therapists work to maximize fine motor abilities, handwriting, visual motor and perceptual abilities, and sensory integration.

Functional Capacity Evaluation

Functional capacity evaluations (FCEs) are used to determine the client's level of work ability as defined by the Department of Labor Standards and the Dictionary of Occupational Titles. Performed using the Matheson System of Work Evaluation, each FCE is customized for the client by the therapist, based on the diagnosis. A baseline FCE addresses the full range of physical tolerances. A job-specific FCE addresses physical tolerances in comparison to the task demands of the target job. Appropriate return-to-work recommendations are made. A comprehensive report is produced that answers the referral sources' questions as determined at the time of referral. This evaluation is thorough and detailed and executed by a certified therapist. It takes approximately four hours to perform.

Hand Therapy

Hand therapy rehabilitates the upper limb, which includes the hand, wrist, elbow and shoulder girdle. AVH is proud to have a certified hand therapist on-staff.  The CHT credential offers assurance that the therapist has achieved the highest level of competency in the profession and stays up to date with practice in the field.

Wound Care

A physical therapy referral can often benefit a patient with open wounds. Physical Agent Modalities, such as electrical stimulation, ultrasound and whirlpool, can often speed the healing of chronic ulcers (venous, arterial, diabetic) as well as surgical or other types of wounds.

Contact Information

For more information about AVH Rehabilitation Services, call (603) 326-5738