Therapy can help recover or maintain independence.

Our licensed physical, occupational, and speech therapists provide at-home therapy services to patients across Central Virginia. Our therapy team is among the strongest and most skilled in the Richmond area, and most have been with us for a decade or more.

While there are differences to each type of therapy, the common goal is to meet patients where they are, outline goals, and work together to reach them.

Physical Therapy

PT manages issues with strength, range of motion, coordination, balance, mobility, and endurance, usually after injury or illness. Our Physical Therapists work with you to develop a treatment plan to meet your goals. This can include:

  • Exercises to improve strength, range of motion, coordination, and endurance
  • Balance training to decrease fall risk
  • Breathing exercises to help manage shortness of breath with activities
  • Transfer training – getting in/out of bed, up/down from chairs
  • Gait training – improving ability to safely walk
  • Manual Therapy to improve range of motion and relieve pain
  • Neuromuscular re-education to improve function after stroke or neurological injury

Occupational Therapy

OT is focused on Activities of Daily Living (ADLs) such as bathing, dressing, grooming, meal preparation, laundry, as well as upper extremity strength and coordination. Our Occupational Therapists evaluate the patient to identity problems and form goals. Treatments may include:

  • Exercises to improve strength, range of motion, coordination/dexterity
  • Working on ADLs to improve safety and independence around the home or daily life
  • Recommending adaptive equipment to improve safety and independence
  • Teaching energy conservation techniques to manage breathlessness or fatigue

Speech Therapy

ST addresses problems with communication, swallowing, and cognition. Our Speech Therapists evaluate patients to develop a treatment plan that may include:

  • Therapy and education for problems with swallowing; for appropriate patients, we provide specialized treatments such as Vital Stim therapy, Deep Pharyngeal Neuromuscular Stimulation, and facial muscle electrical stimulation
  • Treatment for communication problems, including slurred speech, difficulty finding words, voice problems, and stuttering
  • Recommendations for adaptive equipment or compensation strategies as indicated
  • Strategies for treating and managing cognitive/memory impairments
  • Treatment for patients experiencing deficits after a stroke, or related to Parkinson’s disease, brain injury, ALS, oral and laryngeal cancers, and degenerative neurological diseases


“A huge shoutout to my mothers Physical Therapists. They have both been amazing and thanks to their creative therapy strategies, my mom is starting to walk. They said she never would but thanks to the amazing care she received at Covenant Woods and Advance Care, she is making amazing strides.”

A. Kocev, daughter of patient

Meet our Teams and Explore our Services

Our Physical, Occupational, and Speech therapists are part of our broader Home Health team. Get to know them here.

View all Home Health