Enhancing Movement In-Home Pediatric & Adult Physical Therapy: Making Movement Easier

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About Temrah

Podcast
About  Temrah Okonski, physical therapist, pediatric and adult care.

   Serving Howard County & nearby (Anne Arundel, Baltimore, Prince George's Counties), Maryland

                                                                                        

Hi!


I'm Temrah, a physical therapist with over 35 years of experience.  I specialize in working with children who have motor disabilities and adults who need movement support, offering personalized in-home physical therapy.


I truly enjoy working with children, helping them develop their gross motor skills, while empowering you with the tools to enhance your child's movements. 


In addition to my experience with children, I have extensive expertise in adult rehabilitation.  My sessions focus on improving your mobility and creating a customized exercise program that fits your individualized needs.


I understand the challenges of caring for a child with disabilities.  That is why I take a holistic approach, working not only with the child but also supporting the entire family.  For caregivers experiencing muscle strain from daily care,  I offer "dual-treatment" sessions:  back-to-back sessions where we address both your child's needs and your own.   

 

 On a personal note, I live in Ellicott City with my husband. My father, who has dementia, lives with us for six months out of the year. Our young adult children live on their own.   I am deeply committed to health and wellness (having  competed in 18 sprint triathlons) and I love learning. When I'm not working, you'll find me spending time with family and friends, traveling, gardening, or exploring watercolor painting (why not?). I am also passionate about giving back and have volunteered with National Injury Prevention Foundation, Girls on the Run, local Parent-Teacher Associations, Sante Total Healthcare for Haiti's Poor, and Rotary.    


For those who want to know more! 


 EDUCATION

  • BS and Certification of Physical Therapy, Simmons College, Boston MA, 12/1988 to include semester abroad in Gujarat, India to study Ayurvedic medicine 
  • Post-Graduate Fellowship in Adult Neuro-Trauma and NICU PT, Herman Hospital, Houston, TX, 10/89-12/1989
  • Post-Graduate Fellowship in Pediatric PT, Georgetown University, Washington, DC 2/1994-5/1994 
  • Dry Needling Certification, 9/2018
  • Therapeutic Trampolining, 8/2024


PUBLISHED MATERIAL

             NAEYC's Young Children 

Publication pending, Summer 2025


             Exploration of Neuroprotective Therapy November 16, 2022,                          https://doi.org/10.37349/ent.2022.00031                                                                        

Dry needing with electrical stimulation for the treatment of a pediatric patient with spastic cerebral palsy: Case Report 


            Journal of Prosthetics and Orthotics, Oct 12, 2021

doi: 10.1097/JPO.0000000000000391 New Orthosis: The Thoracic Lumbar Sacral-Hip Spica Orthotic Sitting Frame 


            Navy Medicine (Vol. 90 No. 1, Jan.-Feb. 1999), “Supporting Our Children: A Review of Popular Positioning Devices” 


            Pediatric Physical Therapy, book reviews in the Spring and Summer 1995 magazines

   

            Today's Student in P.T. (Fall 1991), "Rehabilitation of the Elderly Patient"


            Simmons Review (Vol. 72 No. 2, Spring 1990), "In Our Opinion: Two Witnesses at Tiananmen Square"


            Today's Student in P.T. (Fall 1990), "Clinical Fellowships"


            Clinical Management in Physical Therapy (Vol. 10 No. 4, July/Aug. 1990), "Clinical Fellowships"


SPEAKING ENGAGEMENTS

            MD Center for Developmental Disabilities: Jewish Voices for Inclusion: Moderator (9/2023)  

            Abilities Network: Understanding Cerebral Palsy (2/2023) 

            Association of Children’s Prosthetics-Orthotics Clinics (2021) 

            American Orthotic and Prosthetic Congress World Conference (2017) 

            U of MD Physical Therapy Program: Guest lecturer (2005)


PATENT APPLICATION HISTORY (2017-2024)

            Johns Hopkins University. JHU Ref: A34987: Weighted Ankle Foot Orthosis  (2018)

            Abandoned (2024).  What is a weighted AFO . 


WORK HISTORY

            Pediatric Development and Adult Musculoskeletal In-Home Physical Therapy, Self Employed: Maryland, 2022-current 


            Kennedy Krieger Institute’s Early Childhood Development and Education Center (previously PACT): Pediatric Developmental Physical Therapy: Windsor Mill, MD, Senior PT and student mentor, 2005-current 


            Kennedy Krieger Institute Outpatient Pediatric Care: Baltimore, MD, Senior PT, 2018-2022


            Kennedy Krieger Institute Weekend In-Patient Pediatric Care: Baltimore, MD, PT, 2004-2005 


            Health West Rehabilitation servicing Yakima, and the Yakama Nation: For Pediatric Developmental Physical Therapy and Adult Rehab: Yakima, WA, Physical Therapist/Education Coordinator/Marketing Director, 1997 to 2002


            Department of Navy, Medically Related Services for Children: Pediatric Developmental Physical Therapy: Misawa Airbase, Japan, Pediatric School, Home, and Clinic Based Physical Therapist, 1994-1997


            Misawa City Hospital: Acute Adult Patients: Misawa, Japan, Volunteer Physical Therapist, 1996-1997


            Pediatric Development In-Home Physical Therapy, Self Employed: Maryland and Massachusetts 1988, 1993-1994 


            National Rehabilitation Hospital: SCI, TBI, CVA, Amputee Rehab: Washington, DC, Level 2 Physical Therapist, 1991-1994


            Washington Hospital Center: Acute Adult Care: Washington, DC, Physical Therapist, 1991-1992


            Hebrew Home of Greater Washington: Geriatric Care: Rockville, MD, Physical Therapist, 1989-1990 


            Hermann Hospital, Houston: Acute Adult Care: Houston, TX, Physical Therapist, 1988-1990 


MEDICAL MISSION VOLUNTEER WORK IN UNDERSERVED COUNTRIES  

  • 11 trips to Haiti with Sante Total, Board Member since 2015
  • 1 trip to Cambodia with Sustainable Cambodia, 2023
  • 2 trip to Mauritania with Sinai Hospital, 2024, 2025   

 

OTHER

  • Verification of Suitable Qualifications (2005): MD State Department of Education: Division of Early --   Intervention & Special Education- MD Infants & Toddlers Program
  • CPR: Adult, Child, & Infant CPR & AED, Standard First Aid. expires May 23, 2024


CONTINUING EDUCATION 

1990-present

  • Aquatic therapy 
  • Assistive technology including “Go Baby” cars
  • Balance training
  • Body biomechanics training 
  • Breathing to optimize exercise 
  • Developmental visual processing problems 
  • Dry needling with Kinetacore and Myopain
  • Dynamic Movement Intervention (DMI): Level A 
  • Electrotherapeutic treatment
  • Feldenkrais therapy 
  • Gait training 
  • Geriatric rehabilitation 
  • Infrared heating
  •  Kinesiotaping 
  • Manual craniosacral therapy (The Upledger Institute)
  • Manual therapy for the pelvis and lumbar spine
  • Motor control and motor learning
  • Muscle Energy Technique (MET)
  • Myofascial release
  • Nutrition and mental health
  • Orthopedics of the shoulders-hips-knees-spine
  • Orthotic management 
  • Proprioceptive Neuromuscular Facilitation (PNF)
  • Sensory Integration 
  • Sports related injuries
  • Therapeutic Trampolining (Rebound Therapy)
  • TheraSuit Method: Level I
  • Therapy ball treatment 
  • Ultrasound
  • Universal Exercise Unit Therapy: Level I
  • Vestibular rehabilitation 
  • Yoga 


Hobbies

Health  and wellness, lifelong learning, quality time with family and friends, traveling, gardening, watercolor exploration, and volunteering  




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