Welcome to Maine Center for Integrated Rehabilitation

Our goal is to improve functional capacities, promote independent living, and improve overall quality of life for individuals with an Acquired Brain Injury ("ABI"). All of our programs approach treatment in a comprehensive integrated way. Disability often impacts an individual's emotional and psychological health, employment, and lifestyle.

In an effort to maximize continuity of care, a comprehensive integrated team constructs a treatment plan and meets on a regular basis to monitor progress. The team may include the client, the client’s family, a physician, nurse, physical therapist, occupational therapist, speech-language pathologist, social worker/counselor, admission coordinator, case manager, recreational therapist and rehabilitation technicians.

The team assists clients and families in developing and achieving realistic goals for maximum independence. Treatment plans are individualized based on each client’s specific needs, desires, and response to therapy.

MCIR supports client growth and encourages each client to attain his/her goals. Educational experiences for the client, family, and community include a clear understanding of the parameters of rehabilitation and the effects of disability.

Diagnosis Treated

MCIR treats individuals who have sustained an acquired brain injury including:

  • Open/Closed head injury
  • Stroke/Aneurysm
  • Brain tumors
  • Anoxic hypoxic events (loss of oxygen to the brain)
  • Brain infections
  • Concussions
  • Seizures
  • Toxic exposure
  • All other types of acquired brain injury

Brain Injury Rehabilitation

MCIR has a specialized, interdisciplinary, coordinated and outcome-focused brain injury program. The program addresses the unique medical, physical, cognitive, psychosocial, behavioral, vocational, educational and recreational needs of persons with an Acquired Brain Injury ("ABI"). Each client is assessed to determine his/her level of functioning related to: impairments, (problems with body function), activity (execution of tasks, activities of daily living), and participation (involvement in life situations-employment, community activities).

Our staff focuses on outcomes with an emphasis on reducing the deficits that challenge each individual's ability to resume his/her premorbid life-style. Specifically, the focus is placed on identifying skills required for success in the discharge environment.

Treatment programs are client-driven and flexible to meet each client's individual needs and goals. They reflect realistic expectations of recovery, taking into account the client's potential capabilities, the client's social and psychological background, and the environment to which he/she is preparing to return. MCIR staff and clientele work collaboratively to identify each client's ultimate discharge environment. The team identifies barriers to be removed and identifies strategies to lessen the effects of the client's brain injury related to impairment, activity and participation levels of functioning.

The rehabilitation process includes instruction on the use of adaptive and compensatory techniques. MCIR utilizes a traditional, clinical environment and a variety of community settings to assist in the generalization of skills and behaviors. Community resources include: the local Boys & Girls Club, fitness facilities, grocery stores, shopping malls, banks, places of worship, bowling alleys, restaurants, theaters, individuals' homes, etc.


Acquired Brain Injury ("ABI") is an injury to the brain that occurs after birth. Over 9,000 documented ABIs occur each year in the State of Maine. Examples of an ABI are:

  • Stroke
  • Aneurysm
  • Concussion
  • Brain Tumor
  • Traumatic Brain Injury (TBI) from one of the following:
    • Motor vehicle accident
    • Fall
    • Domestic violence
    • And others

There are many symptoms associated with an ABI, including but not limited to:

  • Frequent headaches
  • Decrease in balance, endurance and strength
  • Memory loss
  • Communication skills or abilities
  • Emotional coping

*For your convenience, M.C.I.R. accepts most commercial insurances, including but not limited to Martin's Point, Blue Cross/Blue Shield, Harvard Pilgrim, AETNA and TRICARE as well as MaineCare and Medicare.

Stroke Rehabilitation

Rehabilitation is the process of helping an individual achieve the highest level of independence and quality of life possible -- physically, emotionally and socially. Rehabilitation does not reverse or undo the damage caused by a stroke, but rather contributes to restoring the individual to optimal health, functioning and well being.

The outlook for stroke survivors today is more hopeful than ever due to advances in both stroke treatment and rehabilitation. Stroke rehabilitation works best when the stroke survivor, family/caregivers and rehabilitation staff work together as a team. Family/caregivers must learn about the impairments and disabilities caused by the stroke and how to help their loved one achieve optimal functioning again.

Our stroke rehabilitation team revolves around the stroke survivor and his/her family/caregivers. Through an assessment process involving the review of the stroke survivor's background information and the effects of his/her stroke, family/caregivers interviews, and functional testing, the team is able to establish short and long-term treatment goals. At Maine Center for Integrated Rehabilitation the stroke survivor and the family/caregivers are the team leaders.

Warning Signs for Stroke*

A stroke is a medical emergency. Know these warning signs of stroke and teach them to others. Every second counts.

Warning signs include but are not limited to:

  • Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
  • Sudden confusion, trouble speaking or understanding
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden, severe headache with no known cause.

*Disclaimer: This site is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. Through this site and linkages to other sites, MCIR provides general information for educational purposes only. The information provided in this site, or through linkages to other sites, is not a substitute for medical or professional care, and you should not use the information in place of a visit, call consultation or the advice of your physician or other healthcare provider. MCIR is not liable or responsible for any advice, course of treatment, diagnosis or any other information you obtain through this site. IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY, YOU SHOULD IMMEDIATELY CALL 911 OR YOUR PHYSICIAN.

Stroke Risk Factors*

Some stroke risk factors are hereditary. Others are a function of natural processes. Still others result from a person's lifestyle. You cannot change factors related to heredity or natural processes, but those resulting from lifestyle or environment can be modified with the help of a healthcare professional.

What risk factors can't be changed?

Age -- The chance of having a stroke more than doubles for each decade of life after age 55. While a stroke is common among the elderly, a lot of people under 65 also have strokes.

Heredity (family history) and race -- Your risk for a stroke is greater if a parent, grandparent, sister or brother has had a stroke. African Americans have a much higher risk of death from a stroke than Caucasians do. This is partly because African Americans have higher risks of high blood pressure, diabetes and obesity.

Sex (gender) -- Stroke is more common in men than in women. In most age groups, more men than women will have a stroke in a given year. However, more than half of total stroke deaths occur in women. At all ages, more women than men die of stroke. Use of birth control pills and pregnancy pose special risks for women.

Prior stroke, TIA or heart attack -- The risk of stroke for someone who has already had one is many times that of a person who has not. A Transient Ischemic Attack ("TIA") is a "warning stroke" that produce stroke-like symptoms but no lasting damage. TIAs are strong predictors of stroke. A person who has had one or more TIAs is almost ten (10) times more likely to have a stroke than someone of the same age and sex who has not. Recognizing and treating TIAs can reduce your risk of a major stroke. Also, if you've had a heart attack, you are at higher risk of having a stroke.

What stroke risk factors can be changed, treated or controlled?

High blood pressure -- High blood pressure is the most important controllable risk factor for stroke. Many people believe that effective treatment of high blood pressure is a key reason for the accelerated decline in the death rates related to stroke.

Cigarette smoking -- In recent years, studies have shown cigarette smoking to be an important risk factor for stroke. The nicotine and carbon monoxide in cigarette smoke damage the cardiovascular system in many ways. The use of oral contraceptives combined with cigarette smoking greatly increases a stroke risk.

Diabetes mellitus -- Diabetes is an independent risk factor for stroke. Many people with diabetes also have high blood pressure, high blood cholesterol and are overweight. This increases their risk even more. While diabetes is treatable, the presence of the disease still increases your risk of having a stroke.

Carotid or other artery disease -- The carotid arteries in your neck supply blood to your brain. A carotid artery narrowed by fatty deposits from atherosclerosis (plaque buildups in artery walls) may become blocked by a blood clot. Carotid artery disease is also called carotid artery stenosis. Peripheral artery disease is the narrowing of blood vessels carrying blood to leg and arm muscles. It is caused by fatty buildups of plaque in artery walls. People with peripheral artery disease have a higher risk of carotid artery disease, which raises their risk of stroke.

Atrial fibrillation -- This heart rhythm disorder raises the risk for stroke. The heart's upper chambers quiver instead of beating effectively, which can let the blood pool and clot. If a clot breaks off, enters the bloodstream and lodges in an artery leading to the brain, a stroke results.

Other heart disease -- People with coronary heart disease or heart failure have a higher risk of having a stroke. Dilated cardiomyopathy (an enlarged heart), heart valve disease and some types of congenital heart defects also raise the risk of stroke.

Sickle cell disease (also called sickle cell anemia) -- This is a genetic disorder tha mainly affects African-American and Hispanic children. "Sickled" red blood cells are less able to carry oxygen to the body's tissues and organs. These cells also tend to stick to blood vessel walls, which can block arteries to the brain and cause a stroke.

High blood cholesterol -- People with high blood cholesterol have an increased risk for stroke. Also, it appears that low HDL ("good") cholesterol is a risk factor for stroke in men, but more data are needed to verify its effect in women.

Poor diet-- Diets high in saturated fat, trans fat and cholesterol can raise blood cholesterol levels. Diets high in sodium (salt) can contribute to increased blood pressure. Diets with excess calories can contribute to obesity. Also, a diet containing five or more servings of fruits and vegetables per day may reduce the risk of stroke.

Physical inactivity and obesity -- Being inactive, obese or both can increase your risk of high blood pressure, high blood cholesterol, diabetes, heart disease and stroke. So go on a brisk walk, take the stairs, and do whatever you can to make your life more active. Try to get a total of at least 30 minutes of activity on most or all days.

What are other, less documented risk factors?

Geographic location -- Strokes are more common in the southeastern United States than in other areas. These are the so-called "stroke belt" states.

Socioeconomic factors -- Alcohol abuse can lead to multiple medical complications, including stroke. For those who consume alcohol, a recommendation of no more than two drinks per day for women who are not pregnant best reflects the state of the science for alcohol and stroke risk.

Drug abuse -- Drug addiction is often a chronic relapsing disorder associated with a number of societal and health-related problems. Drugs that are abused, including cocaine, amphetamines and heroin, have been associated with an increased risk of stroke.

*The risk factors listed above were taken from the American Heart Association website. For more information from the American Heart Association on strokes, visit www.americanheart.org.

Orthopedic/Lymphedema Services

Orthopedic Services

The Orthopedic Rehabilitation program of Maine Center for Integrated Rehabilitation ("MCIR") is founded on a functional approach to recovery. Our treatment involves a hands-on approach and our goal is to not only treat the injury, but to teach the client to rehabilitate him/herself. Above all, we stress a highly collaborative approach to therapy. Close communication among the professional staff members and the client is fundamental to the success of this approach to therapy.

Our Orthopedic Rehabilitation program team members have over 40 years of combined clinical experience in treating a variety of orthopedic, sports-related and neurological conditions. Our therapists specialize in the treatment of knee and shoulder conditions, post-surgical conditions, splinting, etc. MCIR's goal is to have every new client scheduled for an initial evaluation within 48 hours of receiving their referral.

Our treatment can help the following conditions:

  • Post surgical rehab
  • Back & neck pain
  • Knee & foot pain
  • Fibromyalgia
  • Tendonitis
  • Bursitis
  • Carpal tunnel syndrome
  • Shoulder strains
  • Dislocations
  • Heel spurs
  • Strokes

MCIR provides a number of evaluations and therapy services including:

  • Physical therapy
  • Occupational therapy
  • Speech/language therapy
  • Work conditioning
  • Aquatic therapy

*For your convenience, M.C.I.R. accepts most commercial insurances, including but not limited to Martin's Point, Blue Cross/Blue Shield, Harvard Pilgrim, AETNA and TRICARE as well as MaineCare and Medicare.

Lymphedema Services

MCIR has 3 Lymphedema therapists, each certified by the Norton School of Lymphatic Therapy. Each therapist is certified in manual Lymphatic drainage and shorts stretch bandaging. 

Lymphedema is an abnormal accumulation of protein rich fluid due to absence of, damage to or removal of lymph nodes or vessels. This fluid tends to affect an entire quadrant of the body such as a leg or arm and the anterior chest to the sternum and prosterior chest to the vertebrae. 

Signs & Symptoms:

  • Swelling that does not go down with elevation
  • Swelling that is not relieved by fluid pills
  • Swelling that is different on the left and right side of the body
  • Swelling that does not "pit" push in and does not leave a finger print

Complete Decongestive Therapy (CDT) is the gold standard in care and involves:

Phase One (Intensive Phase)

  • Clinic visits 2-5 times per week
  • Manual Lymph Drainage
  • Compression Bandaging
  • Skin Care
  • Education
  • Restorative Exercise

Phase Two (Maintenance Phase)

  • The client continues carrying out needed care and has appropriate compression garments to assis in control of edema. 

Maine Coverage Areas

Maine Center for Integrated Rehabilitation covers the Greater Brewer, Fairfield, Rockland and Rockport areas.

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