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One2Four

We maximize the function and improve the quality of life of our patients.

Our Mission

To maximize and improve the function and quality of our patients’ lives. We value integrity and never compromise it, and we ensure that everything we do adds value to both our patients’ and employees’ lives because we care about always making a positive impact on people. Twin Boro treats everyone with dignity and respect. We demonstrate leadership, excel in knowledge, and inspire others. We strive for clarity in communication. We innovate, test, and evaluate. We’re open to new ideas, and we’ll never give up.

See how One2FourTM works below
One2Four
Level 1: Total dependence to maximum assist
Level 2: Maximum assist to independent home
Level 3: Independent home to high performance
Level 4: High to ultimate performance

Is there a link between the person that cannot climb stairs due to hip pain and the same person moving smoothly through another yoga class? How does one go from being unable to sleep due to nagging shoulder pain to lifting a smiling grandchild high overhead? What path does a person follow from being unable to walk due to a serious knee injury, run again?

One2Four TM is a link, a method and a path for people to travel in order to do activities that for a moment seem impossible but with the proper guidance and time, obtainable.

One2Four TM is based upon the fact that all people fall somewhere along a health continuum from total disability to ultimate physical performance/function.  In between these extremes of the health continuum are four levels of physical performance where all people are found.  These levels go from a level One, of being dependent on others, to a level Four, in which are people who are striving for excellence in physical performance.   Each of the people in the initial examples was at one functional level and ultimately able to move to another, higher level of function.

How is this done?

One2FourTM Patient/Client

In these cases a Twin Boro Physical Therapist determined for each individual what level of the 4 functional levels within One2FourTM the person was at; one, two, three or four.   Then the goals for each person were established.  After an examination by the Twin Boro Physical Therapist a plan of care was developed to guide the person from the initial low level of function, one or two, to higher functional levels, three or four, that was able to improve the quality of life for each of these people.  What was done for them is done for others each and every day.

Who is a candidate for the Twin Boro One2FourTM program?

Any person who is not satisfied with his/her present level of function and desires to perform at a higher functional level.   One2FourTM will help a person at level one (1), who due to pain and/or weakness is dependent on others for the most basic daily tasks, become able toperform all daily tasks without trouble which is characteristic of level three (3).   Simply put, One2FourTM can help each person who strives to obtain higher physical performance/functional levels.

Healthcare continuum:

Level 1

Level 1 characterized by the individual being dependent of others for activities of daily living (ADL).

Level 2

Level 2 characterized by the individual requiring assistance with ADL.

Level 3

Level 3 characterized by the individual being independent in basic ADL however quality of sports performance is limited to low to moderate intensity activities in unidirectional planes of motion.

Level 4

Level 4 characterized by the individual who is working on improving athletic performance at high intensity in multidirectional planes of motion whether or not the individual is returning from an injury or illness.

LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4
Level of Funtion Assistance for most ADL ADL limitations Independent basic ADL Sports Performance
Exercise Intensity Low (passive to assistive) Low to moderate (assistive to active) Moderate ≥ high Moderate ≤ HIGH
Primary planes of motion Unidirectional Unidirectional to assistive multidirectional Unidirectional ≥ Multidirectional Unidirectional ≤ Multidirectional

The One2FourTM team strives to work efficiently and effectively with each other, allowing those they serve to reach higher levels of function by providing the latest in evidence based interventions. Each level features various members of the team in order to achieve the clients/patients goals in the most cost effective manner.

One2FourTM Team Model: Orthopedic surgeons (Ortho), physical therapists (PT), family physicians etc. under medical doctors (MD), sports performance specialists (SPS)

Level Functional Characteristics Professionals
1 Assistance for Basic ADL Ortho/PT/MD
2 Trouble with Basic ADL Ortho/PT/MD
3 General Fitness Goals MD/PT/Ortho
4 Sports Performance Goals PT/SPS

The collaborative One2FourTM programs are developed to achieve the goals of each patient/client while advancing procedures that will help future patients/clients reach their goals.

Healthcare professionals who may be interested in becoming part of the One2FourTM team are encouraged to contact Twin Boro.

Get back to doing what you love.

We are dedicated physical therapists that genuinely care. We strive to restore you to your former self, no matter the injury.

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Real People, Real Testimonials.

“I had a tear of each shoulder and was in total pain and unable to sleep due to the discomfort. Twin Boro was able to assess my problem areas, work with me and encourage me. Now due to their expertise, knowledge and professionalism I am pain free.”

Maria

"Although getting released from physical therapy is a great thing, today was bitter sweet. How often do you get to rehab with your twin daughters at a place that makes you feel important, special and at home? Twin Boro Physical Therapy in Middletown has been our home away from home for the past three months. We always looked forward to our sessions because they helped us gain back the life we had before. From the phone calls with Stephanie scheduling appointments (all three of us simultaneously) to our awesome therapists: Andrew, Chris, Sydney, Brad, Justin & Anthony, to our PT assistants: Ryan, Gerard, Julian and the girls, we can't thank you enough! We couldn't even walk on two feet when we arrived. Today, we successfully completed "Boot Camp' running, hopping and jumping! We appreciate all that you have done. We will truly miss you all, but you have taught us well. We are forever grateful."

Denise M.

"I am thankful for the treatment I received ant all of the excellent people that administer the therapy. Over time I have used your PT several times and always have found your service be the best. PT for my knee replacement and back pain issues always worked and I would always choose it over pain drugs that can be addictive. Some experience with others confirmed that you are the best. I am giving your treatment five stars because you do deserve that ranking. Good luck in the future."

Joseph R.

The Bridgewater Location is excellent! Every single staff person is on point. From day one when I called to schedule my first appointment and throughout my treatment staff were helpful, professional, and overall a caring and compassionate team. Their professionalism and caring was evident not only in my treatment, also in the treatment of other patients. Being in a room with multiple treatment stations you cannot help but notice the care received by other patients. My ankle is 100% better and if I ever need PT again I would not hesitate to return. I was always a part of the therapy process, if I had questions they were answered. If I wanted to improve my ankle health at home I was provided clear instructions for exercises. Staff were skilled and knowledgeable. I highly recommend this location to family and friends.

Constance C.

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