Wheaton, Illinois – August 28, 2026 – For many people living with multiple sclerosis (MS), rising body temperatures can trigger or worsen symptoms, making everyday activities, including spending time outdoors, playing with children or exercising, more difficult. At Northwestern Medicine Marianjoy Rehabilitation Hospital, patients in the hospital's neuromuscular rehabilitation program are finding relief through the use of cooling vests, an innovative tool designed to help lower core body temperature and improve function.

An estimated 60% to 80% of people with MS are sensitive to heat, which can lead to symptoms such as difficulty walking, cognitive challenges and blurred vision. Research, primarily done in outpatient and community settings, has found that a cooling vest designed to keep the core temperature within safe levels can combat thermosensitivity, a condition of being affected by heat or shifts in temperature, and alleviate some of these symptoms.

Marianjoy clinicians wanted to study the impact of cooling vests in an inpatient rehabilitation setting, an area where limited research has been conducted to date. The Marianjoy Cooling Vest Program was created to assess if torso cooling could improve walking capacity and facilitate fatigue management for thermosensitive patients with MS.

Findings from Marianjoy's study, which is in the process of being published, are encouraging. Therapists observed that patients, after wearing a cooling vest for approximately 30 minutes, experienced an increase in walking distance by 97% and walking speed by 17%.

About 58% of the MS patients studied reported visual impairments such as double vision or blurred vision. After using the cooling vest for 30 minutes, 100% of those patients with visual impairments improved in visual acuity. The findings indicate that torso cooling can lead to improvement in quality of life for MS patients with thermosensitivity.

"Heat can have a significant impact on people with multiple sclerosis, affecting their mobility, vision and overall ability to participate in daily activities," said Elizabeth Foss, MS, OTR/L, FAS, lead therapist in Marianjoy's neuromuscular rehabilitation program. "Cooling vests are giving patients another tool to help manage symptoms, increase endurance and engage more fully in the activities that matter most to them."

Cait Elwart’s Cooling Vest Experience

One patient who has experienced the benefits firsthand is Cait Elwart, a 34-year-old Yorkville resident, athletic trainer and mother of two who was diagnosed with MS in 2022. Following a severe relapse earlier this year that left her unable to walk independently, Elwart completed inpatient rehabilitation at Marianjoy, where she was introduced to cooling vest therapy.

During rehabilitation, therapists had Elwart wear a cooling vest before completing mobility and endurance tests. "After wearing the vest, I did significantly better," said Elwart. "It helps you do more and feel better and you don't get the same slam of symptoms. With MS, you can hit a wall and feel like you can't do any more activity."

Since returning home, Elwart has incorporated a cooling vest into her daily life, using it during outdoor activities, including riding her beloved horse named Scotch. She also recently used a cooling vest to participate in activities with her two children, ages four and seven, while on a family vacation in Michigan.

"I really don't feel like I could participate in vacation without it," Elwart said. “It allowed me to do more and enjoy time with my family without feeling overwhelmed by my symptoms.”

In addition to introducing patients to cooling technology, Marianjoy therapists help connect eligible individuals with resources that may provide cooling vests at little or no cost. The Multiple Sclerosis Association of America (MSAA), for example, offers cooling equipment assistance programs for qualifying patients.

As Marianjoy continues its research, clinicians hope to further demonstrate how cooling vests can support rehabilitation outcomes and improve quality of life for people living with MS.

About Northwestern Medicine Marianjoy Rehabilitation Hospital

Northwestern Medicine Marianjoy Rehabilitation Hospital is the only acute inpatient rehabilitation hospital in DuPage County and is nationally recognized for its comprehensive rehabilitation services.

Earlier this month, Marianjoy Rehabilitation Hospital ranked No. 2 in Illinois and the Chicago metropolitan area and is nationally ranked in Rehabilitation at No. 40 in the U.S. News “Best Hospitals” rankings.

Wheaton, Illinois – June 18, 2026 – After surviving a life-changing bicycling accident that left her with a traumatic brain injury and aphasia, Lemont resident Linda Budziak is back to running her in home daycare, a feat made possible with significant help from the Northwestern Medicine Aphasia Center at Marianjoy Rehabilitation Hospital.

When Budziak went out for a bike ride while visiting friends in Indiana in August 2023, she never expected it would change her life. Just minutes from finishing the ride, rain began to fall, and Linda lost control of her bicycle.

The crash left her with a traumatic brain injury, a brain bleed, and a broken hip and femur. She required emergency brain surgery and spent weeks hospitalized before starting rehabilitation.

When she woke from a coma more than a week later, Budziak realized the injury had affected her ability to communicate. “I could understand that my speech wasn’t right,” she said. “I’m a talking person, so that was hard for me.”

The Northwestern Medicine Aphasia Center at Northwestern Medicine Marianjoy Rehabilitation Hospital would play a critical role in helping Budziak regain her confidence, reconnect with others, and return to the life she loved.

What Is Aphasia?

Aphasia is a language disorder that affects a person’s ability to communicate. It can impact speaking, understanding, reading, and writing, even though the person knows what they want to say.

“At the core of it, a person with aphasia knows what they want to say, but they just have difficulty putting it into words,” said Michelle Armour, MS, CCC-SLP, founder and program manager of the Aphasia Center.

Aphasia is most commonly caused by stroke, but it can also result from a traumatic brain injury or other changes to the brain. The severity and presentation vary from person to person, often affecting daily life, relationships, and independence.

Why the Aphasia Center Is About Community

The Northwestern Medicine Aphasia Center at Marianjoy Rehabilitation Hospital is designed as a community-based program, a unique offering that is accessible to anyone in the community living with aphasia.

“Our main goal is to help individuals not only continue to improve their communication, no matter how long it’s been since their injury, but help them connect with other people who have similar experiences,” Armour said.

Group sessions bring together people living with aphasia to practice communication, socialize, and support one another.

According to Armour, this sense of connection is essential to long term recovery.

“When communication changes unexpectedly from a stroke or brain injury, social circles can shrink and people can feel isolated,” she said. “By providing this safe space where everyone understands what it’s like to have trouble communicating, it creates a new community and helps people avoid that isolating feeling.”

The program emphasizes what Armour describes as “living well with aphasia” by helping participants engage in meaningful activities and relationships, regardless of the severity of their language challenges.

How the Aphasia Center Helped Linda Budziak Get Her Life Back

When Budziak first joined the Aphasia Center program, she struggled with reading and was hesitant to speak in the group. “I literally sat there and I couldn’t even read a sentence,” Budziak said.

Armour remembers those early days clearly. “When Linda first joined our program, she was very quiet and a little nervous,” Amour said. “Over the course of her involvement, she has just blossomed.”

Within weeks, Budziak began to see dramatic improvement. “After three weeks, I was a different person,” Budziak said. “Talking to other people who had injuries or strokes helped me so much. I always told myself, ‘I’m going to get better. I’m not going to give up.’”

The program helped Budziak rebuild confidence in her communication skills, return to running her licensed in-home daycare full time, and discover a new love for reading. “I literally have a love for reading, which I never did,” she said. “It’s also given me a love to help people and to talk to people again.”

Today, Budziak volunteers weekly at Marianjoy and continues to participate in the Aphasia Center, welcoming new members and offering encouragement through her own experience. “If you’re having a hard time, you come here, you talk to other people, and you go home feeling better,” she said. “Being around other people keeps you motivated.”

About the Northwestern Medicine Aphasia Center at Marianjoy

The Northwestern Medicine Aphasia Center at Marianjoy Rehabilitation Hospital is designed for people experiencing aphasia who would like to improve their communication skills and connect with others also experiencing aphasia. In-person and virtual options are available.

Patients can participate in several different ways:

Intensive Comprehensive Aphasia Program (ICAP) — A four-week program comprised of intensive speech services. Participants work with a specialized speech-language pathologists one-on-one and in group sessions for six hours a day, four days a week.     

One-on-One Sessions — Held in person or virtual, one-on-one sessions are available for an additional fee.

Group Activities —  A speech-language pathologist leads small groups sessions where participants can practice their skills through real life activities including games, technology use, writing, books and music. These eight-week programs consist of three-hours sessions once a week. A variety of scheduling options are available.

Northwestern Medicine Marianjoy Rehabilitation Hospital is a nationally recognized specialty hospital dedicated to physical medicine and rehabilitation. The hospital provides comprehensive inpatient and outpatient rehabilitation services for individuals recovering from brain injury, stroke, spinal cord injury, orthopedic trauma, and other complex medical conditions.

Through innovative programs like the Aphasia Center, Marianjoy focuses on helping patients regain function, independence, and quality of life by addressing both physical and cognitive recovery, as well as the social and emotional aspects of healing.

WHEATON, Ill. — With summer in full swing, the pool is more than just a place for laughter and splashing. For three-year-old Kennedy Jachna, it’s where she works hard at physical therapy, determined to live her best life with her rare genetic diagnosis, Activity-Dependent Neuroprotective Protein (ADNP) syndrome, that affects brain development. At Northwestern Medicine Marianjoy Rehabilitation Hospital, Kennedy’s care team turned exercise into playtime through their aquatic therapy program, allowing her to enjoy the fun of pool time while making real progress toward important developmental milestones.

“Aquatic therapy lets kids like Kennedy work on strength and movement in a way that feels like summer fun, not therapy,” said Anton Dietzen, MD, pediatric medical director at Marianjoy Rehabilitation Hospital. “The water helps her relax, try new things, and celebrate every achievement. Kennedy’s progress in the pool has been inspiring to watch.”

Aquatic therapy is delivered by specially trained therapists who tailor exercises to each child’s needs, often combining physical, occupational, and recreational therapy for holistic progress. For patients with ADNP, therapists focus on muscle development, sensory integration, emotional well-being, and social participation. Many children with ADNP syndrome are naturally drawn to water, showing enthusiasm and motivation during aquatic therapy. This affinity can accelerate progress and make therapy more effective.

“We often see children open up in the water in ways that surprise even their families,” said Katherine Foulks PT, DPT, the pediatric physical therapist at Marianjoy who has been working with Kennedy in the pool since she was about 19 months old. “Kennedy is a great example of how the right environment can unlock potential, helping kids stay engaged while they build their physical and social skills. The combination of progress and fun is what makes this work so meaningful.”

ADNP syndrome, also known as Helsmoortel-Van der Aa syndrome, is a rare neurodevelopmental disorder caused by mutations in the ADNP gene. It can present intellectual disability, autism spectrum disorder, and significant delays in speech and motor skills. Children can also experience low muscle tone, making strength training and therapies crucial for daily life.

Kennedy’s enthusiasm for her therapy sessions is unmistakable. Though mostly non-verbal, she expresses her joy with happy grunts and can hardly wait to get in the water, often knocking on the pool door in anticipation. In the pool, Kennedy laughs, smiles, and accomplishes movements that are challenging for her on land. The water turns therapy into play, making each session a highlight of her week.

For Caitlin Jachna, Kennedy’s mom, watching her daughter thrive in aquatic therapy is deeply emotional and affirming. She and her husband were moved to tears during Kennedy’s first session, seeing their daughter so happy and engaged. The joy Kennedy finds in the water and the progress she makes bring hope and relief to her family, reinforcing their gratitude for having access to such innovative, compassionate care.

“From the very first session, we saw a different side of Kennedy in the water,” said Caitlin Jachna. “She was smiling, laughing and doing things we had struggled to see on land. It was incredibly emotional for us as parents, but also so reassuring to see her so happy and engaged. Aquatic therapy has truly been a game-changer for her.”

Kennedy’s journey shows how creative, patient-centered care can help children overcome challenges and embrace the joys of childhood. Marianjoy’s aquatic therapy program is just one example of how the hospital supports families and empowers kids to reach their full potential.

“Honestly, the pool is one of Kennedy’s favorite places to be, and it shows,” said Dietzen. “When a child is smiling, laughing and eager to jump in, you know you’re creating something special. Those moments remind us that therapy can feel just like play.”

Northwestern Medicine offers aquatic therapy at Marianjoy and throughout Chicagoland for adults and children who find it hard to move or exercise in a typical therapy session. Physicians and staff work with patients to develop an aquatic therapy program that may be used alone or with more traditional movement therapies.

Founded in 1972, Northwestern Medicine Marianjoy Rehabilitation Hospital delivers innovative rehabilitation solutions with compassion. The hospital treats a wide range of injuries and illnesses with specialized programs for brain injury, neuromuscular, orthopedic, pediatric spinal cord, and stroke rehabilitation.

 To learn more, visit: https://www.nm.org/locations/marianjoy-rehabilitation-hospital.

WHEATON, Ill. —  For a group of pediatric patients, this morning marked more than playtime. It marked their first experience behind the wheel and for many, their first opportunity to explore independently. At GoBabyGo, children with limited mobility took their first solo rides in custom‑modified electric toy cars built just for them. The annual event is hosted by Northwestern Medicine Marianjoy Rehabilitation Hospital.

During the event, 21 children received custom‑modified, battery‑powered toy cars designed to support their individual therapeutic and mobility needs. Adapted by a team of therapists and volunteers from across Northwestern Medicine, the cars give children who are unable to walk or crawl and are too young for a motorized wheelchair the ability to move, explore and play alongside their peers.

“GoBabyGo is more than a single day. It creates a life‑changing moment for both children and their families,” said Stephanie Salentine, manager of rehabilitation services at Marianjoy Rehabilitation Hospital. “For many of these kids, this is their first experience with independent mobility. Seeing the confidence and excitement as they take that first drive is incredibly meaningful for families and care teams alike.”

GoBabyGo focuses on improving mobility, socialization and developmental skills for young children with physical and medical challenges. Each car is customized with therapeutic modifications such as specialized seating, hand controls, five‑point harnesses and head supports to meet the unique needs of every child. The cars are donated and provided to families at no cost.

For families, watching their children experience independent play and movement, often for the first time, is what makes the GoBabyGo event such a powerful and memorable experience.

“I was not expecting this. Not at all. This is eyound words. It truly is,” said Steven Kosriog, of Carol Stream, Ill., who attended the event with his son Jack. “There’s no greater feeling than seeing your son have that independence, especially the independence that he looks for and we look for in him as parents. It means the world.”

Marianjoy Rehabilitation Hospital has hosted GoBabyGo events since 2015 with support physical and occupational therapists across the Northwestern Medicine health system who volunteer their time to build the cars, as well as community volunteers.

This was the first time the Simmons family, of Joliet, volunteered at GoBabyGo, but they aren’t strangers to the event. Last year, their son Glenn was a recipient of a modified toy car. After experiencing the event as participants, they were eager to come back to bring other children the same joy they experienced from Glenn. Jerome Simmons gathered a group of colleagues to join their volunteer team.

“Last year, it was so much fun. Glenn enjoyed his vehicle so much. We were so happy and overjoyed just to see him get to play and enjoy himself,” said Jerome. “This year, I brought volunteers with me. I’ll be here every year to participate and help increase mobility for other kids.”

Founded in 1972, Northwestern Medicine Marianjoy Rehabilitation Hospital delivers the most innovative rehabilitation solutions available with compassion. The hospital treats a wide range of injuries and illnesses with specialized rehabilitation programs for brain injury, neuromuscular, orthopaedic, pediatric, spinal cord and stroke. In 2024, Marianjoy achieved the prestigious Magnet® designation for nursing excellence. It is one of just a handful of freestanding rehabilitation hospitals in the U.S. to receive Magnet designation. To learn more, visit: https://www.nm.org/locations/marianjoy-rehabilitation-hospital. 

In 2025, 83 dedicated volunteers contributed more than 4,100 hours of service across 11 departments at Marianjoy. They serve in 16 types of roles, including animal therapy, greeters, patient transport, eucharistic minister and more.

“Many of our volunteers have received inpatient and/or outpatient treatment at Marianjoy, while others simply want to make an impact on the well-being of patients and families,” said Lora Cummings, volunteer coordinator at Marianjoy. “What they all share is a commitment to creating a welcoming and comfortable environment for the patients and families we serve.”

Finding fulfillment in service to others

One of those volunteers is Elsie Dieden of Villa Park, who has devoted nearly 25 years of service to Marianjoy. Her involvement began in 2000 when she was working as a special education teacher with District 200 and arranged for her students to assist in the hospital’s mailroom and other departments. After accompanying a student through his volunteer orientation and a few shifts, Elsie found herself drawn to Marianjoy’s mission and began volunteering regularly at the hospital.

Following her retirement from teaching, she deepened her volunteer commitment with the hospital’s spiritual care department. Throughout the years, Elsie has made an impact on hundreds of patients and families in a variety of ways. She is especially proud of helping launch the “Music on Call” program, which brought live and recorded music to patient’s bedsides. Today, Elsie continues to lift patients’ spirits by sharing music on YouTube and engaging in conversation.

“I’ve seen firsthand the healing power of music and its ability to help people relax and open up,” said Dieden. “When I’m visiting a patient, we talk about everything from music and health to family and sports. I’m humbled to play even a small role in someone’s healing journey and to support Marianjoy’s approach to caring for the whole patient.”

How contributing helps foster independence and belonging

Another volunteer is Jackie Peterson, 44, who has been a steady presence at Marianjoy for more than 25 years. Jackie began volunteering in the hospital’s mailroom during her senior year at Wheaton North High School, and today she gives her time and talents alongside her job coach and friend, Kathy Konzcak.

As a person who has lived with a disability, Jackie began volunteering at the encouragement of her parents, Barbara and Chris Peterson. Believing it was important for Jackie to be actively engaged in the community, they saw volunteering as a meaningful way for her to build connections and develop greater independence.

Each Tuesday, Jackie and Kathy spend two hours assembling and delivering Patient and Family Education notebooks throughout the hospital. For 14 years, the two women have worked alongside one another at several nonprofit organizations, forming a close friendship strengthened through shared responsibilities and social activities.  

“Jackie considers the staff and volunteers ‘family’” Konzcak said. “Café staff and team members in housekeeping and registration know Jackie by name, and it’s not uncommon for us to pass nurses in the hallways who stop to say hello.”

Making a difference as a Marianjoy volunteer

As Marianjoy looks ahead, the hospital is committed to expanding its volunteer program. “We’re continually enhancing the volunteer experience so that people feel fulfilled by their service, patients receive meaningful support and staff can focus on providing top quality care,” said Cummings. “Our goal is to welcome as many as a dozen new volunteers in 2026.”

As Dieden and Konzcak have experienced, the benefits of volunteering are significant; serving others enables them to meet new people, develop new skills, gain valuable perspectives and impact the lives of patients and families served at Marianjoy.

Volunteers must be at least 16 years old and commit to a two to four hour shift one day per week. Certain roles may have minimum age requirements based on assigned tasks or the population served. The onboarding process includes an interview, health screening, background check (for those 18 and older) and orientation.

For more information about volunteering at Northwestern Medicine, visit nm.org/volunteer.

WHEATON, Ill. —  Smiles, cheers, and the buzz of tiny engines filled the air as pediatric patients with limited mobility experienced the thrill of independent movement at the annual GoBabyGo event at Northwestern Medicine Marianjoy Rehabilitation Hospital in Wheaton, Ill.

During the event, 18 children were gifted custom-modified, battery-powered toy cars designed to meet their individual therapeutic and mobility needs. The toy cars — adapted by a team of therapists and volunteers from across Northwestern Medicine  — provide children who are not able to walk or crawl and are too young for a motorized wheelchair, the chance to move, explore, and play like their peers.

“GoBabyGo is more than an event — it’s a moment that changes a child’s life and brings joy to these families,” said Stephanie Salentine, manager of rehabilitation services at Northwestern Medicine Marianjoy Rehabilitation Hospital. “For many of these kids, it’s their first taste of independence. Watching them light up as they ‘drive’ for the first time is a powerful and special experience for both families and care teams.”

Originally founded at the University of Delaware, GoBabyGo aims to increase mobility, socialization, and developmental skills in young children with physical and medical challenges. Each car was customized with therapeutic adaptations such as specialized seating, hand controls, five-point harnesses, and head supports to meet the needs of each child. Marianjoy Rehabilitation Hospital has hosted GoBabyGo events since 2015 with the help of physical and occupational therapists from across the Northwestern Medicine health system who volunteer to build the cars. 

For the families, giving their children the opportunity to play independently like their peers despite mobility limitations is what makes the GoBabyGo event special. 

“The car allows Finley to play like other kids his age. His peers are doing the exact same thing,” said Jason Edgar, father of Finley (4). “The car is customized to his condition. He doesn’t have a lot of control of his trunk, so they’re able to [cinch a harness] so he can sit up and actually drive himself. He’s most excited about the radio in the car.” 

Jerome Simmons was excited to surprise his 7-year-old son Glenn with a customized toy car like the one his sister plays with at home. 

“He loves cars. We’re excited about him having his own that he can control and have fun with,” said Simmons. “He gets to be more independent doing something he likes to do. That’s a big thing for me, just getting him to be as independent as possible.” 

Founded in 1972, Northwestern Medicine Marianjoy Rehabilitation Hospital delivers the most innovative rehabilitation solutions available with compassion. The hospital treats a wide range of injuries and illnesses with specialized rehabilitation programs for brain injury, neuromuscular, orthopaedic, pediatric spinal cord and stroke. In 2024, Marianjoy achieved the prestigious Magnet® designation for nursing excellence. It is 1 of only 6 freestanding rehabilitation hospitals in the U.S. to receive Magnet designation. To learn more, visit: https://www.nm.org/locations/marianjoy-rehabilitation-hospital.

“Our continuous recognition would not be achieved if not for the dedication and commitment made each and every day by our physicians, nurses and staff to providing world-class compassionate care to our patients,” said Howard Chrisman, MD, president and chief executive officer, Northwestern Memorial HealthCare. “Driven by our Patients First mission, we strive to be better by any measure that has a positive impact on our delivery of care and patient outcomes.”

Below are highlights for Northwestern Medicine hospitals in the 2024-25 U.S. News Best Hospitals rankings:

• In addition to retaining its position on the Honor Roll of Best Hospitals, Northwestern Memorial Hospital will be designated No. 1 (tie) in metropolitan Chicago and Illinois. Northwestern Memorial Hospital is also nationally ranked in 11 specialties: Cancer (No. 20); Cardiology, Heart & Vascular Surgery (No. 7); Diabetes & Endocrinology (No. 8); Ear, Nose & Throat (No. 16); Gastroenterology & GI Surgery (No. 10 tie); Geriatrics (No. 11); Neurology & Neurosurgery (No. 11); Obstetrics & Gynecology (No. 9); Orthopaedics (No. 11); Pulmonology & Lung Surgery (No. 12); and Urology (No. 12 tie). The hospital is the only Illinois hospital and one of nine hospitals in the U.S. to be recognized as “High Performing” in all 20 procedures and conditions.
• Northwestern Medicine Lake Forest Hospital is tied at No. 8 in both Illinois and the Chicago metropolitan area. The hospital is nationally ranked in three specialties and designated as “High Performing” in four specialties: Geriatrics (No. 47); Neurology & Neurosurgery (No. 34 tie); Pulmonology & Lung Surgery (No. 50); Diabetes & Endocrinology; Gastroenterology & GI Surgery; Orthopaedics; and Urology. The hospital is recognized as “High Performing” in 5 procedures and conditions.
• Northwestern Medicine Central DuPage Hospital is ranked No. 7 in both Illinois and the Chicago metropolitan area. Central DuPage is designated as “High Performing” in five specialties: Cardiology, Heart & Vascular Surgery; Geriatrics; Neurology & Neurosurgery; Orthopaedics; and Pulmonology & Lung Surgery. The hospital is recognized as “High Performing” in 13 procedures and conditions.
• Northwestern Medicine Huntley Hospital, Northwestern Medicine McHenry Hospital and Northwestern Medicine Woodstock Hospital combined are ranked No. 13 (tie) in Illinois and ranked No. 12 in Chicago metropolitan area. The hospitals are designated as “High Performing” in two specialties: Pulmonology & Lung Surgery; and Urology. The hospitals are recognized as “High Performing” in 9 procedures and conditions.
• Northwestern Medicine Palos Hospital is tied at No. 15 in Illinois and tied at No. 13 in the Chicago metropolitan area. Palos Hospital is also recognized as “High Performing” in 9 procedures and conditions.
• Northwestern Medicine Marianjoy Rehabilitation Hospital is recognized by U.S. News and World Report with a national ranking of No. 45 (tie) for Rehabilitation.
• Northwestern Medicine Delnor Hospital was as “High Performing” in 4 procedures and conditions.
• Northwestern Medicine Kishwaukee Hospital is recognized as “High Performing” in 1 procedure and condition.

To view the full U.S. News & World Report rankings, visit: Best Hospitals | U.S. News Hospital Rankings and Ratings (usnews.com)

Language is not only David McClure’s livelihood, but also a point of pride.  When a stroke impacted his ability to communicate, McClure admits he went to a dark place emotionally. A unique aphasia program at Northwestern Medicine Marianjoy Rehabilitation Hospital in Wheaton, Illinois is helping the Versailles, Ohio writer regain his sense of identity.

In January McClure had a stroke while on the job at MidMark Corporation. Fortunately, a coworker quickly called 9-1-1. However, even with the rapid treatment, the temporary lack of blood flow to the part of his brain responsible for speech caused permanent damage. He was diagnosed with Broca’s aphasia, a language disorder in which patients can often understand speech and know what they want to say but have trouble finding and fluently speaking the right words.

“This was tragic for me. My thoughts exist but words fail me. They didn’t use to. I spoke well and often eloquently. It was part of who I was,” said McClure.

McClure attended outpatient speech therapy but felt he only regained about 20% of the language ability he needed to return to work and a full life. His sister, an occupational therapist at Northwestern Medicine Marianjoy Rehabilitation Hospital, encouraged him to enroll in the hospital’s Intensive Comprehensive Aphasia Program (ICAP).

“Research shows that intensive speech therapy can help people with aphasia improve their language abilities. ICAP is designed to maximize on neuroplasticity by providing therapy at a high dosage and frequency to make the most progress possible in a relatively short amount of time,” said Michelle Armour, MS, CCC-SLP, program lead clinician of the Northwestern Medicine Aphasia Center at Marianjoy Rehabilitation Hospital.

Neuroplasticity is the ability of the nervous system to reorganize its structure, functions or connections after injuries, such as a stroke or traumatic brain injury. These reorganized pathways and new connections move functions from a damaged area of the brain to other undamaged areas.

“There are ten principles of neuroplasticity that have been found to drive positive change. A few of those include ‘use it or lose’, repetition and intensity,” said Armour.

Full-time ICAP participants undergo six hours of therapy four days a week for four weeks. A part-time option offers four hours of therapy each day. ICAP sessions include individual therapy, group therapy, social participation, and a dyad (one therapist and two clients).

In one-on-one sessions speech therapist Clare Goodman taught McClure strategies to overcome what he calls “the cobwebs in my brain.” One technique involves picturing the word and associated words in a ring around it.

“Before I was always stuck. It is like a Chinese finger trap. I would get locked. This program taught me to relax, release and think about the periphery of my thoughts,” said McClure. “I can sometimes get back to the word, or at least say something close enough to get my point across.”

McClure especially enjoyed the group sessions where Armour would lead the group in conversations with various topics to reflect meaningful interactions.

“The fire inside is to have conversation,” said McClure. “If you sat in solitude or just watched but didn’t engage, it wouldn’t clear the cobwebs. To converse intentionally and in a guided fashion is essential.”

McClure received homework at the end of each day that was personalized to help him focus on speaking and writing. Now he can write sentences with coherent structure and think while writing.

“What has happened here is breathtaking,” said McClure. “My family came to visit after not seeing me for several weeks and they were aghast at how fluently I was speaking. The fluency is the biggest difference for me. I was very choppy when I arrived. My vocabulary is coming back from the precipice.”

While at Marianjoy, McClure also completed the Driver Rehabilitation Program to ensure he can drive safely following his stroke.  He was able to regain strength, flexibility and balance by working out with personal trainers at Marianjoy’s Health and Fitness Center.

“My husband is a person who relies on his intellect in all his relationships. Although still intact, his struggle with aphasia seemed to make him feel like a lesser version of himself,” said David's wife Michelle McClure. “He leaves the ICAP with tools, resources and renewed confidence. As his wife, I benefited from the meetings that centered on the participants’ care. I feel supported, not only with the knowledge of how to help my husband, but also as a caregiver to help myself.”

McClure hopes to return to his job at Midmark, where he writes technical manuals and user guides for healthcare equipment. He says he isn’t yet back to the level he needs to explain complicated material, but he knows he is on his way.

“I missed feeling like I was able to think things through correctly, precisely, intelligently. It hurt my heart to not be who I was, but I’m getting to show myself again thanks to what they have done here,” said McClure.

Now back at home in Ohio, McClure will continue services through the Northwestern Medicine Aphasia Center at Marianjoy virtually. He hopes to shine a light on aphasia, which he describes as a quiet disorder that not enough people understand. According to the National Aphasia Association, nearly 2 million people in the USA have aphasia. About one third of strokes result in aphasia.

“There are so many people with aphasia who can’t say what they want to say,” said McClure. “The more we talk about aphasia, the better.”

To learn more about the Northwestern Medicine Aphasia Center at Marianjoy, visit nm.org/aphasiarehab.

By combining inpatient and outpatient services into a new Procedure Center, Northwestern Medicine Marianjoy Rehabilitation Hospital is improving and increasing access for patients with complex medical issues. The new 2,900-square-foot center, located on the first floor of Marianjoy’s inpatient hospital, features multiple exam, procedure and recovery rooms.

Services in the Procedure Center include electromyogram (EMG), radiology, video fluoroscopic studies, and endoscopic exams for swallowing and voice evaluations. Additionally, the radiology suite and a new fluoroscopy C-arm were moved from the outpatient location to the newly renovated area.

“This has been one of the most transformative projects at Marianjoy,” said Susan Brady, vice president at Northwestern Medicine Marianjoy Rehabilitation Hospital. “Inpatients will no longer have to be transported over to the outpatient building for these exams, easing the healing process.”

The new center has four dedicated electromyogram rooms to support the growing demands for EMG in the west suburbs. The diagnostic procedure can assess the health of muscles and nerve response by recording the electrical activity of muscle tissue at rest and during activity.

“EMG and nerve conduction tests play an integral part in the diagnosis of a nerve-related pathology causing either weakness, pain or numbness in a patient. It usually is an extension of the clinical examination as well as neuro-imaging studies, and helps clinicians diagnose and treat the condition,” said Dolly Devara, MD, physical medicine and rehabilitation physician at Northwestern Medicine Marianjoy Rehabilitation Hospital.

The larger space increases capacity for video fluoroscopic swallowing studies and endoscopic exams for swallowing, making it possible to offer tests to more adults and pediatric patients. Video fluoroscopic swallowing study systems record an X-ray of the individual's entire swallowing process in a continuous motion picture format. Endoscopic exams involve inserting a small camera and light into the throat to view and video the swallowing and vocal process. In early 2024, the new Procedure Center will offer epidural injection procedures.

“As we designed this new space, we put our patients’ needs front and center,” said Anne Lindstrom, director of operations at Northwestern Medicine Marianjoy Rehabilitation Hospital. “There is a growing need for these services in our area, and we are pleased to put more resources toward the testing and procedures that will help improve our patients’ quality of life.”

To schedule a test visit Northwestern Medicine Procedure Center at Marianjoy Rehabilitation Hospital | Northwestern Medicine or call 630-933-5000.

In June 2022, Dr. Werner, an anesthesiologist, was at his St. Charles, Ill., home alone when he dropped to the ground. He was too weak to stand, and he couldn’t reach his phone. As he fell in and out of consciousness, he couldn’t comprehend exactly what was happening.

About two hours later, Dr. Werner’s wife returned home and immediately called 911. He received advanced treatment in the Northwestern Medicine Mobile Stroke Unit, a state-of-the-art ambulance equipped with a 16-slice CT scanner and stroke medications. He was rushed to Northwestern Medicine Central DuPage Hospital’s Interventional Lab to remove a 4.5-millimeter blood clot in his brain.

“With the Mobile Stroke Unit, we can take the hospital to the patient and provide treatment right away in the field,” said Harish Shownkeen, MD, medical director of the Stroke and Neurointerventional Surgery Programs at Northwestern Medicine Central DuPage Hospital. “This early intervention leads to better outcomes, as every second counts when you are treating a stroke.”

Dr. Werner was out of his hospital bed and walking the next day. Within a week, he was discharged to home.

“It felt like a miraculous recovery. The same day I got home, I cut down a small branch of a tree just to see what I was capable of,” said Dr. Werner. 

However, while he felt great physically, Dr. Werner was having trouble verbally expressing what he was thinking, as well as not always clearly distinguishing what he was hearing. For example, certain letter combinations, such as a “th” and “sh,” would get mixed up, making it difficult to understand some words. He was diagnosed with aphasia.

“Aphasia results from damage to the language center of the brain. Intellectual skills are perfectly intact, but there is a disruption in the ability to communicate,” said Michelle Armour, MS, CCC-SLP, founder and program lead clinician of the Northwestern Medicine Aphasia Center at Marianjoy Rehabilitation Hospital. “It may impact listening, speaking, reading and writing. Every individual is different, however, so not everyone experiences changes in all of these areas.”

To improve functional communication and language, Dr. Werner attended outpatient skilled speech-language therapy at Northwestern Medicine Marianjoy Rehabilitation Hospital. Therapy targets both receptive and expressive language skills with education, retraining and implementing compensatory strategies.

“With Dr. Werner, we specifically focused on verbal expression, thought organization, auditory processing and motor speech skills,” said Amy Nourie, MA, CCC-SLP, speech-language pathologist at Marianjoy Rehabilitation Hospital. “Dr. Werner demonstrated exceptional effort and follow-through of completion of home exercise programs, which positively affected his recovery.”

The goal is stimulation of the brain’s language center to engage aspects of neuroplasticity, the ability of the brain to find new pathways. Patients also learn new methods of communication, such as gestures, pictures or use of electronic devices.

“At first, the recovery is remarkable, but then it slows down, and over the next year, there is a gradual improvement,” said Dr. Werner. “I’m a type-A personality, and I’ve faced this like a mountain to climb. If I feel like I’m hitting a wall, I try something new. Recovery has become a full-time job.”

In addition to outpatient therapy, Dr. Werner attended an eight-week session at the Northwestern Medicine Aphasia Center at Marianjoy. In a small group setting, participants practice communication through real-life activities, including conversation, games, math, writing, music, technology and book clubs. Each session focuses on improving language functioning, socialization, independence and quality of life. 

Dr. Werner made new friends at the Aphasia Center and feels one of the biggest advantages of the group setting is the social interaction.

“People with stroke tend to self-isolate,” said Dr. Werner. “I’ve made a big effort to not do that with my friends. The more opportunities I have to speak with others, the better. People are very supportive and understanding.”

When speaking with Dr. Werner today, the aphasia is rarely apparent to others. But he is very aware of the extra work he must do, especially during fast-paced conversations. With enthusiasm and optimism, he continues to look forward and is dedicated to working on his speech several hours a day.

“For some patients, aphasia may never completely go away, but they can make amazing progress as they learn new skills and keep practicing,” said Armour.

Fernandez tumbled down a flight of stairs in October 2022 when he leapt forward to catch his rambunctious new puppy. He landed headfirst, causing a traumatic spine injury and temporary paralysis of his arms and legs. He underwent emergency spinal decompression surgery to prevent further damage from the swelling. 

“I was conscious, but my first thought was where are my arms and legs,” said Fernandez, who lives in Lombard.

Within a week Fernandez was transferred to Marianjoy Rehabilitation Hospital, where therapists incorporated dance moves into his recovery plan by using the ZeroG Gait and Balance Training System. The robotic body-weight support system is on an overhead track that helped Fernandez practice dance moves without the risk of falling. 

“When Mauricio came to Marianjoy he had extreme weakness in his arms and legs. He couldn’t move his fingers and had little movement in his right ankle and foot,” said Anita Kou, MD, medical director of the Spinal Cord Injury Program at Marianjoy Rehabilitation Hospital. “Mauricio was already motivated, and by including something he loves into his therapy, we’ve seen amazing progress and expect him to continue getting stronger over the next several months.”

The rapid up-and-down motion of tap dancing, which Fernandez started doing in a wheelchair, strengthened his leg and foot muscles. Once his balance improved, Fernandez moved to the parallel bars for ballet poses to strengthen his core and arms. When he was ready for more dynamic moves, the 50-foot track of the ZeroG gave him plenty of room for jumps and leaps.

“Dance is so familiar to Mauricio that by tapping into that muscle memory, it really helped his recovery,” said Julie Zell, PT, physical therapist at Marianjoy Rehabilitation Hospital. “It made therapy fun. Mauricio even taught the staff a dance routine that we all did together.”

Fernandez was discharged from inpatient therapy in late November 2022 and will continue outpatient therapy to work on returning to full form. Just two months after his accident, Fernandez went back to work teaching dance at a local studio in Countryside, Illinois.

“Dancing is my whole life. And while I may never get back to doing ballet lifts, the only solution is to keep putting my best foot forward every day,” said Fernandez. “I hope I can inspire my students to overcome barriers.”

To learn more about Northwestern Medicine, visit nm.org.

WHEATON, Ill. -  In 1972, Northwestern Medicine Marianjoy Rehabilitation Hospital admitted its first patient as a rehabilitation hospital. Over the past 50 years, Marianjoy has continued to evolve with state-of-the-art technology and innovative, evidence-based treatment to maximize the recovery and promote independence for patients. At the very heart of that care has remained a steadfast commitment to exceptional patient-centered care.

Prior to opening its doors, the concept for the hospital was developed by the Franciscan Sisters, Daughters of the Sacred Heart of Jesus and Mary of Wheaton. The facility, originally built in the late 1960s, began as a care space for the Franciscan Sisters. In 1971, local physicians met with the Franciscan Sisters to discuss transforming Marianjoy into a physical medicine and rehabilitation hospital. At that time, there were only two rehabilitation hospitals in Illinois.

Today, Marianjoy offers clinical programs dedicated to brain injury, stroke, spinal cord injury, orthopedic and musculoskeletal conditions, neuromuscular and neurological conditions, and pediatrics. Each year, more than 25,000 patients receive Marianjoy inpatient care, outpatient therapy and physician services.

“Over the years, Marianjoy has helped to advance the field of physical medicine and rehabilitation within our communities and in the field at large,” says Anne Hubling, DNP, president and chief nurse executive of Northwestern Medicine Marianjoy Rehabilitation Hospital. “Marianjoy also is very rooted in Northwestern Medicine’s patients first mission. People who work here are driven by that and our patients feel it.”

In March 2016 — 44 years after Marianjoy first opened its doors — Marianjoy became part of Northwestern Medicine. Since then, the 125-bed hospital has seen significant expansion in technology and innovation.

The Tellabs Center for Neurorehabilitation and Neuroplasticity opened in September 2016.  The Center offers innovative technologies, like robotic exoskeletons, virtual reality and other devices, that tap into the guiding principles of neuroplasticity – the brain’s ability to change or heal in response to experiences. Along with evidence-based approaches, the technology can positively impact the functional recovery of patients who have experienced a stroke, brain injury, spinal cord injury, and other neurological conditions.

In 2017, the Aphasia Center was established to address the long-term challenges of aphasia — a communication disorder that results from damage to parts of the brain that control language.  Led by a speech-language pathologist with expertise in language disorders, small group sessions provide a comfortable and supportive environment for participants to practice their skills through real-life activities.

“People come to Marianjoy to heal after a traumatic or unexpected event in their life,” said Mahesh Ramachandran, MD, chief medical officer at Northwestern Medicine Marianjoy Hospital. “It is rewarding to see patients progress from their severe limitations to improved functional ability and a better quality of life.”

To learn more about the 50^th Anniversary of Northwestern Medicine Marianjoy Rehabilitation Hospital, visit nm.org/marianjoy50.

To learn more about Northwestern Medicine Marianjoy Rehabilitation Hospital, please visit marianjoy.org.