Occupational Therapy

What is Occupational Therapy?

Occupational therapy works to improve the life skills or vocational path of their clients/patients. It is a form of rehabilitation that helps people overcome or adapt to their functional deficiencies so they can live as independently as possible.

Pediatric Occupational Therapy focuses on helping children develop the skills they need to grow into functional, independent adults.

Why would I need Occupational Therapy?

The occupation therapy team at Greater Regional Health is highly skilled in evaluating, treating, and rehabilitating many different types of hand and upper extremity conditions such as:

  • Amputations of fingers, hands, and upper extremities

  • Arthritis

  • Burns

  • Bursitis

  • Carpal Tunnel Syndrome

  • Crush Injuries

  • Cubital Tunnel Syndrome

  • De Quervain's Tenosynovitis

  • Dislocations

  • Duputren's Contracture

  • Fractures

  • Ganglions

  • Golfer's Elbow

  • Infections

  • Joint Replacements

  • Ligament injuries

  • Edema (swelling)

  • Sprains/strains

  • Tendon and nerve repair

  • Tennis elbow

  • Trigger finger

  • Work-Comp injuries

Our Providers

Andrea Skellenger, OTD, OTR/L, CLT, CEAS

Contact Us

Rehabilitation Center

Main Campus

1700 W. Townline St

Creston, IA 50801



8 a.m.- 5 p.m.

Interventions Provided

Some of the areas and interventions our team may provide include:

  • Exercise, myofascial massage, taping, and compression for management of edema

  • Joint and soft tissue mobilization to improve flexibility

  • Custom static and dynamic splinting for appropriate positioning, protection or to improve movement

  • Programs to improve strength, endurance, and function

  • Treatment to encourage wound healing 

  • Scar management to improve mobility, function and appearance

  • Desensitization and sensory re-education

  • Education to prevent re-injury, avoid complications, minimize stiffness, and reduce treatment time

  • Lymphedema management

  • Ergonomic assessments 

Occupational Therapy at Greater Regional 

Greater Regional Health occupational therapy specializes in rehabilitating conditions and injuries affecting the hand, wrist, elbow and arm. We work with individuals in non-operative and post-operative upper extremity therapy and treatment. 

Whether you need treatment or a work-related injury, a traumatic injury, a sports injury or a problem that has been ongoing for some times, our experienced team provides personalized care and attention. We focus on getting you back on the road to recovery as quickly as possible. 

Andrea Skellenger, OTD,OTR/L, CLT,CEAS, and Brittany Christoffersen, OTD,OTR/L, will work closely with your physician to ensure the best outcomes pre and post-surgery. 

Meet Our Provider


Andrea Skellenger


I want to bring unique services to Southwest Iowa so that way people don't have to travel to the city for their needs. I want people to refer to GRH occupational therapy department and know what occupational therapy is.

Art Fun
Painting Class
Kids in Preschool
Art Class

Pediatric Occupational Therapy

Pediatric occupational therapy focuses on helping children develop the skills they need to grow into functional, independent adults. Physical impairment, injuries and a host of other issues can hamper a child’s ability to perform common tasks or progress normally through the stages of social or cognitive development.

Occupational therapists assess the following skills and areas:

  • Self care

  • Fine motor

  • Movement

  • Coordination

  • Vision

  • Oral motor

  • Feeding

  • Sensory

  • Handwriting

  • Social

Occupational therapists evaluate a child’s current skills related to play, school performance, and daily activities and compare them with what is developmentally appropriate for that age group. OTs help children perform daily activities they may find challenging by addressing sensory, social, behavioral, motor, and environmental issues.