Sister Kenny Rehabilitation Institute
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The Courage Kenny Rehabilitation Institute is a
rehabilitation medicine Physical medicine and rehabilitation, also known as physiatry, is a branch of medicine that aims to enhance and restore functional ability and quality of life to people with physical impairments or disabilities. This can include conditions su ...
institute in
Minneapolis Minneapolis () is the largest city in Minnesota, United States, and the county seat of Hennepin County. The city is abundant in water, with thirteen lakes, wetlands, the Mississippi River, creeks and waterfalls. Minneapolis has its origin ...
, United States.


History

This
Allina Health Allina Health ( ) is a not-for-profit health care system based in Minneapolis, Minnesota, United States. It owns or operates 12 hospitals and more than 90 clinics throughout Minnesota and western Wisconsin. Its subsidiary, Allina Medical Transpo ...
facility was created in 2013 by the merger of Courage Center and Sister Kenny Rehabilitation Institute. The Sister Kenny Institute (which opened in 1942) and Courage Center (which started serving children in 1928) were both focused on physical rehabilitation for people with specific physical conditions, as well as advocacy and other support. The two organizations had been working toward similar goals for decades prior to the formal merger, and they were funded by some of the same sources such as
March of Dimes March of Dimes is a United States nonprofit organization that works to improve the health of mothers and babies. The organization was founded by President Franklin D. Roosevelt in 1938, as the National Foundation for Infantile Paralysis, to comb ...
and the
United Way United Way is an international network of over 1,800 local nonprofit fundraising affiliates. United Way was the largest nonprofit organization in the United States by donations from the public, prior to 2016. United Way organizations raise funds ...
, as well as
grassroots A grassroots movement is one that uses the people in a given district, region or community as the basis for a political or economic movement. Grassroots movements and organizations use collective action from the local level to effect change at t ...
fund-raising campaigns that progressed into medical
philanthropy Philanthropy is a form of altruism that consists of "private initiatives, for the Public good (economics), public good, focusing on quality of life". Philanthropy contrasts with business initiatives, which are private initiatives for private goo ...
. Sister Kenny Institute and Courage Center also had some personnel in common, including at the highest levels. Dr. Miland Knapp (1906-1991), who along with Sister Kenny, pioneered physical rehabilitation techniques, was director of training at the Sister Kenny Institute as of when it opened in 1942, and was director of physical medicine and rehabilitation from 1948 to 1964. He was medical director at Courage Center from 1957 to 1975. He also was a senior consultant at the VA Hospital from 1948 to 1964. By the 1980's the natural overlap between the two organizations became more evident. There were more and more patients and families who had interactions with both organizations, they also worked together on events and in other ways. Some, like Lloyd Zeise ( Olympic Athlete), was treated at Sister Kenny Institute as a child and used the services of the Courage Center as an adult due to contracting polio at age 3. An increasing number had exposure to both organizations due to
brain injury An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or o ...
or
spinal cord injury A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cor ...
; they would be initially treated at the Kenny Institute within Abbott-NW Hospital, and then continue their healing at Courage Center. Managed-care health plans and other systemic changes in the US had impacts on both organizations, as their network situations and their service provisions continued to be updated.


Sister Kenny Institute

Polio is a disease that had existed throughout human history, but increased sanitation reduced immunity to it, which led to increasing incidence and increasing severity in the 20th century. The initial response by the medical community was to put splints and braces on affected limbs, in order to prevent the affected parts of the body from harming the rest of the body. Sister Elizabeth Kenny, an Australian healthcare provider who worked as a nurse during World War I, had a different approach. She spent decades in her career investigating and experimenting with treatments involving heat (to relax the muscles) and movement (to help heal the entire body). In
Australia Australia, officially the Commonwealth of Australia, is a sovereign country comprising the mainland of the Australian continent, the island of Tasmania, and numerous smaller islands. With an area of , Australia is the largest country by ...
in 1932 Kenny opened the Sister Kenny Clinic in the Outpatients Building of the Rockhampton Base Hospital in
Queensland ) , nickname = Sunshine State , image_map = Queensland in Australia.svg , map_caption = Location of Queensland in Australia , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , establishe ...
, and she also set up a clinic at
Royal North Shore Hospital The Royal North Shore Hospital (RNSH) is a major public teaching hospital in Sydney, Australia, located in St Leonards. It serves as a teaching hospital for Sydney Medical School at the University of Sydney and has over 600 beds. It is the prin ...
in
Sydney Sydney ( ) is the capital city of the state of New South Wales, and the most populous city in both Australia and Oceania. Located on Australia's east coast, the metropolis surrounds Sydney Harbour and extends about towards the Blue Mounta ...
. In 1942 Kenny came to the US to provide her experience for treatment of the disease. Minnesota alone was immediately receptive to her methods. Her therapeutic treatment for
polio Poliomyelitis, commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 70% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe sy ...
survivors resulted in less severe deformities and reduced hospital stays, and led to today’s innovative rehabilitation therapy methods. The original Minneapolis facility, initially called the Kenny clinic, was the first one established in the United States. Kenny worked closely with physicians and nurses at
University Hospital A university hospital is an institution which combines the services of a hospital with the education of medical students and with medical research. These hospitals are typically affiliated with a medical school or university. The following i ...
and the Minneapolis General Hospital (now
Hennepin County Medical Center Hennepin County Medical Center (HCMC) is a Level I adult and pediatric trauma center and safety net hospital in Minneapolis, Minnesota, the county seat of Hennepin County. The primary 484-bed facility is on six city blocks across the street from ...
) including providing training at the University of Minnesota". Other locations were established around the country that same decade. In Minneapolis, the initial Sister Kenny facility was located within the Lymanhurst Health Center on Chicago Avenue and 18th Street in Minneapolis. which had served children with heart problems caused by
Rheumatic fever Rheumatic fever (RF) is an inflammatory disease that can involve the heart, joints, skin, and brain. The disease typically develops two to four weeks after a streptococcal throat infection. Signs and symptoms include fever, multiple painful ...
. At first the building served both groups, but within 18 months the heart patients were moved out to make room for the growing number of polio patients. That building later became the Hennepin County Detox Center. In 1975 the Sister Kenny Institute moved to the Chicago and 27th Street location of the recently merged Abbott-Northwestern Hospital. Sister Kenny approved of the Chicago Avenue location for her primary teaching and treatment location in the U.S. originally because of its proximity to the staff of the Minneapolis General Hospital and to the research laboratories of the
University Hospital A university hospital is an institution which combines the services of a hospital with the education of medical students and with medical research. These hospitals are typically affiliated with a medical school or university. The following i ...
. Her clinic brought people from around the world who sought her expertise in curing the paralysis caused by polio prior to the existence of the vaccine. Her method, opposite of standard practice of splints to immobilize the limbs, was to apply heat to soothe the muscles and then encourage movement through an early form of physical therapy. That 'get up and go' approach has since become common response to many crippling illnesses and injuries. Fundraising for the Sister Kenny Institute was varied. The Sister Kenny Foundation was established in 1943 to support Kenny and clinics throughout the United States. In addition to established sources such as March of Dimes and United Way, the institute received funds from private groups such as Crippled Child Relief, Inc., a Minnesota nonprofit which sprang from a single short advertisement in the newspaper. In 1945 a $5 million national drive was launched, chaired by
Bing Crosby Harry Lillis "Bing" Crosby Jr. (May 3, 1903 – October 14, 1977) was an American singer, musician and actor. The first multimedia star, he was one of the most popular and influential musical artists of the 20th century worldwide. He was a ...
, to open additional locations and provide training for nurses in these treatment methods. After widespread adoption of the
Polio vaccine Polio vaccines are vaccines used to prevent poliomyelitis (polio). Two types are used: an inactivated poliovirus given by injection (IPV) and a weakened poliovirus given by mouth (OPV). The World Health Organization (WHO) recommends all chi ...
in the mid-1950's reduced the number of cases nationwide, the clinic switched its focus to rehabilitation medicine more broadly defined.
Cerebral Palsy Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, stiff muscles, weak muscles, and tremors. There may be problems with sens ...
and other birth defects as well as conditions caused by accidents all became included in the work of the Kenny Institute. In 1975 the Sister Kenny Institute merged with Abbott-Northwestern.


Courage Center

Courage Center’s predecessor organization, the Minnesota Society for Crippled Children and Adults, was founded in 1928. It had a legacy in advocating the needs of children and adults in education, by granting access to health care issues. The national organization became better known as Easter Seals, and the Minnesota Society was referred to with both names for decades. Besides the original Easter Seals campaigns themselves, funding has been provided by a variety of sources, including United Way. Annual summer camps at Camp Kiwanis near Stillwater, Minnesota, were held in the 1940s for children with speech defects. The children were provided with brief periods of intensive training provided by speech therapists from the University of Minnesota and elsewhere. The camp site was provided by the St. Paul Kiwanis Club. Other camps were held for children with heart problems or orthopedic challenges. Expenses for those who cannot pay the costs themselves were provided by Easter Seal returns. By 1953, 600 children had to be turned away from Camp Kiwannis summer camp sessions because the demand was so much greater than that location's capacity. Planning started for a second location at Camp Courage, with the capacity for 400 children each year. Camp Courage in Wright County on Cedar Lake between Annandale and Maple Lake opened for its first summer session in 1955. Some of those first campers had been affected by a variety of diseases including polio, cerebral palsy, muscular dystrophy, rheumatoid arthritis. Other campers had experienced congenital deformities, physical changes from accidents, head injuries and/or blindness. The name 'Camp Courage' was so popular that the predecessor organization changed its name to Courage Center. Courage North, which opened at Lake George near Itasca State Park in 1971, was a donation to the Society. The Courage Center outdoor adaptive sports program in Duluth was established in 1979. It began originally as a partnership with the UMD Recreational Sports program and the
United Way United Way is an international network of over 1,800 local nonprofit fundraising affiliates. United Way was the largest nonprofit organization in the United States by donations from the public, prior to 2016. United Way organizations raise funds ...
. The first
Parasports Parasports are sports played by people with a disability, including physical and intellectual disabilities. Some parasports are forms of adapted physical activities from existing able-bodied sports, while others have been specifically created for ...
programs were a competitive wheelchair basketball team, adapted downhill skiing (at Spirit Mountain), sailing (with the involvement of the Duluth Superior Sailing Association), swimming, and track and field. In the Twin Cities Three Rivers Park system has been one of Courage Kenny's main program partners since 2010, providing opportunities for cross-country skiing, mountain biking, kayaking, archery, geocaching, ice fishing and maple sugaring. Courage Kenny is Minnesota's main chapter of
Move United Move United is an American non-profit organization devoted to the promotion of parasports among youths and adults with physical disabilities. The organization operates community parasports programs via over 150 local chapters across the country. M ...
, which was formed in the merger of Disabled Sports USA and Adaptive Sports USA. The main year-round rehabilitation facility and office building was established in Golden Valley in 1973. The fitness and wellness center was rebuilt at twice its original size in 2017 through a capital campaign which raised $4.75 million. It is part of the Christopher and Dana Reeve Foundation NeuroRecovery Network (NRN), focused on people with spinal cord injuries. Additional facilities were opened in Stillwater, Burnsville and Forest Lake. Courage Center has held events such as competitive wheelchair basketball tournaments since the 1980s, with the participation and support of various organizations including the Sister Kenny Institute. In 2003 a survey by Twin Cities Business Monthly magazine on nonprofit reputations resulted in Mayo Clinic having the best reputation in the State of Minnesota, and Courage Center being #2.


Services

The Courage Kenny Rehabilitation Institute serves people with
disabilities Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be cognitive, developmental, intellectual, mental, physical, ...
and those recovering from serious injuries such as a
brain injury An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or o ...
,
stroke A stroke is a disease, medical condition in which poor cerebral circulation, blood flow to the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemorr ...
or
spinal cord injury A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cor ...
. It provides physical rehabilitation therapy and a variety of
independent living Independent living (IL), as seen by its advocates, is a philosophy, a way of looking at society and disability, and a worldwide movement of disabled people working for equal opportunities, self-determination, and self-respect. In the context o ...
services, includin
testing services for senior drivers
Courage Center also advocates for people with disabilities at the
Minnesota state legislature The Minnesota Legislature is the bicameral legislature of the U.S. state of Minnesota consisting of two houses: the Senate and the House of Representatives. Senators are elected from 67 single-member districts. In order to account for decen ...
and in other public forums. The Institute serves clients of all ages with a wide range of diagnoses. The Institute’s care team provides physician, therapy, community and mental health services in more than 40 locations in Minnesota and western Wisconsin.


Locations

The Courage Kenny Rehabilitation Institute has facilities in the
Twin Cities Twin cities are a special case of two neighboring cities or urban centres that grow into a single conurbation – or narrowly separated urban areas – over time. There are no formal criteria, but twin cities are generally comparable in sta ...
metropolitan area of Minnesota. Services are provided at several Allina Health hospitals. Some of the locations include: Courage Center had formerly operated a sports and recreation office in
Duluth , settlement_type = City , nicknames = Twin Ports (with Superior), Zenith City , motto = , image_skyline = , image_caption = Clockwise from top: urban Duluth skyline; Minnesota ...
, and
camps Camps may refer to: People *Ramón Camps (1927–1994), Argentine general *Gabriel Camps (1927–2002), French historian *Luís Espinal Camps (1932–1980), Spanish missionary to Bolivia * Victoria Camps (b. 1941), Spanish philosopher and professo ...
at Maple Lake and Lake George.


See also

*
Allina Hospitals & Clinics Allina Health ( ) is a not-for-profit health care system based in Minneapolis, Minnesota, United States. It owns or operates 12 hospitals and more than 90 clinics throughout Minnesota and western Wisconsin. Its subsidiary, Allina Medical Transpo ...
* Camp Courage (Minnesota)


Further reading

* Kenny, Elizabeth, ''Infantile Paralysis and Cerebral Diplegia: Method of Restoration of Function'' (Sydney: Angus and Robertson, 1937). * Kenny, Elizabeth, ''The Treatment of Infantile Paralysis in the Acute Stage'', (Minneapolis–St. Paul, Bruce Publishing Co. 1941). * Ostenso, Martha and Kenny, Elizabeth, And ''They Shall Walk'', (Bruce Publishing Co, Minneapolis-St Paul 1943). * Pohl, John, MD, and Kenny, Elizabeth, ''The Kenny Concept of Infantile Paralysis and Its Treatment'', (St. Paul: Bruce Pub. Co. 1943). * Rogers, Naomi, ''Polio Wars: Sister Kenny and The Golden Age of American Medicine'', (Oxford University Press, N.Y. 2014).


Notes


References


External links

*
Sister Kenny Institute in MNopedia, the Minnesota Encyclopedia
{{authority control Rehabilitation medicine organizations based in the United States Polio Organizations based in Minnesota Stroke organizations Hospitals established in 1942 1942 establishments in Minnesota