Comprehensive Therapy

Insight Comprehensive Therapy offers five private treatment rooms and a large open gym area for workouts and physical therapy treatments. We have providers with special training in the treatment of post-stroke patients, and also in the practice of kinesiotaping and massage therapy. In addition, new evaluations can typically be scheduled within 48 hours of receipt of referral.

Insight offers a full range of occupational therapy services, and we have a full-time licensed occupational therapist as well as a certified occupational therapy assistant on staff.

Occupational Therapy List of Appropriate Indications

Occupational Therapy is a healthcare profession that helps individuals regain maximum function after injury or illness that has led to some degree of physical or mental impairment affecting their ability to participate in normal activities of daily living.

Who can benefit from Occupational Therapy services?

Occupational Therapy services are available to individuals experiencing various diagnoses or problems including:

  • Hand Injuries
  • Parkinson’s
  • Arthritis
  • Stroke
  • Fractures
  • Head Injury
  • Multiple Sclerosis
  • Joint Replacement
  • Spinal Cord Injury
What types of functional problems do Occupational Therapists address?

Any type of problem limiting an individual’s ability to efficiently and safely participate in normal or daily activities including:

  • Dressing
  • Bathing
  • Grooming
  • Meal Preparation
  • Household Chores
  • Work Activities
What type of limitations do Occupational Therapists address?
  • Strengthening
  • Increasing ROM
  • Improving Coordination
  • Building Endurance
  • Improving Balance
  • Transfer Training
  • Splinting for Support
  • Splinting for Function
  • Work Simulation
  • Work Conditioning
  • Improving or Accommodating Sensory Limitations
  • Improving or Adapting to Perceptual Dysfunction
For Restoration of Physical Function:
  • Decreased upper extremity strength/ROM
  • Unable to sit unsupported
  • Unable to safely negotiate walker or w/c in surroundings
  • Needs assist in bed mobility or transfers
  • Decreased coordination
For Compensatory Techniques to Improve ADL when:
  • Visual field cuts are present
  • Excessive energy is expended for ADL due to poor pacing
  • Loss of use of dominant hand
  • Precautions limit ADL performance (e.g. laminectomy, THR, etc)
For Orthotics and Self Help Devices when:
  • Unable to perform fine motor tasks (e.g. button, snap, zip, clasp, tie)
  • Difficulty dressing lower extremities
  • Inability to perform self ROM and at risk for contracture development
  • Needs assist to support UE for feeding and other ADL
For Restoration of Function in ADL when:
  • Can’t answer phone
  • Incorrect/poor sequencing of tasks
  • Difficult managing checkbook
For Restoration of Sensory-Integrative Function:
  • Demonstrates neglect of an extremity or one side of the body
  • Unable to name or identify objects by touch
  • Difficulty with color, shape, and/or size discrimination
  • Impaired visual tracking
  • Poor hot/cold discrimination
For “Active Treatment Programs” for Psychiatric illnesses when:
  • Unable to orient to the “real” time, place, etc.
  • Difficulty attending to the task at hand
  • Unable to exit home secondary to fear, paranoia, etc.



We specialize in services including spine care, post-surgical therapy, and chronic neck and back pain.



Post-Stroke  |  TBI  |  Spinal Cord Injuries  |  Multiple Sclerosis  |  Parkinson’s Disease  |  Physical Therapy  |  



Physical Therapy  |  Occupational Therapy  |  Speech Therapy  |  Aquatic Therapy  |  Neuro-Trauma Rehabilitation



This video shows the distinct value of occupational therapy with clients of different ages and across practice settings. From a child with autism to a wounded warrior with a double amputation to an older adult aging in place, these clients highlight how occupational therapy looked at all aspects of their lives to help them achieve their goals. Find out what occupational therapy can do for you or your loved one.

Meet Our Comprehensive Therapy Team

Dr. Keith Denning, DC, FACMUAP

Dr. Keith Denning, DC, FACMUAP


David Swain

Dr. Keith Denning, DC, FACMUAP


Dr. Keith Denning first became interested in chiropractic care when he was treated in high school. He suffered from severe allergies that were helped immensely by chiropractic care. This interest followed him through high school and into his early college years.

Dr. Denning went on to receive his bachelor’s degree in biomechanics from Purdue University in 1996. While earning his degree at Purdue he became a lead laboratory instructor for 200-level biomechanics and human anatomy and physiology courses at the university. After finishing his degree at Purdue, Dr. Denning began postgraduate studies at Sherman College of Chiropractic in South Carolina. While at Sherman he did extensive studies with nutrition and neurophysiology. He graduated from Sherman with his Doctorate of Chiropractic in the fall of 2000. After completing his doctorate, Dr. Denning trained in several specialties, including nutrition, chronic pain management, and non-surgical decompression.

Dr. Denning became board certified in Michigan in 2001. He currently serves as the Clinic Director of both the Insight Neuro Chiropractic and Insight Comprehensive Therapy departments.


David Swain

Dr. David Swain is a board-certified chiropractic physician at Insight. Dr. Swain has spent his career in the interdisciplinary domain, practicing alongside providers specializing in a variety of disciplines, including orthopedics, pain management, and sports medicine.

Dr. Swain received his undergraduate degree from WMU in Kalamazoo, MI and his graduate degree at NUHS in Chicago, IL. While at NUHS, he was student president of the sports medicine and rehabilitation program and vice president of the student-run Motion Palpation Institute. Dr. Swain is fellowship trained in manipulation under
anesthesia. He also has training in Cox flexion distraction and manual soft tissue techniques, as well as evaluation and management of musculoskeletal disorders using the McKenzie Method of Mechanical Diagnosis and Therapy.

Born and raised in Metro Detroit, Dr. Swain is happy to be practicing in Michigan. When he’s not working, you can find him spending time with his wife and two children, playing golf, and fishing with friends and family.

For Referrals & Appointments:

Call: 810-275-9366
Fax: 810-213-0240
For all others related to ISH please call: 586-427-1000



Innovative, Comprehensive Neurological Care and Research Under One Roof.