Neuro

Neurological Physiotherapy

Have you suffered a Stroke, Traumatic Brain Injury, Spinal Cord Injury? Perhaps you have difficulties with symptoms related to Multiple Sclerosis or Parkinson’s Disease? For these any many other neurological conditions, neuro physio can be highly beneficial in assisting to recover movement, improve sensation, alter the disease course and regain your lost independence. Our neuro physios are experts in the rehabilitation of neurological disorders.

Conditions Treated

There are more than 100,000 strokes in the UK each year, equivalent to one every 5 minutes. Sadly almost two thirds of stroke survivors leave hospital with a disability. Neuro Physiotherapy is an essential part of stroke rehabilitation. A stroke can have a profound effect on an individual and result in:
  • Weakness.
  • Changes in muscle tone.
  • Altered sensation.
  • Visual difficulties.
  • Fatigue.
  • Problems with memory and thinking.
Our specialist Neurological Physiotherapists are experienced in understanding these problems and working with individuals who have suffered a stroke to improve their ability to complete the activities that matter most to them.

Related Links:

  1. The Stroke Association
  2. Different Strokes
It is estimated that there are 2500 new spinal injuries in the UK each year and that around 50,000 people continue to live with the effects of their spinal injury. Some of the most common causes of spinal cord injury (SCI) are traffic accidents, falls and sports injuries. Spinal cord injuries don’t only affect independence and function, they can also result in other complications which a skilled neuro physio can assist in managing including spasticity, autonomic dysreflexia, postural hypotension and circulatory problems. Neurological rehabilitation following a spinal cord injury is critically important and varies depending on the level of injury and the extent of the damage. Our neuro physiotherapists have extensive experience in assisting people to recover movement and function, manage longer term complications and resume or learn to take part in new sports and activities.

Related Links:

  1. Spinal Injuries Association.
  2. Back Up Trust.
Email SCI Enquiry

Parkinson’s Disease is caused by reduced production of chemical messengers in the brain. This can result in three main movement symptoms:

 

 

  • Slowness of movement.
  • Stiffness.
  • Tremor.

Our neuro physiotherapists commonly see people with Parkinson’s Disease who have noticed difficulty with specific movements, increased imbalance, problems with walking, reduced confidence and increased dependence on family and carers.

Neuro physiotherapy for Parkinson’s Disease has evolved considerably during the past ten years and now goes beyond exercise and movement strategy training for symptom management.

 

Exercise and neurological rehabilitation for Parkinson’s Disease is now recognised to have neuroprotective benefits and can change the progression of the disease. Although neuro physio and exercise does not affect the amount of neurotransmitter in the brain, it is thought to have an impact on the efficiency that it is used.

 

Our neuro physios will prescribe a Parkinson’s Disease Rehabilitation Plan specific to your condition that may include:

 

 

  • Aerobic training.
  • Resistance exercises.
  • Stretching.
  • Movement retraining.
  • Treadmill training.
  • Sports participation.

 

 

 

Each year greater than 15,000 people are admitted to hospital with a traumatic brain injury (TBI) with some of the most likely causes being road traffic collisions, falls and assaults.

The effects of a TBI are wide ranging and can include:

  • Fatigue.
  • Problems with speech.
  • Dizziness and balance problems.
  • Memory or concentration problems.
  • Weakness.
  • Loss of coordination.
  • Changes in muscle tone.
Neuro Physio following a traumatic brain injury is therefore usually required as part of a wider team approach, since the impact of a head injury on the person and their family is often substantial.

If you or a loved one has suffered a TBI, you can be sure that our Neurological Physiotherapists have experience in working in situations like yours and provide the expert neuro rehab that is required to help regain movement, recover sensation and most importantly to maximise the person’s quality of life.

We also work with solicitors and case managers to provide expert neuro rehabilitation for their clients.

Related Links:

  1. Headway.
  2. UK Acquired Brain Injury Forum.

Multiple Sclerosis (MS) is one of the most common causes of disability amongst young adults. Neuro Physiotherapy is often beneficial to help with resuming day to day tasks or after a relapse.

MS affects your brain and spinal cord, resulting in a disruption of messages being passed along the nerve. Because your nerves connect different parts of your body, the symptoms can vary enormously but include both seen and unseen difficulties:

  • Visual problems.
  • Weakness.
  • Changes in sensation.
  • Problems with balance.
  • Stiffness in muscles.
  • Tremor.
  • Pain.
  • Memory and thinking difficulties.

Neurological Physiotherapy may include exercises, stretching, balance retraining, pain management, pacing for fatigue and problem solving to resume your usual activities.

Related Links:

  1. The MS Society.
  2. The MS Trust.
Cerebral Palsy results in problems with movement and posture and can result cause a variety of symptoms including:

  • Pain.
  • Fatigue.
  • Loss of joint movement.
  • Reduced muscle length.
  • Deformity.
  • Changes in muscle tone.
  • Disturbances in sensation.
  • Loss of strength.
  • Reduced balance.
Neuro physio for Cerebral Palsy is often directed at managing these symptoms and the impact that they have on daily activity, function and independence.

Physiotherapy for Cerebral Palsy in adults may include strength training, stretching, splinting, balance retraining, walking re-education, positional advice and assistance to regain function or activity levels.

Related Links:

  1. Scope.
Don’t worry if the neurological condition that you’ve been struggling with isn’t listed above, our Neuro Physiotherapists help people with many different problems affecting the brain, spinal cord and peripheral nervous system.  Please get in touch so that we can discuss your specific neuro physio requirements and explore how we can help.

Neuro Physio: Clinic, Home or in the Community?

"Successful neurological rehabilitation means progressing beyond the treatment clinic and being able to return to the activities that matter most to YOU."

The Stevenage Clinic

neuro physio in Stevenage

Our Neuro Physiotherapy clinic in Stevenage is wheelchair accessible, well-equipped, and in an easily accessible location. Our approach to neurological rehabilitation is eclectic, but is based on the latest evidence in neuro recovery and utilises technology where needed. Neurological Physiotherapy consultations are by appointment only but can often be made within a few days.

Neuro Physio Home Visits

neuro rehab home visit

Neurological rehabilitation is often best completed in the person’s own environment to enable practice of the desired skill in the situation in which it will be used. We can provide community neuro physio sessions in Herts, Beds, Essex, North London and East London. Our expert neuro physiotherapists often travel beyond this so please do get in touch to see if we have a physio in your area.

Community Neuro Rehab

neuro rehabilitation

Our Neuro Physios pride themselves on taking you through the full rehabilitation journey, no matter what your end goal is. This often means that neurological rehabilitation sessions are completed in the community. We’ve helped people with neurological problems return to sport, access gyms,  to swim and attend major events or holidays. Neuro Physiotherapy is about more than a movement.

Neurological Physiotherapy at Physio4You

There is increasing evidence that the ‘traditional’ model of neuro rehab is often not the best approach. It is now clear that a more active approach to neurological physiotherapy is essential to maximise the recovery of the nervous system. New treatments have emerged and because of this our neuro physio practice has evolved too. Below are some of the most promising develops in neuro rehabilitation that we have integrated into our treatment programmes.

Practice and repetition are always important as part of a neurological physiotherapy programme. In some circumstances it is critical that the exercises or tasks are practised much more frequently. Where this is difficult to do independently we may recommend much more intensive neuro physiotherapy regimes, even up to 4 hours each day with additional home neuro rehab exercises. These programmes typically last between 2 days and three weeks depending on the goals of the rehabilitation programme.

At Physio4You our expert neuro physiotherapists offer three main intensive programmes in addition to standard physiotherapy with a greater frequency:

  1. Constraint Induced Movement Therapy (CIMT).
  2. SENSe Sensory Rehabilitation.
  3. Neuro Physio Boot Camps.

Each of these neuro rehab programmes is designed to improve function. No matter what your rehabilitation goals our neuro physios will tailor the exercises, activities and home practice to meet your needs. We know that one size doesn’t fit all and that your priorities after a stroke, brain injury, spinal injury or needs due to Multiple Sclerosis or Parkinson’s Disease will be different from the next person that we see. Because of this our intensive programmes are designed for you, not just your condition. 

You can find more details about these intensive regimes by following the links.

Functional Electrical Stimulation (FES) involves applying a small electrical current through adhesive or cloth electrodes placed on the skin to activate the underlying muscles. FES is frequently used in rehabilitation by neurological physiotherapists following a stroke, acquired brain injury, multiple sclerosis or spinal cord injury.

If you have weakness or paralysis due to an injury to your nervous system, functional electrical stimulation (FES) may help to:

  • Improve muscle strength.
  • Improve/maintain muscle length.
  • Reduce pain.
  • Enable you to exercise more effectively.
  • Improve your walking.
  • Develop grasping ability and hand movement.

FES can be used as an exercise device as part of your neuro physio rehabilitation or as an orthosis to wear daily to improve your walking or hand movement for grasping.

Mirror box therapy, or mirror therapy, is a rehabilitation technique used by neuro physios that aids functional recovery of movement via visual feedback which creates an illusion of the involved side moving. It is commonly used for people with movement or pain following a stroke or other neurological incident.

This illusory feedback is created when a person moves the intact body part in front of a mirror while watching its reflected image, which is visually superimposed on the hidden (unseen) involved body part. For example, during mirror box therapy for a hand, the person positions their hands on either side of a mirror, so that the injured hand is unseen behind the mirror. The person sees the reflected image of the healthy hand as their injured hand in the mirror and as a result perceives two normal hands.

It has been established that neural recovery in the brain can be stimulated using mirrored movements of the non-affected limb and it is thought that visual feedback helps recruit dormant motor pathways that replace the damaged pathways and encourage the return of movement 

As the visual image of the impaired limb is perceived similarly to the person’s own moving limb, the mirror illusion might also prevent or reverse learned non-use which is a common problem after neurological injury which can result in low levels of function. Mirror neurons are considered as a probable underlying neural mechanism for mirror box therapy. Even simple injuries and short immobilisation periods can produce functional reorganisation of the central nervous system and result in temporary ‘‘forgetting’’ of the affected limb function and inefficient control of movements.

A recent large review of the evidence for mirror box therapy concluded that:

“At the end of treatment, mirror therapy moderately improved movement of the affected upper and lower limb and the ability to carry out daily activities for people within and also beyond six months after the stroke. Mirror therapy reduced pain after stroke, but mainly in people with a complex regional pain syndrome. We found no clear effect for visuospatial neglect. The beneficial effects on movement were maintained for six months, but not in all study groups. No adverse effects were reported.”

Our expert neuro physiotherapists are experienced in assessing for and prescribing mirror box therapy programmes to aid  neurological recovery.

We are proud to be a Saebo Specialist clinic, offering assessments for Saebo products inclduing the SaeboFlex, SaeboGlove, SaeboStretch, SaeboReach, SaeboMAS and SaeboStep. Our neurological physiotherapy clinic in Stevenage (Herts) is also equipped woth Saebo products which can be used within your rehabilitation programme at no extra cost.

Saebo offers a range of products to assist in the neuro rehabilitation of mobility and upper limb movement problems commonly experienced following Stroke, Traumatic Brain Injury, Spinal Cord Injury, Multiple Sclerosis and other disorders of the nervous system. The devices are aimed at allowing the repetitive practice known to be needed to create new pathways in the brain and enable recovery. This can sadly be lacking in more traditional Neurological Physiotherapy approaches but is essential to allow progress. Our Neuro Physiotherapists are experienced at integrating these devices into a comprehensive neuro rehab programme which can be completed both at the clinic or at home. 

The importance of strength training and developing greater exercise capacity after neurological injury is unquestionable. Despite this our experience is that neuro rehab programmes are often under-dosed, with too few repetitions of too many exercises with too little resistance. Whether you have never stepped foot in a gym before or are a seasoned gym goer, our neuro physiotherapists are experienced in prescribing and facilitating gym based exercise programmes that are goal directed and based on the most up to date knowledge related to enhancing neurological recovery. 

Hydrotherapy for neurological conditions can often enable people after a stroke, brain injury, spinal injury, Parkinson’s Disease or other disorder of the nervous system to move more freely, challenge their strength and develop exercise tolerance. We are pleased to be able to provide private hydrotherapy sessions with one of expert neuro physios on a 1:1 basis at a specialist hydro pool in Enfield. 

Our neurological hydrotherapy sessions are goal focused and desinged to complement your land based neuro rehab programme. Perhaps you want to relearn swimming, develop your balance, improve your strength or move more freely? No problem, your neuro physiotherapist will design a programme to help meet your goals.

Find out more about hydrotherapy for neurological conditions.

Are You Ready To Start Your Recovery?

Because we're ready to help. Please call or use the contact form below to arrange a free telephone consultation with a Neuro Physiotherapist and find out how we can help.

Brain Changing Rehabilitation: Intensive, Repetitive, Task-Specific Practice

Intensive, repetitive practice is vital to assist with recovery from a stroke, traumatic brain injury or spinal injury. Our intensive neuro physio programmes, developed in the United States and Australia, are evidence based and give lasting neurological recovery. Neurological physiotherapy needs to go beyond the recovery of movement, sensation and control, and crucially requires behavioural change so that the goal is achieved outside of the clinic. 

Constraint Induced Movement Therapy (CIMT)

Intensive behavioural training to rewire the brain and enable improved use of you limb in daily activities.

Lasting

Intensive neuro physio that results in lasting changes in daily activity.
More on CIMT

SENSe Sensory Rehabilitation

Intensive sensory retraining to rehabilitate the senses of touch and positional awareness.

Meaningful

Intensive neuro physio that results in meaningful changes in sensation.
More on SENSe

Intensive Neuro Physio Boot Camps

Bespoke intensive neuro rehabilitation for any problem combining physical and behavioural training.

Recovery

Intensive neuro physio that results in recovery of movement.
Neuro Boot Camps

E-mail a Neurological Physiotherapist

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We are thrilled to have now opened our clinics and resumed our home visit service. The safety of our team and clients remains of the utmost importance to us, so we have been working hard behind the scenes to ensure that the environment and our working practices are safe. 

We have implemented new policies for all treatment areas and although it’s not quite business as usual, you can expect the same expert service.

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