Neuro rehab

How Does It Work? (The Physiotherapy Process)

Neuro-rehab is a structured, repetitive, and goal-oriented process. It works by providing the brain and body with the right stimuli to promote recovery and compensate for lost abilities.

• Comprehensive Assessment: We begin by assessing muscle tone (e.g., spasticity or flaccidity), strength, sensation, balance, coordination, and functional movements like sitting, standing, and walking.
• Goal Setting: We establish personalized, functional goals with you and your family, such as "being able to walk to the kitchen with a cane" or "improving balance to stand independently."
• Specialized Treatment Techniques: We use evidence-based approaches to retrain the brain and body:
  • Task-Specific Training: Practicing meaningful, real-world tasks repeatedly (like stepping over a curb or getting up from a chair).
  • Balance and Core Re-training: Using unstable surfaces and targeted exercises to improve postural control and prevent falls.
  • Gait (Walking) Re-education: Using treadmills, parallel bars, and assisted techniques to retrain a safe and efficient walking pattern.
  • Facilitation & Inhibition Techniques: Using hands-on techniques and positioning to stimulate weak muscles (facilitation) or reduce overactive, tight muscles (inhibition).
  • Strength and Conditioning: Strengthening muscles that are weak due to disuse or neurological impairment.
  • Use of Technology: Incorporating tools like Functional Electrical Stimulation (FES), body-weight support systems, and virtual reality to enhance recovery.

Specific Conditions Treated by Neurological Physiotherapy

This branch is specific to conditions of the central and peripheral nervous systems, including:

• Stroke (Cerebrovascular Accident - CVA): Re-learning to move a weakened arm or leg, improving balance, and regaining walking ability.
• Spinal Cord Injury (SCI): Maximizing function at the level of injury, wheelchair skills training, and gait training for those with incomplete injuries.
• Traumatic Brain Injury (TBI): Addressing problems with coordination, balance, and motor control.
• Parkinson's Disease: Using amplitude-based training (like LSVT BIG) to improve the size and quality of movements, balance, and gait.
• Multiple Sclerosis (MS): Managing fatigue, maintaining strength and mobility, and addressing balance issues during periods of relapse and remission.
• Peripheral Neuropathies: Improving balance and strength affected by conditions like Guillain-Barré Syndrome or diabetic neuropathy.
• Vestibular Disorders: Treating vertigo and dizziness caused by conditions like Benign Paroxysmal Positional Vertigo (BPPV) with specific repositioning maneuvers (e.g., the Epley maneuver).