• Cerebral Palsy

  Cerebral palsy can cover any amount of damage to any part of the brain; this means symptoms and treatment vary dramatically depending on the individual.

  Our main aim when treating those with cerebral palsy or any other congenital/genetic neurological disorder is to help our clients to be as mobile and independent as possible.

  We can provide advice and support on managing the effects of the condition. This will include encouraging our clients to become involved in their own development. We will continue to identify goals that together we will work towards. These goals might relate to maintaining mobility or getting involved in leisure activities or sports where appropriate.

  Our dedicated team understand how cerebral palsy can have a major impact on all areas of our client’s lives and the lives of their families.

  We offer a professional, flexible service that begins with an initial assessment either at home or at one of our clinics. We will then work on a tailored rehabilitation programme that has clearly identifiable goals.  We will constantly review these goals to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Advanced Spasticity Management

  Spasticity is the severe muscle stiffness caused by damage to the central nervous system) i.e. damage to the brain or spinal cord.

  Damage to the central nervous system can be caused by a stroke, multiple sclerosis, parkinson’s disease or an acquired brain injury.

  The treatment of spasticity often requires a multi directional approach to achieve the best results for the client. Seldom is one treatment effective in assisting the patient which is why we offer a comprehensive assessment and treatment approach to reduce the spasticity and improve function and comfort.

  If spasticity is not effectively managed then it can lead to muscle contractures and where there is underlying movement, loss of function.

  The treatment of spasticity like all rehabilitation processes must start with the establishment of specific and achievable goals and a carefully planned strategy to achieve these goals. We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

  Amongst other treatments we also use Botulinum Toxin injections supported by a programme of appropriate exercise, stretches and orthotics.

  We use the injections where the spasticity is more focal; this often will reduce the spasticity sufficiently enough to allow underlying movements to merge.

  As part of the rehabilitation programme we will introduce physiotherapy and occupational therapy to maximise our client’s outcomes.

  We have a highly skilled team that includes consultant physicians that can prescribe and discuss oral antispasmodic medication which may include Baclofen, Dantrolene or Tizanidine.

• Neurorehabilitation

  Our team of highly skilled neurological physiotherapists have a wealth of experience in providing specialised physiotherapy programmes for people with a whole range of neurological conditions.

  Our specialism includes:

  • Congenital disorders including cerebral palsy
  • Developmental disorders including ataxia and dyspraxia
  • Head injuries
  • Cancers and diseases of the brain and spinal cord
  • Learning difficulties
  • Peripheral nerve injuries
  • Neuromuscular disorders
  • Movement disorders (including parkinson’s disease).
  • Neuro inflammatory diseases (including multiple sclerosis)
  • Stroke
  • Epilepsy
  • Cognitive disorders

   

  Treatment will greatly differ depending on the disorder; our professional, flexible team of clinicians will produce a structured rehabilitation treatment programme. This programme will follow an initial assessment that can take place at home or at one of our clinics.

  The tailored rehabilitation programme will contain clearly identifiable goals which we will constantly review to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Acquired Brain Injury and Traumatic Injury

  Our expert team understand the very complex range of symptoms both traumatic and non traumatic brain injury can present.

  The term ‘acquired brain injury’ is used to divide ‘non-traumatic’ (acquired) injuries from ‘traumatic’ injuries – those caused by a blow (or trauma) to the head.

  Some of the non-traumatic causes of acquired brain injury that our expert team treat include:

  • Brain tumours
  • Meningitis
  • Encephalitis
  • Hypoxic/anoxic brain injury
  • Stroke
  • Arteriovenous malformation (AVM)
  • An aneurysm
  • Brain haemorrhage

   

  Traumatic brain injury (TBI) is a complex injury with a broad spectrum of symptoms and disabilities. As with an acquired brain injury the impact on a person and their family can be devastating.

  TBI is an injury to the brain caused by a trauma to the head. There are many possible causes, including road traffic accidents, assaults, falls and accidents at home or at work. Symptoms of TBI can be wide-ranging, from physical effects such as balance problems, headaches and dizziness to cognitive, emotional and behavioural effects such as memory problems and anger.

  We work in partnership with our client and where appropriate their family/carers to help the brain learn alternative ways of working in order to minimise the long-term impact of the brain injury, and help our client and their family to cope successfully with any remaining disabilities.

  Treatment will differ greatly depending on the nature of the damage to the brain or possibly damage to the central nervous system (brain and spinal cord) in some cases this can include damage to the rest of the body.

  Each case of brain injury presents challenges that our specialist clinicians are confident in treating.

  Our professional, flexible service begins with an initial assessment either at home or at one of our clinics. We will then work on a tailored rehabilitation programme that has clearly identifiable goals.  We will constantly review these goals to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Respiratory Management

  Our highly skilled team of paediatric physiotherapists have a wealth of experience and expertise in assessing and treating children and adults with respiratory complications (including those that require assisted ventilation) within the community.

  Babies and Children

  We understand that respiratory conditions in babies and children can be distressing for parents, especially when these conditions are chronic.  Our team of specialist paediatric physiotherapists can provide assessment and treatment of your child and provide reassurance and support throughout the child’s condition.

  As many of these children will require regular on-going therapy, the emphasis will be on liaison with parents and carers on the overall management of the child’s condition.

  This may include:

  • Position advice to aid drainage of secretions and improve breathing control.
  • Lung clearance techniques such as percussion or vibrations.
  • Breathing exercise to reduce shortness of breath and aid removal of secretions.
  • Advice regarding inhaler techniques.
  • Exercises to improve overall fitness.
  • Training for families and carers on the management of respiratory conditions.
  • Education on recognising the signs of respiratory distress etc.
  • Undertaking chest physiotherapy at home.

  We are able to provide a 24 x 7 out of hour’s emergency service if there is an exacerbation of your child’s symptoms.

  Adults

  We understand and regularly treat adults with conditions affecting the lungs, such as chronic bronchitis, emphysema, and cystic fibrosis. Each case will require its own tailor made treatment plan but will mainly involve the application of various chest clearance techniques. This could include exercise and learning pacing and resting positions to enable maximum functional ability.

  Our treatments may include:

  • Manual techniques to enable chest clearance.
  • Postural drainage.
  • Therapeutic exercise.
  • Rehabilitation, for example post abdominal surgery or an intensive care admission.
  • Use of various types of equipment to assist in respiratory care e.g. acapella / PEP mask / cough assist devices.
  • Education and advice on self management.

   

  Treatment will greatly differ depending on the disorder; our professional, flexible team of clinicians will produce a structured rehabilitation treatment programme. This programme will follow an initial assessment that can take place at home or at one of our clinics.

  The tailored rehabilitation programme will contain clearly identifiable goals which we will constantly review to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Stroke

  Stroke happens when the blood supply to the brain is cut off or interrupted for some reason. Without blood, the cells in the brain start to die. A stroke can also include a blood clot or bleed in the brain.

  The damage left by a stroke can affect mobility, cognition, sight or communication.

  This condition can be rarer in children than adults – however our expert clinicians have experience of treating both.

  Often those who have had a stroke will need long-term support. We work in partnership with our clients and where appropriate their families and carers to help our client regain as much independence as possible.

  This process of rehabilitation will be tailored to our client’s needs, and will depend on the symptoms and their severity. Our professional, flexible team of clinicians will produce a structured rehabilitation treatment programme. This programme will follow an initial assessment that can take place at home or at one of our clinics.

  The tailored rehabilitation programme will contain clearly identifiable goals which we will constantly review to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Multiple Sclerosis

  Multiple sclerosis (MS) is a complex condition with many symptoms. These symptoms can include fatigue, vision problems and difficulties with walking, but MS can provide different challenges for each individual.

  We understand the very devastating effect MS can have on the individual and their families and carers. The symptoms can be ever-present or present at unexpected times.

  We work closely with our clients to help improve and maintain function. We provide education and tailor-made programmes of treatment that promote good health and overall conditioning, reduce fatigue, and help our clients reach their full potential at home and at work.

  Our expert team includes:

  Physical therapists who will work on walking and mobility, strength, balance, posture, fatigue and pain. This might mean gait training and training in the use of mobility aids (canes, crutches, scooters and wheelchairs) and other assistive devices.

  Occupational therapists who will work to enhance independence, productivity and safety in all activities related to personal care, leisure activities and employment.

  Neuro-psychologists who will evaluate and treat changes in a person’s ability to think, reason, concentrate or remember.

  Treatment will greatly differ depending on the disorder and how it is affecting the client; our professional, flexible team of clinicians will produce a structured rehabilitation treatment programme. This programme will follow an initial assessment that can take place at home or at one of our clinics.

  The tailored rehabilitation programme will contain clearly identifiable goals which we will constantly review to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Spinal Cord Injury

  Our expert clinicians treat spinal cord injury or peripheral nerve injury (inc guillian barre syndrome)

  Damage to the spinal cord can mean changes in its function, either temporarily or permanently. These changes translate into loss of muscle function, sensation, or autonomic function in parts of the body served by the spinal cord.

  We understand how to best treat spinal cord injury including muscle weakness as a result of damage to the peripheral nervous system. Many clients experience changes in sensation or develop pain as a result of the condition, followed by muscle weakness beginning in the feet and hands.

  Our expert clinicians work in partnership with our clients and where appropriate their families/carers. We regularly assess on an ongoing basis to ensure our client’s are reaching their full potential. We know symptoms can be ranging and so our tailor made treatment programmes are regularly reviewed.

  Our team includes specialist neurological physiotherapists who will assist in the recovery of our clients making sure recovery is moving at the right pace.

  Treatments will vary greatly depending on the type of spinal cord injury but could include balance re-education, muscle strengthening and cardiovascular exercise, gait training and upper limb recovery.

  Our professional, flexible team of clinicians will conduct an initial assessment that can take place at home or at one of our clinics, this will result in a tailor made rehabilitation programme.

  The programme will contain clearly identifiable goals which we will constantly review to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

• Polytrauma involving neurological affection or burn

  Our expert clinicians have experience treating clients with polytrauma or multiple trauma. This means clients who have been subjected to multiple traumatic injuries, for example those with a serious head injury in addition to a serious burn.

  Traumatic brain injury will often be as a result of polytrauma in combination with other disabling conditions, such as amputation, burns, spinal cord injury, auditory and visual damage, spinal cord injury (post-traumatic stress disorder and other medical conditions).

  We understand the importance of providing coordinated, timely and comprehensive rehabilitation services to support recovery from polytrauma.

  We work in partnership with our clients and their families/carers to address all aspects of the injury as it impacts their life.

  Treatment will greatly differ depending on the polytrauma itself as well as how it is affecting the client; our professional, flexible team of clinicians will produce a structured rehabilitation treatment programme. This programme will follow an initial assessment that can take place at home or at one of our clinics.

  The tailor-made rehabilitation programme will contain clearly identifiable goals which we will constantly review to make sure our clients reach their full potential.

  We work closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.

Case studies