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Tag Archive Rehab

Neurological Rehab at North Light Physiotherapy

Chris Shorter North Light PhysiotherapyFor our latest blog, Chris Shorter, our Neurological Rehab specialist at North Light Physiotherapy discusses the specifics on offer

“Physiotherapy is strongly recommended in the national guidelines for rehab and management of neurological conditions”, he says.

Experience
From working in the field of neuro-rehab for over 14 years now, Chris has seen its effectiveness first hand in many ways.  Conditions treated include, but aren’t limited to Parkinsons Disease, Multiple Sclerosis and Stroke. Neurological disorders and disease are vast. Chris relishes the variety, and the challenge this variety presents, and takes an enormous amount of satisfaction in patient outcomes.

Chris says: “We are now very happy to offer assessments and treatments at North Light Physiotherapy, either in our clinic or in our spacious gym setting, which has level access. We know that in some cases mobility can be severely limited, so we can also offer the option of home visits. *”   (* – within a maximum range of 3 miles from the Clinic)

Neurological physiotherapy Rehab North Light Physiotherapy

Expectation

“Physiotherapy begins with a thorough assessment: gaining information on the patients’ goals and targets for rehab / condition management.  A typical physical assessment may include assessment of movement, strength, muscle tone, balance and gait pattern. There are also more condition-specific assessments that we would include, depending on the presentation.”

“Treatment may entail work on improving movement and strength through a combination of exercise, hands on therapy and movement re-education. Advice on orthotics or walking equipment is also considered. Balance rehab and specific feedback on how to improve gait (walking) pattern is also a common approach. ”

Whether your problem is pain caused by your condition or balance problems, maybe even falls,  we would provide treatment or advice for this. A goal for many of our patients is to improve mobility levels. This can be broken down into more specific steps, and advice can be provided on the areas to work on along with education on what may be causing the current problems.

Treatment Specificity

As an example, one persons problem may be due to weakness around a specific joint or more than one joint, for another it may be due to higher level balance problems; the role of the physiotherapist is to identify the contributing factors causing the problem and to provide specific advice on how to work on this.

Living with a neurological condition that can often be for the long term can be a strain on our resources and motivation. However a therapeutic alliance between physio and patient is key. We give our patients the time they need to discuss how their conditions impacts on their wellbeing, because an empathic listening approach is therapy in itself and helps the rehab process.

One on one rehab can be a very motivating experience and achievement of goals is rewarding no matter how small…and when our patients takes control of their condition, that’s our favourite outcome!

For details of how we can help with your Neurological condition, get in touch!

To book an appointment with Chris Shorter or any of our expert Team at North Light Physiotherapy Associates, PLEASE DO NOT LEAVE A COMMENT HERE ~ Use our Contact form, or call us on 01484 660663. 

5 Keys to Healthy Knees – use our expertise!

Having specialised in the rehabilitation of lower limb injuries, and particulary knee injuries, for many years now, I have observed 5 key objectives to achieve quickly to optimise knee function. This is irrespective of whether the rehab is post- injury, or post-operative. With these 5 goals in place, the knee will quickly function more normally.

1. Reduce swelling.

After an injury to structures inside the knee, it will swell- an effusion. This is known to cause reflex muscle inhibition, which can cause the quadriceps muscle to switch off, and the knee to feel as though it may give way. Minimise the effusion to optimise quads activity.

2. Restore full Active Extension.

The ability to actively fully straighten the knee is critical. This is the ability for you to switch on and tense your front thigh muscle (Quadriceps) by choice.  If this is not possible, you cannot actively keep yourself upright on your feet- the knee will give way.

3. Restore full Passive Extension.

This is the ability of an external force, i.e not you or your quadriceps muscle, to straighten your knee: e.g. ability for it to sag straight under the weight of gravity, or for someone (usually a Physio, when testing the knee), to pull it into a fully straight position. If this is not possible, it may indicate something inside the knee is mechanically blocking it. This must be dealt with quickly, as a block to extension left untreated can leave the knee stiff in the long-term, and will disable your ability to actively straighten your knee, and may again lead to giving-way or buckling of the knee.

4. Mobilise the Patella.

The patella (kneecap) is free to be moved within a specific range when the knee is relaxed. Often, usually after surgery, this ability for the kneecap to be freely moved is limited, and can have a consequential negative impact on the ability to develop quadriceps strength, and cause kneecap pain.  This can be restored by manual therapy during Physio sessions.

5. Normalise Gait.

The walking (gait) cycle is often significantly affected by pain/stiffness after injury or surgery. The adaptations to the walking pattern, if left unaddressed, can have significant negative effects on knee health: loss of movement, stiffness, muscle shortening and quadriceps inhibition. Normalising the gait cycle as quickly as possible is critical to knee health!

If you, or anyone you know are affected by these problems, please don’t hesitate to get in touch. Our expertise will get you on the path to healthy knees in no time!!

 

To book an appointment with the experts at North Light Physiotherapy, PLEASE DO NOT LEAVE A COMMENT HERE! 

Call us on 01484 660663,  or pop over to our Contact page