Adults with neurological conditions such as Parkinson’s, Multiple sclerosis, Stroke, Cerebral palsy, Spinal cord injury, Brain injury, Guillain Barre Syndrome, Neuropathies and others
Adults with Vestibular disorders
Adults with mobility and balance problems
Contact us to discuss and arrange individual session at the comfort of your own home tailored to your needs. Our service covers East Berkshire, South Buckinghamshire and West London selected postcodes only.
Please contact us for availability.
Assessment and advice
Assessment and treatment plan
Assessment and treatment plan followed by rehabilitation working with you, your family and carers as appropriate to ensure the maximum benefits are maintained from our intervention
1:1 exercise sessions to carry out assistance and supervision with your individual tailored home exercise program.
For more information on our group Tai Chi exercise classes, see classes page
Our physiotherapy service offers:
Neurological physiotherapy is a specialist area of physiotherapy. It focuses on assessing and treating people with movement disorders that have resulted from injury or disease to the brain, spinal cord or extremities of the body. Damage to the central nervous system, including the brain and spinal cord, means that the messages from the brain are not reaching the affected parts of your body. This can result in loss of movement and sensation, uncoordinated movement, weak and flaccid muscles, spasm and tremor. Physiotherapy will help you to maximise your physical and functional ability, you will learn how to manage the changes in your body caused by your acquired or progressive neurological condition.
For more information about neurological physiotherapy please go to: www.acpin.net
Vestibular rehabilitation is the speciality concerned with the assessment and rehabilitation of people with dizziness and balance disorders. The treatment is mostly exercise-based, and the exercises used have been proven to promote central nervous system compensation for a balance disorder. Vestibular compensation is a process that allows the brain to regain balance control and minimise dizziness symptoms when there is damage to, or an imbalance between, the right and left vestibular organs (balance organs) in the inner ear. The brain copes with the disorientating signals coming from the inner ears by learning to rely more on alternative signals coming from the eyes, ankles, legs and neck to maintain balance. Eye gaze stabilisation exercises are often necessary to improve vision stability, which is the ability to focus on a stationary object while the head is moving. A canalith repositioning procedure is also often necessary to include into treatment for people with Benign Paroxysmal Positional Vertigo, known as BPPV.
For more information about vestibular physiotherapy please go to: www.acpivr.com
Balance re-education helps to improve your ability to sit, stand and walk. An individually tailored exercise programme will be set to help improve posture, develop muscle control, strengthen muscles, build endurance, and improve balance reactions.
An initial assessment will include all the systems involved in balance, such as muscle length and strength, good functioning of the proprioceptive and sensory system, the vestibular (inner ear balance) system, vision, any issues with attention and / or ability to accommodate or react to balance requirements. Subsequent therapy will be specifically tailored to work on and improve the systems that are most affected, or maximise good working of the others to compensate, improving overall functional outcome.
Postural re-education is used based on the principle of correct alignment, biomechanics and neuromuscular coordination. Postural re-education isn’t just for those that display problems with their posture but other relating musculoskeletal or neurological conditions that are a contributing factor to poor posture alignment. Postural re-education is suitable for those that experience weakness, pain and stiffness with a loss of movement making it difficult to perform normal functional movements.
During gait re-education a person is re-trained to achieve his/her most efficient and least effortful walking patterns. Any neurological and musculoskeletal conditions can affect the walking pattern resulting in risk of falls and other injuries. In some cases, gait re-education is recommended post-surgery. Learning to walk correctly again ensures that the body moves in the way it is designed and allows for correct functioning of joints and muscles. Normal gait pattern requires reasonable muscle power, muscle length and adequate joint range of movement. Any trauma to the body can compromise muscle strength and joint range of movement affecting normal gait pattern. A personalised treatment plan is required based on the specific medical conditions of a person treated. If necessary, a suitable walking support may be considered.
Individual Exercise Prescription
When choosing a suitable exercise for anyone with existing physical difficulties many aspects need to be considered. Some exercises may be more suitable to some than others. Firstly, the clarification of individual needs is acquired to establish the motive for exercise. Secondly what is needed is to identify individualised attainable goals and objectives for exercise. Thirdly, a safe convenient and well-maintained area or facility for exercise needs to be identified. What is further useful is to identify social support for exercise if possible. Monitoring is often required with an emphasis on the acute or immediate effects of exercise. Finally, what is needed is to establish a regular schedule for exercise.