Neurological (Parkinson, Stroke,Multiple Scelorosis and Learning Difficulties) Physiotherapy:-

Rehabilitation for Parkinson patients, Stroke Patients, MS patients and patients with Learning Difficulties:-

What is Parkinson and how Physiotherapist can helpful for Parkinson’s patients:-

Parkinson’s is a progressive neurological condition characterised by motor and non-motor problems. The main changes arise from brain dysfunction through reduced production of chemical messengers particularly the neurotransmitter dopamine.
The three main motor (movement) symptoms are bradykinesia (slowness), rigidity (stiffness) and tremor. Diagnosis is usually based on clinical examination. People with Parkinson’s might present with falling, loss of confidence and independence and reduced quality of life

The two main areas of Parkinson’s-specific physiotherapy intervention relate to exercise and movement strategy training.
During the earlier stages, physiotherapists emphasise education and self-management encouraging use of leisure and third sector programmes that promote general fitness and inclusion in community activity. Physiotherapy-specific exercise can offset the effects of Parkinson’s to minimise deterioration in strength, endurance, flexibility and balance.
As the condition progresses, physiotherapists teach and apply movement strategies to overcome difficulty in generating automatic movement and thought, including developing strategies to compensate for loss of function, using external (auditory, tactile, visual and sensory) or internal (mental rehearsal and visualisation) cues, dual task training, self-instruction and improving attention span.

What is stroke and how Physiotherapist can help?

A stroke is a “brain attack”. It can happen to anyone at any time. It occurs when blood flow to an area of brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.

How a person is affected by their stroke depends on where the stroke occurs in the brain and how much the brain is damaged. For example, someone who had a small stroke may only have minor problems such as temporary weakness of an arm or leg. People who have larger strokes may be permanently paralyzed on one side of their body or lose their ability to speak. Some people recover completely from strokes, but more than 2/3 of survivors will have some type of disability.

Effective treatment can help you recover as well as possible from your stroke.Physiotherapists play a key role in your healthcare team while you are in hospital and afterwards. Our Pwill provide you with a rehabilitation programme to help you become as mobile and as independent as possible. As part of your rehabilitation, your physio will provide treatment tailored to your specific needs.

Depending on the severity of the stroke, our physiotherapy can help you with getting your muscle control and strength back as well as get you back to your everyday life, Physiotherapy has been shown to work through clinical studies and research and is a treatment you can trust. Our first session of physio will include a detailed assessment. From this, the physio will create a personal rehabilitation programme for you that meets your needs. With support from the physio you will be encouraged to set your own goals, wherever possible. We may use a range of treatments to aid your recovery and possibly advise about appropriate Aid to use if needed.

What is MS (Multiple Scelorosis) and How physiotherapist can help:-

MS is a neurological condition and is the result of damage to myelin, which protects the nerve fibres of the central nervous system. Symptoms can include fatigue, depression, cognitive problems, loss of sight and mobility.
Exactly what causes MS is unclear. Most experts think a combination of genetic and environmental factors is involved.
Physiotherapy can help with physical independence, flexibility, strength and fitness. It can also improve your chances of staying in employment and reduce the effect MS can have on your general health and quality of life. A physiotherapist can offer advice and practical tips on current movement problems, as well as new ones as they arise. Physiotherapy is particularly useful if your symptoms change and during a ‘remission phase’ after a relapse.

There is strong evidence that exercise, used as part of a rehabilitation programme, can increase activity and improve the health and well-being of people with MS. Recent evidence also shows that physios, as part of a specialist neuro-rehabilitative service, have a key role to play in managing specific symptoms of MS.

Patients with learning difficulties and Physiotherapy:-

In the field of Learning Disabilities Physiotherapists treat both adults and children (though in some areas children may be seen by generic Paediatric services). The role is wide and varied, and your specialist Physiotherapist will have experience and skills in working with the client group. As the Physical nature of clients difficulties can very greatly, there are many areas the Learning Disability Physiotherapist may advise on. The following is an indication of their area’s of work, though not an exhaustive list:
– A major part of this role is 24-hour posture care, which involves assessment for equipment for optimal positioning day and night, including wheelchairs, Seating, orthotic provision and sleep systems.
– Another large part of the physiotherapists’ role is management of long-term conditions. This involves education and close links with family and carers to understand the nature of the conditions. This will also entail advice on individual management programmes.
– On occasion the physiotherapist may recommend specific treatment sessions such as hydrotherapy, rebound therapy and movement techniques.
– Finally a large part of the specialist Physiotherapists role is to be actively involved in health promotion. This may include  walking projects, gym sessions, swimming, cycling groups, horse riding etc. Many Physiotherapists are also involved in multi-disciplinary health screening to aid early detection and treatment of health problems.

When you see our physio, He will assess your mobility and transfers and give you advice. Our physios are highly-skilled in neurological conditions, you will be seeing a specialist. They may give you a physical treatment. Everything you tell the physio will be completely confidential.

So that your physio can have a good look at how you move, they may need you to remove some clothes. It’s a good idea to dress comfortably and wear suitable underwear.