Conditions we treat

Some groups of Neurological Conditions that we have expertise in treating:

We recognise that for people who have had a severe traumatic brain injury, perhaps in combination with serious orthopaedic injuries too, it can be very difficult to access and engage productively with the more traditional clinic-based physiotherapy services.

This is because they may have trouble remembering their exercise programmes from one session to the next, and they may also suffer from fatigue. If someone is exhausted following the journey to a clinic, they won't benefit particularly from being seen in clinic environment. Being seen at home is a much better option for this group of people. We can provide customised assessment and set up treatment programs that are then implemented by the person's support worker team. This gets round the memory and fatigue problems, because the person can do smaller amounts of exercise but at much more frequent intervals.

We look carefully at the home environment, and set up the exercise program to be specific to their needs in their own home. So for example exactly how they get in and out of their own chair in their own living room becomes a critical exercise in its own right. This movement will be done many times during the day - how much better it is to turn it into an exercise that can be repeated many times a day without having to think of it as part of an exercise programme! We look carefully at how the person is going about ordinary daily activities, and how they are being helped to achieve these.

Between us, as a team, we have many years of experience of seeing people who have sustained serious brain injuries and have other problems too, such as fatigue, pain management and balance disorders.

Common Neurological Symptoms that we can help with:

Falls and balance problems

We can teach balance and strengthening exercises.

Sensory changes and pain

We can help with sensory re-education and pain management strategies. Sometimes people may have a tendency to neglect a limb and we can help to devise ways to learn to include it.

Coordination difficulties

E.g foot placement problems and trouble with fine hand movements like fastening buttons - we can help by analysing the movements and improving stability and coordination of movements.

Multi-tasking problems

Often movement problems may only become apparent when the person is trying to do several things at once. We can help to grade the complexity of tasks and movements and teach a progression of exercises that will grade the challenge.

Muscle tone problems

Weakness or increased muscle tone, or muscle imbalance. If joints are being pulled into uncomfortable positions by un-opposed gravity or by high tone, this can cause discomfort and sometimes even pressure sores. We can advise on how to manage the person's posture to minimise these risks. This could involve a combination of stretching, strengthening, postural support and advice on getting the best results from any tone-moderating medication that may be being prescribed.

Sleep and fatigue problems

Can often be helped by establishing the right level of exercise and activity for the person and advice on maintaining energy levels, as well as advice on postural management for promoting comfort.

To speak to a member of our team, call us now on 01924 782149 or email info@adamsneurophysio.org.uk