What Do We Do
Our physiotherapist will ask you questions so that she understands what you were able to do before your illness or injury. She will then ask you to do various movements so that she can assess what needs correcting, what muscles need to be strengthened, what movements she needs to work on with you and what your present level of mobility is.
The assessment will involve the physiotherapist feeling your body so that she can assess where you have an imbalance of muscle power and how you move your body. She will ask you to do various movements and watch closely how you perform the movement.
The physiotherapist will check your reflexes and your bodys balance. This allows her to make a competent assessment and formulate your personalised treatment programme.
During the assessment the physiotherapist will ask you what it is that you want to be able to do in the near future. We call this setting goals and it is an important part of the assessment process. We need to know what YOU need and what YOU want to be able to do. At the clinic you will have regular assessments to check whether the treatment programme is working for you and it will be added to or adapted so that you can achieve your goals and improve your mobility. We will keep a photographic record of what you can do you may ask for a copy of this. This enables us to track your progress.
The assessment will take between one and a half to two hours. If you find speaking difficult or cannot express yourself very well, then a member of your family or a friend should accompany you. The languages spoken by our physiotherapist include English, French, some Spanish, some Bengali and some Arabic.
'Your Personal Therapy at the Clinic
Following assessment, the physiotherapist will devise a programme of treatment that will allow you to reach your full potential. It will be very much hands on and may involve physical effort but it is put in place to make you stronger and allow you to change old patterns of doing things and put new patterns in place of the old so that you do achieve your goals. Therapy sessions are not fixed in terms of time. We continue for as long as you are able without becoming fatigued. Typically your therapy will take between one to two hours. For some people, it may be for 30 minutes. There are rest periods during your treatment time. The physiotherapist will work with different parts of your body to get the best results. In this way, the therapy is completely holistic and individual.
Home Exercise Programme
Following assessment of your movement patterns, balance and strength, a home exercise programme will be devised that will improve your present level of ability. Our physiotherapist will do a photographic home exercise programme with you doing the movements or a carer or family member helping you to do movements. Devising a home exercise programme takes approximately 45 minutes. The physiotherapist will then processes the pictures and write up instructions. The programme is then laminated and on your next visit she will go through the exercises with you to make sure that you have understood the instructions. You will then take the programme home with you. It is important that you carry on with the exercises at home. If you find it too difficult then a carer or family member will help and encourage you. The exercise programmes are designed to:
We have a hydrotherapy pool at Priory Court and we encourage people with mobility problems or weak muscles to use the pool. Hydrotherapy is an excellent treatment that helps you do movements that are normally difficult for you.
A hydrotherapy session typically lasts for half an hour in the water at a time and if you add on changing before and after, it will take about an hour. If your carer or a member of your family wants to participate with your hydrotherapy session and join you in the water he/she is more than welcome.
In the beginning we encourage you to attend for treatment at least once a week, sometimes twice weekly. This may be for 6 10 weeks, depending on what your problem is and how you progress. Some people opt to have really intensive neuro-physiotherapy and may come to the clinic daily for 1-2 hours for 2 weeks and then come once a week, once a fortnight or once a month. This regime suits people who have had strokes or children with cerebral palsy. Therapy is very individual and each person is completely unique. Following this initial input we discuss with you how often you need to come for a session and arrangements are made.
For a treatment session it is best to wear very loose clothing track suit bottoms or something similar. Ladies are discouraged from wearing skirts or dresses as it makes movements difficult. The physiotherapist may ask you to remove items of clothing so that she is better able to see how you use your muscles. A typical treatment session lasts one hour. The therapy room is completely private and quiet.
Falls Prevention Programmes
People who have problems with their nervous system are more prone to falling. The physiotherapist will give you specialised exercises that improve your general muscle tone and thus reduce the risk of falling. Specialised balance movements are taught, and again you will be given a home exercise programme to follow when you are not at the clinic.
The falls prevention programme will take approximately one hour per week for 6 weeks, followed by a visit once every month for 6 months.
Once all your goals have been reached you will need a regular MOT review to make sure that you are able to maintain the level you have reached.
If requested, the physiotherapist can come to your own home to carry out an assessment. This gives the physiotherapist the opportunity to fully understand what difficulties you face on a day to day basis. For example, she can see you sitting in your own chair and how you get up from your chair. She will then be able to show you and explain what you can do so that it is easier and safer for you. She will look for any hazards that you have in your home that could result in a fall and suggest alternatives to you. If you have to walk upstairs, where better to assess your ability than in your own home then the physiotherapist has an idea of where the hand rails are, how deep the steps are, is there a turn on the stairs and offer advice of any changes or equipment that may help you better.
The home visit is timed from when the physiotherapist starts her journey to your home from Priory Court until the time that she leaves you. Typically the time spent in your home is one hour.
Equipment Advice and Training
All neuro-disability physiotherapists have a wide knowledge of equipment available to people with disabilities and where they may be purchased or loaned. The physiotherapist will assess your equipment needs for mobility and everyday living and give you unbiased advice on what is most suitable for your needs. The physiotherapist will then give training to you, your family and carers on the equipment purchased and advise how to prevent any risks involved with using the equipment. Some examples are:
To arrange an appointment or to speak to a qualified physiotherapist, email firstname.lastname@example.org
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