Neurological Rehabilitation

Physiotherapy at Home offers Neuro-rehabilitation for those who have may have had a:

• STROKE,
• BRAIN INJURY,
• BRAIN TUMOR,
• SPINAL CORD INJURY, or who have been diagnosed with:
• MOVEMENT-RELATED DISORDERS such as
• PARKINSON’S DISEASE,
• MULTIPLE SCLEROSIS,
• GUILLIAN BARRE and other DEMYLINATING POLYNEUROPATHIES.

Neurorehabilitation requires expertise and manual skills that promote NORMAL movement patterns. At physiotherapy at home, all of our therapists have backgrounds in providing intensive neurorehab to such patients. Our passion is to provide our client tactile cues that retrain their brain to control their affected extremities much in the same way they did prior to their injury. We believe that in order for you to return to living the life you want, it is important to retrain your body to function as it did before your injury. This can lead to decreased time in therapy as you will not have to unlearn bad habits. The goal is to bring each patient to his or her highest level of functional independence and to be able to remain in their home environment.

HOW MUCH THERAPY WILL I NEED?

This will depend on your specific injury, your level of independence prior to your injury, any other medical conditions you may also have, your family support and your motivation.

Each treatment session and plan of care is specific to each person.

In general, 2-3 times per week for a minimum of 8-12 weeks is recommended. In some cases, you may need maintenance therapy a couple times per year.

WHAT SHOULD I EXPECT ON MY FIRST VISIT?

You will have the same expert therapist working with you on every visit. On the day of evaluation, your therapist will conduct an in-depth examination that may include all or some of the following:

• Strength testing
• Perceptual testing (how you see your body in space)
• Memory and cognition testing
• Speech and hearing testing
• Vision testing
• Sensation testing (can you feel light touch, pain, whether your limb is moving)
• Range of motion of your joints
• Pain
• Reflexes and involuntary movements, muscle spasms
• Balance and coordination testing
• Functional movement testing (can you get dressed, can you stand up from a chair, bathe yourself, etc.)
• Gait/walking ability, stair climbing ability
• Wheelchair mobility
• Caregiver’s ability to help you at home

Based on the results of your examination, we will customize a treatment plan of care for you. Your family and/or caregiver will always be welcome and will be included in the treatment plan, as we want to be sure that they can safely assist you as needed.

Treatment may include some or all of the following:

Physiotherapy

• Gait training to promote improved skills for walking
• Use of motor learning devices
• Balance training (fall risk reduction)
• Transfer training (sit to stand, wheelchair to bed or chair, floor to stand)
• Training with equipment for increased independence with mobility
• Joint range of motion, strengthening and endurance
• Orthotics management
• Pool therapy
• Patient and family education
• Caregiver training

Other therapies that you may need:

Occupational Therapy

• Strengthening and range of motion (more focus on the arm and hand)
• Coordination training
• Self-care skills training (activities of daily living), including: dressing, bathing, toileting, self-feeding
• Home management, leisure and work skills training
• Functional cognitive/safety training
• Adaptive equipment for self-care and home management
• Low vision training
• Patient and family education
• Caregiver education

Speech Therapy

• Articulation and voice improvement
• Aphasia/Language therapy
• Cognitive retraining for memory and attention as well as organizing and planning
• Computer aided speech or alternative non-vocal communication
• Swallowing therapy
• Patient and family education
• Caregiver education