Strengthening Exercises
Resistance Training: Using weights, resistance bands, and body weight exercises to build muscle strength.
Functional Strengthening: Strengthening muscles through activities of daily living and functional tasks.
Range of Motion (ROM) Exercises
Passive ROM: Therapist-assisted movements to maintain joint flexibility.
Active ROM: Patient-performed exercises to improve joint mobility.
Stretching: Static and dynamic stretching exercises to improve flexibility and prevent contractures.
Balance and Coordination Exercises
Static and Dynamic Balance: Exercises to improve balance while standing or sitting still and during movement.
Proprioception Training: Activities to enhance body awareness and coordination.
Vestibular Rehabilitation: Techniques to address dizziness and improve balance.
Gait Training
Gait re-education: working on isolated components of walking to develop improved gait pattern
Overground Walking: Practicing walking on various surfaces and environments both indoors and outdoors .
Assistive Devices: Training with walking aids, or orthotic devices to improve walking safety and efficiency.
Neurodevelopmental Techniques
Bobath Approach: Facilitation of normal movement patterns and inhibition of abnormal postures and reflexes.
Motor Control Exercises: Activities to enhance motor learning and control.
Task-Oriented Training
Functional Activities: Practicing specific tasks such as reaching, grasping, and lifting to improve everyday function.
Spasticity Management
Stretching and Positioning: Techniques to reduce muscle tightness and improve joint alignment.
Signposting: recommendations to other services for complex spasticity management such as Baclofen, Botulinum Toxin and Intrathecal Baclofen pumps.
Aerobic Conditioning
Cardiovascular Exercise: Support with activities such as walking, cycling and swimming to improve cardiovascular fitness. Supporting access to gyms and swimming pools.
Endurance Training: Gradually increasing activity duration and intensity to build stamina.
Electrical Stimulation
Functional Electrical Stimulation (FES): Using electrical currents to stimulate muscle contractions and improve function.
Transcutaneous Electrical Nerve Stimulation (TENS): Applying electrical currents to reduce pain and improve muscle activation.
Constraint-Induced Movement Therapy (CIMT)
Forced Use: Restricting the unaffected limb to encourage use of the affected limb.
Intensive Practice: Repetitive practice of tasks to improve motor function in the affected limb.
Mirror Therapy
Visual Feedback: Using a mirror to create the illusion of movement in a paralysed limb, promoting motor recovery.
Pain Management: Reducing pain in conditions such as phantom limb pain.
Postural Training
Alignment Exercises: Techniques to improve posture and reduce abnormal movement patterns.
Core Stability: Strengthening core muscles to support better posture and movement control.
Pain Management
Manual Techniques: Massage and other hands-on techniques to reduce pain.
Pain Education: Teaching strategies to manage and reduce pain effectively.