Physiotherapy Treatments

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. Task-Oriented Training

  • Functional Activities: Practicing specific tasks such as reaching, grasping, and lifting to improve everyday function.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. Pain Management

  • Manual Techniques: Massage and other hands-on techniques to reduce pain.

  • Pain Education: Teaching strategies to manage and reduce pain effectively.