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NEUROLOGICAL REHABILITATION

What is Adult Neurological Rehabilitation ?

Essentially this involves the treatment of any adult who has suffered a Neurological insult due to conditions such as Stroke, Subarachnoid Haemorrhage (SAH), Traumatic Brain Injury (TBI), Encephalitis, Multiple Sclerosis etc, with resultant deficits. These may include problems of loss of movement, sensation, or balance or difficulty with grading and controlling movement eg ataxia, spasticity etc.,

What will the Physiotherapy involve?

Following a detailed assessment, treatment is aimed at maximising potential by re-educating balance and postural control and by improving the quality of movement, in order to make it easier to move and perform everyday, functional activities. No two patients are the same and treatment will be specifically tailored to the individual.

Where appropriate, family members etc can be advised or shown how to assist in the process and a carefully selected Home Programmes will generally be included.

VESTIBULAR REHABILITATION

What is Vertigo?

“Vertigo” is basically the sensation that either you, or your environment is moving . It is variously described as “dizziness”, “giddiness” or “light headedness”, but very often involves a “spinning” component. It is typically associated with nausea and some loss of balance (disequilibrium), while others may report increased sensitivity to bright lights, noises and busy environments, such as in the supermarket or on the high street.
There are many different causes of “Vertigo” , and it is important to get the correct diagnosis, but fortunately, many types respond well to Physiotherapy!

What is the treatment for Vertigo?

Depending on the underlying problem, treatment may involve certain simple manoeuvres to reposition dislodged “crystals” in the inner ear (BPPV). The most common of these is called the “Epley Maneouver” , but there are other positional techniques that can be used as well.

If the dizziness is more due to poor vision stability, such that blurring and loss of balance occurs when the head is turned, then, specific exercises, involving eye and head movements, may be employed. These exercise help to re-calibrate the eye and head movements to ensure that vision stays in focus when the head is moved.

Furthermore, if the problem is precipitated more by moving from one position to another, eg going from sitting to standing or sitting to lying, then exercises aimed at desensitising this response may be taught. In addition, when light hypersensitivity is a problem, graded exposure to certain moving visual stimuli may be incorporated and where balance is affected, then a home exercise programme of tailored balance activities will be provided.

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