Physiotherapy For Neurological Issues

Neurological physiotherapy involves the treatment of people suffering from movement and function disorders due to problems within the body’s nervous and neuro-muscular system. for example, Traumatic Brain Injury or Stroke, Multiple Sclerosis, Spinal Cord Injury and Parkinson’s disease. The entire process includes the diagnosis, treatment and rehabilitation of the patient suffering from a neurological disorder or issue. Treatment is provided in the form of neuro rehabilitation exercises by a Neuro Physiotherapist.

Neurological conditions require the following:

  1. Improve patients range of motion– many patients who seek neuro physiotherapy have suffered an unforeseen, acute injury or neurological issue. Many of these patients have experienced a loss in their range of motion.


  1. Help build muscle strength and improve movement– often when a person experiences a stroke, an injury to their spinal cord or nervous system, or suffers an illness such multiple sclerosis it is not uncommon for them to lose the use of a part of their body. When a person does not use a part of their body for an extended period, the muscle can begin to atrophy. To prevent the muscle from deteriorating the therapist will assist the patient in several exercises that will promote muscle growth and increase the strength of the muscle. This is often a part of therapy that takes the most time.


  1. Core stabilization – When a person experiences a spinal injury or is born with an illness that affects the spine their core is also affected. The spine is aided by the core of the body and aids in maintaining the other parts of the body.


  1. Motor control enhancement – People who suffer from neurological impairments often find they have either a decrease or loss in motor control. This can make their life increasingly difficult. A person’s motor ability is what allows them to perform life’s simple but crucial tasks. A person who has experienced a loss of motor control may experience; difficulty holding utensils, bathing, tying their shoe, getting dressed, and other tasks that many others do without a second thought. Improving this aspect in a patient is crucial as it drastically improves their life.


  1. Balance training – Stroke patients and people who have experienced other brain injuries routinely find they suddenly have a difficulty with their balance. Many people who experience brain injuries cannot walk for a period or discover they have trouble walking and when a person cannot walk, they begin to experience balance issues.


  1. Stamina – After a brain injury, a person often loses the ability to engage in needed cardiovascular exercise, such as walking and running. When a person does not get enough exercise, they begin to experience a loss of stamina.


  1. Prosthesis adjustment – Individuals who have lost a limb often find it very tasking to adjust to their new limb. Many find that its harder to adjust mentally to their new reality.


  1. Adjusting to daily assistant equipment– Individuals whose injury require them to use a wheelchair or crutches to walk may find it difficult to do so. The therapist can assist the patient in using the equipment in a way that would not inhibit their range of motion in a significant manner.

Neuro Physiotherapy objectives:

Neuro Physiotherapy aims to identify and maximize movement potential and your quality of life. Your treatment program is specific to you and based on your goals identified during your initial assessment session. These may include: education, training, posture awareness, strengthening, stretching, sitting balance, standing balance, and walking practice.


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Physiotherapy Treatment for Bell’s palsy

Bell’s palsy, or Bell Palsy, is facial paralysis which is caused by dysfunction of Cranial Nerve VII, the Facial Nerve. Bell’s palsy causes sudden, temporary weakness in your facial muscles. This makes half of your face appear to droop. It results in inability or reduced ability, to move the muscles on the affected side of the face i.e. Facial Palsy.


  • Rapid onset of mild weakness to total paralysis on one side of the face
  • Facial droop and difficulty making facial expressions, such as closing your eye or smiling
  • Drooling
  • Pain around the jaw or in or behind the ear on the affected side
  • Increased sensitivity to sound on the affected side
  • Headache
  • A decrease in ability to taste
  • Changes in the amount of tears and saliva

Physiotherapy Treatment:

Physiotherapy facilitates facial symmetry and improves facial paralysis. With appropriate exercises and physical therapy, Bell palsy patients can recover some of their lost facial movement and regain their facial muscle strength.

  • “Initiation” exercises. In the early stages, when you might have difficulty producing any facial movement at all, your therapist will teach you exercises that cause (“initiate”) facial movement. Your therapist will show you how to position your face to make it easier to move (called “assisted range of motion”) or how to “trigger” the facial muscles to do what you want them to do.


  • “Facilitation” exercises. Once you’re able to initiate movement of the facial muscles, your therapist will design exercises to increase the activity of the muscles, strengthen the muscles, and improve your ability to use the muscles for longer periods of time (“facilitate” muscle activity).


  • Movement control exercises. Your therapist will design exercises to:
  1. Improve the coordination of your facial muscles
  2. Refine your facial movements for specific functions, such as speaking or closing your eye
  3. Refine movements for facial expressions, such as smiling
  4. Correct abnormal patterns of facial movement that can occur during recovery 
  • Mime therapy: This is a type of physical therapy. The patient is taught a series of exercises which strengthen the facial muscles. This usually results in better coordination and a wider range of movement.
For Physiotherapy Treatment of Bell's Palsy, Consult Our Experts or book Physiotherapy at home from a trusted physio near you @ CB Physiotherapy At Home

Post Stroke Rehabilitation – Physiotherapy

After a stroke, our brains cannot grow new cells to replace the ones that have been damaged, but the brain has the ability to reorganise its undamaged cells and make up for what has been lost. This is called neuroplasticity. This process can be guided by the neuro rehabilitation you receive following your stroke, and your physiotherapist will provide expert guidance on how to relearn movement and regain function.

Neuro – Physiotherapists often work with other professionals to help you with the range of problems that stroke can cause. You may be helped by occupational therapists, speech and language therapists, doctors, nurses and social workers.

What a Neuro -Physiotherapist does

Depending on your needs, your physiotherapist will:

  • Help the stroke nurses set up your plan of care to keep you as well as possible and avoid any complications that might slow down your recovery
  • Advise on how you should be positioned when lying or sitting, and how often you need to be moved
  • Decide when you should begin to get up out of bed and start walking and what equipment (if any) is needed to move or support you
  • Motivate you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
  • Offer therapy to strengthen your limbs and teach you how to move again as independently as possible
  • Work together with the rehabilitation team, and your carer, family or friends to support your recovery in a coordinated way
  • Advise you, your family and any carers how you can do as much as possible for yourself and move around as much as possible.

When can physiotherapy begin?

From 24 hours after a stroke, you will be encouraged to get up and about as much as you are able to, whether this is continuing with your previous activities or just sitting in a chair.

In the early stages, and for people with relatively mild problems, physiotherapy will focus on preventing complications and restoring your ability to move and be active again.

As time goes on, physiotherapy focuses on helping you to become more independent and do what is important to you, for example using equipment or doing things a different way.

For Post Stroke Rehabilitation at Home , Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home