During the first appointment I will undertake a full assessment of your physical abilities and difficulties, finding out what your own goals are, a history of previous interventions, and the most appropriate way of helping you to move towards achieving your goals.
Often I will explain the main issues we need to address and how we will need to work on them. I have found that the education of clients of the recovery process helps with their understanding of what has happened to them, as well as giving them an understanding of what their role is in their own recovery.
Treatment will focus on making physical changes to improve your ability to function. Of particular interest to me is how these changes occur and how I can work with you to gain them.
When we learn new activities or change how we do things there are changes in the brain called Neuroplasticity.
The good news is that it has been shown there is no age limit to this happening. Positive neuroplasticity following injury or illness can be gradual improvements in balance or better movement patterns.
Neuroplasticity only occurs when we pay attention to something and repeatedly practise it.
I work with my clients to promote their focus and attention through using my skills to improve areas which generally impede attention (low mood, fear, reduced confidence, reduced sensation, loss of positivity, reduced energy). Together we practise new skills, and between sessions you will have a short exercise programme which helps you to practise them.
Normalising Muscle Tone: Working on high tone with stretching, movement and splinting programmes. Working on low tone to improve activation, coordination and core strength.
Improving Range of Movement: With stretching and movement programmes, and advice on positioning or splinting equipment.
Improving Selective Movement Control and Patterns: Repetitive movements, focus on activation of good movement patterns, assisted and resisted movement, home exercise programmes.
Work on improving confidence and independence, improving balance.
Reducing Pain and/or Swelling: Massage, exercise, normalising attention to body parts.
Advice on Equipment: While I do not sell or issue equipment I can advise on the possible need for and choice of specialist equipment such as wheelchairs, walking aids, positioning and assistive aids.
Self Management: Good therapy treatment should always include helping you to become more independent and aid you to control of your condition. Each treatment will include advice and issue of specific exercises to work on between treatment sessions and ongoing after treatment has stopped.
Improving Balance and Confidence: With diminishing mobility often comes falls and/or fear of falls. This has significant impact on ability to balance and move freely and happily. I use various confidence building exercises and graduated balance exercises, working to encourage recovery of enjoyment of movement and reduce fear.
Sensory Changes: When we lose sensation or awareness of a body part it becomes difficult to move that part and to pay attention to it. During treatment I work with you to increase awareness of that part, paying attention to it, and setting exercises between sessions.
Poor Posture: Working with you to help you to alter your posture in sitting and lying. Advice on the use of postural aids/chairs, working with your carers to help you to be positioned more comfortably and effectively.
Improving Mobility: Working on how you walk (gait), balance, get up from sitting. Looking at appropriate walking aids, and how you can progress through their use. We may look at walking on a variety of surfaces, outdoor walking and generally accessing life outside of your home. Where appropriate we will work on climbing stairs.
Frequency of treatment
I offer treatment Mon – Fri 9am- 5pm. Treatment usually lasts from 50 minutes to an hour, occasionally longer. Frequency varies but initially some clients choose to have more than one treatment per week, reducing in frequency as necessary. Some clients have bursts of treatment, others weekly, or monthly.