Neurological Physiotherapy

Specialist area of Physiotherapy for the rehabilitation and management of neurological conditions.

Neurological disorders can sometimes result in complex problems, affecting movement, mobility, sensation, balance, cognition, and communication. Our Neurological Physiotherapist, Pippa Graham, has an In-depth knowledge surrounding the treatment and management of problems arising from disorders of the nervous system. Pippa adopts a holistic approach to assessment and treatment and has the experience to provide reassurance, support and guidance in the management of long term conditions, for patients, families and carers.

Examples of conditions treated:

  • Strokes
  • Parkinson’s Disease
  • Multiple Sclerosis
  • Brain Injury
  • Spinal Cord Injury
  • Cerebral Palsy
  • Guillian Barre Syndromme
  • Peripheral Neuropathies

Problems Neurological physiotherapy could help with:-

  • Weakness or inactivity
  • Loss of sensation
  • Poor co-ordination
  • Loss of balance
  • Spasticity
  • Pain
  • Restricted range of movement
  • Difficulty transferring from chair, bed or wheelchair
  • Fatigue
  • Loss of general fitness
  • Difficulty walking (due to weakness of foot drop for example)
  • Lack of confidence in mobility (indoors and outside)

Treatment and management

Physiotherapy can provide treatment to assist in restoring movement and mobility and optimising functional potential.

Rehabilitation: goals set around restoring independence and promoting functional ability. This may involve movement re-education and facilitation, balance training, specific sensory input and specific home exercise programmes.
Maintenance: prolonging existing levels of function and slowing deterioration. Methods used include positioning, seating assessments, managing high tone/spasticity, stretching programmes, and fatigue management with the aim of supporting mobility and function.
Enabling: guidance and advice on utilising existing ability,
in order to optimise functional activity and promote independence.

A thorough assessment will be carried out and specific functional goals can be agreed, with time frames. Methods of treatment may include task specific strength training, ‘hands on’ facilitation of muscle activity, soft tissue mobilisation, specific sensory/proprioceptive input, mobility (transfers, walking, outdoor mobility) balance training, postural stability, cardiovascular fitness and fatigue management.

Assessments and treatments can be carried out in the comfort of your home environment.


Read our news page on physiotherapy and multiple sclerosis here.