Physiotherapy Treatments

Gait re-education

What is gait re-education?

Mobility, or gait as professionals often call it, can be a huge area of focus when living with a neurological condition. Your therapist will watch you walking, breaking down parts of the gait cycle to tailor your treatment. Often the use of a mobility aid or change to a mobility aid can improve your walking pattern. Specific exercises can be used to strengthen muscle groups to improve the walking pattern. Different triggers to think about whilst walking might be used with repetitive practise of these. Use of an orthotic might be indicated or a trial with FES (Functional Electrical Stimulation) may be of benefit. We will look at walking in the home, outside on different terrains, increasing your speed outside, jogging or even running. If specialist referrals are required we can refer to orthotics clinics, spasticity clinics or local gait lab facilities.

Who is gait re-education suitable for?

Gait re-education is suitable for anyone who’s walking has changed as a result of a neurological event or condition. Or for anyone who is feeling less steady on their feet as a result of an illness or life event. Or for anyone who wants to take that first step and begin walking again. Or if you would like some specialist advice as to whether you can improve your walking pattern, speed or return to running as you may have done previously. Whatever you level of rehabilitation we can help, so if you or a loved one may benefit from advice and help with their mobility however big or small, get in touch with the specialist team at Access to Rehab.

Balance re-education

What is balance re-education?

Balance training is essential in preventing falls. Effective balance is determined when different systems in our body work together to optimise our ability to stay upright against gravity in different situations. These systems rely on input from our eyes, ears, muscles and joints, all of which can be affected with a neurological condition. Balance training is therefore an essential part of your rehabilitation, it can start with sitting balance training to high level dynamic standing balance. At Access to Rehab we will assess your balance impairments using evidence based outcome measures to tailor a balance training programme that suits your needs.

Who is suitable for balance re-education?

Balance training is important in all aspects of rehabilitation with a neurological condition and should be included as part of everyone’s treatment programme. Setting the right parameters for your needs so you can challenge your balance in a safe environment. Balance impairments can have a huge impact on you psychologically, we can work with you to improve your confidence in certain tasks at the same time improving your balance and overall safety.

Exercise Therapy

What is Exercise Therapy?

Exercise therapy is a key area of rehabilitation. A bespoke exercise programme will be developed for you to do either in your own home or even at your local gym/leisure centre. It will focus on the key areas you need to improve your strength, flexibility and functional ability for your whole body, head to toe! Neuroplasticity is the fundamental backbone of neurological rehabilitation, it’s key concept being that with repetition of exercises and task practice the brain can learn how to perform those movements/task again. If exercising in a group is something your prefer we can look at local groups you can join to do this with.

Who is Exercise Therapy Suitable for?

The best thing about exercise therapy is that it is suitable for EVERYONE! 

Whether you are a child or an adult, are living with a neurological condition or not we should all be more active in life, we should all be exercising! At Access to Rehab your exercise programme can be tailored individually to you, we can support you in doing these exercises or give you the tools to carry them out yourself.


What is hydrotherapy/pool based exercises?

Hydrotherapy is a type of physical therapy which utilises water to create a therapeutic environment. Hydrotherapy pools tend to be warmer than a normal swimming pool with temperatures above 34 degrees. Exercising in warm water has a number of benefits, the water can provide a relaxing impact on the individual, the warmth can act as a pain reliever and provide other physiological benefits, the resistance of water can offer strength training to the muscles as well as the buoyancy properties of the water offering a supportive environment to exercise in. Unfortunately hydrotherapy pools are in short supply nationally, your physiotherapist can provide you with information on the ones local to you as well as other options at local swimming pools where you can still use the benefits of water but in a cooler environment. A bespoke exercise programme can be devised by your physiotherapist at Access to Rehab to maximise the benefits of exercising in water.

Who is hydrotherapy/pool based exercises suitable for?

Hydrotherapy and water based therapy are often suitable for those who may find certain tasks too effortful on land and need the support and buoyancy of the water to help them move more effectively. You will often find you can perform activities in the pool that you are unable to perform effectively on land. It can also be beneficial for those with pain and muscle spasms. It is also a good environment to work on specific muscle strengthening work. Hydrotherapy will be used in conjunction with land based therapy to offer maximum benefits.

Maintenance programmes

What is a maintenance programme?

Living with a long term neurological condition is not always about improving to the next level but about keeping/maintaining what you have. At Access to Rehab we can devise a programme of stretches, exercises and functional task that you need to do regularly to maintain your flexibility, strength, posture and functional independence. We can help you do these programmes or teach relatives/carers the best ways to support you. We all have huge experience of working alongside different care agencies and other healthcare professionals so you can receive seamless care.

Who is suitable for a maintenance programme?

Anyone who is living with a long term neurological condition and wants to know what they need to do to keep at this level and prevent any deterioration or secondary complications. This might be suitable for those with stiffness and spasticity in their limbs, which if they don’t keep flexible with become tight, often painful and make daily tasks more challenging for you or your carers/family. If you think a maintenance therapy programme might be suitable for you get in touch and we can discuss if this is the best option for you.