Other Neurological Conditions

Other Neurological Conditions

Some examples are: Acquired Brain Injury (ABI) or Head Injury (HI), Motor Neuron Disease (MND), Bell’s Palsy, Charcot Marie Tooth Syndrome, Progressive Supranuclear Palsy (PSP)

  • All these conditions possess their own difficulties. Please let us help you manage your condition. We can provide you with a tailored assessment of your individual specialist needs and create a plan to help manage your condition.

 

Other problems may be:

  • Behavioural problems
  • Gross weakness
  • Specific muscle groups
  • Incidence of chest infections – Physio4Neuro also treats medical chest conditions from postural drainage to oro-pharyngeal suctioning.

 

“We now realise that Neuro is a specialist area. We are deeply aware of the knowledge and skill. Thanks for P4N” – DW, Wolverhampton

 

Case Study – Spinal Surgery

Assessment – Post Laminectomy

Points of Note – Major spinal surgery involving bone removal by consultant Neurosurgeon. Risks as for all surgery plus spinal cord nerve damage, bladder and sexual dysfunction

 

Treatment:-

  • Advice to take care especially the first 3 weeks post surgery, so as not to do irreparable damage.
  • Stretches to the spine in all directions gently, just to maintain ROM, whilst the bone and soft tissue heals
  • Strengthen back muscles and also abdominals (to support the back from the front)
  • Core stability essential for back stabilisation
  • Walking – increasing stamina, gait pattern, stride length. Note extensor muscle chain, often compromised with prolonged low back pain
  • Functional activity limitations – NO lifting and NO flexion ie forward bending

 

Progress:-

  • Stretches vital during early stages of rehab
  • Muscle strength maintenance at leas
  • Walking is very good at this stage. Avoid inclines and declines. Care with lots of stairs
  • Graduated return to sitting. Post spinal surgery sitting is the most risky position
  • Take it gently at first, so as not to do too much damage. If pain STOP. Nerve recovery does NOT advocate “no pain no gain”
  • Back to work in 6 weeks, with graduated return to work

Driving – most guidelines say 6 weeks post operatively and again start 10 minutes drive and increase gradually

 

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