Neuro Physio S C O T L A N D
Aims of presentation ● Introduce our service ● Provide information about physiotherapy and Parkinson’s Disease ● Discuss services we provide ● Answer any questions
Who are we? ● Specialist neurological physiotherapists ● HCPC registered Chartered Physiotherapists ● Established in 2011 by Kenny and Cassie Thoms ● Edinburgh, Glasgow and Inverness
What do we do? Neurological Physiotherapy: Assessment ● Walking ● Transfers ● Posture & Balance
What do we do? Treatment ● Hands on therapy ● Exercise advice ● Goal setting ● Group treatment
What do we do? Rehabilitation Technology: ● Functional Electrical Stimulation (FES) ● Orthotics
Where do we work? ● Home visits ● Clinic appointments ● Local leisure centre ○ swimming pool ○ gym ● Workplace
Referral process ● Self referral ● GP ● Consultant ● Specialist nurse
How many treatment sessions? ● Depends on your needs ● We can advise after an assessment
Parkinson’s Disease Varied symptoms - focus on movement ● Bradykinesia ● Movement initiation ● Tremor ● Rigidity / muscle stiffness ● Postural control ● Co-ordination
Treatments for PD ● General fitness ● Stretching ● Hands on physio ○ Mobilisation of joints ○ Trigger point release ○ Manual stretches ● Posture and balance training
Treatments for PD ● Co-ordination exercises ● Individual functional training ○ standing up from a chair ○ getting up from the floor ● Tricks to start/stop moving
Example: Turning when dancing Possible causes: ● Posture ○ centre of gravity ○ rotational movement ● Initiation Treatment: ● Posture correction ● Use of music / self prompting to cue
Rehabilitation Technology Functional Electrical Stimulation (FES) ● Device that stimulates muscles ● May help with: ○ reducing trips ○ reducing freezing episodes ○ walking further
Rehabilitation Technology High Specification Orthotics ● Light-weight ● Comfortable ● Dynamic /flexible ● Less conspicuous
Group Sessions ● Groups of similar ability ● Gradually learn an exercise programme ● Counting ● Mat exercises ● Problem solving ● Involve carers
Group Sessions: Benefits ● Peer support ● Builds confidence ● Improves general fitness ○ sleep pattern, bowel function ● Motivation
Group Session: Requirements ● Venue ● Chairs ● Individual assessment ● Maximum numbers 6 - 10
Summary ● Specialist physiotherapy ● Location to suit you ● Rehabilitation Technology ● Individual or group treatments
Any questions?
NeuroPhysio S C O T L A N D Learn to make the most of your abilities Live life to the full!
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