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Neuro Physio S C O T L A N D Aims of presentation Introduce our service Provide information about physiotherapy and Parkinsons Disease Discuss services we provide Answer any questions Who are we? Specialist


  1. Neuro Physio S C O T L A N D

  2. Aims of presentation ● Introduce our service ● Provide information about physiotherapy and Parkinson’s Disease ● Discuss services we provide ● Answer any questions

  3. Who are we? ● Specialist neurological physiotherapists ● HCPC registered Chartered Physiotherapists ● Established in 2011 by Kenny and Cassie Thoms ● Edinburgh, Glasgow and Inverness

  4. What do we do? Neurological Physiotherapy: Assessment ● Walking ● Transfers ● Posture & Balance

  5. What do we do? Treatment ● Hands on therapy ● Exercise advice ● Goal setting ● Group treatment

  6. What do we do? Rehabilitation Technology: ● Functional Electrical Stimulation (FES) ● Orthotics

  7. Where do we work? ● Home visits ● Clinic appointments ● Local leisure centre ○ swimming pool ○ gym ● Workplace

  8. Referral process ● Self referral ● GP ● Consultant ● Specialist nurse

  9. How many treatment sessions? ● Depends on your needs ● We can advise after an assessment

  10. Parkinson’s Disease Varied symptoms - focus on movement ● Bradykinesia ● Movement initiation ● Tremor ● Rigidity / muscle stiffness ● Postural control ● Co-ordination

  11. Treatments for PD ● General fitness ● Stretching ● Hands on physio ○ Mobilisation of joints ○ Trigger point release ○ Manual stretches ● Posture and balance training

  12. Treatments for PD ● Co-ordination exercises ● Individual functional training ○ standing up from a chair ○ getting up from the floor ● Tricks to start/stop moving

  13. Example: Turning when dancing Possible causes: ● Posture ○ centre of gravity ○ rotational movement ● Initiation Treatment: ● Posture correction ● Use of music / self prompting to cue

  14. Rehabilitation Technology Functional Electrical Stimulation (FES) ● Device that stimulates muscles ● May help with: ○ reducing trips ○ reducing freezing episodes ○ walking further

  15. Rehabilitation Technology High Specification Orthotics ● Light-weight ● Comfortable ● Dynamic /flexible ● Less conspicuous

  16. Group Sessions ● Groups of similar ability ● Gradually learn an exercise programme ● Counting ● Mat exercises ● Problem solving ● Involve carers

  17. Group Sessions: Benefits ● Peer support ● Builds confidence ● Improves general fitness ○ sleep pattern, bowel function ● Motivation

  18. Group Session: Requirements ● Venue ● Chairs ● Individual assessment ● Maximum numbers 6 - 10

  19. Summary ● Specialist physiotherapy ● Location to suit you ● Rehabilitation Technology ● Individual or group treatments

  20. Any questions?

  21. 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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