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Do you need Neurological Physiotherapy?

We are now pleased to be able to offer Neurological physiotherapy at The Carmichael clinic.  

My name is Cathy, I am a Neurological physiotherapist who specialises in the treatment of people who have a disorder of the central nervous system (CNS); this includes the brain, spinal cord and nerves.

As a Neurological Physiotherapist I aim to promote recovery and enhance function through stimulating neuroplastic changes within the CNS.  Neuroplasticity is the brain’s ability to rewire and restructure. Growth and reorganisation of the brain can be supported with intensive exercises.

There are a wide range of Neurological conditions including Stroke, Parkinson’s disease, Multiple sclerosis, Cerebral palsy as well as traumatic brain injuries. Many of the conditions can lead to debilitating symptoms.

Neurological conditions can lead to a loss of function, independence, and the ability to manage day to day tasks such as getting dressed, transferring in and out of the car or eating with cutlery. Neurological physiotherapy can help to improve quality of life and self-confidence.

Neurological symptoms, that I commonly treat include: –

  • Muscle weakness (paralysis)
  • Reduced range of movement
  • Decreased sensation
  • Altered coordination
  • Pain
  • Spasticity
  • Fatigue
  • Foot drop
  • Loss of confidence

Following a neurological event such as a stroke, early rehabilitation has been shown to be effective leading to improved outcomes; I therefore offer assessment after discharge from hospital. Early input encourages improvement in function and helps to reduce secondary problems, which may occur due to immobility or prolonged bed rest. Education and advice regarding appropriate equipment and postural management is also important at this stage.

Following an assessment, a personalised treatment programme, including up to date evidence-based approaches will be provided. I also advocate a 24-hour approach to my patient’s rehabilitation. This may include the completion of a home exercise programme or the application of an assistive device outside of physiotherapy sessions.

The types of Neurological treatment I offer include;

  • Functional task practice
  • Mobility practice
  • Hydrotherapy
  • Standing practice
  • Transfers
  • Core exercises
  • Balance exercises
  • Falls education and exercise
  • High intensity training
  • Individualised exercise programmes
  • Constraint induced movement therapy
  • Active-assisted stretches
  • Advice regarding Botulinum toxin for spasticity
  • Dexterity and fine motor exercises
  • Strength and condition training

Specialist equipment maybe used to enhance recovery this may include the use of:

  • Walking aids
  • Ankle/foot orthosis are used to reduce foot drop, improve foot clearance, and reduce falls
  • Electrical stimulation is used to activate a muscle to help maintain muscle or strengthen in conjunction with active exercise
  • Physiotherapy ball
  • Casting
  • Theraband and weights
  • Standing equipment to encourage weight bearing
  • Saebo equipment to promote upper limb recovery

Neurological physiotherapy can be provided within the home, clinic, gym, or nursing home.

If you, or a family member, are interested in discussing Neurological physiotherapy, please call 01565 750 035 or email for more information at

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