Orthotics are appliances that are used to improve the function, alignment and mobility of a particular area of the body. These include splints, ankle-foot-orthoses (AFOs), braces or insoles. The NICE guidelines recommend that patients with a neurological condition should be considered for an orthotic assessment as early as possible to promote optimal independence and function. They can also reduce pain and improve a person’s confidence.
Here are a few commonly used orthotics:
Please get in touch if you would like an assessment from our specialist neurological physiotherapist to advise on the best orthosis for you.
Thinking of starting running but don't know where or how to start?
The NHS Choices 'Couch to 5k' is a free running plan for absolute beginners helping you gradually work towards running 5km in just 9 weeks!
Running has so many health benefits such as:
Bath Physio Specialists 01225 683007
A stroke is a sudden neurological event caused by a clot in the blood vessels supplying the brain (ischaemic stroke) or a bleed in the brain due to weakened blood vessels (haemorrhagic stroke). Both types of stroke restrict blood supply and oxygen to brain tissues and can cause a variety of different symptoms. These include:
Neurological Physiotherapy at Physioimpulse
Our specialist and experienced neurological physiotherapists can help to maximise your recovery and potential following a stroke. Our physiotherapists are able to use a number of specialist treatments to ensure you can reach your rehabilitation goals and regain independence as soon as possible.
Physiotherapy treatment may include:
Martin was a very active man in his mid 40’s who loved any outdoor adventure sports including rock climbing, mountaineering and bouldering. He was highly successful in his career and owned a small advertising company, which he thoroughly enjoyed. Martin had a left middle cerebral artery stroke (MCA), which meant that the right side of his body was affected. Initially his main symptoms were:
Martin spent a total of 10 months in hospital, which included time in an acute stroke unit and then in a neuro-rehabilitation unit. During this time, some progress was made and Martin started to use an electric standing hoist to be transferred from his bed to the chair. This meant that his right leg had sufficient power in it to be able to take weight through it when using the hoist with the carers. His right arm had started to be able to joint in with daily tasks such as eating and washing but needed assistance.
Unfortunately, as Martin’s progress was relatively slow, he was discharged to a nursing home after 10 months of rehabilitation and looked after by carers 24 hours a day. Martin had been severely affected by fatigue but after 6 months in the nursing home, decided to start physiotherapy again to see if any further progress could be made.
Our specialist neurological physiotherapist, Katie, started seeing Martin twice a week at the nursing home. A thorough assessment was carried out and a treatment plan and individualised goals were set between them. Treatment varied and included:
After another 6 months, Martin was able to stand independently and step around to a chair using a specialist quad stick for support. He had also started taking a few steps.
1 year on
Martin’s mobility and balance progressed to such an extent that he was able to return home after a year of being discharged to the nursing home. He initially needed carers 3 times a day to support with showering, meals and shopping and was independent with all of his transfers and mobility including his stairs.
He is now independent with all of his activities of daily living and just has a cleaner to help with his housework once a week (which he is very pleased about!). Martin can drive an adapted car and go out independently to meet friends and socialise. He is still continuing with physiotherapy, which now even include sessions in the local climbing centre!
It is often reported that recovery gains start to significantly slow down after 6 months following a stroke and no further changes can be made after 2 years. Martin’s story is an important example that everyone should be treated as an individual rather than a statistic. In the right environment and with specialist rehabilitation, improvements can continue to be made for many years.
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Great reminder of how intricately made our body is. Keep this system healthy with regular exercise and as its Xmas why not have a little glass of red ;-)
Watch this short video during which Stuart Galise explains our biomechanics assessment and how orthotics can reduce spinal and lower limb pain.
When you feel pain in your lower back it can be a guessing game as to what caused the
sudden onset of discomfort. Is it a bulging disc, is it sciatica or just a muscle strain? The fact
of the matter is, it could be any of those conditions as many of the signs and symptoms over-
lap, meaning the internet could give you all sorts of diagnoses.
When someone says they’ve got a disc problem, what does that mean? Well a disc contains
a tough outer circle of connective tissue with a softer gel-like structure inside, which acts as
a shock absorber between each segment of the spine. Prolonged poor posture when sat at a
desk, or heavy lifting during manual labour can put the disc under pressure to a point where
the inner gel-like structure bulges towards the spinal canal. This mechanism can compress
sensitive structures (such as nerves) around the spine which cause pain and discomfort,
(including numbness, tingling, weakness) in the lower back and legs.
The good news is Chiropractic treatment can ease pain and restore the normal integrity of the damaged disc by using gentle mobilisation techniques in situ with functional exercises. During the initial consultation, your Chiropractor can accurately diagnose these symptoms using a variety of orthopaedic and neurological tests and apply the findings to the history of your complaint.
Maruti, R. et al (2016) Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. Journal of Chiropractic Medicine 15(2) pp.121-128.
Physioimpulse Chartered Physiotherapists