Physiotherapy for a person with an injured spinal cord should start as soon as possible after injury. People who have suffered from a spinal cord injury benefit from specialist neurological physiotherapy which will concentrate on maintaining tissue capability increasing muscle strength and maximising potential and promoting independence. Treatment will focus on:

  • Increasing muscle strength above the level of injury to reduce muscle weakness

  • Maintaining muscle, tissue length and range of movement below the level of injury

  • Muscle stretching below the level of injury to help lengthen tight muscles and reduce stiffness

  • Regular standing to weight bear and improve function of internal organs

  • Exercises to improve balance and confidence

  • Teaching wheel chair skills which includes pushing and turning the chair, operating the brakes, and removing the footplates and armrests

  • Breathing control and assisted coughing if appropriate to maintain a clear chest

  • Teaching transfers (getting in and out of a wheelchair, bed, car, shower/bath and onto and off a toilet) to improve safety and promote independence

  • Advice on orthotic devices

  • Advice on positioning to help posture and prevent pressures sores

  • Improving safety

  • Increasing energy levels

  • Reducing pain and muscle spasms

  • Hydrotherapy treatment


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Acquired/traumatic brain injury

Many traumatic brain injury (TBI) survivors & those with an acquired brain injury (ABI) are left with significant disability. The brain is, however, very adaptable and, with the correct physiotherapy input, recovery can take place over a period of years. People often witness a rapid period of recovery in the first few weeks following a TBI, followed by a slower recovery over the following years. To gain the maximum recovery, physio treatment should be continued immediately once you leave hospital until your full potential has been reached. After a TBI many people experience difficulties performing tasks that were previously simple. This can make everyday life a struggle for both you and those close to you. TNP therapists will advise you on the use of walking aids, splints, supports and home equipment to make your life easier. During treatment sessions our neurological physiotherapists will lead you through a progressive programme of functional exercises to increase your mobility and muscle control. The physiotherapists at TNP will usually teach you (and if appropriate carers) exercises to be continued between treatment sessions. Neurological physiotherapy can help:

  • improve balance and walking

  • increase ability to roll / move in bed / sit / stand

  • reduce muscle spasms, pain and stiffness

  • increase strength

  • retrain normal patterns of movement

  • increase affected arm and leg function

  • increase energy levels

  • increase independence and quality of life

  • decrease risk of falls

  • integration back into day to day activities

  • implementation of strategies to help overcome the many barriers of brain injuries 

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People who have suffered from a stroke benefit from specialist neurological physiotherapy. Our dedicated neurological physiotherapists at TNP understand the difficulties a person will face following a stroke. For the best possible recovery, it is important to start physiotherapy as soon as possible. Physiotherapy treatment will advise and support you throughout your treatment and maximise your potential in order that long term improvements can be achieved. The neurological physiotherapists at TNP will set short and long term goals tailored to your needs to help promote independence and improve your quality of life. Physiotherapy treatment will be focused around:

  • Increasing control of movement of the arms, legs and trunk

  • Preventing muscle shortening

  • Advise on positioning

  • Promoting normal movement

  • Encouraging movement of affected limb

  • Increasing ability to roll/move in bed/sit/stand

  • Promoting activities of daily living

  • Increasing muscle strength

  • Improving balance and posture

  • Improving safety

  • Increasing energy levels

  • Reducing pain and muscle spasms

  • Promoting independence

  • Improving quality of life

  • Exercises to build stamina and reduce fatigue.

  • Repetitive exercise to recruit muscles and improve function.

  • Exercises to get the affected side of the body working more effectively.

  • Correcting and varying position to improve balance and coordination.

  • Teaching transfers (getting in and out of a wheelchair, bed, car, shower/bath and onto and off a toilet).

  • Orthotic devices and walking aids to encourage the foot to lift upwards when stepping and prevent injury.

  • Hydrotherapy treatment.

  • Functional Electrical Stimulation (FES) to stimulate the nerve supplying the leg and help lift the foot upwards to improve the quality of walking.

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 Multiple sclerosis

Physiotherapy can be of great benefit to people with Multiple Sclerosis (MS). It helps maintain independence by improving symptoms such as fatigue and muscle spasm, as well as preventing loss of mobility, strength and balance. Physiotherapists play a key role in the treatment of MS. Our specialised neurological physiotherapists at TNP are experienced in treating people with MS.

Our dedicated physiotherapists at TNP will help you achieve your maximum potential for physical independence, flexibility, strength and fitness levels, and provide advice and support on any new movement problems that may arise. Physiotherapy is important when the physical symptoms are changing, or during the recovery phase after a relapse. Physiotherapy aims to:

  • Help control and co-ordinate movement patterns.

  • Reducespasticity and encourage more normal movements.

  • Regain functional abilities.

  • Keep muscles strong and strengthen those that are weak.

  • Keep joints mobile and prevent stiffness

  • Improve co-ordination and balance.

  • Prevent pressure sores.

  • Prevent muscle contractures

  • Reduce the risk of falling

  • Promote recovery

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