Our Expertise

A variety of treatment modalities are used as therapy adjunct to help our clients meet their needs. A tailored rehabilitation package is identified for each client following a detailed assessment and careful consideration of the client’s goals
Therapy is directed using land based treatment, hydrotherapy or rebound therapy alongside use of technology and equipment

Medico Legal Work

We are instructed by case managers and solicitors for assessment, recommendations, detailed report and to formulate client-centered goal setting, a treatment plan for individuals with brain injury. We are instructed as treating therapists or medico-legal expert witnesses.

Full Process
  • Upon receiving instructions, based on the client’s condition and nature of the difficulty, one of our specialist physiotherapists will complete a detailed assessment.
  • A detailed bespoke report and costings are produced, highlighting the client’s areas of difficulty, goals, and therapeutic approach.
  • Treatment reports are formulated after a comprehensive assessment of the client, evidence of impact of injuries, and its long term implications for the client.
  • We provide detailed equipment assessment to include innovative technology and specialist splinting and costings.
  • Once the funding is approved, we will commence treatment targeting our client’s goals and bespoke approach to improve their abilities.
  • Treatment is carried out in the community, at the client’s home, school, college, daycare centers, leisure centers, gym, pool, etc.
  • We are involved in training and supervising support staff and carers on physiotherapeutic approaches, postural management, and handling schedule for our client.
  • We will complete a detailed risk assessment and guidelines for the use of specialist equipment, hydrotherapy or rebound therapy.
  • We aim to integrate our clients well within the community using leisure and sports activities, promoting social skills and confidence.
  • We offer periodic updated goals and review reports as per our client’s progress and give our professional input in multidisciplinary team meetings.
Treatment Approach

We use vestibular rehabilitation techniques, Sensory Integration, and Bobath approaches. Our personalised physiotherapy programs are entirely client and family-focused. They are designed to be incorporated into the client’s daily routine at home, school, college, gym, work, play, social, and routine physical activities. Our treatment approaches are evidence-based and are supported with references from independent clinical trials. We use objective goal setting specific to each client and use a wide range of assessment tools to evaluate the client’s progress. Uses of measurement tools make treatment goals specific and achievable.

Neurological Gait Analysis and Advice on Orthotic Management

Most of the disabling conditions like cerebral palsy, acquired brain injury, stroke, peripheral neuropathies have associated gait pathology resulting in standing and walking difficulties. We offer a biomechanical assessment to review forces, movements, and power, undertake gait analysis and orthotic assessments to understand the biomechanical alignment, and help assess for ankle-foot orthosis (splints) and footwear combination. We work closely with an established network of clinical orthotists to offer this comprehensive care to our clients.

Neurological Gait Analysis and Advice on Orthotic Management

Most of the disabling conditions like cerebral palsy, acquired brain injury, stroke, peripheral neuropathies have associated gait pathology resulting in standing and walking difficulties. We offer a biomechanical assessment to review forces, movements, and power, undertake gait analysis and orthotic assessments to understand the biomechanical alignment, and help assess for ankle-foot orthosis (splints) and footwear combination. We work closely with an established network of clinical orthotists to offer this comprehensive care to our clients.

Hydrotherapy/ Aquatic Therapy

Hydro therapy is derived from the Greek work “hydro”- water and “Therapia”- healing, also called aquatic therapy. Physiotherapy programs utilising properties of water are widely used with clients having neurological and musculoskeletal conditions. It is much easier to initiate movements in water and exercise can be effortless and fun. We use hydrotherapy as an adjunct to help our clients achieve their goals. We are trained to work with children and adults with complex physical needs and maximize their potential in a pool environment.

Hydrotherapy/ Aquatic Therapy

Hydro therapy is derived from the Greek work “hydro”- water and “Therapia”- healing, also called aquatic therapy. Physiotherapy programs utilising properties of water are widely used with clients having neurological and musculoskeletal conditions. It is much easier to initiate movements in water and exercise can be effortless and fun. We use hydrotherapy as an adjunct to help our clients achieve their goals. We are trained to work with children and adults with complex physical needs and maximize their potential in a pool environment.

Goldsmith Body Symmetry Assessment

Goldsmith measurements are used in children, young people, and adults at risk of body shape distortion. The measures are standardised and relate only to Procedures 1, 2, and 3 for use with Anatomical Measuring Instrument (AMI) with Level Box Angle Sensor as Accessories.

Purpose of Assessment

AMI is a complete postural care management solution; it gives easy access to anyone working with a client that needs postural care information and data regarding their posture and management using appropriate support.

It is the only validated tool to measure 3D chest shape changes and hip wind sweeping and is supported by NICE guidelines. The assessment offers targeted treatment based on objective measures/findings. This involves engaging the family and care team around the child and visual understanding of the family and care team.

The assessment allows preventive treatment through early intervention and we are able to detect bodily changes and set out early intervention plan with appropriate use of equipment that is likely to limit further deterioration and prevent future surgeries. The procedure is accessible and is client centred.

The objectives reinforce positive behavioral changes in clients and there is data efficacy on individuals and service providers. Protecting body shape helps gain better health outcomes, which in turn affects the quality of life and improve life expectancy.

Rebound Therapy

Rebound Therapy is used to facilitate movement, promote balance, influence muscle tone, promote sensory feedback, improve fitness and exercise tolerance and to facilitate relaxation. The principles of Rebound Therapy form the basis of gymnastic movements. It teaches progressions of movement patterns which are designed to encourage the child to experience healthy exercise while having fun. Rebound therapy is widely used in children and adults with various levels of functional difficulties. Please ask your therapist if your child or yourself are suitable for an assessment.

Specialist Equipment 

Children and adults with physical difficulties need 24 hours postural care in sitting, lying, standing and walking. We offer specialist assessment and recommendations for a wide range of therapy equipment like standing frame, walking frame, sleep systems, TRIKES, mobility and transfer aids. We use wide variety of postural management equipment that work in adjunct with ongoing therapeutic programme.

Saebo Splinting

Children and adults with physical difficulties need 24 hours postural care in sitting, lying, standing and walking. We offer specialist assessment and recommendations for a wide range of therapy equipment like standing frame, walking frame, sleep systems, TRIKES, mobility and transfer aids. We use wide variety of postural management equipment that work in adjunct with ongoing therapeutic programme.

Manual Handling Training

For Carers, Staff and Families

Children or adults with complex neurological involvement more often suffer from restricted mobility. Appropriate manual handling techniques are imperative for any safe transfers. We offer comprehensive training and written guidelines for the family/carers’ team to be able to work safely and efficiently with our clients.

Risk Assessments

Risk assessments are carried out for any procedure, where there could be a potential hazard.

5 Steps of Risk Assessment
  • Identify hazards
  • Decide who might be harmed
  • Evaluate the risk
  • Record the findings
  • Review assessments and updates.

Following assessment, we would complete risk assessment reports and guidelines for staff and family to follow. Such assessment is carried out at schools, colleges, gym, hydrotherapy pools, in the community, or at clients’ homes.

Walking and other motor functions for individuals who have upper motor neuron lesion. The technique produces contractions in paralysed muscles by application of small pulses of electrical stimulation to nerves that supply the paralysed muscle. Stimulation may be applied using skin surface electrodes or using an implanted device.

Read More

Functional Electrical Stimulation (FES) and Neurostimulation.

 For FES to be effective, both the nerve and the muscle supplied by the nerve must be undamaged, hence it can be used in cases of cerebral palsy, head injury or any upper motor neuron lesion. FES is widely used in children or adults with foot drop.

FES has several benefits over ankle foot orthosis (ankle splints). This is an active intervention that enables the client to use of their own muscles. Active contractions are produced, which help in muscle retraining, possibly leading to strengthening and could also develop voluntary control through motor learning. Clients using FES also show reduction is quadriceps spasticity and (Quality Adjusted Life Years Analysis) have indicated significant positive cost-benefit from the treatment.

Audits of clinical service and surveys indicate reduced effort of walking, reduced tripping, and improved confidence while walking. People using FES for treatment report greater mobility and improvement in activities of daily living than the control group receiving only physiotherapy treatment.

Assessment and Treatment with (FES) 

Assessment and Treatment with (FES) 

Walking and other motor functions for individuals who have upper motor neuron lesion. The technique produces contractions in paralysed muscles by application of small pulses of electrical stimulation to nerves that supply the paralysed muscle. Stimulation may be applied using skin surface electrodes or using an implanted device.

Read More

Functional Electrical Stimulation (FES) and Neurostimulation.

 For FES to be effective, both the nerve and the muscle supplied by the nerve must be undamaged, hence it can be used in cases of cerebral palsy, head injury or any upper motor neuron lesion. FES is widely used in children or adults with foot drop.

FES has several benefits over ankle foot orthosis (ankle splints). This is an active intervention that enables the client to use of their own muscles. Active contractions are produced, which help in muscle retraining, possibly leading to strengthening and could also develop voluntary control through motor learning. Clients using FES also show reduction is quadriceps spasticity and (Quality Adjusted Life Years Analysis) have indicated significant positive cost-benefit from the treatment.

Audits of clinical service and surveys indicate reduced effort of walking, reduced tripping, and improved confidence while walking. People using FES for treatment report greater mobility and improvement in activities of daily living than the control group receiving only physiotherapy treatment.

Elastic Therapeutic Taping

Used to facilitate activity in skin (dermis and epidermis) that could facilitated or inhibit muscle activity and particular movement pattern. This treatment approach is used in neurological, orthopaedic, musculoskeletal or in lymph flow disorders. Taping is used either on muscle belly, myofascial chains, cutaneous and trigger points, fascial sheets or on dermatomes. We use this treatment as an adjunct to influence muscle function and train on typical movement patterns. The treatment is highly evidence based and help clients with neurological or underlying orthopaedic problems to achieve their targeted goals and objectives.

Elastic Therapeutic Taping

Used to facilitate activity in skin (dermis and epidermis) that could facilitated or inhibit muscle activity and particular movement pattern. This treatment approach is used in neurological, orthopaedic, musculoskeletal or in lymph flow disorders. Taping is used either on muscle belly, myofascial chains, cutaneous and trigger points, fascial sheets or on dermatomes. We use this treatment as an adjunct to influence muscle function and train on typical movement patterns. The treatment is highly evidence based and help clients with neurological or underlying orthopaedic problems to achieve their targeted goals and objectives.