Your well-being is the foundation of our practice

Neurological Rehabilitation: Restoring Movement and Independence

At Attwood & Associates, our Neurological Rehabilitation services provide specialized, expert support for individuals recovering from conditions that affect the nervous system. We focus on harnessing the brain’s neuroplasticity—its ability to reorganize itself—to help restore function, balance, and independence. Our compassionate approach creates personalized therapy plans tailored to maximize your mobility and improve your overall quality of life following a neurological event or diagnosis.

1. Focused Stroke Rehabilitation

Stroke Rehabilitation is a primary component of our neurological services. Our personalized therapy plans are designed to help you regain functional ability, focusing intensely on the mobility, balance, and coordination necessary for everyday tasks. We meet patients wherever they are in their recovery journey—from acute phase to long-term community integration.

Interventions for Stroke Recovery:

  • Gait Retraining: Using repetitive, task-specific practice and specialized equipment to re-establish a stable and efficient walking pattern, focusing on symmetry and endurance.

  • Upper Limb and Hand Function: Employing techniques like Constraint-Induced Movement Therapy (CIMT) to encourage use of the affected arm, along with fine motor skills training to improve dexterity for tasks like dressing and eating.

  • Balance and Proprioception Training: Specific exercises to improve stability, reduce the risk of falls, and enhance the body’s awareness of its position in space (proprioception).

  • Spasticity Management: Utilizing stretching, positioning, and manual therapy techniques to manage muscle stiffness and hypertonicity, allowing for easier movement and reduced discomfort.

Our approach centers on high-intensity, repetitive practice, which is proven to drive neuroplastic changes, helping new neural pathways take over lost functions.

2. Spinal Cord Injury (SCI) Rehabilitation

Recovery after a Spinal Cord Injury requires a comprehensive and highly motivational rehabilitation program. Our dedicated team helps patients regain strength, control, and movement where possible, focusing relentlessly on functional independence.

Goals of SCI Rehabilitation:

  • Strength and Function: Implementing specific exercise programs to maximize strength in muscles both above and below the level of the injury, preserving muscle mass and joint mobility.

  • Mobility Training: Intensive training in essential transfer techniques (e.g., bed to chair), advanced wheelchair skills, and, where appropriate, gait training with specialized assistive devices.

  • Respiratory Management: For higher-level injuries, we include breathing exercises and chest physiotherapy to maximize lung capacity and manage respiratory complications.

  • Activities of Daily Living (ADLs): Integrating rehabilitation into daily life skills, enabling patients to perform essential self-care tasks with greater ease and independence.

We work closely with patients to define realistic, meaningful goals, adapting our program as they progress and new neural function is discovered.

3. Managing Neurodegenerative Disorders

We provide specialized care for individuals living with progressive Neurodegenerative Disorders, focusing on symptom management and proactive strategies to maintain the highest quality of life and mobility for as long as possible.

Parkinson’s Disease (PD) Management:

Our PD programs address the core symptoms of the disease, including tremors, stiffness, and balance deficits. We utilize the principles of programs like LSVT BIG, focusing on large-amplitude movements to counteract the small, constrained movements common in PD. We specifically address:

  • Gait Freezing: Using rhythmic auditory cueing and visual cues to overcome movement initiation difficulties.

  • Balance Training: High-level balance exercises to maintain stability and prevent the significant risk of falls.

Multiple Sclerosis (MS) & Peripheral Neuropathy:

For patients with Multiple Sclerosis and other disorders like Peripheral Neuropathy, our focus shifts to adaptability and energy conservation:

  • Fatigue Management: Teaching pacing strategies and energy conservation techniques to allow patients to complete daily tasks without overexertion.

  • Balance and Spasticity: Utilizing specific exercises and passive stretching to manage increased tone and reduce the risk of secondary injuries.

  • Sensory Re-education: Addressing numbness or altered sensation caused by peripheral nerve damage to improve safety and awareness.

Ready to Take the Next Step in Your Recovery?

Start your personalised Neurological Rehabilitation program today. We focus on function, independence, and lasting improvement. Schedule your specialised assessment. Contact us if you have any questions about the recovery program

An individual is receiving neurological rehabilitation services at Attwood & Associates in Hermanus, Western Cape.
A man and woman stand together, participating in a Neurological Rehabilitation program at Attwood & Associates in Hermanus, South Africa.