Physiotherapy in Neurology

Neurological physiotherapy is the treatment of individuals who have neurological impairments to gain either functional changes or neuroplastic changes or both.

Neurological Physiotherapist look after:
Assessment and diagnosis: Assessing and treating individuals with neurological impairments to enhance or maximize patients’ functional ability. We apply a hypothesis-driven reasoning strategy to formulate a list of probable pathological causes of an individual’s chief concern and movement dysfunction to reach to final physiotherapy diagnosis.
Treatment: Forming a conceptual framework to establish link between health condition, body structure and function, activity and participation limitations for individuals with neurology related diagnosis. The intervention parameters in Neurological physiotherapy are defined in order to induce neuroplasticity or behavioral recovery through evidence-based practice either in the institutions or in the community.
Common conditions: Traumatic brain injury, Stroke, Multiple sclerosis, Spinal cord injury, Motor neuron disease, Parkinson's disease, Transverse myelitis, polyneuropathies, and Vertigo are major neurological conditions that we frequently encounter in our institutions and/or in Nepal.

Services we provide (for both inpatients and outpatients):

• Basic evidence based techniques such as range of motion exercises, tone stimulating and inhibiting techniques, muscle strengthening / stretching techniques, motor and sensory reeducation and proprioceptive neuromuscular facilitation techniques
• Balance, coordination, vestibular retraining
• Cognitive behavioral therapy  and counseling
• Contemporary interventions such as constraint induced movement therapy, action observation therapy, mirror therapy, Lee Silverman Voice Technique (LSVT  Loud and  LSVT Big) etc
• Speech and swallowing therapy
• Mobility training (bed, room, wheelchair), treadmill training / gait training, functional training
• Continence training
• Pain relieving techniques and modalities such as transcutaneous electrical stimulation
• Combination of interventions (for priming one intervention with another).

Rhythmic exercises for spastic legs	Sit stand training for paraplegic patient to