Neurological Rehabilitation Outpatients
Our specialist neurological rehabilitation service offers a variety of holistic, patient-focused assessments recommendations and goal-orientated rehabilitation for people who experience difficulties managing life as a result of a neurological illness or life-changing injury.
Our specialist team of physiotherapists, occupational therapists and speech and language therapists provides high quality assessment and evidence-based treatment for patients who need neurological rehabilitation for conditions including:
- Multiple Sclerosis
- Traumatic brain injury
- Spinal cord injury
- Brain and spinal cord tumours
- Charcot Marie tooth disease
- Guillain Barre syndrome and other polyneuropathies
- Muscular Dystrophy
- Cerebral Palsy
- Parkinson’s Disease
Our occupational therapists can support patients with:
- Personal and domestic tasks in daily living
- Assessment and treatment of cognitive difficulties e.g. memory, concentration and problem solving
- Supporting a return to work and leisure activities
- Fatigue management
- Splinting of a neurologically impaired upper limb (arm)
- Upper limb functional activities
- Provision of adaptive equipment
- Addressing seating and positional needs
- Signposting to other services e.g. disability employment advisors, voluntary sector, benefits agencies.
This may be done though individual or group sessions aimed at helping patients with self-care.
Speech and Language Therapy
Our specialist services include assessing, diagnosing and delivering therapy for patients with communication and swallowing difficulties arising from neurological conditions.
We help patients achieve their full potential by working with them individually or in groups and will include relatives, carers and other professionals and agencies where appropriate.
We offer assessments and individually tailored therapy for:
- Acquired dyslexia, dysgraphia and dyscalculia
- Apraxia of speech
- Cognitive-linguistic disorder
- Dysphagia (swallowing difficulties).
Where appropriate, we can offer neuro-trophic electrical stimulation (for the face) and computer-delivered rehabilitation for speech and language. We also work closely with – and may refer patients to – other services including the videopharyngography (VPG) clinic, Aphasia Nottingham, Meeting Point, specialist counselling and the alternative and augmentative methods of communication (AAC) specialist service.
Neuro Rehabilitation physiotherapy
Our team of specialist physiotherapists can help patients who are having difficulty with their balance, mobility, muscle and joint stiffness, muscle weakness, tonal changes (spasticity or flaccidity), pain, reduced fitness and stamina, completing everyday tasks (e.g. moving from sitting to standing).
Our support can include:
- Facilitatory handling techniques
- Designing individual exercise programmes
- Re-education of normal movement strategies
- Gait re-education (helping patients learn to walk normally again, which may include using walking aids and treadmill training)
- Functional electrical stimulation (a treatment that may benefit people who have difficulty moving due to damage to their brain or spinal cord)
- Saeboflex (assessment for a special splint, fitting and follow-up sessions within a monthly group setting. Please note that we do not supply the saeboflex unit)
- Gym sessions
Physiotherapists work with patients to jointly agree goals and design individual courses of treatment with therapy taking place either one-to-one or in groups. Sessions normally take place in our hospital-based treatment areas and gyms. Physiotherapy is available at Linden Lodge at City Hospital and the QMC physiotherapy department.
Referrals can be made if a person meets the following criteria: A confirmed neurological diagnosis, is registered with a Nottingham GP, is aged 16 years or over, has deterioration in functional level including a change in symptoms since their last therapy input, has specific rehabilitation goals and has realistic expections for our intervention.
Patient referrals must come from either consultants, members of the MDT team whether at NUH or within the primary care with consultant's approval. (E.g. specialist nurses, inpatient therapy colleagues.)
From within NUH please complete an e- referral on notis using the code NROP. Please follow the on-screen instructions and give us as much relevant information as possible on the patient’s current condition on the initial clinical details screen.
External agencies please download and complete a referral form and email it to us or post it to: Neuro Rehabilitation Outpatient team, Linden Lodge City campus, Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham NG5 1PB
If you wish to discuss this further please contact the team on Tel: 0115 9936630