Neurological and Adult Physical Rehabilitation
Neurological and Adult Physical Rehabilitation involves the treatment and management of patients who present with various neurological disorders and other physically debilitating conditions. Neurological disorders can occur as a result of acquired or traumatic brain injuries (e.g. Stroke, tumours, accidents) or progressive neurological diseases/neurodegenerative disorders (e.g. Parkinson’s, Multiple Sclerosis, peripheral neuropathy, motor neuron disease). Spinal cord injuries, which may be as a result of trauma or disease, but are typically associated with major trauma from motor vehicle accidents, falls, sports injuries, and/or violence are also encompassed within neurological conditions.
Acquired Brain Injury (ABI)
ABI can result from either traumatic brain injury (e.g. physical trauma due to accidents, assaults, neurosurgery, head injury, etc.) or non-traumatic injury derived from either an internal or external source (e.g. stroke, brain tumours, infection) Acquired brain injuries may result in cognitive, physical, emotional, or behavioural impairments that may lead to permanent or temporary changes in functioning.
Spinal Cord Injury (SCI)
SCI refers to any injury to the spinal cord that is caused by trauma or disease. Spinal cord injuries have many causes, but are typically associated with major trauma from motor vehicle accidents, falls, sports injuries, and violence.
Spinal cord injuries are most often traumatic, caused by lateral bending, dislocation or rotation of the spinal cord. Motor vehicle accidents are the most common cause of SCIs, while other causes include falls, work-related accidents, sports injuries, and penetrations such as stab or gunshot wounds. SCIs can also be of a non-traumatic origin, as in the case of cancer, infection, intervertebral disc disease, vertebral injury and spinal cord vascular disease.
Men are at more risk for spinal cord injury than women. Studies have shown that more than 80% of the spinal cord injury patients are men.
Home / Site visits
Occupational therapy intervention in neurological and adult physical rehabilitation also includes assessing the client’s home and work environment. This is done to maximise the integration of acquired cognitive skills, motor skills, communication skills and functional skills in carrying out everyday activities. Home and work visits are therefore offered as part of the service.
Caregiver training and education
Most often caregivers, who are usually family members, are left feeling overwhelmed with the responsibility of caring for their loved one. Therefore, the training of caregivers in an integral part of the neuro and adult physical rehabilitation service to enable the effective carry-over of the skills gained/taught during the therapy process as well as to ensure that those skills are maintained. This is done in order to prevent further deterioration even after therapy has been discontinued and to promote health and well-being for both the patient and the caregiver.
Neurodegenerative Disorders/progressive neurological diseases
Neurodegeneration is the umbrella term for the progressive loss of structure or function of nerve cells, including brain cells. These nerve cells control voluntary muscle activity including speaking, walking, swallowing, thinking processes and general movement of the body. Many neurodegenerative diseases including, but not limited to, Parkinson’s Disease, Alzheimer’s, and Motor Neuron Disease occur as a result of neurodegenerative processes.
Occupational Therapy Intervention
Occupational therapy intervention involves patient-focused treatment, for inpatient, outpatient and home based follow-up care, to empower patients and their families to achieve optimal quality of life continuing into the community. The focus of therapy is on increasing self-reliance and gaining independence.
Early therapeutic intervention has been shown to reduce the length of total hospital stay and also showed better and faster rehabilitation gains with fewer medical secondary complications. The purpose of Occupational Therapy in neurological and adult physical rehabilitation is to assist the client in becoming functionally independent in all areas of daily living such as personal management and self-care, work, home management, social interaction and leisure.
In order to achieve functional independence, assistive devices may be required to optimise the outcome of rehabilitation. Mobility aids and/or assistive devices such as wheelchairs, grab rails, bathing equipment, and eating utensils can also be provided where needed. The prescription of assistive devices is individualised based on the person’s needs and environmental context.
Schedule an Appointment
For an integrated approach to Occupational Therapy services, contact us on the details below.
Hands, Lymphoedema & Breast Cancer
011 475 9480
Neurological and Adult Physical Rehabilitation
060 477 9950