Therapy & Treatments

There are lots of therapy and treatment options sometimes it is a case of not knowing where to look. A good starting point is charities for your actual condition and your GP and medical professionals. Here are some general links and videos including ideas of endorsed treatments you may not of thought of that may be useful. Always follow medical advice and talk through ideas with your GP and or Consultant. Also be aware there is a lot of misinformation online so look and ensure a treatment follows NICE guidance that doctors typically follow and check with your health professional. Do give the videos time to load. 

The Charted Society for Physiotherapy UK https://www.csp.org.uk/

Physiotherapy Exercises https://www.physiotherapyexercises.com/

Find a Chartered Physiotherapist many different specialisms including neurology, ME,respiratory, learning disabilities, hydrotherapy, pain management, arthritis, back pain and more. You search for someone local to you. https://www.csp.org.uk/public-patient/find-physiotherapist/physio2u   

Royal College for Occupational therapist’s Occupational therapy UK https://www.rcot.co.uk/

The Word Federation of Occupational Therapists https://www.wfot.org/

NHS Choices Occupational therapy video 

Functional Electrical Stimulation and mobility difficulties such as Cerebral Palsy, MS and Strokes http://www.bhamcommunity.nhs.uk/patients-public/rehabilitation/functional-electrical-stimulation There are a number of FES companies that due devises to help foot drop for conditions like MS, CP, Stroke. Our experience is with Ottobock that also make prosthetic limbs, orthotics and wheelchairs Here is a video from Walk aide showing how FES helps walking https://www.ottobock.co.uk/

Another developer of FES is Odstock medical an NHS company working with Salisbury hospital   https://www.odstockmedical.com/

Bioness http://www.bioness.com/Products/L300_for_Foot_Drop.php

This video shows what to expected and Linda is using Walkaide 

 

FES information from the MS Society a technology helping stimulate muscles and nerves for movement and motility https://www.mstrust.org.uk/a-z/functional-electrical-stimulation-fes

Cyclone Mobility FES muscle stimulation Cycle bikes for moving paralysed muscles and cycling exercise also useful on weak muscles to build muscles and stop degeneration. These are exercise bikes for example you may be able to incorporate into physiotherapy  https://www.cyclonemobility.com/product/category/electrical-stimulation/

Animation explaining FES and FES cycling (FES has NICE Guidelines) and the benefits for example if you have had a spinal cord injury for example or you have weak muscles for example due to Cerebral Palsy from Berkel Bike 

Berkel BikeOffers a range of disability cycle bikes/ for outside use and an exercise option includes hand controls and whole body cycling. Lots of options o incorporate FES muscle stimulation so you can use the bike and build strength and muscle mass with paralysed muscles and weak muscles. https://berkelbike.co.uk

FES cyclingto work and strengthen weak or completely paralyzed muscles as the contraction is involuntary also reducing the risk of secondary conditions from being immobile both as an exercise bike for legs and or arms. You may find this very useful if you have a neurological condition:

Also FEScan be a cycling bike to even race 

NICE (National Institute for Care and Education) set independent medical guidelines on medical treatments and options for all different conditions. It is what the NHS follow be that GPs or consultants when considering your treatment and care see https://www.nice.org.uk/guidance

DIAL Disability Information and Advice Line for advice and guidance on all aspects of living with a disability https://www.dialuk.info/ 

Hydrotherapy a look at the therapeutic benefits of (water at a high temperature) hydrotherapy. Hydrotherapy is essentially physiotherapy in water because of the support from the water and the high temperature people are more mobile and the exercise really helps with pain and range of movement (it is also an enjoyable exercise)   http://hydrotherapy.org.uk

A list of charity and hospital hydrotherapy options for those based in Buckinghamshire http://www.musculardystrophyuk.org/assets/0001/7434/South_Central_Muscle_Group_-_Hydrotherapy.pdf

A look at Hydrotherapy in action from this NHS You Tube Video and people's reported experiences. 

Spokz People a social enterprise offering therapy, counselling and support to people with disabilities helping with managing disability, daily life, pain support trauma work using EMDT, help with resilience building, confidence, self-esteem, mindfulness, stress, anxiety, mental health, relationships and more The therapists have disabilities themselves https://www.spokzpeople.org.uk

IESO Health offer free NHS Approved qualified CBT style therapy for mental health such as Anxiety, Depression, OCD, Phobias, PTSD, Stress and more. You do the counselling online from the comfort of your own home and learn strategies to come and overcome difficulties keeping in touch with your counsellor     

https://www.iesohealth.com/en-gb?fbclid=IwAR2qRJk0R3IvE_nTCsHbqbHJgles-DYqBQSuVGt-gGC9R5SupU090H0TiVc

British Association for Behavioural and Cognitive Psychotherapies (BABCP) babcp.com

Provides information on accredited cognitive behaviour therapists CBT.

IAPT (Improved Access to Psychological Therapies) Find local NHS services https://www.nhs.uk/Service-Search/Psychological%20therapies%20(IAPT)/LocationSearch/10008 

Information about local NHS therapy in England

British Psychological Society (BPS) bps.org.uk

Provides a detailed list of chartered psychologists.

British Association for Counselling and Psychotherapy (BACP)

bacp.co.uk

itsgoodtotalk.org.uk

CBT What it is as explained by Mind the mental health charity a talking therapy looking at cognition's (thoughts) and behaviour to make change 

Othotics are artificial devices such as splints and braces that support such as to improve your gait (walking) or posture they are used in a range of conditions such as that affect walking such as Cerebral Palsy, Stroke or MS as well as othotics for the spine like in Sclerosis. They are often ankle support  but the impact on walking for example can be HUGE. This video from the College of Podiatry explains their use and what is involved. You can get a referral about exploring Orthotics on the NHS if it is felt it may help you. 

 

MS UK offer 50 mins weekly telephone counselling for those with MS https://www.ms-uk.org/counselling

Chilterns MS Centre based in Wendover Aylesbury Buckinghamshire offers those with MS a range of treatments such as physiotherapy, Hydrotherapy,  Occupational Therapy, exercise classes, acupuncture, contemporary therapies, counselling, social groups, yoga, speech therapy and more      https://www.chilternsmscentre.org/contact/

MS Trust have a treatment finder that looks at different MS treatment options https://www.mstrust.org.uk/about-ms/ms-treatments/treatment-finder

The MS Society have gentle exercise workout videos online for people with MS https://www.mssociety.org.uk/care-and-support/everyday-living/staying-active/simple-workouts-for-ms They also have exercises aimed at specific symptoms of MS https://www.mssociety.org.uk/care-and-support/everyday-living/staying-active/exercises-for-ms-symptoms

MS Trust offers tips for being active, Mr Motivator exercise films, option to build an exercise plan and some plates films https://www.mstrust.org.uk/life-ms/exercise  

Bucks Stroke Support Service for those of any age that have had a stroke includes help with linking to other support, help with benefits, help returning to work after a stroke, help with social support and local cafe's to meet, help accessing leisure, emotional support and more   https://www.stroke.org.uk/finding-support/bucks-stroke-support-service

Selective Dorsal Rhizotomy information from Scope an operation for those with Diplegia Cerebral Palsy more often done on children and even then rarely on offer on the NHS https://www.scope.org.uk/advice-and-support/selective-dorsal-rhizotomy/

 Speech Therapy http://www.speechtherapy.co.uk/index.html The UKs longest running site for speech and language therapists

 The Therapy Directory www.therapy-directory.org.uk allows you to search for a large variety of different therapies to find a therapist for the type of therapy you need near to you. It includes lots of complementary and alternative therapies. 

Horses Helping people a centre on the Bucks/Herts boarder offering theraputic sessions to a wide range of people including those with emotional issues, anxiety, those with mental health problems, autism or learning disabilities, those with Cerebral Palsy, those with MS or following Stroke or head injury. They do sessions to help confidence. They have training courses, also mindfulness courses http://horseshelpingpeople.co.uk/ 

Horsewyse a riding and learning centre in Aylesbury providing lessons and hacks out as well as polocrosse. They do a lot of sessions for learning disabilities, Downs Syndrome autism, social and emotional difficulties, confidence and physical disabilities http://www.horsewyse.org.uk/

Equine Therapy (horse)is reported to benefit those with Autism, learning disabilities and mental health issues due to the therapeutic nature of horses. Hippo-therapy is a form of horse ridding exercise using Occupational therapists particularly focused on balance, core strength, posture and emotional well-being. This video is American but explains the issues of Hippo-therapy. One benefit is it is often highly enjoyable, social and does not feel like exercise.From an NHS perspective studies are often inconclusive or show small improvements with some groups.

Look at NICE guidelines for the latest studies

https://www.evidence.nhs.uk/search?q=equine+assisted+therapy

Chartered Physiotherapists in Therapeutic Riding and Hippotherapy https://cptrh.csp.org.uk/

Some individuals report improvement with areas like gross motor control, balance, posture and wellbeing. More large scale studies are needed

     

Headway South Bucks head injury support in Bucks offering social groups and a resource centre https://www.headwaysouthbucks.org.uk/who-are.html

Headway Aylesbury for head injury offering social support groups, practical and emotional support, help with daily living tasks, help with independence help with learning and general rehabilitation, there is art therapy   http://www.headwayaylesburyvale.org/our-services/ 

Buckinghamshire Community Head Injury services helps following a head injury with rehabilitation like physio, OT or physiological therapy, CBT, speech therapy, communication groups, help with leisure participation, Education, gaol setting, the Working Out programme to help you stay in work or find work and family/friend support services https://www.buckshealthcare.nhs.uk/Our%20clinical%20services/A%20to%20Z%20of%20clinical%20services/chis.htm

Sensory Service Buckinghamshire based in Aylesbury  looks at how hearing loss affects your day to day life offering support, helping with training adapting and developing daily living skills, mobility training and equipment https://www.actiononhearingloss.org.uk/how-we-help/support-and-care/sensory-services/sensory-service-buckinghamshire/  

Buckinghamshire Mind local mental health services for adults and young people includes counselling, activity groups, peer support, employment support, training, befriending and more   https://www.bucksmind.org.uk/services/

 Conductive Education is a structured teaching and learning approach developed for Cerebral Palsy and used with motor conditions to improve skills, mobility and independence. Used with many conditions including Cerebral Palsy, MS, Parkinson’s, and Stoke http://www.conductive-ed.org.uk

A video explaining Conductive education this video is based on a centre in Canada 

Footsteps Centre Foundation is a South Oxford charity offering intensive rehabilitation physiotherapy to children and young people up to 25 years old. They work with Cerebral Palsy, epilepsy, other neuromotor conditions, genetic conditions and undiagnosed conditions. They use physiotherapy and specialist equipment like spider therapy to get people upright and practicing the repetition so that the posture is more possible and maintainable, the spider therapy seems quite a workable ''enjoyable'' therapy and this help range of motion. It also helps with confidence. https://www.footstepscentre.com/footsteps-foundation/

Kinesiotaping Taping 

Tapping that help to support and offer stability to muscles and joints to help with range of motion and movement also helps soft tissue manipulation and pain.  

  https://kinesiotaping.com/about/

Counselling Directory find local professional UK support https://www.counselling-directory.org.uk

Stoma care BUPA https://www.bupa.co.uk/health-information/digestive-gut-health/stoma-care 

Living with Arthritis NHS advice https://www.nhs.uk/conditions/arthritis/living-with/ 

NHS Pain management advice https://www.nhs.uk/live-well/healthy-body/how-to-get-nhs-help-for-your-pain/

NHS Pain Management Programmes explained by Health Talk http://www.healthtalk.org/peoples-experiences/long-term-conditions/chronic-pain/nhs-pain-management-programmes 

BACLOFEN TABLETS AND PUMPS Some conditions that cause Spasticity (muscle tightness) can be treated with a medication called Baclofen this can be taken in oral form via tablets a few times a day. There can be side effects like problems with concentration and some people can not tolerate the drug. It can often be used in conditions like Cerebral Palsy, MS, Spinal cord injury and Stroke. If the  Spasticity is great and the oral tablets do not work or cause too many side effects it can be given via a pump as explained by the MS Society. This should reduce tightness, reduce pain and change a person's gait.If taking the tablets do not just stop without following medical guidance    Computer Gait Analysis is the study of  human motion and walking used for all ages it measures body movement, mechanics and muscle activity when walking using computer to track 3D movement. It helps with identifying problems with walking that can be worked on in physiotherapy, used to get the correct intervention like orthopedics like a brace,treatments   or surgery  to work out the correct physiotherapy and see their problems. like pressure put on joints that may need support.   

 

The Alter G Anti Gravity treadmill 

This has been added as it is a clearer piece of technology I had the fortune of using at the Bucks Royal hospital. As I was taking Baclofen and using double FES my gait (walking)  was different, improved but I had to adjust to walking like this and get used to the walking pattern. This technology supported this as part of my physiotherapy. I also used the FES cycling bikes. The Alter G helps neurological and orthopedic conditions. It works by reducing your body weight helping focus on recovery or improvement without worrying about balance for example and strengthen muscles.    

Vibration therapyinvolves standing and doing exercises on a vibrating platform may improve lower limb strength, reduce joint pain, reduced spasms, better sleep, increased walking/mobility in conditions like Cerebral Palsy and MS  https://www.mstrust.org.uk/a-z/vibration-therapy 

 British Association of Music Therapy is when trained professionals use music to help someone with physical, emotional, intellectual, and social challenges to use music to help overcome this difficulties like through listening and playing music or writing songs, and doing this to express and explore one's emotions.  https://www.bamt.org/

Nordoff Robbins music therapy charity with centres throughout the UK

https://www.nordoff-robbins.org.uk/music-therapy/

Chiltern Music Therapy  In Chesham Bucks is a charity that provide a music therapy service from trained music therapists to people with mental health problems, learning disabilities, brain injury, Stroke, physical disability, they offer music mentoring, music lessons, group and individual sessions. They have music production and DJ workshops.  https://www.chilternmusictherapy.co.uk

British Association of Art Therapists a form of psychotherapy counselling using art media to help explore emotional problems and or physical disability, learning disability and other medical conditions with a trained therapist  https://www.baat.org/ 

Talking therapies forms of counselling and psychological support available on the NHS to help mental health issues like depression and anxiety, or issues like anger. It can also help with adjustment following health issues and illness like Stroke, Heart Disease, diabetes or with pain   You can self refer or you may wish to talk it through with your GP as well to get their additional support and ideas. 

 

Clinical Psychologist help people manage mental health problems and help them manage their emotional well-being as you can see in this NHS video.

NHS Pilates information and video a form of core strength stretching exercise  https://www.nhs.uk/conditions/nhs-fitness-studio/pilates-for-beginners/

Video Games therapy is getting globe interest because with neurological movement disorders lots of the outcomes that can be gained through traditional physiotherapy can be arrived though gaming and the patient has more fun so is more committed. There are lots of options and different controls. This video looks at the Wii and a Stroke patient.Lots of neurological physiotherapists now incorporate this for conditions like Stroke and Cerebral Palsy and other conditions. If interested also look at gaming.       

Ideas for the use of video games in rehabilitation are just developing as a new form of physiotherapy  

 

Magic Carpet a assisted technology sensory tool for therapy and learning used widely in education but of use to complex need adults and NHS approved. It uses eye gaze good for coordination, movement, senses, stress, thought (cognition) due to quizzes and games, good for therapy and fun due to the adaptability of projected activities and images https://www.sensoryguru.com/magic-carpet-hugely-popular-with-leonard-cheshire-disability-residents/

Yoga with a physical disability is more challenging but positions can be adapted and it is a nice variation from physiotherapy. In this video Mathew Stanford explains how he uses yoga following a car accident that left him with a spinal cord injury and in a wheelchair. He has set up a program at a hospital specialised in spinal rehabilitation in Detroit America showing how yoga can be very effective even if you are in a wheelchair.

Disability Foundation provide complementary therapies to disabled adults and children and anyone with a chronic health condition as well as any carer. You need to e a member which if you have a disability costs £20 per year to access therapies free. They are based at the Royal National Orthopedic hospital Stanmore Middlesex Therapies include but are not limited to Yoga, Pilates, Remedial Massage, Therapeutic Massage, Aromatherapy Massage, Acupuncture, Reflexology, Indian Head Massage, http://www.tdf.org.uk/     

TENS Machines have inconclusive results but do help some people manage pain who have long term chronic conditions like arthritis or if you have a physical disability and get pain like in your joints. It is a healthier option than pain medication. Always follow medical advice and consult your GP. You can not use a TENS machine if you have epilepsy or a pace maker https://www.nhs.uk/conditions/transcutaneous-electrical-nerve-stimulation-tens/

Speech and Language therapy-What is is, who they treat and why a look at the NHS service 

NHS Speech and language exercises from County Durham and Darlington NHS 

 

Relaxation techniques for MS and other neurological conditions to help with stress that can aggravate symptoms and spasticity this video is from the MS Trust 

     

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