Online support for adults and children with neurological conditions during COVID-19. Specialist Online Physio keeping you safe and well during rehabilitation at home
Online support for adults and children with neurological conditions during COVID-19. Specialist Online Physio keeping you safe and wellduring rehabilitation at home 

Online Stroke Rehabilitation Programme

We have moved our Stroke rehabilitation programme Online and still provide essential treatments at Morrello Clinic. Some services are not available during the COVID-19 outbreak. Please enquire for options to be seen by a clinical expert online for initial consultation. At Morrello Clinic, we provide various Rehabilitation Packages and service specific for Stroke survivors.

 

One to One physiotherapy at Morrello Clinic or at Home

Speech Therapy

Personal training

Massage therapy

Shouler pain Ultra Sound assessment

Acupuncture

Botox and pain clinic with consultant in rehabilitation medicine

 

Treaments which focus on improving walking, Balance, and arm function

 

We are taking bookings for Post COVID-19 High Intensity Rehabilitation pacakges to get you back on track and progress arm function or gait 

UL BOOTCAMP – “KEEPING YOUR ARM IN THE GAME”

 

For the last few years we have been developing a new and intensive Stroke arm rehabilitation program. Our new and exciting Upper Limb Rehabilitation Bootcamp is now available at Morrello Clinic. It is a high quality, high dose, highly intensive course of treatment based on the latest research. Our Bootcamp is designed to maximize the potential recovery of the arm post Stroke.

 

Unfortunately, rehabilitation of the arm post Stroke often takes a back seat. Whilst still in hospital, the focus is on getting people walking and standing to get them home and out of hospital. It is often not until patients come home that they realise the effects their Stroke has had on their everyday functional use. Current research shows that on average only 4-5 minutes of therapy is dedicated to the arm whilst in hospital out of the 45 minutes of average therapy time a day. This is only a very small proportion of time for learning and improvements. Often, patients are told that there is no use in trying to rehabilitate their arm as there is little chance of recovery. It is reported, however, that “upper limb dysfunction” is a major contributor to ongoing physical disability post Stroke and loss of the use in an arm has a big impact on normal daily activities.

 

We would like to share some great news which has come from newly published research from no less than “the National Hospital for Neurology and Neurosurgery (NHNN)at Queen Square”

 

Link to BMJ article – Queens Square programme https://jnnp.bmj.com/content/jnnp/90/5/498.full.pdf

 

The study which involved 224 Stroke patients who had all previously been discharged from hospital was published in the British Medical Journal in February 2019. The study showed that: With intensive arm rehabilitation, chronic stroke patients can change by clinically important differences in measures of impairment and activity. Crucially, clinical gains continued during the 6-month follow-up period with no formal therapy input.

 

This is a big change in what historically has been reported and the difference has been the amount of time or intensity of rehabilitation provided. Since this publication, several private hospitals and specialist physiotherapy clinics in England have already started offering High Intensity Upper Limb Rehabilitation packages that typically involve around 90 hours of intense physiotherapy over 3 weeks. With intensive practice and rehabilitation, they too have produced the same great results in patient’s improvement of arm function at different stages of recovery after Stroke.

 

Our Upper Limb Service here at Morrello Clinic is based upon these same principles of high quality, high dose, highly intensive practice. We are now offering a 3-week intensive, specific and individualized physiotherapy package based at the clinic in Newport, South Wales. The 3 weeks which follow the intense training, will be focused on supporting people to exercise independently through a mix of clinic and home rehabilitation sessions. The main aim of the second period of 3 weeks is to translate the improvements into functional skills at home.

Before starting the programme the patient will be assessed by a physiotherapist to see if they are suitable. During this assessment the therapist may identify areas that will need to be addressed before starting the Bootcamp programme. This is to ensure the best possible results for the individual. For example, if the person has a history of a painful shoulder, we may recommend for an assessment at our shoulder pain clinic, for an ultrasound scan, for potential Botox or other pain-relieving injections.

 

Over the total course of the 6 weeks, we will give a weekly structured timetable of activities and set weekly goals. Goals are broken down to help achieve the aspirational goal the person with stroke would like to achieve from attending the programme. The programme at Morrello Clinic is completed on a 1 to 1 basis so that it will be highly specific to the individual but there may be times when treatments take place in a group setting or working with other patients who are visiting the clinic for treatments.

 

The biggest question anyone entering this programme will ask is: “will I get results?” All we can say is that the evidence indicates that the hard work is the price you pay for success. This programme is not a cure but a way to enable a patient to get the maximum potential recovery in their arm and enable them to engage their arm in functional activities as much as possible. Ultimately, everybody’s recovery is unfortunately very different.

 

To be able to take part in this “Highly Intensive Upper Limb Bootcamp” you will be assessed for your suitability by a Specialist Physiotherapist. Ideally you will have some flickers of movement in your hand or wrist.

 

For people who are not suitable for this Highly Intensive Upper Limb Bootcamp, or who wish to work on a less intensive programme, we have availability for people recovering from Stroke to work in weekly group sessions lasting 2 hours each, where the therapy costs will be shared between up to 4 patients. These are often supplemented with one on one therapy and are a great way to make therapy more sustainable and affordable in the longer term.

 

We look forward to achieving the same results seen in parts of England here in South East Wales and wish to share any results with the various Stroke networks in the area.

Contact details

Morrello Clinic

Nelson House

Langstone Business Park

NP18 2LH

Newport

Wales

Call us

Tel: +44 01633412211

 

You can also use our contact form.

 

We are open to support during COVID-19 

Enquire about our online Parkinson's Exercise Programme from Morrello Clinic. 

PD Warrior is a proven exercise routine specifically designed for people with Parkinson's. It is supported by NICE guidance (NG71) which promotes early intensive exercise intervention. PD Warrior is actively promoted by the Parkinson's UK charity.

Morrello Clinic is the local accredited and licensed facility delivering the PDWarrior programme in Newport, Cardiff and Chepstow known as "PD Warrior South East Wales"

 

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