Neurological Physiotherapy
Neurological physiotherapy is a specialised form of physical therapy that focuses on treating individuals with neurological conditions that affect the brain, spinal cord, and nerves. The goal of neurological physiotherapy is to improve movement, function, and quality of life for people with neurological conditions.

How Physiotherapists treat Neurological Conditions
Physiotherapists work with individuals who have conditions such as stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, Parkinson’s disease, cerebral palsy, and other neurological disorders. They assess the individual’s movement, strength, balance, coordination and sensation to develop an individualised treatment plan.
Common Neurological Conditions Treated:
- Stroke (cerebrovascular accident)
- Traumatic Brain Injury (TBI)
- Spinal Cord Injury
- Multiple Sclerosis (MS)
- Parkinson’s Disease
- Cerebral Palsy
- Guillain-Barré Syndrome
- Peripheral Neuropathies
- Brain Tumours
- Meningitis and Encephalitis
- Myasthenia Gravis
- Muscular Dystrophies
- Spina Bifida
- Epilepsy (particularly post-seizure rehabilitation)
Our goal is to support those experiencing functional impairments due to these conditions, aiding in their journey towards improved mobility, independence, and quality of life.
The treatment plan may include exercises to improve movement and strength, stretching to increase flexibility, coordination and balance training and gait (walking) training. In addition to physical techniques, physiotherapists may also work on cognitive and emotional aspects of the condition, including improving memory, attention, and problem-solving skills. They may also provide support and education to help individuals and their families cope with the challenges of living with a neurological condition.
The focus is on improving motor function, mobility, strength, coordination, balance, physical function, as well as cognitive and emotional functioning.
Riley Physiotherapists provide rehabilitation to help individuals with neurological conditions achieve their goals, improve their quality of life and regain as much independence as possible.
Benefits of Neurological Physiotherapy
Improved mobility and function: Neurological physiotherapy can help improve movement, strength, balance and coordination, which can result in improved mobility and function.
Reduced pain:
Techniques such as manual therapy, ultrasound and electrical stimulation can help manage pain associated with neurological conditions.
Increased independence:
Neurological physiotherapy can help individuals regain independence in daily activities such as self-care, mobility and household tasks.
Improved quality of life:
By improving mobility, function and independence, neurological physiotherapy can improve an individual’s quality of life.
Prevention of secondary complications:
Individuals with neurological conditions are at risk of developing secondary complications such as pressure sores, injuries from falls, and contractures. Physiotherapy can help prevent these complications by addressing the underlying issues.
Improved mental health:
Neurological conditions can have a significant impact on an individual’s mental health. Neurological physiotherapy can help improve mood, reduce anxiety and depression and increase self-esteem.
Education and support:
Neurological physiotherapists can provide education and support to individuals and their families, helping them understand the condition and cope with the challenges it presents.
Physiotherapy can help individuals with neurological conditions achieve the best possible outcomes, improve their quality of life and regain as much independence as possible.
Riley Physiotherapists also provide physiotherapy at private homes and nursing homes.
When one should consider Neurological Physiotherapy
Neurological physiotherapy is typically recommended for individuals who have experienced a neurological injury or disorder that has caused significant impairment in their daily functioning. This may include conditions such as stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, Parkinson’s disease, cerebral palsy, and other neurological disorders. Physiotherapy should be initiated as early as possible after the onset of the condition or injury. The earlier the rehabilitation is started, the better the chances of achieving the best possible outcomes.Physiotherapy may also be recommended when an individual’s condition has stabilised, but they are still experiencing functional deficits. Overall, neurological rehabilitation is an important component of treatment for individuals with neurological conditions, and it can help them achieve the best possible outcomes, improve their quality of life, and regain as much independence as possible.
Prescribed Minimum Benefits (PMBs) and Neurological Conditions
In South Africa, Prescribed Minimum Benefits (PMBs) are a set of defined healthcare services that all medical schemes are required to cover, ensuring members receive essential care for specific conditions without financial barriers. This includes coverage for diagnosis, treatment, and ongoing care, irrespective of the benefit option selected.
Neurological Conditions Recognised as PMBs:
Several neurological conditions fall under the PMB framework, mandating coverage by medical schemes:
- Stroke (due to haemorrhage or ischaemia)
- Epilepsy (status epilepticus, initial diagnosis, candidates for neurosurgery)
- Multiple Sclerosis
- Parkinson’s Disease
- Guillain-Barré Syndrome
- Myasthenia Gravis
- Spinal Cord Injuries
- Brain Tumours (benign and malignant)
- Meningitis (acute and subacute)
- Cerebral Palsy
- Spina Bifida
- Traumatic Brain Injuries with significant functional impairment
These conditions are included in the PMB list, ensuring that patients receive necessary medical and rehabilitative care .
Physiotherapy Within the PMB Framework:
Physiotherapy is an integral component of the treatment plan for many PMB-listed neurological conditions with many medical aids. It plays a crucial role in rehabilitation, aiding in the restoration of movement, strength, and functional independence.
Assistance with PMB Applications:
At Riley Physiotherapists, we understand the complexities involved in navigating medical scheme benefits. Our team is equipped to assist patients in applying for PMB coverage, ensuring that they receive the entitled physiotherapy services as part of their comprehensive care plan.
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