NEURO AND COGNITIVE REHAB

Patients who are suffering from a neuro-vascular incident or impairment will be treated by our multi-disciplinary team members. Our bio-psychosocial treatment is patient-focused and holistic which ensures that we address all physical, cognitive, psychological, social and cultural

dimensions of each patients personality.  The assessment ensures that our treatment plan is addressing the current stage of the impairments, as well as their level of functionality.  Functional independence is measured and treatment is structure to facilitate, enhance and maximise their independence. 

Treatment involves family members and their active cooperation is essential. The patient and family must be well-informed, and a trusting relationship with the multidisciplinary team must be built. Current and future needs are identified to empower the patient and family members to pro-actively care for the impairment throughout their life expectancy. Our patients will be referred to other multi-disciplinary team members as the need arise, for e.g: speech therapy, psychologists, social workers, etc. 

The rehab process will include the following:

  • Multidisciplinary functional goal setting

  • Goals are re-evaluated and progressed on a weekly/monthly basis

  • Progress is monitored with FIM and FAM

  • Facilitation of functional movements and activities (bed mobility, transfers, sit to stand, gait)

  • Normalisation of tone: 

    • flaccid: facilitate muscle activation e.g. brushing, tapping, ice, weight bearing exercises, etc.

    • spastic: maintain and increase ROM, normalise tone e.g. joint compressions, weight bearing exercises, stretches

  • Increase strength and ROM as appropriate

  • Prescription of assistive devices, orthotic devices and splints as appropriate

  • Gait training

  • Carer training: home exercise programme, positioning, bed mobility, transfers, wheelchair use and mobility

  • Recommendations on home adaptations to facilitate a safe and accessible home environment

  • Management of the hemiplegic arm: care of subluxed shoulder, facilitation of normal tone, incorporation of the hemi arm into function

  • Functional capacity evaluations with work re-integration and job recommendations

  • Disability driving assessments and facilitation of adaptive driving and car adaptation 

              ASSESSMENTS

                     Physical               

                     Socio-Emotional 

                     Cognitive 

                     Functional Independence 

 PGAB

    A Goal attainment program,         reducing disability through re-integration to activities of the daily living