About us

Highly Specialised Scientifically Unique Neuro Physiotherapy

Our expert, highly specialised and scientifically sound approach is based on the fact that stroke and traumatic injuries happen in the brain. Neurorestoration, rather than compensation, must start with neurorehabilitation of the brain itself and then followed by exercises that challenge the recovering brain to re-network for coordination and control of all types of muscle fibres in the muscles. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505366/ https://casereports.bmj.com/content/2018/bcr-2018-225346.full?sid=a8a488ba-b985-42f3-a52f-983dc239885d https://casereports.bmj.com/content/2017/bcr-2017-220384?sid=82252524-f14a-444a-aeaf-ac29e1e543ca

The most important phase is to get the anti-gravity networks in the brain recovering to regain control of the ability to resist gravity in sitting, standing and then when walking. This is how human beings function. If one does not recover use of their anti-gravity extensor muscles then they lean to one side or fall and become depended on hoists. The limbs begin to bend and shorten until they eventually become rigid. NRNRS has innovated to ensure this is prevented throughout a person’s journey after a stroke, traumatic brain injury or other one-off neurological event.

This expert, highly specialised and scientifically sound approach also helps to slow down the deterioration in progressive neurological conditions. We are able to help people with multiple sclerosis, Parkinson’s Disease, ataxia, spinal cord injuries and polyneuropathies.

We offer Expert  Neurological Physiotherapy for Resolving Shoulder Pain

We offer Specialised Neurorehabilitation for Prevention and Treatment of Spasticity

At NRNRS, the brain is viewed as a biological processor. One of the key processing functions it does is that of processing gravity and ensuring that the 2-legged human body is not challenged and disabled by gravity.

The moment the human body fails to deal with gravity, the ability to balance and the confidence to move are lost. This is the key ethos of our neurological physiotherapy service.

Resisting gravity involves the sensing of gravity and relaying this to the brain. The brain processes gravity and relays appropriate signals to the anti-gravity muscle fibres in the trunk, arms and legs.

Thus, restoration of balance on the affected side needs to involve sensing, relaying, processing and relaying again. Focussing only on voluntary exercises of the limbs leads to compensatory balancing and moving mostly with the unaffected side while the affected leg stiffens for compensatory stability at the cost of well coordinated movement.

This is something our neurological physiotherapy service works to avoid so that you can regain use of your affected side and bear weight through the affected leg.

The balance, coordination and alertness systems of the brain are responsible for regulating normal muscle tone of the limbs to prevent spasticity and shortening of the flexor muscles. At NRNRS the primary focus of our neurological physiotherapy service is to restore and rehabilitate the balance system’s control of anti-gravity extensor muscles on the affected side so that there is reciprocal inhibition of the shortening and tightening flexor muscles.

At NRNRS, the focus is not on the flexors as it is not the fault of the flexors when they tighten but is due to lack of reciprocal inhibition by the anti-gravity extensor system nerves.

It all comes back to the balance, coordination and alertness systems. No normal movement can be achieved without putting these long held neurological physiotherapy and neurorehabilitation principles into neuro physiotherapy and neurorehabilitation practice.

This is what NRNRS offers you. The earlier the balance and coordination systems are treated the less the impact of spasticity and compensatory strategies on your function.

To function normally other automatic processes like spatial cognition and praxis in which the balance system contributes are also paid special attention to by neuro physiotherapists at NRNRS. This ensures that any gains made in neuro physiotherapy sessions successfully transfer into everyday life both in familiar and unfamiliar environments.

Successful participation and integration in society depends on this. You must not just do well in your neuro physiotherapy sessions with NRNRS but go on to participate and integrate into your usual social settings.

Here at NRNRS your neuro physiotherapy programme will be tailored to the most recent neuroscience research and to you and what you value most; making our approach patient-centred to each person’s individual needs.

See our Home and  conditions treated pages , https://nrnrs.co.uk/Home and  https://nrnrs.co.uk/conditions-treated