There are 2 main reasons for the belief about the 6 month deadline. Partly it’s rooted in out-of-date theories about how the brain works and also because many doctors and other health professionals who deal with strokes don’t often see the patients who’ve made longer-term progress.

The NHS does not have the resources to provide long-term treatment for stroke patients, so treatment tends to be very much focused on the initial period after a stroke. However, this very unhelpful belief, puts a lot of pressure on patients in hospital who are struggling to come to terms with having had a stroke but who can already hear the clock ticking away. It also discourages people from reaching their recovery potential because they think that further treatment will bring no benefit.

Progress after a stroke doesn’t come easily and always requires hard work and commitment, so it’s important not to give false hope. This can be just as destructive. A patient’s progress is dependent on many factors, apart from the amount and quality of rehabilitation treatment, such as:

• The severity of the stroke
• The amount of time that has passed since the stroke happened
• The patient’s determination to improve, with their willingness and ability to do home exercises
• The support of a spouse and/or family members.

It’s also important to realise that a stroke is a potentially deteriorating condition. If the stroke has been severe and a person doesn’t have continuing treatment, then they may well get stiffer and their movement repertoire is likely to decrease. Elderly people who have had a stroke may also become less mobile as a function of their increasing age.

At heads up! we treat everyone as an individual, working with our patients to create tailored treatment programmes. We are also here for continual, support, advice, information and encouragement.

Get in touch to talk to a physiotherapist and find out how we can help you, a family member or friend and keep in touch with our latest news by following us on twitter.

Until relatively recently the consensus was that the brain was a fixed structure that couldn’t change much over time. Thus stroke damage was seen as irreparable. However, leaps and bounds in neuroscience over the past few years have shown that the brain is a much more fluid and flexible structure than we previously believed. The neuroplasticity of the brain is truly remarkable and largely thanks to Paul Bach-y-Rita, it is now common knowledge. The ability of the brain to “re-wire” itself by creating new connections and reassigning neural circuits for different tasks explains how the brain can re-organise itself to recover at least some of the movement abilities that are lost after a stroke.

However, this re-organisation doesn’t happen by magic. Neurological physiotherapy works by specifically targeting stimulation of the brain through moving and activating limbs and muscles. This directed movement stimulates the brain to re-organise itself in the most efficient and functional way.

Of course, a patient’s progress is dependent on many factors, apart from the amount and quality of early stroke rehabilitation treatment, such as:

• The severity of the stroke

• The amount of time that has passed since the stroke happened

• The patient’s determination to improve and their willingness and abilityto do individually designed exercises outside treatment sessions

• The support of a spouse and/or family members.

It’s also important to realise that a stroke is a potentially deteriorating condition. If a stroke has been severe and a person doesn’t have continuing neurological physiotherapy treatment, then they may well get stiffer and their movement repertoire, balance and confidence are likely to decrease. At heads up! we treat everyone as an individual, working with our patients to create tailored treatment programmes. We are also here for continual, support, advice, information and encouragement.

Get in touch to talk to a physiotherapist and find out how we can help you, a family member or friend and keep in touch with our latest news by following us on twitter.

The heads up! team support people in early stroke rehabilitation, read our patients stories to find out more.

For a long time, scientists believed that the adult brain was a fixed structure and that it couldn’t change much over time. This was why there was a belief that recovery could only happen during the period immediately after a stroke. However, the amazing developments in neuroscience over the past few years have shown that the brain is a much more flexible and responsive structure than we previously believed.

The brain’s neuroplasticity means both that previously unused circuits (synapses in neuroscientific terminology) can be brought into use and that new connections can be formed within the brain. This explains how the brain can re-organise itself to recover at least some of the movement abilities that are lost after a stroke. However, this re-organisation doesn’t happen by magic.

Neurological physiotherapy works by specifically targeting stimulation of the brain through moving and activating limbs and muscles. This directed movement stimulates the brain to re-organise itself in the most efficient and functional way. The role of a neurological physiotherapist is not just to treat you but also to provide support and encouragement when you are feeling disheartened – and to help keep you focused on your long-term goals.

After having a stroke, every person changes their movement in different and sometimes subtle ways because of ongoing challenges, which are completely individual. Often a period of illness, or a spell of bad weather can mean that a person is less active and mobile than they have been. Confidence in moving around and getting about can be knocked in many ways. Neurological physiotherapists work with you to get you as mobile, strong and confident as possible. Moving can be effortful and people very often comment that, with treatment they feel looser and they can move more freely and confidently.

At heads up! we treat everyone as an individual, working with our patients to create tailored physiotherapy stroke treatment programmes. We are also here for continual, support, advice, information and encouragement.

Get in touch to talk to a physiotherapist and find out how we can help you, a family member or friend and keep in touch with our latest news by following us on twitter.

Find out more about stroke neurological physiotherapy with heads up!

Having a stroke is a sudden and shocking experience. Whilst in hospital, people who have had strokes usually get treatment from neurological physiotherapists, occupational therapists and speech and language therapists. Treatment is most effective when delivered in stroke units.

However, with the pressure on hospital beds, people will often get an early supported discharge with treatment continuing at home. Rehabilitation at home in this way should be a continuation of the stroke rehabilitation done in hospital. Unfortunately, there are often gaps in the provision of service. Delays are common, reducing the intensity of treatment and therefore optimum recovery.

At heads up! we often step in where there is a delay in out-patient treatment provision. Our highly trained and skilled specialist neurological physiotherapists provide hands on treatment along with giving information, advice, support and encouragement. We work alongside community NHS stroke teams, a combined approach which is supported by the Chartered Society of Physiotherapists to ensure the best possible recovery.

To find out how heads up! can support your home rehabilitation please get in touch with the team.

Find out more and keep in touch at headsup.co.uk and follow us on twitter

Looking for someone to come along to your group and talk about neurological rehabilitation? We give talks to a number of local groups supporting people who have had strokes, Parkinson’s disease and multiple sclerosis.  Please get in touch if you would like us to come along to your support group.