Although every individual with an ABI (Acquired Brain Injury) is different, the main focus of physiotherapy is to improve a persons ability to move and maximise their independence. To achieve this a physiotherapist will work to:

Improve posture and walking;
Improve balance and reduce the risk of falls;
Strengthen muscles, and reduce muscle stiffness;
Mobilise joints and improve the quality of movement;
Improve respiratory function and challenge the cardiovascular system;
Provide education and training to support teams and families.

Children with ABI differ from adults in that their brains (their movement control centre) and their musculoskeletal system (bones and muscles) are not yet fully developed. ABI impacts on a child’s ability to control movement making muscles floppy (low toned or flaccidity), stiff (high toned or spasticity) or uncoordinated (dystonia and ataxia). Children learn through movement they explore play and learn about, depth, shape, texture, volume distance and harm by moving through their environment. When moving is difficult learning becomes a greater challenge.

Stiff, floppy or uncoordinated muscles pull on the immature and growing skeleton and this can cause developmental problems such as scoliosis, contractures and joint problems especially in the hips.

Physiotherapists work to re-educate more normal movement patterns and treat and manage the muscles to maximise the child’s opportunity to learn through movement, and reduce the impact of the pull on growing bones

Our Physiotherapists can work with a child in our Clinic in Bury, at school or at home, we have Physiotherapists working in our Greater Manchester/Lancashire, West and South Yorkshire communities.

People living with an ABI can have movement problems and thinking problems referred to as cognitive difficulties, making every day tasks difficult. ABI can affect memory, make someone distracted, cause personality changes, cause people to be impulsive or flat and lack motivation.

An Occupational Therapist uses their skills to analyse the task and identify why the person is having difficulty. This could be a physical problem such as using the toilet independently or a cognitive problem such as planning the weekly shop. They will then restructure the task, provide aids and support or strategies to make easier for the person to be more independent and successful.

Our Occupational Therapists work with patients in their own homes, in their local supermarket, or in their place of work, worship or interest. We have Occupational Therapists working in our communities in Greater Manchester/Lancashire and Cheshire.

It is often said that a child’s “work” is to play, this vital job is how a child learns, and anything that interferes with a child’s ability to “work” can impact on their daily lives. For some children, the impact of their brain injury is immediately visible for other children the problems only become more apparent as the child develops and grows.

ABI can cause a child to have difficulty tying shoelaces, getting dressed, managing sums, writing stories, or controlling their behaviour. All of these things need a high level of brain activity such as sequencing, organising, planning, finger control and balance. The ability of the brain to manage and coordinate all of these activities can be impaired.

An Occupational Therapist works with the child, their families and school to problem solve and provide treatment and strategies to make the child more successful and support their learning and ability to play.

Our Occupational Therapists work with families in Lancashire and Cheshire.