Neurology

Patients with neurology-related problems such as Parkinson’s disease, epilepsy, ALS, stroke and restless leg syndrome may benefit from exercise therapy that boosts function and reduces symptoms.  We begin with an initial evaluation, in which we use the diagnosis provided by your neurologist to set a starting point based on your limitations.

When prescribed properly, exercise therapy may reduce movement inhibition (via dopamine neurotransmission) while enhancing walking speed, sleep quality and overall function in patients with Parkinson’s disease (Frazzita G et al. J Clin Mov Dis 2015; Petzinger GM et al. Brain Plast 2015).  In fact, exercise therapy has been shown to positively affect numerous neurotransmitters, including glutamate, serotonin, norepinephrine and acetylcholine, all of which may enhance movement patterns (Real CC et al. Brain Res 2010; Blomstrand E et al. J App Phys Resp Environ Exerc Phys 1979; Uchida S et al. J Phys Sci 2006).

The goals in working with patients with ALS (amyotrophic lateral sclerosis) are to promote functional independence and to control symptoms.  Working with a c.h. physical therapist is usually only one component of care, because occupational therapy, speech/language pathology, respiratory therapy, a social worker and a nurse are usually also included (Carter GT et al. Phys Med Rehab Clin N Am 1998).  The stage of ALS and current limitations of the patient largely dictate the plan of care, although careful strengthening, stretching, balance training and endurance development may be effective forms of physical therapy (Carreras I et al. Brain Res 2010).

Beginning physical therapy as soon as possible after a stroke is essential to recovering as much brain and body function as possible.  Studies show that timely exercise therapy serves three main functions: detection of physical limitations, enhancing coordination and preventing further damage.  Exercise therapy may improve functional independence and quality of life while reducing potential complications and the risk of another stroke (Marsden DL et al. Neurorehab Neur Rep 2013).

Exercise therapy has also been shown to be effective in reducing symptoms of restless leg syndrome (RLS) (Giannaki CD et al. BMC Nephrol 2013; Aukerman MM et al. J Am Board Fam Med 2006).  While including exercise therapy in the treatment of RLS is relatively new, it appears to have long and short-term benefits.

Our physical therapists work closely with your physician to ensure uninterrupted and consistent care.  Our services are covered by insurance, including Medicare and Family Care.

Let’s Talk About Neurology

We’d like to start putting together a custom plan for you. Just call or email us with your physical therapy requirements and we’ll get started today!

Call c.h. Physical Therapy at

(503) 601-9000

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