Horizon Rehabilitation understand that Neurological Conditions, Injury, or Pain can have a significant impact on your quality of life. Our services take into consideration how this affects you on a daily basis and your ability to participate in the things you enjoy. Read about our Pathway to Participation to learn more about our approach.

Strokes can be life changing events which occur when the blood supply to the brain is altered (often by a blockage or a bleed) and some of the brain tissue dies through a lack of oxygen.

Our brains are a complex network of circuits that operate as the processing and command centre for the rest of our bodies.

This means that any function your brain performs can be affected by stroke.

Stroke affects everyone differently, so our approach to treatment is uniquely personalised to you.

Specialist services that can help:

Patient Stories:

Eric’s Story
Victoria’s Story

Useful Links:

Stroke Association
Different Strokes
Headway

Offered at:

Home visit, Clinic, Leisure Settings

Our brains are a complex network of circuits that operate as the processing and command centre for the rest of our bodies, so any function your brain performs can be affected by a brain injury.

Damage that has happened to the brain after birth is called an Acquired Brain Injury (ABI). ABI can be traumatic, as the result of an injury or accident, or non-traumatic, as the result of illness or disease.

Treatment and care for brain injury patients requires highly specialist therapists with expertise in treating neurological problems. The Horizon team are committed to understanding how your brain injury has affected you and your family.

Specialist services that can help:

Specialists we work with:

  • Case Managers
  • Psychologists
  • Speech and Language Therapists
  • Orthotists
  • Consultants
  • NHS teams

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

Headway

Multiple Sclerosis (MS) is a neurological condition that causes the body’s immune system to attack your brain and spinal cord.

MS affects each person differently and can cause a wide range of symptoms, including problems with vision, arm or leg movement, muscle tension, sensation and balance.

Horizon’s team of specialist therapists have extensive expertise in treating patients with MS. Clinical evidence and decades of experience have shown us that one of the most important things you can do for MS is to maintain your physical health and that staying strong, fit and active can make it easier to manage your movement challenges.

We’ll apply our understanding of your physical and neurological problems to help you find targeted exercises and specialist classes that help you make the most of your body’s capabilities.

Specialist services that can help:

Specialists we work with:

  • Specialist Nurses
  • Consultants
  • NHS teams
  • Orthotists

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

MS Society

Parkinson’s Disease (PD) is a neurological condition that occurs when certain brain cells do not produce enough dopamine.

The lack of dopamine alters how the brain’s circuits fire, affecting how you move, feel, think and speak.

Each Person with Parkinson’s (PWP) experiences symptoms that are unique to them and in turn, how they are affected.  A personalised, one-to-one assessment with our Consultant Neurological Physiotherapist will empower you with an in-depth understanding of your body, your Parkinson’s and how you can become more efficient and effective in the way you move and function.

Movement is medicine!

PD is a progressive condition that can be supported with medications. But one of the most effective things you can do for your Parkinson’s is to maintain your physical health.

Staying generally strong, fit and active can help, but you may benefit from guidance from a neurological specialist on which types of exercise will be most beneficial.

The Horizon team are trained in movement therapy techniques specific for PWP and use the PD Warrior and NeuroFit, combined with our in-house Specialist Personal Training expertise, we can find the level right for you.

We also use innovative rehabilitation technology, such as the Strolll Dt-X and the Motomed, to help you maximise your body’s capabilities.

To help you stay strong, we’ll help you find your personal Pathway to Participation. Choose from:

  • sessions in your own home
  • one-to-one sessions at your local clinic
  • high, moderate or low (intensity) exercise sessions suitable for people with Parkinson’s

However your Parkinson’s affects you, we can help you (and your family) navigate the help available.

Specialist services that can help:

Specialists we work with:

  • Specialist Nurses
  • Speech Therapists
  • Consultants
  • NHS teams
  • Charities

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

Parkinson’s UK
Cure Parkinson’s

Damage to the spinal cord can result from traumatic injury or illnesses such as tumours or transverse myelitis.

No two people have the same experience of spinal cord injury, which is why we use our specialist expertise to develop a bespoke programme specifically for you.

Horizon’s rehabilitation team will conduct a thorough assessment to understand the impact of your injury and the goals you’d like to achieve.

We’ll help you find a balance between optimising your movement capabilities and restoring as much function and independence as possible.

No matter your stage or age, there is always scope to enhance your function.

Specialist services that can help:

Specialists we work with:

  • Case Managers
  • Consultants
  • Orthotists
  • NHS teams
  • Charities

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

Spinal Injury Association

Your injury experience is unique to you, and Horizon Rehabilitation pride ourselves on our holistic approach to assessing your rehabilitation needs.

We treat every patient as a ‘whole person’, using our specialist expertise to support your recovery, whatever combination of orthopaedic, brain, spinal cord injuries or peripheral nerve injuries you may have.

Our specialist rehabilitation team will conduct a thorough assessment to understand the impact of your injury (for you and your family) and the goals you aspire to.

Neurological Physiotherapists and Occupational Therapists work together to create long-term programmes delivered with our Therapy Assistants’ support.

Specialist services that can help:

Specialists we work with:

  • Case Managers
  • Consultants
  • Speech Therapists
  • Psychologists
  • NHS teams
  • Charities

Useful Links:

British Association of Brain Injury and Complex Case Management

Guillain-Barré Syndrome (GBS) is a rare autoimmune condition that causes damage to the peripheral nerves, resulting in numbness, weakness and pain in the limbs. Because many nerves are affected, GBS is a ‘polyneuropathy’.

GBS causes the myelin sheath around nerve cells to become inflamed and may also damage the axons (the part of a nerve cell that carries electrical impulses), preventing signals from the brain from travelling along the nerve properly.

A detailed assessment by one of Horizon’s neurological specialists will enable us to understand the impact of your condition (for you and your family) and the goals you’d like to achieve, such as returning to work.

You’ll be supported by a multidisciplinary team, including Neurological Physiotherapists and Occupational Therapists, working together to create a long-term programme that’s right for you.

Specialist services that can help:

Specialists we work with:

  • Consultants
  • Orthotists
  • NHS teams
  • Charities

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

www.gainuk.org

Functional Neurological Disorder (FND) is a brain network disorder that can encompass a diverse range of neurological symptoms including limb weakness, paralysis, seizures, walking difficulties, spasms, twitching, sensory issues and more. Anyone of any age can receive the diagnosis. For many symptoms are severe and disabling, and life changing for all.

Whilst the symptoms may appear similar to those seen in neurological conditions such as Multiple Sclerosis, Parkinson’s and Epilepsy, and can be just as debilitating, they have a different underlining cause.

The basic wiring of the nervous system is intact, but there is a problem with how the brain/nervous system is “functioning”, and how the brain fails to send and/or receive signals (messages) correctly. This impacts on how the body responds to different tasks such as movement control and attention.

Neurological Physiotherapy can help people with FND gain more control over their symptoms. We evaluate which systems are affected and then harness those that are intact to “bypass” the problematic circuitry through various hands on and independent techniques.

Karen Blagojevic, our Consultant Neurological Physiotherapist teaches the Neuroscience of Movement at post-graduate level to qualified Physiotherapists and Occupational Therapists working in Neurological rehabilitation and has specific expertise in the management of FND.

Specialist services that can help:

Specialists we work with:

  • Specialist Nurses
  • Speech Therapists
  • Consultants
  • NHS teams
  • Charities

Offered At:

Home visit, Clinic, Leisure Settings

Peripheral neuropathy refers to damage to the nerves that connect the spinal cord to your body and limbs.

Nerve damage may result from an injury or illness affecting the nerves at the end nearest the spine (sacral plexus, brachial plexus, cauda equina). It can also occur through diseases like shingles and conditions such as Diabetes, which often affects the furthest end of the nerves, causing problems in the hands and feet.

Peripheral nerves are vulnerable and do not heal in the same way as the central nervous system. They perform different roles, so damage can cause a wide range of symptoms, from pain, sensory changes, weakness and balance problems to bladder and bowel issues.

When designing a treatment plan to optimise your physical health and recovery, your therapist will consider how your nerve damage occurred and your unique personal experience.

Specialist services that can help:

Specialists we work with:

  • Case Managers
  • Consultants
  • Orthotists
  • NHS teams
  • Charities

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

https://patient.info/

Cerebral palsy is a term given to a broad range of problems affecting the brain that occur in pregnancy, birth or early childhood. People with cerebral palsy can live long, fulfilling lives and benefit from staying fit and active throughout their life stages.

Staying physically active is essential to maintain your overall wellbeing and prevent future health complications – it’s also a fun way to socialise!

At Horizon Rehabilitation, we invite adults with cerebral palsy to see  our Consultant Neurological Physiotherapist for a detailed assessment. Together, we’ll develop a programme to address challenges such as:

  • Joint stiffness
  • Muscle shortening & tightness
  • Reduced mobility
  • Balance problems and falls
  • Hand function and independence
  • Positioning and seating

Specialist services that can help:

Specialists we work with:

  • Case Managers

  • Consultants

  • Speech Therapists
  • NHS teams
  • Charities

For more information on CP visit:
https://www.scope.org.uk/advice-and-support/cerebral-palsy-introduction/

At Horizon Rehabilitation, our specialist neurological therapists treat a wide variety of other neurological conditions, including:

  • Huntington’s Disease
  • Motor Neurone Disease
  • Transverse Myelitis
  • Brain Tumours
  • Ataxia
  • PSP

If you do not see your neurological condition listed, please contact the clinic and our practitioners will guide you to the best course of treatment.

Dementia is the term used to describe the reduction of the ability to think, remember, and reasoning to levels that affect someone’s daily life and activities. The ability to move, co-ordinate and balance are also commonly affected by the ongoing reduction in these cognitive abilities. Falls, change in walking pattern or speed and a loss of hand function are often the most noticeable symptoms or sometimes a person may be reluctant to move or do things due to an underlying fear. This can sometimes be expressed through behaviour rather than words.

How does physiotherapy and physical activity help with dementia?

  • Stimulates the brain to perform its functions. (Movement isn’t just about movement of our limbs, it’s also about our brain which controls all of this).
  • Slows the progression of cognitive and functional decline.
  • Increases confidence and mobility, helping to prevent falls.
  • Reduces the risk of heart disease, diabetes and depression, which are major risk factors for dementia.
  • Helps maintain confidence and improve thinking skills and sleep.
  • Provides an opportunity to engage and socialise with other people.
  • Improves quality of life and promotes a positive outlook.

What we do

  • Work out what your barriers are to fulfilling your movement potential and unlock your ability to move better.
  • Develop bespoke programmes to help you overcome your own specific barriers to moving well.
  • Help you to negotiate the physical challenges of everyday life, and live better with dementia.
  • Being resilient in your physical health can help buffer the impact of the symptoms of dementia should you become unwell, experience an illness or hospital admission

Specialist services that can help:

Specialists we work with:

  • Specialist Nurses
  • Consultants
  • Care providers
  • NHS teams
  • Charities

Offered at:

Home visit, Clinic, Leisure Settings, Community Settings

Useful Links:

https://www.alzheimers.org.uk

https://www.dementiaactionmarlow.org

Falls are often a warning sign that something in the body isn’t working as it should. The worst thing we can do is ignore this warning, sit still, move less and hope it doesn’t happen again.

Even if you haven’t fallen, the fear that you might fall can be paralysing. This starts a cycle of deconditioning, which can have severe consequences for mobility, independence and overall health.

The team at Horizon Rehabilitation have many years of experience supporting older people to stay steady and strong, allowing them to remain independent and active for longer.

We offer a personalised assessment, often at home, setting up a programme that targets strength, balance, and coordination, incorporating your specific goals. This may include participating in our Stay Steady group exercise classes.

Our Therapy Assistants can support people in doing their exercises regularly so that they feel safe.

Specialist services that can help:

Patient Story

Rosy

Specialists we work with:

  • Carers & Care teams
  • Care Settings
  • GP
  • Families
  • NHS teams
  • Charities

Offered at:

Home visit, Clinic, Leisure Settings

Useful Links:

https://www.ageuk.org.uk/buckinghamshire/

Ordinarily, the body uses the senses in such a coordinated way that we take the ability to do tasks and remain steady on our feet for granted. Vestibular problems can severely disrupt this, and dizziness and imbalance can be extremely debilitating.

The vestibular system is one of the body’s sensory systems, alongside vision, hearing, taste, smell and sensation. It plays a significant role in balance by providing the apparatus and neurological connections you need to stay upright and use your other senses to their best potential.

If this system is damaged or not working as it should, your body has to figure out other ways to maintain balance, altering your movement, vision, and decision-making. Temporary relief can come from doing less, which can become extremely isolating.

Whether your symptoms arise from the inner ear, nervous system or other causes, Vestibular Rehabilitation can help.  See below for a list of conditions that we commonly see:

Specialist services that can help:

Inner ear conditions:

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Vestibular Neuritis and Labyrinthitis
  • Acoustic neuroma/vestibular schwannoma
  • Bilateral vestibular hypofunction
  • Ménières Disease

Neurological causes

  • Multiple Sclerosis
  • Stroke
  • Traumatic brain injury
  • Vestibular migraine
  • Persistent concussion symptoms

Other

  • Age related dizziness and imbalance
  • Mal de Debarquement
  • Multisensory causes
  • Persistent Postural Perceptual Dizziness (PPPD)
  • Visually induced dizziness

Specialists we work with:

  • ENT Consultants
  • Audiologists
  • Psychologists
  • GP
  • NHS Teams

Offered at:

Clinic

Useful Links:

Menieres Society

Musculoskeletal (MSK) and orthopaedic conditions affect the bones, joints, muscles and soft tissue. Often, a specific area of the body is affected, such as an ankle sprain, pulled muscle or bad back. Problems commonly occur through injury or playing sports but may arise through the stresses and strains of daily life.

Our musculoskeletal physiotherapists and sports therapists specialise in the management of these conditions. They are also skilled in assessing and treating Orthopaedic conditions and recovery following surgery such as hip and knee replacements.

Please note: If your Health Insurance is covering the cost of your treatment, you can only see an MSK Physiotherapist.

Specialist services that can help:

Offered at:

Marlow Sports Club

Orthopaedic conditions include things such as fractures, surgery, joint replacements and complex issues that involve bones, joints, nerves and soft tissue damage due to more extensive traumatic injuries.

Being targeted and specific in your rehabilitation will enable you to heal and recover in the most effective way, helping you to progress back towards to doing what you love. We support and guide you through the process so that you can be confident you are doing the right thing for your body given the problems you face.

Specialist Services that can help:

Offered at:

Home visit, Clinic, Leisure Settings

How Can We Help?