Transcript PHYSIOTHERAPY DEPARTMENT

PHYSIOTHERAPY DEPARTMENT
SPIRE REGENCY HOSPITAL
MACCLESFIELD
SPIRE REGENCY PHYSIOTHERAPY
DEPARTMENT
OUR PHYSIOTHERAPY SERVICE
• In addition to our regular Ward and Out Patient Service we now offer a
complete rehabilitation package to all our Orthopaedic patients both
surgical and non surgical. This now includes Acupuncture, Hydrotherapy
and supervised, patient specific Gym Rehabilitation.
• Our Hydrotherapy Service uses Bollington Leisure Centre. We offer
appointments either early mornings or in the afternoons on selected days.
With flexible appointment times we can offer rehabilitation to many
differing types of patients.
• For those who wish to progress their rehabilitation further, we now offer
specific, supervised gym sessions, using the Bollington Leisure Centre Gym.
These sessions are available during early mornings two days a week.
INPATIENT SERVICE•
During an inpatient stay at the Regency, all
Orthopaedic patients are seen on the ward
regularly, and progressed appropriately in
preparation for going home.
• Before discharge they are offered an Out
Patient appointment in our Physiotherapy
Department.
• For those living out of the area we can refer
patients to other Physiotherapy
Departments.
• We also see all general surgical patients for
mobility and chest physiotherapy, breast
surgery patients for shoulder exercises,
gynaecological patients for abdominal and
pelvic floor exercises and all bariatric
patients for mobility and fitness advice
during weight loss.
Pre-Op
• Orthopaedic surgical patients my be seen by a Physiotherapist preoperatively, usually in the week before surgery if you attend the preop clinic.
• During this clinic they are seen by our Nursing Staff and then
following this they are seen in our Physiotherapy Department.
• We advise on the Physiotherapy they will receive during their stay,
any exercises that may be beneficial to practice before they come in,
and the treatment offered post discharge.
• We see patients undergoing hip and knee replacements, back
surgery and shoulder surgery.
OUT PATIENT SERVICE
• We don’t have a waiting list so all patients either
from the ward following surgery or referred from
Consultants and GP’s can be offered
appointments within days.
• Our Department is open from 8am – 6 pm most
days so we can usually accommodate most
patients appointment wishes.
• We have two treatment rooms offering a range of
treatments; acupuncture, ultra sound, pulsed
shortwave, joint mobilisations, muscle
strengthening programmes, core stability
rehabilitation, balance work and more.
• We have a selection of rehabilitation equipment;
exercise bike, trampette, free weights, gym balls,
medicine balls, wobble boards, theraband, hand
therapy equipment etc.
• We can offer treatment for many conditions other
than our orthopaedic surgical patients; osteo and
rheumatoid arthritis, sports injuries, back and
neck complaints, muscle imbalance, postural
advice, gait re-education and more.
OUT PATIENTS
HYDROTHERAPY SERVICE – Why and
where?
• To offer a better all round
rehabilitation package for our
orthopaedic patients.
• To offer an alternative form of
treatment to gym and conventional
department set up.
• To help patients take responsibility
for their own rehab giving them the
incentive to go and continue their
exercises in a pool themselves.
• Makes exercising more enjoyable.
• More Sociable.
• Peer support.
• Efficient – can treat more than one
patient at a time.
• Good use of treatment time – full
half hour session, patients arrive
changed and ready, no time wasted.
• Give patients allocated time each
week to concentrate on exercises
when otherwise busy.
Bollington Leisure Centre
Monday
am/pm
Thursday
am/pm
Friday
pm
BENEFITS OF HYDROTHERAPY
• Warm water is very relaxing.
• Can treat multiple joint problems / conditions.
• Good for pain relief and reduction of swelling as joints are supported whilst
exercising.
• Good for early knee rehab when patients are only partially weight bearing.
• Buoyancy can be used to support, assist, resist and for stretching.
• We try to get patients with similar conditions to work together, great for peer support
and morale boosting.
• Can be used for aerobic activities – jumping, jogging, changing direction. A good reintroduction to spring and bounce.
• Although a group activity, one to one operates within the group.
• With physios in the water, it is easy to assess and progress each individual patient.
Exercises can be more finely graded according to the patients specific needs.
• Enjoyable and fun!
• Allows patients to take responsibility for their own rehab. Many come back on their
own to use the pool or join the gym.
• Great for working on core stability and balance.
• Patients do not have to be able to swim. We have plenty of choice of exercises so non
swimmers can keep their feet firmly on the ground!
WHICH PATIENTS?
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All joint replacements
Knee Surgery – ACL, Arthroscopies, Microfracture
Sporting injuries
Arthroscopic Shoulder surgery – ASAD, SLAP, Anterior
Stabilisation, MUA, Joint Rersufacing.
Spinal Surgery – Discectomy, Decompression, Wallis
Lig, Spinal Injections.
Other Upper limb Surgery
Other Lower Limb Surgery
General LBP, Neck Pain, Joint Pain
Neuro Patients – Muscular Dystrophy, Cerebral Palsey,
others
ABOUT BOLLINGTON LEISURE CENTRE
- Warm water, used for lots of children’s activities so very
pleasant temp.
- Use a lane roped off during early morning public
swimming.
- Full use of all pool equipment (In addition Regency has
also now provided equipment)
- Shallow and deep water.
- Ladder access to pool.
- Whole pool available in afternoon session, greater
activity possible, hoist availability.
- Staff happy for patients to go in own time and use
equipment.
- Reduced fees for gym membership.
CORE STABILITY
SUPPORTING
MOBILISING
STRENGTHENING
GAIT TRAINING AND BALANCE WORK
GYM SERVICE
Bollington Leisure Centre
Wednesday
am
Friday
am
• Our latest addition to complete our
rehabilitation programme.
• This service follows on from the
hydrotherapy service and is offered to
all patients who wish to further their
rehab or who don’t like water!
• We offer supervised gym sessions
specific to individual patients needs,
allowing them to safely regain
strength, flexibility, core stability and
to restore to full fitness following
surgery / injury.
• Like the hydrotherapy, the gym
sessions are run as small groups of 2 –
3, and offer peer support an
confidence building in a fun and
relaxed atmosphere.
• Following either hydrotherapy or gym
sessions patients have the confidence
to continue to exercise and maintain
strength and fitness on their own.
BOLLINGTON LEISURE CENTRE GYM
• Modern, newly and fully equipped gym.
• Pleasant and spacious environment.
• State of the art aerobics equipment; tread mills, bikes, cross trainer,
stepper, rowing machines.
• Modern highly adjustable weights machines for strengthening all
muscle groups for upper limb, lower limb and core strengthening.
• Free weights.
• Large matted floor area for core exercises using swiss balls, dumbell
weights, balance ball and more.
WHICH PATIENTS?
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All joint replacements
Knee Surgery – ACL, Arthroscopies, Microfracture
Sporting injuries
Arthroscopic Shoulder surgery – ASAD, SLAP, Anterior
Stabilisation, MUA, Cuff repair, Joint resurfacing.
Spinal Surgery – Discectomy, Decompression, Wallis
Ligament, Spinal Injections.
Other Upper limb Surgery
Other Lower Limb Surgery
General LBP
AEROBIC EXERCISE
LOWER LIMB STRENGTHENING
UPPERLIMB STRENGTHENING
BACK STRENGTHENING