Spasticity is the severe muscle stiffness caused by damage to the central nervous system i.e. damage to the brain or spinal cord.
Our spasticity clinic provides outstanding treatment for a range of conditions that have caused damage to the central nervous systems including cerebral palsy, stroke, multiple sclerosis, parkinson’s disease or an acquired brain injury. The spasticity clinic forms a key part of Osiris’ wider neurological rehabilitation service and is highly acclaimed in the international rehabilitation community.
We understand that the treatment of spasticity often requires a multi-faceted approach to achieve the best results for the client. If spasticity is not effectively managed it can lead to muscle contractures and, where there is underlying movement, loss of function.
Seldom is one treatment in isolation effective in assisting a client which is why we offer a comprehensive assessment and treatment approach to reduce the spasticity and improve function and comfort.
The treatment of spasticity, like all rehabilitation processes, must start with the establishment of specific and achievable goals and a carefully planned strategy to reach these goals. We work closely with all other treating practitioners and medical professionals to ensure the best possible care is provided.
Our advanced clinicians are leaders in their field in the use of Botulinum Toxin injections for spasticity management. Targeted administration of botulinum toxin by experts can provide significant gains in comfort, movement and function. Our multidisciplinary team includes therapists who ensure individualised programmes of appropriate exercise, stretches, splinting and orthotics are in place to maximise the benefits of botulinum toxin and so optimise our clients’ outcomes.
Osiris’ highly skilled consultant physicians can assess the need for and prescribe, where appropriate, additional therapies to manage spasticity including transcranial magnetic stimulation (TMS) or oral antispasmodic medication which may include Baclofen, Dantrolene or Tizanidine.
Facial palsy is a term used to describe weakness of the facial muscles that arises from either temporary or permanent damage to the facial nerve. When the facial nerve is unable to transmit signals to the facial muscles or does so incorrectly, the muscles do not generate the appropriate facial movements.
Our Facial Palsy service treats clients who have a variety of conditions that cause facial weakness/paralysis. These include (although are not limited to) Bell’s Palsy, Ramsey Hunt Syndrome, Lyme Disease, Guillain-Barre Syndrome, as a result of a stroke or the removal of a tumour such as a Vestibular Schwannoma (previously termed Acoustic Neuroma) or a tumour of the parotid gland. The facial nerve and facial muscles can also be affected by traumatic injury to the skull or soft tissues of the face.
We work with clients who have wide ranging needs and severity of conditions. In some cases only certain areas of the face are affected as in isolated lower lip palsies. Alternatively, the movement might be reduced or lost completely on the whole of one or (more rarely) both sides of the face depending on the cause of the facial palsy.
Dry, irritated eye (s), difficulties with eating, drinking, speaking and kissing are common problems encountered by those with facial palsy due to the deficits in facial nerve function. Pain, hypersensitivity to sounds and altered taste can also be experienced.
In certain instances, when the facial nerve is recovering, unwanted ‘linked’ movements occur. This is termed synkinesis. For example, the eye might close or the lower lip pulls down when smiling is attempted.
The psychological impact of altered facial appearance and movement dysfunction is often devastating and can lead to social withdrawal and isolation, relationship strain, occupational difficulties and unwelcome attention from other people.
Our highly skilled group of clinicians bring their specialist knowledge in facial physiotherapy, speech therapy, psychology, ophthalmology and plastic surgery to deliver gold standard, co-ordinated therapy and surgical care to optimise functional, psychological and aesthetic outcomes. We work with our clients to help them regain and maintain self-confidence by establishing specific and achievable goals and formulating carefully planned strategies to achieve these goals. We liaise closely with all other treating practitioners and medical professionals so you can be sure of the best possible care.
The national charity Facial Palsy UK has excellent sources of further information and support and can be accessed via this link www.facialpalsy.org.uk
Osiris neurological rehabilitation service is one of the most advanced in the United Kingdom. Our highly skilled clinicians have extensive experience in treating clients with a range of neurological conditions. Our areas of specialism include (but are not limited to):
- Congenital disorders including cerebral palsy
- Developmental disorders including ataxia and dyspraxia
- Head injuries
- Neurological deficit secondary to diseases / malignancies of the brain and spinal cord
- Learning difficulties
- Peripheral nerve injuries
- Neuromuscular disorders
- Movement disorders (including parkinson’s disease).
- Neuro inflammatory diseases (including multiple sclerosis)
- Cognitive disorders
Treatments will differ greatly depending on our client’s specific condition and its severity however it will begin with the establishment of specific and achievable goals and a carefully planned strategy to achieve these goals. We work closely with all other treating practitioners and medical professionals so the best possible care is assured.
We believe in a holistic approach that focuses on all aspects of each client’s rehabilitation. Building effective, trusting relationships with those we work with and their families means we can get optimum results.
Transcranial Magnetic Stimulation
Transcranial magnetic stimulation (TMS) is a non-invasive, comfortable procedure that uses electromagnetic fields to alter nerve cell activity in specific regions of the brain. Different frequencies, intensities and patterns of treatment promote either less or more activity in the targeted areas of the brain.
A substantial body of research is being undertaken into TMS and it has been shown it can reduce spasticity related to conditions such as multiple sclerosis, stroke, spinal cord injury and cerebral palsy.
It is known that the effects can last for minutes or hours and can complement other interventions such as physiotherapy and the administration of botulinum toxin.
Osiris clinicians always strive to be at the very forefront of the latest developments in their field of specialism and this is further evidenced by ensuring TMS is available to those clients who could benefit from its application.
Hand surgeons and therapists specialise in the assessment and treatment of pathologies of the hand and upper limb.
At Osiris, we know the best clinical outcomes are reached through close multidisciplinary working and the expert service for hand rehabilitation is no exception. Our clinicians possess comprehensive knowledge of the anatomy, pathology, physiology and biomechanics of the whole upper limb. They focus on early, appropriate interventions to enable our clients to maximise their potential and comfort following injury, disease or congenital or acquired deformities affecting the hand and upper limb.
Our hand therapists combine the knowledge and skills of physiotherapy and occupational therapy to assess clients in great detail. Their collaboration with the hand surgeon in surgical planning and post-operative protection and rehabilitation is vital to ensure optimal results.
Osiris hand therapists provide individualised advice on, for example, preventative care, aids and adaptations for daily living. Treatment interventions can include splinting, oedema control, scar management, desensitisation, manual therapy and exercise prescription; working in close partnership with clients and carers.
The Osiris hand team is also an integral part of our industry-leading focal spasticity service and Osiris hand clinicians are highly skilled in all aspects of upper limb spasticity management, including the art of targeted botulinum toxin injections.
Spinal Cord Injury
A spinal cord injury (SCI) is damage to the spinal cord that causes changes in its function, either temporary or permanent. These changes translate into loss of muscle function, altered sensation, or autonomic function in parts of the body served by the spinal cord below the level at which it is damaged.
Osiris spinal cord injury service brings together expert clinicians of different disciplines to provide the very best in treatment for injuries to the spine or peripheral nerve injury.
We understand fully the wide-ranging symptoms and functional difficulties encountered after spinal cord injury including muscle weakness, ataxic gait, changes in sensation or the development of pain.
Our professional, flexible team will conduct an initial assessment that can take place at home or at one of our clinics.
The team includes medical consultants with expertise in neurology and rehabilitation, highly specialised neurological physiotherapists, occupational therapists and orthotists who can all assist in optimising recovery through close partnership working with our clients and, where appropriate, their families and carers.
We reassess progress on an ongoing basis and liaise regularly with all parties involved in a client’s recovery to ensure Osiris clients are attaining their full potential through our tailor made treatment programmes.
Treatments will vary greatly depending on the type and level of spinal cord injury but could include balance re-education, muscle strengthening and cardiovascular exercise, gait training and upper limb functional rehabilitation.
Gait analysis is the systematic study of human motion. It can be performed in great detail using specialist instrumentation to measure body movements, body mechanics, and the activity of the muscles in relation to the joints.
Osiris gait analysis service provides the excellence in healthcare, helping clients that have conditions that affect their ability to walk normally.
This state-of-the-art technology can be used to inform treatment decisions in those with, for example Cerebral Palsy (including before and after botulinum toxin injections, orthotic provision or surgery), Acquired or Traumatic Brain Injury, Multiple Sclerosis or after lower limb trauma.
Osiris’ comprehensive service comprises of physical examination, videoed motion, digital gait analysis and a full biomechanical report.
Reflective markers are attached painlessly to specific points on the body, usually on the pelvis and lower limbs. Cameras and force plates record movement while a client walks or runs. Measurements are taken as a client moves from weight bearing (when the foot is on the ground) to where the foot is lifted off the ground to take the next step.
These measurements provide valuable assessment data to guide truly individualised treatments. The digital data can be monitored and compared over time as a client undergoes rehabilitation.
Where digital gait analysis is undertaken it will be part of the thorough holistic assessments performed by Osiris clinicians taking into account the whole person and any other conditions that might have a bearing on the rehabilitation process.
Immediate Needs Assessment
Our professional service also offers Immediate Needs Assessments (INAs) carried out by qualified, experience and skilled rehabilitation professionals.
Our team understands the importance of the need for early identification of an individual’s holistic and multifaceted needs. We pride ourselves on developing effective and early communication between all parties to enable patients to receive timely access to appropriate interventions which will ensure that their long-term potential is maximised.