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PHYSIOTHERAPY DEPARTMENT

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Title: PHYSIOTHERAPY DEPARTMENT


1
PHYSIOTHERAPY DEPARTMENT
  • SPIRE REGENCY HOSPITAL MACCLESFIELD

2
SPIRE REGENCY PHYSIOTHERAPY DEPARTMENT
3
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.

4
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.

5
Pre-Op
  • Orthopaedic surgical patients my be seen by a
    Physiotherapist pre-operatively, usually in the
    week before surgery if you attend the pre-op
    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.

6
OUT PATIENT SERVICE
  • We dont have a waiting list so all patients
    either from the ward following surgery or
    referred from Consultants and GPs 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.

7
OUT PATIENTS
8
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.

9
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
    re-introduction 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!

10
WHICH PATIENTS?
  • 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

11
ABOUT BOLLINGTON LEISURE CENTRE
  • Warm water, used for lots of childrens
    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.

12
CORE STABILITY
13
SUPPORTING
14
MOBILISING
15
STRENGTHENING
16
GAIT TRAINING AND BALANCE WORK
17
GYM SERVICE
  • 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 dont 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.

18
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.

19
WHICH PATIENTS?
  • 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

20
AEROBIC EXERCISE
21
LOWER LIMB STRENGTHENING
22
UPPERLIMB STRENGTHENING
23
BACK STRENGTHENING
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