Complex Disabilities
Complex disabilities involve a combination of physical and/or cognitive impairments, often associated with neurological conditions affecting the brain or spinal cord. These presentations are multifaceted and require a highly individualised, interdisciplinary approach.
This may include challenges with:
- Physical function: mobility, balance, muscle tone, joint range, seating and positioning
- Cognition: alertness, memory, attention, and processing (including intellectual disability and dementia)
- Emotional wellbeing: mood, behaviour, and coping
- Daily function: personal care, continence, nutrition, and participation in meaningful activities
- Communication and swallowing: verbal and non-verbal communication, use of assistive devices, and safe swallowing
- Respiratory health: including respiratory complications associated with neurological conditions
Age-Related Changes & Falls Risk
Rather than being a condition itself, ageing is associated with gradual physical and cognitive changes that can impact independence and safety.
With increasing age, people may experience:
- Reduced strength, balance, and mobility
- Increased risk of falls and injury
- Higher likelihood of chronic conditions
- Cognitive changes, including dementia and other neurological conditions
Our focus is on maintaining independence, reducing risk, and supporting safe participation in daily life.
Paediatric & Adolescence
Children and adolescents benefit from a supportive, engaging environment to build skills, confidence, and independence. Our family-centred approach focuses on meaningful, goal-directed therapy that supports participation at home, school, and in the community.
We work collaboratively with families, educators, and support teams to provide tailored interventions that are practical, functional, and aligned with each child’s stage of development.
Support may include:
- Fine motor skills and handwriting
- Emotional regulation and behaviour support
- Sensory profiles and sensory diets and regulation strategies
- Cognitive skills and problem solving
- Development of routines and daily structure
- School participation and learning support
- Self-care and independence
- Social skills and interaction
- Assistive Technology (AT) assessment and prescription
We support children and adolescents with a range of developmental, neurological, and physical conditions, including autism spectrum disorder (ASD), intellectual impairment, ADHD, developmental delay, sensory processing differences, neuromuscular conditions, chromosomal conditions, and neurological injury.
Lymphoedema, Chronic Oedema & Vascular Conditions
These conditions involve swelling and circulatory changes related to the lymphatic and vascular systems. They may be primary (congenital) or secondary (e.g. following cancer treatment, infection, injury, or vascular disease).
Symptoms can include swelling, heaviness, discomfort, skin changes, and increased risk of infection or skin breakdown.
We provide comprehensive management including:
- Assessment and staging
- Compression therapy
- Manual lymphatic drainage
- Education and long-term self-management strategies
- Support to maintain mobility and protect skin integrity
Cardiorespiratory Conditions
These include conditions affecting the heart and lungs.
Therapy focuses on:
- Improving exercise tolerance and physical capacity
- Managing breathlessness
- Airway clearance
- Cough assist (mechanical airway clearance support, e.g. Motor Neurone Disease)
- Supporting long-term health and reducing hospital admissions
Progressive Neurological Conditions
These conditions involve a gradual decline in function over time. Examples include Parkinson’s disease, Multiple Sclerosis, Motor Neurone Disease, Muscular Dystrophy, Huntington’s disease, and Multiple System Atrophy.
Symptoms and progression vary, but often impact mobility, daily function, and independence. Ongoing therapy with experienced clinicians is essential to respond to these changes, maintain function, and support quality of life.
Stroke
A stroke occurs when blood supply to part of the brain is interrupted, leading to damage of brain cells. The impact varies widely and may affect movement, communication, cognition, and daily function.
Rehabilitation following stroke requires targeted, evidence-based therapy to support recovery, maximise independence, and improve quality of life.
Orthopaedic Rehabilitation
We support recovery following injury, surgery, including:
- Joint replacements (hip, knee, shoulder)
- Fractures and falls
- Post-operative rehabilitation or conservative management
Our goal is to restore movement, strength, and confidence in everyday activities.
Amputation
Limb loss can significantly impact mobility, independence, and self-image. We provide rehabilitation to support:
- Safe mobility and transfers
- Prosthetic rehabilitation (where applicable)
- Functional independence and participation in daily life
Chronic Pain
Chronic pain persists beyond normal healing time and can occur with or without clear injury. It often impacts physical, emotional, and social wellbeing.
We use evidence-based approaches, including pain education and graded rehabilitation, to support improved function and quality of life.
Autism Spectrum Disorder (ASD)
Autism is a neurodevelopmental condition that affects communication, social interaction, and behaviour. Presentation varies widely between individuals.
Support focuses on:
- Functional skills and independence
- Participation in daily activities
- Regulation strategies and routine development