Brain Injury Physiotherapy at In Step Physical Therapy- Redefining Your Road to Recovery

At In Step Physical Therapy, our expert team offers comprehensive, individualized physiotherapy services tailored for individuals navigating the challenging road of recovery from brain injuries. Our approach centers around enhancing mobility, fine-tuning balance, sharpening cognitive function, and improving overall quality of life.

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Brain Injury Physiotherapy Edmonton | In Step Physio

Our Comprehensive Treatment Plan for Brain Injury

1.Initial Assessment and Goal Setting: The journey toward recovery begins with a thorough initial assessment conducted by our experienced physiotherapists. This evaluation assesses your current physical abilities, cognitive function, pain levels, and overall health status. This includes evaluating motor skills, balance, coordination, and speech. We also delve into the details of your injury, your medical history, and your personal rehabilitation goals. With this information, we design a personalized rehabilitation plan. Each treatment modality is carefully selected to target specific challenges and promote optimal recovery.

2.Intensive Therapy Sessions: During this phase, the patient undergoes daily physiotherapy sessions to improve motor skills, balance, coordination, and cognitive abilities. The therapy methods which suit the patient best are chosen from the wide range of therapy provided at In Step as listed below:

  • Manual Therapy: Hands-on treatment alleviates pain, improves movement, and enhances function.
  • Neuromuscular Re-education: Techniques to retrain the nervous system and muscles to work together effectively.
  • Balance Training: Customized exercises to enhance stability and prevent falls.
  • Cognitive Therapy: Rehabilitation exercises to improve memory, attention, and other cognitive functions affected by brain injury.
  • Therapeutic Exercise: A variety of exercises aimed at improving physical functions like strength, flexibility, endurance, and balance. It may include strength training, stretching exercises, balance exercises, and functional training.
  • Gait and Mobility Training: These techniques focus on improving walking abilities and overall mobility. We may use assistive devices during training if required.
  • Mirror Therapy: This innovative technique uses a mirror to trick the brain into believing movement has occurred without pain or restrictions. It can be particularly helpful in overcoming learned non-use in affected limbs.
  • Constraint-Induced Movement Therapy (CIMT): This technique involves constraining the unaffected limb, encouraging the use of the affected limb to improve its function.
  • Vestibular Rehabilitation includes specific exercises and maneuvers to address balance and dizziness issues related to vestibular disorders.
  • Neuromuscular Electrical Stimulation (NMES): NMES involves using electric currents to stimulate the nerves and muscles in the affected area, which can help improve movement and function.
    • The Portable Neuromodulation Stimulator (PoNS) is a device which delivers mild electrical stimulation to the surface of the tongue to facilitate neural plasticity and promote regaining balance and walking abilities.
  • Functional Electrical Stimulation: State-of-the-art devices such as Bioness L300 GO and Bioness H200, designed to provide precise stimulation prompting muscles to contract and assist with movement, are used at In Step to better aid patients in regaining mobility and functionality.
    • The Bioness L300 Go is a small, wearable cuff-like device placed around the patient's leg to stimulate the nerves, causing muscles to contract and produce movement. It improves mobility, balance, walking speed, and endurance.
    • The Bioness H200 is worn like a glove for individuals with hand paralysis caused by neurological conditions. It helps to activate nerves and muscles, aiding in hand movement and function and assisting with tasks such as gripping, releasing, and fine motor skills.
  • Relaxation Techniques: These methods help manage stress and reduce muscle tension, including guided imagery, deep breathing, progressive muscle relaxation, and mindfulness exercises.

3. Continued Rehabilitation and Home Exercise Program: The focus during this phase is to ensure that the improvements made during the intensive therapy sessions are maintained and enhanced. The patient continues attending regular therapy sessions at the clinic and is provided with a home exercise program. This includes specific exercises and cognitive tasks they can practice at home to facilitate continuous improvement.

4. Long-Term Management: The patient transitions towards a long-term management plan during this phase. This plan involves regular check-ups with our physiotherapists to monitor progress, update the home exercise program as needed, and manage potential setbacks.

Throughout this rehabilitation plan, our team at In Step Physical Therapy remains committed to the patient's recovery. We provide education and support to both the patient and their family to ensure a clear understanding of the recovery process, the goals of therapy, and the importance of active participation in the rehabilitation journey.

Benefits of Brain Injury Physiotherapy at In Step

  • Enhanced Mobility: Our therapeutic exercises help improve muscle strength and flexibility, leading to better mobility and increased independence.
  • Improved Balance and Coordination: Through balance training exercises, patients can experience a significant improvement in their stability and coordination.
  • Sharper Cognitive Function: Our cognitive rehabilitation programs are designed to boost memory, attention, and other cognitive functions.
  • Overall Health Improvement: Beyond physical and cognitive recovery, our holistic approach to brain injury physiotherapy promotes overall health improvement, contributing to enhanced quality of life.
  • State-of-the-art Infrastructure: Our clinic is designed to create a conducive healing environment. With state-of-the-art facilities, we offer the latest rehabilitation technology, providing patients with an accessible, comfortable, and supportive setting for their recovery journey.  Our neuro-rehab gym has two parallel bars, a low mat and several neuro-rehabilitation enhancing equipment.

At In Step Physical Therapy, every patient deserves the best chance at a full and speedy recovery. Our professional team is committed to providing personalized, comprehensive care every step of the way, setting us apart as a premier destination for Brain Injury Physiotherapy.

Potential Setbacks Faced During Physiotherapy

While physiotherapy is generally safe and effective, patients may encounter some challenges during the recovery process:

  • Adjusting to the Pace of Recovery: Brain injury recovery takes time and patience. Progress varies widely between individuals and may seem slow at times. Our team provides emotional support and reassurance to help patients stay motivated.
  • Physical Discomfort: Some therapeutic exercises might be uncomfortable, especially during the early stages of recovery. Our team is trained to ensure exercises are carried out safely and are adapted to each individual’s comfort level.
  • Time Commitment: Regular physiotherapy sessions require a substantial time commitment, which might challenge some patients. We offer flexible scheduling to accommodate our patients’ needs.
Conditions caused by Brain Injury treated at In Step
  1. Motor Function Impairments: These include weakness, loss of balance, difficulty in walking, or coordination problems. Our physiotherapy programs are designed to enhance strength, agility, and motor coordination.
  2. Spasticity: This condition is characterized by stiff or tight muscles and may limit movement or cause discomfort. Stretching exercises and manual therapy are used to manage spasticity.
  3. Dysphagia: Difficulty in swallowing is a common issue after brain injury. We offer exercises to improve muscle control in the throat and esophagus.
  4. Cognitive Impairments: These can range from attention deficits, memory problems to difficulty in problem-solving. Cognitive therapy forms an integral part of our treatment plan.
  5. Speech and Language Difficulties: Our therapy services include interventions for speech and language issues that may arise post-injury.
  6. Sensory Impairments: Physiotherapy can aid in managing issues related to sensation, such as numbness, tingling, or even pain.
  7. Visual and Perceptual Issues: Certain exercises and activities can help improve visual and perceptual skills that have been affected due to brain injury.
  8. Emotional and Behavioral Changes: Physical exercise has been proven to reduce symptoms of depression and anxiety and improve overall mood, which can benefit patients who have experienced changes in emotion or behaviour post-injury.

Our clinic is equipped to handle these conditions and more, providing patients with a comprehensive, patient-centred approach to rehabilitation from brain injuries.

Contact Us

The journey to recovery is a process, and every step counts. We’re here to make each step meaningful and effective. Contact us today to schedule an appointment with our experienced team of physiotherapists.


Each brain injury is different, and every patient is unique. So there is no standard duration for rehab. A treatment plan is proposed based on the patient’s level and type of injury, medical history, abilities and limitations. Therefore it might take a few months to a year of rehabilitation based on the treatment plan.

Based on the patient’s abilities, limitations and goals, various techniques such as manual therapy, balance training, gait and mobility training, cognitive therapy, and neuromuscular re-education are used.


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