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Exercise in Cancer Care

logo The Clinical Oncology Society of Australia have released a position statement on exercise in cancer care. Clinical research has established exercise as a safe and effective intervention to counteract the adverse physical...

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The Clinical Oncology Society of Australia have released a position statement on exercise in cancer care.

Clinical research has established exercise as a safe and effective intervention to counteract the adverse physical and psychological effects of cancer and its treatment. This article summarises the position of the Clinical Oncology Society of Australia (COSA) on the role of exercise in cancer care, taking into account the strengths and limitations of the evidence base. It provides guidance for all health professionals involved in the care of people with cancer about integrating exercise into routine cancer care.

 

Main recommendations: COSA calls for:

  • exercise to be embedded as part of standard practice in cancer care and to be viewed as an adjunct therapy that helps counteract the adverse effects of cancer and its treatment;
  • all members of the multidisciplinary cancer team to promote physical activity and recommend that people with cancer adhere to exercise guidelines; and
  • best practice cancer care to include referral to an accredited exercise physiologist or physiotherapist with experience in cancer care.

Changes in management as a result of the guideline: COSA encourages all health professionals involved in the care of people with cancer to:

  • discuss the role of exercise in cancer recovery;
  • recommend their patients adhere to exercise guidelines (avoid inactivity and progress towards at least 150 minutes of moderate intensity aerobic exercise and two to three moderate intensity resistance exercise sessions each week); and
  • refer their patients to a health professional who specialises in the prescription and delivery of exercise (ie, accredited exercise physiologist or physiotherapist with experience in cancer care).

For more information and help on incorporating exercise into your recovery, book an assessment with our Exercise Physiologist, Amy Rose.

 

Authors: Prue Cormie, Morgan Atkinson, Lucy Bucci, Anne Cust, Elizabeth Eakin, Sandra Hayes, Sandie McCarthy, Andrew Murnane, Sharni Patchell and Diana Adams

Med J Aust || doi: 10.5694/mja18.00199
Published online: 7 May 2018

Optimise your mobility

Optimise_20180612_steph_and_leg_press.jpg No matter what your physical status is, it will always be changing. The body will be continually regenerating new cells and energy. The changes affect all our body systems but in particular, from a movement perspective, ...

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No matter what your physical status is, it will always be changing. The body will be continually regenerating new cells and energy. The changes affect all our body systems but in particular, from a movement perspective, change will be in a positive or negative way. Positively, there will be increased strength and flexibility and allow us to participate more easily in every day activities. Negatively, muscles and joints will get tighter, muscles weaker, and other less desired things such as weight gain, and loss of cardiovascular fitness. The noticeable reduction in mobility and increase in falling is one of the biggest triggers to knowing that the body is changing negatively and trying to understand why. My clinical observation is that these affects accelerate in a person with a disability, and that regular small interventions can stop the deterioration.

 

Turning the cycle back to positive is more challenging for the therapist where there is long standing movement changes, but is possible. The challenge in long standing disability is multifaceted including: a very accurate understanding of what is weak and strong, tight or too flexible; structural changes; neural changes; and being able to work slowly to implement change.

 

Identifying where flexibility should be increased, and which muscles could be strengthened first to improve overall quality of movement is a skill. Caution is given to not continuing to overwork the muscles that are already strong, and training given to involve the muscles that have got weaker over the years.

 

Structural changes need to be accounted for and splinting and bracing options can be considered to help this process.

 

The nervous system controls how well we move. Understanding how the nervous system might be changed in the person with movement disorders is important for how exercises are designed within every day activities. The therapist wants to achieve tasks where there can be the right amount of challenge to bring about positive change, but not too much to avoid the wrong muscle activation.  

 

In the world of disability we expect slow changes, because the underlying physical structure and neural structure are not the same as a ‘normal‘system. But experience shows that slow and focused expectations and practice will help bring improvements.

 

Overall if you note that your body is slowing down and not doing as well as it used to, consult with your local physiotherapist to determine why. If you have a disability consider looking for a therapist with special skills in helping with movement changes

 

 

Deborah Carrera

APA Titled Neurological Physiotherapist

 

Football in Canberra

Football_CP_Football_Flyer.jpg Canberra has a newly developed CP Football Program, and aiming to have an ACT team to go to the National Championships held each year in Sydney (around the end of October).  In the last two years we have had in incl...

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Canberra has a newly developed CP Football Program, and aiming to have an ACT team to go to the National Championships held each year in Sydney (around the end of October).  In the last two years we have had in include players from SA and NSW to make up an ACT team.  Capital Football are supporting the program. At the moment there are fully developed programs and squads from QLD, NSW, VIC and WA.  Programs are being developed in SA and ACT.

 

PLAYERS WANTED - ACT CP Football program. Opportunity to develop your football skills (soccer), meet new people and be part of the ACT representative team. CP Football is for people with cerebral palsy, acquired brain injury or symptoms resulting from a stroke. All ages and experience welcome. For more information visit https://capitalfootball.com.au/game-devel…/football-connect/

Contact Capital Football for more information or Kathleen Moorby . Kathleen.Moorby@heartfoundation.org.au

 

On a similar note, it has just been announced that the recently produced Pararoos documentary will be played here in Canberra on Monday 9th July at Palace Electric at 6:30pm ($20 per ticket).  This movie has been made by film maker Tom Ferguson to raise awareness of the Pararoos and tell their story.
The Pararoos is Australia’s national team for people with cerebral palsy and other disabilities.  More information about the Pararoos can found here https://www.pararoos.com.au/our-story.  All proceeds from ticket sales will go directly to the Pararoos to support them on their journey to qualify for the World Cup next year.

https://kangacup.com/exclusive-pararoos-film-screening-monday-9th-july/

Walking faster is better for your health

Walking-_walking.jpg Everyone is always telling Deb to “slow down!”, but maybe she is just trying to live a little longer. A new study has found those who report faster walking have lower risk of premature death. Compared to slow...

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Everyone is always telling Deb to “slow down!”, but maybe she is just trying to live a little longer.

A new study has found those who report faster walking have lower risk of premature death. Compared to slow walkers, average pace walkers had a 20% lower risk of early death from any cause, and a 24% lower risk of death from heart disease or stroke.

The results suggest walking at an average, brisk or fast pace may be beneficial for long term health and longevity compared to slow walking, particularly for older people.

Findings suggest it is a good idea to step up to a pace that will challenge your physiology and may even make walking more of a workout.

Long term-health benefits aside, a faster pace will get you to your destination faster and free up time for all those other things that can make our daily routines special, such as spending time with loved ones or reading a good book.

Another study has found that active people spend less time in hospital. The inactive people (taking 4,500 steps per day) averaged 0.97 days of hospital care per year. The more active people (taking 8,800 steps per day) needed only 0.68 days of care per year.

If we could get everyone to walk more, what effect would this have on health services? Considering only the people aged over 55, at a minimum it would reduce the need for hospitalisation by 975,000 bed days per year, for a saving of $1.7 billion dollars. Not a bad outcome for getting on your feet a bit more!

And getting an extra 4300 steps per day is not much. It’s just 40 minutes walking, which might include going to the shops, picking up kids, or taking the stairs at work.

Let us know how you go!

Knee pain? Surgery vs conservative management

Knee-pai_Knee_Photo_918.jpg Recent media attention has given a lot of credence to exercise to minimise the need for surgery with exercise. This is not new information in the physiotherapy world and we have known the benefits of the right exercises...

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Recent media attention has given a lot of credence to exercise to minimise the need for surgery with exercise.

This is not new information in the physiotherapy world and we have known the benefits of the right exercises for a long time and also the problems created with the wrong exercises. The important emphasis in this article is twice a week supervised exercise. Many people will put the effort in after the surgery, but if they started earlier with the same intensity the story could be very different.

When approaching knee pain at Neurospace, our team of physiotherapists, exercise physiologists and massage therapists have a 4-pronged approach:

1. Alignment: from the feet up through the knee, hips and spine we will help restore the biomechanical alignment. This will often be about flexibility of certain structures that are tight and contributing to poor wear pattern of the knee.

2. Strength: for the ankle, knees, hip, core as needed, focusing on the imbalances and then a more global approach. In particular, strength with eccentric and closed chain emphasis is important for knee control.

3. Motor control: to stabilise the alignment through stance phase of gait and then into more advanced activities including stairs.

4. Laser therapy: for pain relief, accelerated healing, reduction of scarring and to help restore the knee cartilage.

Your current weight may be a factor.  This may need attention with general reconditioning and fitness work, and diet advice. Losing a few kilograms can make a big difference on reducing the pressure going through your knees.

How much weight is going through your knees during different activities?

Walking across level ground: 1.5x your bodyweight

Up and down stairs: 2-3x bodyweight

Squatting to tie your shoelace or pick something up: 4-5x your bodyweight

Bracing may also be an option to help support and offload the knee while trying to rebuild the strength and control.  This needs to be carefully considered and fitted to get the best outcome.

Deborah Carrera

Physiotherapist

We need help!

logo I had with me today a youngish couple, and they needed help. Bruce started having balance issues two years ago, till he gradually stopped walking freely and started using a walking frame. In February he received a diagno...

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I had with me today a youngish couple, and they needed help. Bruce started having balance issues two years ago, till he gradually stopped walking freely and started using a walking frame. In February he received a diagnosis of Cerebellar ataxia. Bruce is only 49 years old and has stopped work due to increasing difficulties. In getting that diagnosis Bruce has been to endless doctors, neurologists, had extensive testing including 5 MRIs. In all that searching, no one has suggested having neurological physiotherapy input. No one has suggested that change would be possible to make their lives easier and stop the slow deterioration. Bruce and his wife had tears in their eyes as they discussed their frustration with the system. In today’s session we were able to identify clear things to change and give them strategies to start improving his safety in transfers and walking. We are confident over the next 2 months there will a significant difference in his abilities and capacity to move around.

The question remains, why is specialised assessment so undervalued, and the role of physiotherapy and exercise not recognised in all neurological disorders? Neurospace has been here for 8 years and we continue to grow and make in difference in the lives of people with complex movement issues.

Great results from laser therapy in hand osteoarthritis - reducing pain and improving function

Great-re_rosalie_hands.jpg Coralie is a craft enthusiastic, particularly enjoying beading work. She had heard about the Gigalaser and wanted to try out for the arthritic pain in her hands. On assessment the hands did show typical osteoarthritis ch...

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Coralie is a craft enthusiastic, particularly enjoying beading work. She had heard about the Gigalaser and wanted to try out for the arthritic pain in her hands. On assessment the hands did show typical osteoarthritis changes with extensive swelling through the small joints of the hand , deformity with joint angle changes and loss of strength. We started with laser last December and after only 3 sessions Coralie was certain that the hands were definitely improved, having less pain at all times and better ability to do her beading work.

The significant effects were also noted by February by her massage therapist. Coralie has continued to have laser therapy every 2-3 weeks, with the effects lasting longer each time. Her excited " I can't believe it" is a real joy to hear as she goes into this winter with far less pain than last year. Clinically there is now minimal swelling, the progressive deformity has stopped, the fingers have regained full flexibility and she no longer takes pain medication.

If you are interested in trying this for your arthritis, we would start with an initial 45-60 minute consultation, with 4-6 sessions to follow up with treatment. Many times we will also suggest other therapy, particularly to strengthen the body to take strain off the area, or specific physiotherapy to align the body. If you have any questions or would like to book an appointment, we would love to hear from you!

Rosalie hands

 

Where’s your walking stick?

logo When I saw Gwen this week she was commenting on how she is feeling so much more confident on her feet, that she keeps going out without her walking stick.  And people are noticing.  Gwen saw us initially for di...

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When I saw Gwen this week she was commenting on how she is feeling so much more confident on her feet, that she keeps going out without her walking stick.  And people are noticing. 

Gwen saw us initially for dizziness which was found to be a mixture of things including BPPV (Benign Paroxysmal Positioning Vertigo, vestibular hypofunction and unsteadiness due to poor vision and weakness on one side of her body.  Over five sessions we worked on the various problems. 

What is BPPV?

The brain registers dizziness on head movement because something (usually an otoconia crystal) is in one ear that gives an error message that confuses the brain when the head is moved in a certain direction.  This requires a special head manoeuvre to move the crystal into the right spot.  This usually only takes 1-2 times to do.

And Vestibular Hypofunction?

Vestibular hypofunction is where the inner ear works less well than it should.  The balance system in the middle ear is made of hair cells.  With ageing or trauma the hair cells can reduce and provide less sensory information to help the overall balance system.   But they can be tuned up and helped to work as best they can with the right exercises.  So Gwen has been doing exercises targeted to her current abilities.

Unsteadiness has multiple causes, and in Gwen’s case we picked just three additional exercises that were going to strengthen the weak area and improve her overall steadiness.  In particular, we have focused on improving sensory information coming in from the feet to help substitute for the reduction of sensory information from the eyes and ears.   We also did manual therapy (hands on work) to improve the neck and back alignment and looseness so that it could also help with providing better sensory information.

Gwen is so happy with the increased confidence in mobility she is planning to check in once a month to keep her back and neck working well and to progress her exercises.  We still encourage Gwen to use the walking stick as a precaution but it is lovely she is no longer dependent on it!

 

GigaLaser off to a great start!

GigaLase_image001.jpg Deborah loves hew new GigaLaser and is finding really interesting results with our neurological, musculoskeletal and vestibular clients. The GigaLaser came all the way from Denmark, where they have been developing this t...

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Deborah loves hew new GigaLaser and is finding really interesting results with our neurological, musculoskeletal and vestibular clients. The GigaLaser came all the way from Denmark, where they have been developing this technology since 1982 (before some of our therapists were even born!). Here is a great success story from our friends in Denmark. If you have any questions regarding laser therapy, please get in touch.

There’s no doubt that the GigaLaser has made a huge difference on my knee…

"It’s almost a miracle that I’m able to play handball today, I’m so happy that my team has such a great medical staff, as well as a partnership with FysioDanmark Randers, which makes it possible to get laser treatments.”

So says professional handball player Gitte Andersen, from the Danish handball team Randers HK. She’s referring to her team’s partnership with FysioDanmark Randers (a large physical therapy clinic in Denmark) and the treatments she received, after suffering from a long-term injury that had her nearly give up hope of ever returning to the sport again.

Previous meniscus and ACL injuries, and subsequent surgeries, had caused great damage to the cartilage in her knee. Followed by great pain. In November 2014, the pain had grown intense, and the months that followed were not exactly easy for Gitte Andersen.

In February 2015, it was over. “I just couldn’t do it anymore”, she says.

“I felt excruciating pain doing everyday things like climbing stairs, and our team physician didn’t think I’d ever be able to play handball again. I, too, was afraid I’d never return to the court again.”

A physical therapist and the GigaLaser

Gitte Andersen received her first treatment with the GigaLaser in August 2015, and in the weeks that followed she visited FysioDanmark Randers 2-3 times a week. Pictured above is Gitte Andersen, receiving a treatment with the GigaLaser, next to physical therapist, Atle Roestad, of FysioDanmark Randers.

“I actually felt a difference after the first treatment but it was probably after 7-8 treatments that I was able to do more than previously, without pain”, says Gitte Andersen.

She kept getting better and continued to receive at least one treatment a week. After learning that she was pregnant, due in April 2016, she decided to take it easy on the handball training.

“I kept up with the GigaLaser treatments and built up my basic fitness, but playing handball would have to wait until after my maternity leave”, says Gitte Andersen.

A great comeback

In July 2016, she was training alongside her teammates for the upcoming season. The GigaLaser treatments were intensified, and although her knee did have to re-adjust to the movements on the court, Gitte Andersen played her first league match in 1.5 years, in September.

“It was amazing to do a comeback! Everyone said I’d never play again but thanks to the long break off the court, all the help I’ve gotten from our team physician and physical therapists, and all the treatments with the GigaLaser, I was once again able to throw my team jersey on”, Gitte Andersen says, thrilled.

“It’s really amazing that the elite athletes in town have welcomed the GigaLaser with such open arms. The Randers HK players alone have received just short of 200 GigaLaser treatments in the last year, and we’ve had really great results. But it’s Gitte Andersen’s challenging case that’s the best success story of them all”, says Atle Roestad.

PowerMedic Lasers helps you get off to a great start with the GigaLaser

Our goal is that all athletes, as well as everyone else, have access to faster recovery after injury. And we are, of course, always available with help and support – to get you off to the best start possible, offering GigaLaser treatments in YOUR clinic.

Tell me more about the GigaLaser!

Our goal is that all athletes, as well as everyone else, have access to faster recovery after injury.
And we are, of course, always available with help and support – to get you off to the best start possible, offering GigaLaser treatments in YOUR clinic.

 

September 8th is World Physiotherapy Day!

Septembe_Image_world_physio_day.PNG The theme this year is 'add life to years', highlighting the important role  physiotherapist play in healthy ageing. Physiotherapists are health professionals who have a key role in helping people wit...

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The theme this year is 'add life to years', highlighting the important role  physiotherapist play in healthy ageing. Physiotherapists are health professionals who have a key role in helping people with long-term conditions achieve their goals, fulfil their potential and participate fully in society. They work with people to maximise movement and functional ability. If you have problems that affect your mobility, ask us how one of our physiotherapists can help you get back on your feet.

 

 

Physician heal thy self

Physicia_Physician_heal_thy_self.jpg I recently sustained two injuries and unintentionally managed them entirely differently and have been amazed at the results.   The first was my index finger in the car door.  I stopped the jamming in time to no...

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I recently sustained two injuries and unintentionally managed them entirely differently and have been amazed at the results.
 
The first was my index finger in the car door.  I stopped the jamming in time to not crush the finger, but enough damage to bruise the bone and give a bit of swelling.  I ignored it and continued work as normal with my hands. Two weeks later , the joint had recovered very slowly so that the range remained restricted and there was tenderness  over the site of the injury.
 
The second was my ankle, which one week after the injury of my finger I caught my ankle on a step in the dark. With buckling of my foot I heard a huge crack and pain and knew that this was more than a simple strain, so I took a bit more care.  The foot was immediately elevated and ankle compressed.  I got home taped it into position, and remained elevated and resting.  I self-assessed and ruled out fracture and complete ligament rupture. I followed some standard physio things : a colleague locked the ankle with sports tape to minimise stretching, reduced weight bearing  with a crutch on and off for a few days to protect  the ankle, but also allow me to load the foot gently and stop my back from twisting.  I also used my laser daily to promote healing.  I will say I am amazed at the rapid reduction of swelling , bruising and pain, and return to normal walking.  The healing is still on going and there is an ache there to remind me to take care, and continue to strengthen the ankle and leg.
 
I then lasered the finger and the joint range increased back to normal and bone pain reduced.
 
When I talk about laser I am referring to cold low level light  therapy (LLLT).  We have been working with LLLT  for 6 years at Neurospace and are pleased that the things that we have found are being supported with research.  All laser is not the same and the important part is the power and dosage are appropriate for the site of the body.   We use laser as part of the management .  Additional things to promote best function of the body part were equally important such as exercise and joint alignment.  
 
LLLT has become a big part of Neurospace because it is such a diverse tool. The laser provides energy and stimulation delivered from LEDs at a specific wave frequency, to an area where the laser is applied. The energy gives a boost to the cells and aids them with their natural healing process. LLLT can assist with many things including;
  • Arthritis pain
  • Tennis elbow
  • Muscle pain
  • Wound healing
  • Inflammation
For me LLLT helped with 2 different problems, it aided the healing of a compression injury in my finger, LLLT also helped with rapid healing of an ankle strain from a misplaced foot.

The LSVT program

The-LSVT_Speech_Therapy_Lindi_2.jpg At the recommendation of my neurologist, I undertook the Lee Silverman Voice Treatment program in mid-2016. My voice had been failing for the better part of a year. It was fragile and unreliable. Some days it was little ...

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At the recommendation of my neurologist, I undertook the Lee Silverman Voice Treatment program in mid-2016. My voice had been failing for the better part of a year. It was fragile and unreliable. Some days it was little more than a whisper. Disconcertingly, sentences sometimes failed to launch, if I can put it like that. Social activities became more difficult and my work performance, where I was typically expected to talk to visitors and deliver presentations, went into a worrying decline.
 
My impressions of the LSVT program were favourable virtually from the outset. I thought the benefits showed up quickly. Within a week or two, I could see a distinct gain in my voice and, with it, a sharp improvement in my confidence. After completing the course, I would recommend it highly to others considering it. The course is a four-week program, and it requires commitment and determination by those undertaking it. But, speaking just about my own case, I definitely found the results to be worthwhile.
 
I cannot speak too highly of the therapist delivering the program. Nicole always showed a strong sense of engagement with her clients, unfailing good humour, and the commitment to work outside normal work hours to deliver the course. She was patient, thoughtful, and professional. It was my good fortune to have access to the LSVT program and to such capable, professional help.
 

Talent 4 Tokyo: Do you have what it takes?

Talent-4_Facebook_updadte.jpg Do you have what it takes? While our current group of Australian athletes are busily preparing for the Rio 2016 Paralympic Games, the Australian Paralympic Committee and our sporting partners are searching for the next g...

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Do you have what it takes?

While our current group of Australian athletes are busily preparing for the Rio 2016 Paralympic Games, the Australian Paralympic Committee and our sporting partners are searching for the next generation.

Are you a talented athlete with the potential to represent Australia at the Tokyo 2020 Paralympic Games?

Be part of our new Talent 4 Tokyo Program.

The next Talent 4 Tokyo event will be held in Canberra, ACT

Who should attend:

Individuals from aged 10 with a physical, vision, or intellectual impairment; not currently involved in Para-sport or those who are looking to transfer into a different Para-sport.

When: Sunday, July 10th, 11:00am – 3:00pm
Where: STF 2 and 3, Australian Institute of Sport
Register your interest atwww.paralympic.org.au/programs/talent-4-tokyo

Neurospace and the NDIS

Neurospa_Frankie_boxing_Croped.jpg Neurospace started in 2008, well before NDIS was happening.  We have gradually grown to be a team of over 20 people.  The team includes a diverse range of skills and people that enjoy working together to get th...

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Neurospace started in 2008, well before NDIS was happening.  We have gradually grown to be a team of over 20 people.  The team includes a diverse range of skills and people that enjoy working together to get the best outcome for all.  Most of our clients would work with at least 2 or more team members to improve outcomes and create Benefits for Life.
 
The NDIS was bought to Canberra last year, and we have been engulfed as a trial site.  The positives of this is that people in Canberra have had early access to some funding to get the care they need.   Over this time the team at NDIS planning office has been learning things such as funding allocation, suppliers and working with the consumers. The job for them has been enormous to train their staff and decide on workable models of care and provision.  For a brand new system while it is far from perfect the team there is doing an amazing job in a complex new space.  For our Neurospace team, over the last 18 months we have been learning to work with NDIS plans, writing reports in different formats, helping to plan realistic goals in chronic conditions and helping to get the best result for the funding given.  We have also had to develop new processes in our administration and accounting area. Over this time at Neurospace, we are proud to have grown further in our skills, abilities and team work to work with people with these complex health needs.
 
While the value of rehabilitation and exercise has been well recognized post stroke and brain injury in the first year post acquiring; and in Parkinson’s and MS (all who have been seen with NDIS funding), the outcomes for quality of life are being seen also for those who have long standing disabilities and received minimal intervention for 10 or more years such as cerebral palsy, spinal cord injury and older stroke.  Specialised assessment of the underlying muscle weaknesses, motor control and learning style and applying this to movement and speech difficulties means we can create a targeted plan to improve overall function and independence.  In addition, skilled assessment of the person’s environment and adaptive equipment that will further enhance a person’s skill has shown to make a significant difference to the ability to stay active in the community or to improve ease of care of the person in their home.
 
Neurospace has grown along with the NDIS, we promote holistic care, empowering you to make choices for your best outcome.

Happy New Year!

Happy-Ne_New_Years_Fire_Works.jpg We hope you had a happy and healthy holiday season, and you were able to spend quality time with friends and family. Our team members are trickling back from holidays and are looking forward to catching up with you again...

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We hope you had a happy and healthy holiday season, and you were able to spend quality time with friends and family. Our team members are trickling back from holidays and are looking forward to catching up with you again soon. 
Did you make a special new year’s resolution? If you need a bit of help getting there please get in touch. We would love to help make your goals of living a healthier happier life a reality in 2016!
 
Happy New Year,
From the Neurospace Team

CHRISTMAS SHUTDOWN PERIOD

logo We would like to advise that our last day of operation for 2015 is: Thursday the 24th of December 2015 at 2pm We will reopen on: Monday the 4th of January 2016 All of us at Neurospace join in wishing you a very Merry Chr...

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We would like to advise that our last day of operation for 2015 is:

Thursday the 24th of December 2015 at 2pm

We will reopen on:

Monday the 4th of January 2016

All of us at Neurospace join in wishing you a very Merry Christmas with the best of everything in the coming New Year!

Speech Pathology Week

logo Talk with me during speech pathology week 23-29 August 2015 ...

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Talk with me during speech pathology week 23-29 August 2015

pathology

Special offer in July and August!

Special-_Special_offer.png We are very pleased to welcome not one but two lovely new Therapy Assistants to the practice! Kylie and Karin join Alex Marahrens and we are all very excited to have them join the Neurospace family. They can help you wit...

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We are very pleased to welcome not one but two lovely new Therapy Assistants to the practice! Kylie and Karin join Alex Marahrens and we are all very excited to have them join the Neurospace family.

They can help you with your exercise program and carrying out treatments under the supervision of your therapist. With a bit more practice, you can reach your goals even faster!
We have two special offers in July and August* to welcome them to the practice:

1. Bundle a Therapy Assistant session with your individual Physio, Occupational Therapy or Exercise Physiology session and pay only $30 for 30 minutes! (usual fee is $60 for 30 minutes with the Therapy Assistant)

2. Would you like to see just the Therapy Assistant? For July and August we have reduced the rate to see Karin and Kylie. It’s a great opportunity to brush up on your program and meet our new team members.

  • 60 mins $70 (usually $90)
  • 45 mins $55 (usually $75)
  • 30 mins $40 (usually $60)

These special offers are just for July and August. If you would like to take advantage of this special offer, talk to your therapist or one of our lovely admin staff.

*offers do not apply to home visits

New Gym Access Pass

New-Gym-_xgym-2.jpg.pagespeed_.ic_.5G2e6KMGWq_.jpg Neurospace is opening the gym doors for those who would like to complete their exercise programs in our lovely new facility. Do you currently have a gym program from one of our therapists? You can start right away! If y...

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Neurospace is opening the gym doors for those who would like to complete their exercise programs in our lovely new facility.

Do you currently have a gym program from one of our therapists? You can start right away! If you would like to use the gym before or after a booked appointment, there is no charge.

If you would like to use the gym at other times, you can purchase a gym access pass. The gym access pass is just $99 per month, available in either 3-month ($297) or 6-month ($594) passes.

All you need is a program developed by one of our therapists (within the last 2 months) and you can get started!

If you need to book an appointment to have a program developed, please contact reception. We recommend an initial appointment* to develop your program plus a 30-minute follow up to ensure you are exercising safely and able to reach your goals. Your program can be developed by our Physiotherapists or Exercise Physiologists.

* Initial Appointment: 45 mins or 60 mins if complex condition

 

Special offer for current clients:

If you are currently receiving regular treatment from one of our therapists, the monthly rate is reduced to just $85 per month! (3 months $255, 6 months $765). Or if you only use the gym when you are in for an appointment, there is no charge.

 

Special offer for Carers:

Would you like to work on your own program while you are waiting? If you have a program set-up by our Exercise Physiologist, you can exercise for free whilst they are in their session! Just book in to a gym session at the same time as their appointment

 

Conditions apply:

Purchasing a gym pass entitles you to use of the Neurospace gym during our regular opening hours. We reserve the right to modify the opening hours for operational requirements.

You are required to book your session times with reception staff, to ensure everyone’s safety and comfort whilst in our facility.

This is unsupervised gym access, and whilst our therapists will also be working with clients in the gym they are not available for consultation during that time. If you require assistance with your program, or for your program to be reviewed you will need to book an appointment with one of our therapists.

Payment for gym access is in advance for 3 or 6 months. This fee is not refundable, and no credit will be given for periods where you do not access the gym (eg holidays).