Neurorehabilitation

Neurorehabilitation is a structured programme that helps people regain function and independence after damage to the nervous system. A team of rehabilitation physicians, physiotherapists, occupational and speech therapists, neuropsychologists and nurses works towards goals agreed with you.

It relies on the brain's ability to reorganise through intensive, repeated, task-specific practice. The earlier and the more intensive, the better the gains, though improvement can continue for years. It does not regrow destroyed tissue, and no device or injection replaces practice.

Conditions this service looks after

• Stroke of either type
• Traumatic brain injury
• Spinal cord injury
• Multiple sclerosis
• Parkinson's disease
• Guillain-Barre syndrome and critical illness weakness
• Cerebral palsy
• Recovery after brain or spine surgery

Tests you may be offered

• Functional assessment: Standard scales of mobility, self-care, cognition and communication set the baseline and the goals.
• Swallow assessment: Bedside testing with videofluoroscopy or FEES where needed.
• Gait and spasticity analysis: Guides orthotics and botulinum toxin.
• Neuropsychological assessment: Identifies attention, memory and mood barriers to recovery.
• Bladder and bowel assessment: Urodynamic studies after spinal cord injury.

Treatments available

• Intensive physiotherapy: Gait, balance and strength training, including treadmill work with body-weight support.
• Robotic and technology-assisted therapy: Exoskeletons, arm robots, functional electrical stimulation and virtual reality increase repetition. They add to conventional therapy, not replace it.
• Occupational therapy: Arm and hand retraining, including constraint-induced therapy, and daily living skills.
• Speech and language therapy: For aphasia, dysarthria and swallowing.
• Spasticity management: Botulinum toxin, splinting, and oral or intrathecal baclofen.
• Cognitive rehabilitation and psychological support: For patient and family.
• Discharge planning: Equipment, home adaptations and carer training.

When to ask for a specialist opinion

• In the first weeks to months after a stroke, brain or spinal injury
• When recovery has stalled and a fresh, intensive block might help
• Spasticity or pain limiting function
• Before returning to work or driving

Travelling to Türkiye for this care

Rehabilitation is one of the more sensible reasons to travel, because inpatient programmes of 3 to 5 hours of therapy a day are difficult to access in many countries. Plan at least 4 weeks, commonly 6 to 12. The patient must be medically stable and fit to fly, usually with a companion, and gains last only if a home programme continues. Ask for therapy in a language you understand, which is essential for speech therapy.

Send your reports, scans and a short history and a Clinic-Y coordinator replies within 24 hours with suitable teams and written, all-inclusive proposals side by side. Reviewing your case is free.

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