Neuron Clinic Physiotherapy Unit consists of physiotherapists specialized in neurological rehabilitation.
At our center, within the scope of conventional (traditional) physiotherapy methods, neurophysiological approaches, resistance, endurance, and stretching exercises, balance training, sensory therapies, electrotherapy applications, pulmonary rehabilitation approaches, and individualized orthotic guidance form the foundation of treatment.
This holistic approach aims to improve quality of life by supporting brain plasticity, muscle strength, and functional independence. Our goal is to maximize each individual’s functional capacity, restore independent living skills, and enhance overall quality of life.
Neurophysiological Approaches
In stroke and other neurological disorders, our treatment approaches are based on the principle of neuroplasticity, the nervous system’s capacity for relearning. At Neuron Clinic, three core neurophysiological methods are applied to improve patients’ movement control, coordination, and functional independence:
1. Bobath Concept (Neurodevelopmental Treatment Approach)
The Bobath concept aims to restore postural control and balance by regulating muscle tone. Abnormal movement patterns are inhibited, normal movements are facilitated, and the patient actively participates in functional activities. By supporting the brain’s motor reorganization capacity, the Bobath concept enables lasting neuromotor learning through correct movement repetitions.
2. Johnstone Splint (PANat Method)
Johnstone splints are used after stroke to correct muscle imbalance, reduce increased muscle tone, and ensure proper alignment of the extremities. When applied together with PANat (Proprioceptive and Neuromuscular Activation Therapy) principles, they increase proprioceptive feedback, reduce the risk of contractures, and support functional movement patterns.
This method is not merely passive support but an active neuromuscular re-education tool.
3. PNF (Proprioceptive Neuromuscular Facilitation)
The PNF method aims to enhance muscle activation and coordination through proprioceptive stimulation. By using diagonal movement patterns, balance, strength, coordination, and symmetry are improved. PNF strengthens both the quality of functional movements and body awareness in acute and chronic stages.
Resistance, Endurance, and Stretching Exercises
After stroke, muscle weakness, reduced endurance, and joint stiffness are frequently observed. Therefore, in the clinical setting, the following individualized interventions are applied:
- Progressive resistance exercises
- Aerobic and endurance training
- Static and dynamic stretching exercises
Stretching programs reduce muscle tone, preserve joint range of motion, relieve pain, and support muscular balance. Resistance and endurance training increase cardiorespiratory capacity and functional endurance.
Balance Training
Balance is one of the key components of stroke rehabilitation. Balance training is specifically planned to enable patients to achieve safe mobility and reduce the risk of falls.
Our programs include:
- Static balance exercises (e.g., sitting and standing on a stable surface)
- Dynamic balance exercises (direction changes, stepping, weight shifting)
- Exercises using visual and sensory feedback (integrated with BlazePod technology)
- Functional activities (such as reaching for objects, reaching activities, and dual-task training)
These exercises retrain the vestibular, visual, and somatosensory systems to work together. As a result, the patient becomes safer, more controlled, and more stable in daily life.
Pulmonary Rehabilitation
During the acute stroke period, respiratory muscle weakness, secretion accumulation, and aspiration risk are common. In our pulmonary rehabilitation programs:
- Diaphragmatic and segmental breathing exercises
- Secretion mobilization and cough training
- Postural drainage and proper positioning techniques
These approaches improve oxygenation, reduce the risk of pneumonia, and facilitate early mobilization.
Sensory Therapies
Sensory loss after stroke may make it more difficult to regain motor control. Therefore, sensory therapies are integrated into physiotherapy treatment programs together with occupational therapy programs:
- Mirror therapy
- Tactile stimulation
- Vibration therapy
- Proprioceptive feedback exercises
The goal is to strengthen the sensory connection between the brain and the body, thereby improving body awareness and movement quality.
Electrotherapy Applications
Electrotherapy is used in neurological rehabilitation both for muscle activation and pain control:
- TENS (Transcutaneous Electrical Nerve Stimulation): Used for pain control and muscle tone regulation.
- NMES (Neuromuscular Electrical Stimulation): Used to increase muscle activation and support paralyzed muscles.
- FES (Functional Electrical Stimulation): Provides synchronized muscle stimulation during walking in patients with foot drop.
Personalized Orthotic Approaches
In stroke and other neurological disorders, personalized orthotic planning is performed to support postural control, balance, and functional movement.
Our clinical team determines the appropriate upper and lower extremity orthotic guidance for each patient.
The aim is to maintain muscle balance, prevent deformities, improve gait patterns, and ensure safe mobility.