Stroke rehabilitation · Western Sydney and The Hills
Getting out of a favourite chair, reaching the front gate or managing the bathroom can become rehabilitation goals after stroke. Tandem Physio provides mobile physiotherapy for adults rebuilding these skills or living with ongoing movement difficulties.
Different stages, different priorities
Early rehabilitation often involves relearning movement and establishing routines after hospital. Home physiotherapy can build on the discharge plan when community care is appropriate, with attention to precautions, assistance and the rehabilitation already underway.
Longer-term goals may include improving a particular task, returning to an activity or maintaining the abilities that support everyday life. Progress varies; time since stroke alone does not define a person’s goals or potential. Review considers what is changing and whether the current plan remains useful.
Chris Burgess provides assessment and treatment. Read About Chris and Tandem’s broader Clinical Focus.
Practice with a purpose
Assessment considers weakness, altered sensation, coordination, balance, fatigue and the level of support needed. The plan focuses on selected tasks rather than a standard exercise sheet.
Practise stepping, turning and navigating household routes, with assistance or a walking aid where needed. Balance work may address reaching, changing direction and negotiating thresholds, alongside strategies to reduce falls risk.
Break down getting out of bed, standing from a chair or moving onto the toilet into manageable practice. Repetition, setup and the amount of help are adjusted to the person’s movement and safety needs.
Build relevant strength and walking tolerance through appropriately dosed exercise. For example, supported sit-to-stand practice may contribute to a chair-transfer goal, with rest and review of fatigue or symptoms.
Review walking-aid fit, use and suitability in the actual environment. Agree practical ways for family or support workers to assist movement and support practice between visits without asking them to provide unsafe or unassessed assistance.
Chair height, bedside space and the route to the letterbox can affect movement. Practising with the person’s furniture, equipment and support helps identify strategies they can use between visits.
Community assessment may be useful when goals extend to outdoor paths or local activities. The route, fatigue and available assistance are considered before progressing practice. See Mobile Physiotherapy for the assessment approach.
Referrals and service area
Anyone can enquire. Include the task causing difficulty, current assistance and relevant discharge recommendations. Referring for someone else requires consent or appropriate authority.
Home visits cover Western Sydney and The Hills District, including Penrith, Blacktown and Parramatta, subject to location, suitability and availability. See Service Areas.
Private enquiries welcome. NDIS funding: self-managed and plan-managed only; Tandem is not NDIS-registered. Funding and required approvals are confirmed before services start.
For broader brain-injury presentations, read about ABI and TBI physiotherapy. When falls or near misses are the main concern, see falls risk assessment and physiotherapy.