Difference Between Physiotherapy and Neurological Rehabilitation: A Complete Guide

Difference Between Physiotherapy and Neurological Rehabilitation: A Complete Guide

Think of Neurological Rehabilitation (or Neurotherapy) as restoring the CPU of a computer, while Physiotherapy is more like repairing its other parts.

One helps in retraining the CPU of the body (i.e brain and spinal cord) to guide the body back to function, while the other works on fixing or strengthening the body’s mechanics so you can move better.

That’s the basic difference between Physiotherapy and Neurological Rehabilitation. 

Want to dig in deeper?

Read this Complete Guide to Know the Difference: Physiotherapy vs Neurotherapy.

Know about Physiotherapy first.

A. Physiotherapy (Complete Guide)

1. What is Physiotherapy?

Physiotherapy = Strengthening your body through movement, exercise, and physical techniques.

Physiotherapy, commonly known as physical therapy, is a branch of medical science that focuses on restoring physical mobility, strength, and overall body function. This is a non-invasive and drug-free approach. It combines the principles of biomechanics (knowledge of biological systems), kinesiology (movement science), and rehabilitation techniques to help the body recover naturally. 

2. Types of Physiotherapy

  • Orthopaedic or Musculoskeletal Physiotherapy: Corrects the muscles, ligaments, bones, joints, and tendons.
  • Neurological physiotherapy: Treats functional disorders which originate from the nervous and neuromuscular system (stroke, spinal cord injuries, etc.)
  • Cardiopulmonary physiotherapy: Treats individuals who suffer from cardiopulmonary disorders such as cardiac arrest, etc.
  • Pediatric physiotherapy: Improves acute injuries, defects which are present at the time of birth, delayed physical growth, etc.
  • Geriatric physiotherapy: Treats certain age-related medical conditions, such as pain in the joints, etc.

3. Types of Treatment Used in Physiotherapy

  • Manual therapy
  • Transcutaneous electrical nerve stimulation (TENS) therapy
  • Magnetic therapy
  • Dry needling and acupuncture
  • Strengthening programs
  • Hydrotherapy
  • Hot and cold applications
  • Range of Motion (ROM) exercises
  • Diathermy

4. Who Needs Physiotherapy

Physiotherapy is for an individual struggling with mobility issues or functional limitations due to injury, disease, ageing, or surgery. 

It can be considered for the following conditions:

  • Musculoskeletal problems such as sprains, joint pain, back or neck pain.
  • Post-surgical requirements such as hip, knee replacements and recovery after fracture fixation.
  • Neurological issues such as stroke, spinal cord injury, or multiple sclerosis.
  • Sports injuries, including ligament tears, repetitive strain injuries, or fractures.
  • Chronic illnesses like diabetes-related mobility issues and poor posture.
  • Age-related issues like loss of balance, stiffness, or reduced flexibility.

B. Neurological Rehabilitation or Neurotherapy (Complete Guide)

1. What is Neurological Rehabilitation?

Neurotherapy = training the nervous system (CPU or “software”) to control the body more efficiently.

Neurological rehabilitation, known as neurotherapy, is a highly specialised form of physical therapy. It focuses on conditions affecting the software of the body, such as the brain, spinal cord, and nervous system. 

Unlike general physiotherapy, which addresses the body’s muscles and joints, neurotherapy focuses on retraining the neural connection between the brain and the body. This therapy uses the principle of neuroplasticity, meaning helping the brain form new pathways

2. Types of Neurological Rehabilitation

  • Stroke Rehabilitation
  • Spinal Cord Injury Rehabilitation
  • Parkinson’s Disease Therapy
  • Multiple Sclerosis (MS) Rehabilitation
  • Traumatic Brain Injury (TBI) Therapy
  • Cerebral Palsy Therapy

3. Types of Treatment Used in Neurotherapy

The treatment basically uses neurofeedback and neurostimulation or neuromodulation techniques:

  • Brain-computer interface (BCI)
  • Luna EMG technology at Walk Again
  • The Pablo system
  • Transcranial magnetic stimulation (TMS)
  • Electroconvulsive therapy (ECT)
  • Deep brain stimulation
  • Electroencephalography (EEG) neurofeedback
  • Hemoencephalographic (HEG) neurofeedback

Know The Treatment Plan Here

4. Who Needs Neurological Rehabilitation

Neurological rehabilitation is crucial for individuals who experience functional loss or disability because of nervous system damage.

It can be considered for the following conditions:

  • Constant difficulty with balance or coordination.
  • Paralysis in one or more limbs.
  • Trouble doing daily tasks like dressing or eating.
  • Neurological conditions such as stroke, traumatic brain injury (TBI), Parkinson’s disease, multiple sclerosis, spinal cord injury, and movement disorders.

Quick Overview: Physiotherapy vs Neurotherapy

Here is your quick takeaway:

Aspect Physiotherapy Neurotherapy
Focus Focus on the hardware of the body (muscles, bones, joints) Focuses on the software/CPU of the body (Brain, spinal cord, nervous system)
Goal Regain mobility, strength, and flexibility Reset the brain-body neural connection and regain lost neural functions
Techniques Applied Exercises, manual therapy, hydrotherapy, acupuncture, etc. Neurofeedback, brain-computer interface, deep brain stimulation, etc.
Problem Treated Musculoskeletal injuries, post-surgery recovery, arthritis, sports injuries Stroke, Parkinson’s, spinal cord injury, traumatic brain injury, multiple sclerosis
End Benefit Pain reduction, improved strength, and enhanced physical performance Regaining independence in daily tasks, improved coordination, and better brain function

When to Choose Physiotherapy vs Neurotherapy?

Choose physiotherapy if you are facing issues with muscles, joints, or post-surgery recovery.
Consider neurotherapy if the problems are due to the brain, spinal cord, or nervous system.
Note: Your doctor will guide you with a customised plan based on your condition.

Should I Combine Physiotherapy and Neurological Rehabilitation?

Yes, both techniques can be combined for better recovery, especially in complex cases.
However, your neurologist or specialist will decide the right combination for you.

Conclusion

Understanding the difference between physiotherapy and neuro rehab helps you choose the right care for your condition. With this clarity, you can confidently discuss all the available treatment options with your doctor. For personalised, advanced recovery plans, consider reaching out to a trusted rehab centre like Walk Again.

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