Neurological Physiotherapy in Greater Vancouver

In-home and online neuro physio for stroke, Parkinson’s, MS & more

Neurological Conditions

The term ‘neurological conditions’ comprises a wide range of diseases and injuries that effect the central and/or peripheral nervous system.

It is, however, possible to subcategorize neurological conditions. Presented below is an overview of the types of physiotherapy treatment that patients with neurological conditions benefit from. To support both cognitive and physical recovery, we often combine neurological physiotherapy with kinesiology — helping improve balance, strength, and confidence. At Provectus Physiotherapy, we provide specialized in-home neurological physiotherapy across Greater Vancouver, including Burnaby, Vancouver, Richmond, Coquitlam, New Westminster, and the North Shore.

Physiotherapy for Degenerative Neurological Conditions

Two examples of degenerative neurological conditions are Multiple Sclerosis (MS) and Parkinson’s Disease (PD). These are diseases that degrade the function of the neurological system over time. Little can be done to stop the progression of these types of diseases but Physiotherapists can still have a profoundly positive effect of the quality of life of patients living with these diseases.

Physiotherapy for degenerative neurological conditions is focused on:

Strategies to compensate for any lost neurological function
Exercises to preserve function that remains
Preservation of the patient’s joint mobility and strength
Preservation of balance
Preservation of activities of daily living (such as dressing, cooking, cleaning etc)
Prescribing devices to aid with tasks that have become difficult
Prescribing mobility aids
Education on their condition
Evaluation of the progression of their condition

Physiotherapy Secondary Neurological Conditions

A secondary neurological condition can be defined as one that has developed as a result of some other pathological process. Two examples of this are Stroke, which develops as a result of an event limiting blood flow to part of the brain and the neurological impairment that can result from a mass or tumor in the brain. The symptoms and impact of these conditions depends entirely on what part of the brain is effected and how widespread the damage is. Recovery after stroke, or after the successful treatment of a brain tumor is possible owing to the amazing ability of the brain to adapt and reorganize itself called neural plasticity.

Physiotherapy for secondary neurological conditions is focused on stimulating neurological plasticity so that the patient can regain functions that they have lost. Because of this, treatment plans vary widely and are designed to address the specific deficits that the patient is experiencing. Neurological Physiotherapists must be creative individuals who can devise complex treatment plans with tasks that progress toward the patients goals.

Physiotherapy for Traumatic Neurological Conditions

Neurological impairments can also be the result of trauma. Some examples are head injuries/concussions, spinal cord injuries, or peripheral nerve injuries resulting from a traumatic event. These are very specialized areas of Physiotherapy that require specific training and expertise. Physiotherapy is very helpful for people with these types of injuries and can help the process of recovery and returning to normal life. A complete recovery is not possible for all people with neurological impairments. However, the vast majority can be helped a great deal by a physiotherapist skilled in neurological rehabilitation.

Neurological disorders are among the most challenging diagnoses to have for both the patient and the physiotherapist. However, the impact that physiotherapy has on the lives of people with Neurological impairments in enormous.

What does a neuro physiotherapist do?

A neuro physiotherapist helps people with conditions that affect the brain, spinal cord, and nerves improve movement, balance, walking, and confidence. Care focuses on task-specific practice (e.g., getting up from a chair), gait and balance training, coordination, and strategies to manage fatigue or muscle tone, delivered in-home or online.

What’s the difference between a physiotherapist and a neuro physiotherapist?

All physios are movement experts; a neuro physio has extra training and experience with neurological conditions. The approach emphasizes neuroplasticity and motor learning, using targeted balance, gait, and coordination work, plus cuing and progression that suit issues like stroke, Parkinson’s, MS, brain injury, or neuropathy.

What happens at a neuro physiotherapy appointment?

We start with your goals, then assess how you move in real life: getting in/out of bed, standing up, walking, stairs, balance, coordination, and range of motion. You’ll get a clear plan with simple exercises, safety tips, and how we’ll measure progress (e.g., balance or walking tests). Sessions are calm, step-by-step, and paced to your energy.

Who needs neuro rehab (neuro rehab physio)?

Anyone noticing changes in walking, balance, or coordination due to a neurological condition, such as stroke, Parkinson’s, MS, brain injury, spinal cord injury, peripheral neuropathy, or vestibular issues. It also helps after hospital or inpatient rehab to continue gains at home, and supports caregivers with coaching.

Do I need to visit a neuro physiotherapy clinic, or can you provide neuro physiotherapy at home or online?

You don’t need to visit a clinic. We provide neuro physiotherapy at home across Burnaby and Greater Vancouver, and secure online sessions if you prefer virtual care. Both options include guided exercise, mobility coaching, and a practical home program tailored to your space.