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ARNI Stroke Rehab News wrote, this time last year, about the new National Rehabilitation Centre being built at Stanford Hall near Loughborough. Update is that it's now open, and has taken its first patient ;)
The first through the door on Wednesday was Neil Smith, a 37-year-old builder from Milford in Derbyshire, admitted on his birthday, who has functional neurological disorder (FND) after complications from surgery.
As we know, it's a 70-bed centre, cost £105 million, run by Nottingham University Hospitals, fifteen years in the making, and next to the military's Defence Medical Rehabilitation Centre on the same estate. For stroke and brain-injury patients, the draw is the intensity and the kit; the most comprehensive robotics suite in the NHS, walking robots, hand and arm retraining devices, a UK-first 360-degree partial-bodyweight harness for practising walking, gait-analysis labs and hydrotherapy. It replaces a 25-bed unit that managed just over 100 patients a year; this one is built for up to 750.
But as we commented at the time -it's hardly 'national', though! The NRC will mainly treat East Midlands patients, drawn through the region's major trauma centre; clinically it's a regional unit for 4.5 million people, not somewhere a survivor from any other British county can be sent.
By the trust's own account, the 'national' part is three non-clinical things: research, training through an NRC Academy, and acting as a 'blueprint' to copy elsewhere with 26 universities.
So to my mind -it's not any much reason to call itself 'National Centre' - it's very new and nice but it's only a regional hospital with a bolt on function for academics from anywhere - but they'll usually be local – attending meetings and/or research trials – which is, er, what academics tend to do in pretty much every hospital wit#ARNIstrokerehabi#strokerecovery!#neurorehabilitationl#strokerehabilitationa#NRCwww.arni.co.uk
#ARNIStrokeRehab #StrokeRecovery #Neurorehabilitation #StrokeRehabilitation #NRC
Have a great weekend!
www.arni.co.uk
#strokeexercise #strokerecovery #strokerehabilitation #neurorehabilitation #exerciseafterstroke #strokerecoveryexercises #strokerehab
ANDREW (By Marion). I found out about ARNI when I was calling local physios trying to engage a mobile physio for my step father, Andrew. It was proving impossible to find anyone who would visit a residential care home. One smart receptionist at a Lincoln practice knew about ARNI and told me I could contact the charity directly; with no referral.
I hadn’t heard of ARNI. Why had I never heard of ARNI? The NHS gives short term physio after a stroke. If recovery is taking a little longer for you, you risk being prematurely abandoned. Told you have reached the extent of your recovery. This is nonsense. You have just reached the extent of NHS funding.
Andrew, 5 months post stroke, was spending 90%+ of his day in bed at the Nursing and Care Home where he is at. Believing he was as good as he could be. Grieving for the loss of his wife. Anticipating the same outcome for himself.
When I made my enquiry, I couldn’t believe how straight forward the process was. The immediate answer was, ‘yes – we can help’. The registration and paperwork was simple. An ARNI physio was identified and Natalie agreed to work with Andrew on weekly visits.
3 months into physio with Natalie and Andrew spends 90% of his waking day out of bed. A complete turnaround. He can mobilise unaided around his bedroom. He walks with a frame to the dining room for 3 meals a day. He is motivated to take part in social activities with other residents. He can take himself for a walk around the garden on his own. Now he has confidence to accept invitations to go out, be collected by friends and go to public places.
I firmly believe ARNI services ought to be universally accessible and recommended by the NHS. There was no signposting from the medical profession. This is information that people who have had a stroke need to know. Truly, the intervention of ARNI has been life changing. An enormous relief for family who live miles away. An inspiration to Andrew, and a long term hope of an active future.
www.arni.co.uk
Call us on 0203 053 0111 or email support@arni.uk.com
#StrokeRehabilitation #Neurorehabilitation #ARNI #StrokeRecovery #strokerecoveryexercises #StrokeRehab #exerciseafterstroke #Strokeexercise
I actually think the NHS should no longer employ physios and outsource it all. 6 sessions with a decent physio would be the same as 12 NHS .... Because NHS are hands off. I firmly believe in the NHS ethos and idea but it's been taken over and destroyed by ineffective and irresponsible financial management and too many civilian managers with a lack of health experience. Yes there needs to be a business element to it but it's not a profit business..... Outcomes need changing fundamentally too. I am so pleased for this man ❤️❤️ this is great publicity for ARNI and showing effectiveness when it's met with willingness to try too. ❤️🩹❤️🩹
Agree with you!
I told my neurologist he had never heard of arni !l had no luck with nhs infact now with arni trying to get rid of the habits l go into without the correct rehab
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A significant challenge in post-stroke care is the availability of sustained, evidence-based rehabilitation following initial clinical pathways. ARNI (Action for Rehabilitation from Neurological Injury) Stroke Rehab Charity UK directly addresses this gap by empowering stroke survivors to regain functional independence and action control, often years after their long-term recovery.
ARNI’s innovative, user-driven approach is grounded in task-specific training, strength training, and personalised coping strategies, all aligned with the latest neurorehabilitation research on brain plasticity. By training a dedicated network of specialist instructors & therapists, ARNI ensures that its methodology, which encourages self-reliance and targeted practice, can be delivered within the community.
The documented successes of the ARNI framework, including pilot study findings and compelling testimonials, demonstrate tangible improvements in mobility, confidence, and overall quality of life for survivors who have often plateaued with conventional therapies. This provides a robust model for advancing long-term rehabilitative care.
Individuals and families seeking to improve long-term recovery outcomes are invited to review the evidence base and testimonials on the ARNI website to understand its efficacy and if you want to work hard to improve your long-term recovery outcome, you’re also invited to explore our functional retraining strategies by getting matched up with an ARNI Associate Instructor ;)
www.arni.co.uk
call us on 0203 053 0111 or email support@arni.uk.com
#StrokeRehabilitation #Neurorehabilitation #ARNI #StrokeRecovery #Neuroplasticity #FunctionalTraining #HealthcareInnovation #EvidenceBasedPractice #LongTermRecovery
Using repetitive, simultaneous movement of both limbs seems to work well for stroke survivors. Just one way that this is done in the ARNI programme is via bilateral movement training: a concept based on the theory of inter-limb coordination. Cumulative evidence from a review of several studies that investigated results from bilateral movement training for the partially paralysed upper body indicates that bilateral movement training is effective in improving motor capabilities and functional outcome in the sub-acute or chronic (6 months or longer from stroke onset) phase of recovery.
WWW.arni.co.uk
#neuroplasticity #strokerehab #strokerecovery #neurorehabilitation #exerciseafterstroke #strokeexercise #strokerehab #strokerecoveryexercises #rehabilitation #neurorehabilitation
Based on recent research, tendon transfer surgery offers a possibly valuable option for managing severe upper limb and hand spasticity following a stroke, particularly as a complementary intervention when non-surgical treatments are insufficient.
A clinical review from 2024 emphasises that surgical interventions for post-stroke spasticity and contracture are often under-utilised and that tendon transfer can be a powerful intervention for specific, residual impairments like contracture (which we see quite a bit at ARNI) that persist after conservative treatments like OT have failed.
Successes with tendon transfer surgery are dotted throughout the research; for example, a recent case study published in the Journal of Medical Case Reports (May 2025) details a step-by-step approach combining repeated botulinum toxin A (BoNT-A) injections and occupational therapy with tendon transfer surgery. The surgery effectively addressed residual wrist impairments, resulting in significant functional recovery and improved daily living activities for the patient. It significantly enhanced the survivor's grip strength, range of motion, and ability to perform intricate hand and finger movements.
Beyond physical function, surgery has been shown to enhance survivors' psychological well-being, body image, and social interactions. By making daily tasks easier, it can improve their occupational performance and allows them to regain roles previously lost to their condition.
ARNI insists that rehabilitation specialists should be aware of the functional benefits of surgery and consider it as part of an integrated, multidisciplinary treatment plan for patients with long-term, severe spasticity.
www.a#tendontransfero#strokerehabilitationb#handspasticityS#upperlimb##physicalmedicinea#OccupationalTherapyn#neurorehabilitationb#strokerecoveryk#ResearchUpdatea#SurgicalReconstructionnstruction
What about leg spasticity?
Ive asked about it with the dr who does botox said will not do it xx
I see. Thanks for the info.!
Exercises are the best way to improve your gait after a stroke. Your ARNI Trainer can recommend some appropriate exercises for you based on your ability level.
Call us on 0203 053 0111 or email support@arni.uk.com to find out if there's a trainer near you who can work with you on your recovery.
www.arni.co#neurorehabilitationa#strokeexerciser#strokerehabr#strokerecoveryo#strokerehabR#neuroplasticityicity
My Cross, My Faith, and My Trust in Jesus ✝️🙏 On April 24, 2024, my life changed completely when I suffered a stroke. Since that day, I have been carrying a cross that I never chose and never expected to carry. My right hand and right leg have not returned to the way they were before, and the journey has been long and difficult. But I have come to believe that when we carry our cross, Jesus is not standing far away watching us carry it alone. He is carrying it with us. Perhaps through this suffering, Jesus is teaching me something deeper—something that cannot be learned through an easy life. He is teaching me the meaning of sacrifice, patience, humility, forgiveness, compassion, and true love. He teaches us not to hate anyone, even those who may hurt us or become our enemies. He asks us to forgive, to love, and to pray for them. This is not always easy. But perhaps this is part of the true meaning of carrying our cross: learning to keep love in our hearts even when life gives us reasons to become bitter. For more than two years, I have continued to fight, to rehabilitate, to hope, and to believe. There have been difficult days, but I refuse to let suffering destroy my faith. I don't know how many years I will have to carry this cross. I don't know what tomorrow will bring. But I know one thing: I am not carrying it alone. Jesus is carrying it with me. And if one day He decides that my hand will open again, that my fingers will move normally, that my foot will become stronger, or that I will walk more naturally, I will thank Him with all my heart. And if the journey takes longer than I wish, I will still trust Him. Because my faith is not based only on receiving the miracle I am praying for. My faith is based on believing in His love, His mercy, His wisdom, and His presence beside me. Jesus carried the cross for us. Today, I carry my cross with Him. I will continue to believe. I will continue to forgive. I will continue to love. I will continue to hope. And I will never stop trusting God. In God we trust. 🙏✝️❤️ Jesus, carry my cross with me, give me strength when I am weak, peace when I am afraid, patience when I am tired, and hope when the road seems too long. Amen. 🙏✝️
Why train standing up when it’s possible to train sitting down? There are a number of good reasons. The most obvious one is that we are practising ultimately for moving around on our feet, not practising for sitting on a chair.
In daily life, before you had a stroke, you were spending a good portion of your day on your feet. Time now to have a go at doing the best you can to regain standing position, with your weight as balanced between your two legs as possible. To maintain an upright position is essential for regaining strength in your lower body and to improve your balance. This leads to your ability to walk well. ‘Balance’ is simply your ability to hold your body vertical and keep that position while doing activities. Your balance keeps you from falling, and is controlled by several systems working together, sending and getting signals from your brain. A stroke can change your balance due to any (or all) of the following: an injury to one of the systems that controls stability, damage to the system connections to your brain or direct injury to your brain. A stroke can affect the way your sight, the receptors in your inner ears and your body sensors work together, and how the signals get to and from your brain. So, if you cannot see clearly, you may not be able to react to what is around you as easily as you did before. If you cannot sense where your head or trunk is positioned, your brain may have trouble knowing what signals to send to your muscles to keep your body upright. If you cannot feel and sense where your limbs are moving, it is hard for your brain to be sure where to send your limbs to for the next step. Balance control is an active process maintained by the central nervous system to keep the body upright. The brain relearns how to interpret the information and forms new movement plans to send out to your muscles to adjust for changes in your balance. These newly learned movement plans, over time, are stored in your brain. With lots of practice, your brain can begin to use the new movement plans in response to changes in your balance. Using moveable surfaces can help here, which is why therapists often use therapy balls, bolsters and rocker boards to challenge trunk control. Your brain must be able to take in the information from your environment and adjust your body so you stay balanced. If the part of your brain in charge of this task is injured from a stroke, the information may not be processed well. Your brain may also have trouble sending the right messages back to your muscles. By challenging your balance in training situations, the receptors are being retrained to pick up information. Which is why although it can be a scary thing to do, balance training is a very important part of your rehabilitation.
The second major reason for training on your feet is that you work harder than in a seated position, which is better for your general fitness. A recent study in Dalhousie University, Canada, placed the activities and heart rates of 20 stroke patients with ischemic stroke who participated in routine inpatient and outpatient stroke rehabilitation, under observation. It was found that neither PT nor OT sessions elicited enough cardiovascular stress to induce a training effect. The patients involved in this study were only 2-14 weeks from the date of the stroke, but they already needed more intensive training than therapy could deliver. Interesting. This exactly mirrors my own experience too. How about you? It was also found in the study that activities that evoked the greatest heart rate increases were performed in the upright position and involved transitional movements. This information should be like gold-dust to the successful stroke survivor: it is just one more confirmation that the sooner you get up and get moving, the better.
From The Successful Stroke Survivor by Balchin, Tom.
www.arni.uk.com
If you like this post then please share it with others. Each time that you share a post, you can directly help other people – as who knows which people in the world might find us and gain, either directly from the charity or simply by being able to copy an ‘innovative and useful’ move/trick of the trade that might help them manage after stroke.
Every time you share, you could directly help someone – as knowledge is power 😉
#neurorehab #strokerehab #neuroplasticity #strokeexercise #arnistrokerehab #strokerecovery #strokerehabilitation
Here's a tip if you're faced with stairs that have no handrail/handrail on the wrong side.
Get the person with you to stand one step lower and put your hand on their shoulder for support while you take a step.
www.ar#neuroplasticityp#strokerehabilitationb#strokerecoveryk#ARNIstrokerehabt#neurorehabn#ARNIstrokerehabt#stairsafterstrokefterstroke
Or turn around sit down then go to backwards lifting yourself up one step at a time
i would.t up there for a start
That's if you're going down. It's another thing going up.
Approximately 40% of stroke survivors experience this difficulty: to comprehend or produce spoken or written language caused by a cerebrovascular accident. In half of these cases the language impairment still persists one year post-stroke. Aphasia has wide-ranging effects on the ability to function and quality of life of stroke survivors and easily leads to social isolation.
If you need help, ARNI SLT Telerehab can now help YOU, right now, wherever you are in the world!
The latest evidence shows clearly that you can conquer aphasia very successfully with the help of speech and language therapy.
And it also shows that SLT Telerehab is just as effective as in-person, face to face treatment.
We have a team of highly experienced low-cost specialist SLTs (all post-grads from Universities such as UCL, the University of Cape Town etc) who are available to help you right now, in your home, via Zoom. You get a one to one hourly service, based around your diary needs, from the comfort of your own home, with a highly experienced specialist speech and language therapist. Please enquire to arni.uk.com/get-remote-speech-language-help-now/ !
#Aphasia #StrokeSurvivors #strokerecovery #strokerehabilitation #strokerehab #aphasiaawareness #neurorehabilitation #arni #exerciseafterstroke #strokeexercise #strokerecoveryexercises #neuroplasticity #ARNIstrokerehab
www.arni.co.uk
My Cross, My Faith, and My Trust in Jesus ✝️🙏 On April 24, 2024, my life changed completely when I suffered a stroke. Since that day, I have been carrying a cross that I never chose and never expected to carry. My right hand and right leg have not returned to the way they were before, and the journey has been long and difficult. But I have come to believe that when we carry our cross, Jesus is not standing far away watching us carry it alone. He is carrying it with us. Perhaps through this suffering, Jesus is teaching me something deeper—something that cannot be learned through an easy life. He is teaching me the meaning of sacrifice, patience, humility, forgiveness, compassion, and true love. He teaches us not to hate anyone, even those who may hurt us or become our enemies. He asks us to forgive, to love, and to pray for them. This is not always easy. But perhaps this is part of the true meaning of carrying our cross: learning to keep love in our hearts even when life gives us reasons to become bitter. For more than two years, I have continued to fight, to rehabilitate, to hope, and to believe. There have been difficult days, but I refuse to let suffering destroy my faith. I don't know how many years I will have to carry this cross. I don't know what tomorrow will bring. But I know one thing: I am not carrying it alone. Jesus is carrying it with me. And if one day He decides that my hand will open again, that my fingers will move normally, that my foot will become stronger, or that I will walk more naturally, I will thank Him with all my heart. And if the journey takes longer than I wish, I will still trust Him. Because my faith is not based only on receiving the miracle I am praying for. My faith is based on believing in His love, His mercy, His wisdom, and His presence beside me. Jesus carried the cross for us. Today, I carry my cross with Him. I will continue to believe. I will continue to forgive. I will continue to love. I will continue to hope. And I will never stop trusting God. In God we trust. 🙏✝️❤️ Jesus, carry my cross with me, give me strength when I am weak, peace when I am afraid, patience when I am tired, and hope when the road seems too long. Amen. 🙏✝️ Make the prayer more concise Strengthen the opening and closing Polish the wording and flow