Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. They maintain health for people of all ages, helping patients to manage pain and prevent disease. The profession helps to encourage development and facilitate recovery, enabling people to stay in work while helping them to remain independent for as long as possible. Specialties include Respiratory, Musculoskeletal, Neurology, Neurosurgery, Orthopaedics, Obstetrics, Falls, Continence, Critical care and more
Physiotherapy is a science-based profession and takes a ‘whole person’ approach to health and wellbeing, which includes the patient’s general lifestyle. At the core is the patient’s involvement in their own care, through education, awareness, empowerment and participation in their treatment. You can benefit from physiotherapy at any time in your life. Physiotherapy helps with back pain or sudden injury, managing long-term medical conditions such as asthma, and in preparing for childbirth or a sporting event.
Physiotherapy is a degree-based healthcare profession. Physios use their knowledge and skills to improve a range of conditions associated with different systems of the body, such as:
- Neurological (stroke, multiple sclerosis, Parkinson's)
- Neuro-musculoskeletal (back pain, whiplash associated disorder, sports injuries, arthritis)
- Cardiovascular (chronic heart disease, rehabilitation after heart attack)
- Respiratory (asthma, chronic obstructive pulmonary disease, cystic fibrosis)
Physiotherapists work in a variety of specialisms in health and social care. Additionally, some physiotherapists are involved in education, research and service management.
Rehabilitation is about enabling and supporting individuals to recover or adjust, to achieve their full potential and to live as full and active lives as possible.
Rehab should start as soon as possible to speed recovery. Research shows it can improve your mobility and activity levels, shorten the amount of time you need to stay in hospital or off work and greatly improve the quality of your life
If you require physiotherapy as part of your rehab, you and your physiotherapist will work together to:
- assess the nature and extent of your problems
- set goals with you, based on what is most important to you
- provide treatment, support and advice
- regularly evaluate how you are progressing
The general aim is to improve your strength and mobility and to find ways around any problems. For example, if you have had a fall, your physiotherapist may recommend some equipment to assist you with walking and an exercise programme to improve your balance and strength.
How can I help myself?
The rehab team will work with you on what is really important to you, so keep them up to date with how you are feeling. You will have exercises to practice by yourself or with friends or family, so do your best to stick with your programme.
If you have any problems with the programme, talk to a member of the team. Rehabilitation can be hard work, so allow for some set-backs as well as progress and chart your successes. Work with your team to get back to the things you enjoy.
Top tips for general rehabilitation
- Plan short-term goals as well as your final target for your rehab
- Follow your rehab programme and pace your activities as you recover
- Share your targets and your set-backs with family and friends to keep your motivation going
- Regularly review progress and targets with your physiotherapist to maintain realistic progress plans
Womens and Mens Health
A ‘Women’s and Men’s Health’ Physiotherapy service offers a non-invasive treatment to patients’ who often suffer with very embarrassing and distressing symptoms of pelvic floor dysfunction.
Many women are troubled with symptoms of pelvic floor weakness such as urinary incontinence, urinary urgency, frequency or the pain and discomfort from a prolapse.
These conditions often have huge effects on employment, socializing and the feeling of general well-being.
All these conditions can be treated with Physiotherapy. In fact, research shows that 70% of women will improve sufficiently with Physiotherapy treatment, not to require any surgery.
Physiotherapists work closely with patients who are experiencing both acute and chronic respiratory disorders such as chest infections, pneumonia, Chronic Obstructive Pulmonary Disease (COPD), cystic fibrosis (CF) and many more conditions that cause patients to suffer with shortness of breath and / or retained chest secretions (phlegm or mucus).
Treatment can range from retraining an individual’s breathing pattern, specific self management breathing methods to aid movement of secretions e.g. Active Cycle of Breathing Technique or Autogenic Breathing; as well using manual and hands on techniques and positioning.
If you do not suffer with a chronic respiratory condition you are most likely to only require respiratory Physiotherapy in the event that your condition results in a hospital admission. However, if you are suffering with an infection or retained secretions the following advice and techniques may prove helpful.
• Stay hydrated drinking regular fluid over the cause of the day – water is the preferred option and avoid drinks that may dehydrate such as alcohol. The less you drink the stickier your secretions will become
• Eat healthily and avoid skipping meals
• Try and stay active, moving around the house walking short to moderate distances
• If activity increases your shortness of breath modify the activity and allow yourself to stop and recover but do not stop activity altogether.
• Take 5 deep breaths and hold each breath for a count of 3 seconds every hour – this will ensure air reaches all parts of your lungs and will stop secretions settling
• Breath through your nose – this ensures the air you breath is filtered, warmed and humidified
• If you are experiencing pain as result of coughing, rib / chest injury or recently underwent chest or abdominal surgery take some pain relief. Over the counter pain killers such as Paracetamol will help, if you are taking other medications please discuss with a Pharmacist or GP as they will advise what pain relief to take if you are unsure
Active Cycle of Breathing Technique ACBT
Please click on the leaflet below from the Association of Chartered Physiotherapists in Respiratory Care on how and when to use ACBT
Autogenic Drainage is a more complex technique for secretion management and airway clearance and is there recommended that you are taught by a qualified physiotherapist
Positions to consider when breathless – click here
Advice on energy conservation - click here
Advice on exercise - click here
Physiotherapy Acute Respiratory COPD Service (PARCS)
Who are we?
We are a fast responding specialist physiotherapy team who will support you in your home when you have a chest infection or flare-up of your COPD. We can also offer support and advice when you are discharged from hospital after having a flare-up.
What do we do?
We aim to prevent you from having to go into hospital by providing support and treatment during a flare-up of your COPD. If you do have an admission we can also help to get you home from hospital quicker by supporting you at home after discharge.
We offer a variety of techniques and treatments as needed for example:
• Chest clearance
• Anxiety management
• Energy conservation and managing daily routines
• Liaising with Long-term conditions team and / or GP’s regarding your medications
• Inhaler education and techniques
• Advice and education on managing breathlessness
• Education on COPD
• Referral onto other services such as pulmonary rehabilitation and the oxygen service.
How to recognise a flare-up
• Change in the colour, thickness and amount of your sputum
• New or increased cough (with or without sputum)
• More breathless than usual
• Not able to walk as far as usual or do your usual daily activities
How to contact us
If you have seen us before you can ring us directly on the number we provided you with otherwise contact your long-term conditions nurse or GP and they will refer you to us. If you are admitted to hospital, ask the physiotherapist or nurse on the ward and they will refer you to us when you are discharged. Our service operates 08:30 – 16:30 7 days a week, excluding bank holidays.
Adult Cystic Fibrosis Service
The Adult Cystic Fibrosis Physiotherapy Service consists of a multi-disciplinary team for the Hull and East Yorkshire region providing specialist care to enable adults and young people with CF to maintain the best possible health and participate as fully as possible in normal activities and aspirations, including school, university, college, sports and work.
There are currently just over 40 people using this service and this number keeps growing. If you have recently been referred to this service then we hope this website will provide you with some information to help you.
Clinical lead Physiotherapist, Marion Nettleton, will meet you at clinic visits, and during any hospital admissions in addition to your annual assessments. Specialist Physiotherapy clinics are also available for those requiring addition input to manage thier CF.
Physiotherapy clinics are located at the Therapies Centre at Castle Hill Hospital. Click here to view a CHH site map. The Therapies Centre is building number 20 (between entrance 1b and 2, opposite the Pre-Assessment building).
What does the CF Physiotherapy Service provide?
Your physiotherapist will work with the rest of the CF team to help you with different areas of your care. These include:
• Keeping your chest clear (airway clearance)
• Exercise testing, advice and support
• Medication, particularly your inhaled treatments
• Treatments such as oxygen and non-invasive ventilation
• Helping to prevent or to treat continence problems (leaking urine)
• Helping to prevent or to treat musculoskeletal problems (poor posture, joint problems, injuries, etc)
• Helping you to manage your treatment around other things in your life
• Being there as someone to talk to
Marion is available Monday to Friday, 8am to 4:15pm and can be contacted via her mobile – 07500 578941.
If you have a CF related emergency, please contact Tanya Moon (CF Specialist Nurse) on 07900 056361 or Professor Morice via switchboard 01482 875875.
The physiotherapy service works to the guidelines set by the CF Trust and the Association of Chartered Physiotherapists in Cystic Fibrosis click here
For additional advice and information on Cystic Fibrosis, you can visit the CF Trust website www.cysticfibrosis.org.uk where there is a forum for you to chat to other people with CF and also lots of factsheets on all the different aspects of CF.
Paediatric Cystic Fibrosis Service
Children with Cystic Fibrosis are susceptible to chest infection and have difficulty digesting food. They require lifelong treatment to prevent lung damage and preserve normal growth.
Paediatric Cystic Fibrosis (CF) is a multi-disciplinary team consisting of 2 consultants, specialist nurse , dietician ,psychologist and physiotherapist. A member of the team usually the specialist nurse carries a mobile phone and all members of the team are contactable via the hospital switchboard.
Clinics are held weekly on Friday mornings 8.30-12.00 in Paediatric Outpatient department .For infection control purposes all patients are given timed appointments and are designated a clinic room and reviewed by each team member in that designated room apart from having weight and height measured.
Physiotherapy review includes lung functions for children over six, sputum sample or cough swab will be obtained and airway clearance techniques reviewed. Please bring any airway clearance equipment and medication such as inhalers to clinic each time.
An annual review is done in the Physiotherapy department .They are on Tuesday mornings and involve a review of the years treatment ,education, lung function tests, chest X-ay, ultrasound and an exercise test(please bring appropriate footwear)
Children are admitted to ward 130 or Acorn if they have an acute chest infection, planned IVs or operations. They will be reviewed by all the team and have daily physiotherapy.
Contact the CF Paediatric team 1000-1600 on 07887561812
Any IV drug queries contact Hull Royal Infirmary ward 130 01482 674465