Independent Provider Of Specialist Neurological Rehabilitation Services

Specialist Spinal Cord Injury Service

Our Specialist Spinal Cord Injury Service provides ‘Step Down’ or ‘Step Up’ rehabilitation for Complete and Incomplete injuries as well as related conditions such as Cauda Equina Syndrome.

Do you have goals that you would still like to achieve?  Have you recently been discharged from rehabilitation and feel you have areas you still want to or need to work? 

These may be functional goals or activity based goals.  Step Down rehabilitation at Hobbs Rehabilitation offers specialist in depth rehabilitation packages placing your goals at the centre of your care. 

If you have been living with your injury for a period of time and would like a review – whether this is of your posture and seating, gait, transfers or fitness, Step Up rehabilitation may be for you.  As we age our bodies change, what we are capable of changes maybe years after injury positively due to increased strength and confidence or negatively due to injury or illness. A further block of rehabilitation could help to rediscover a level of independence or assist in improving functional ability or fitness.

The Spinal Cord Injury Team maintain established links with spinal cord injury units and related charities.  Ensuring, as and when it is required, appropriate referrals and signposting can be made.

Our Spinal Cord Injury Service incorporates active hands on rehabilitation in conjunction with Technology, Aquatic Physiotherapy and gym based programmes.  The Ultimate goal being to achieve maximum functional independence and quality of life. 

Your Rehabilitation Journey may also benefit from Psychology input.  A spinal cord injury is a life changing event and sometimes there is a need to talk with a qualified individual to assist you in processing this change.  Hobbs Rehabilitation offers specialist Psychology where our team of Psychologists are specially trained to work with individuals who have suffered a neurological injury or event, including a spinal cord injury.  

What is a spinal cord injury?

There are an estimated 50,000 people living in the UK with a Spinal Cord Injury and each year approximately 2,500 people are newly injured.

A Spinal Cord Injury can occur when the spinal cord is damaged through traumatic injury as a result of a vertebral fracture or dislocation, or disease such as a tumour or transverse myelitis. 

A Spinal Cord Injury will usually be classified using the ASIA (American Spinal Injuries Association) Classification Score.  This is used by health care professionals to determine level of injury within the spinal cord but also as an outcome measuring tool to assess changes during rehabilitation. 

You may also hear the terms Complete and Incomplete Spinal Cord Injury. 

A Complete spinal cord injury references an injury where there is no sacral sparing – meaning there is no sensation (anal sensation) at S4-5 which is the lowest neurological level and likely complete loss of function below the level of injury.  An incomplete spinal cord injury references sparing to S4-5, where you may have sensation with or without muscle activity.  An incomplete injury may mean you will have varying levels of sensation and weakness below your level of injury.  An incomplete spinal cord injury will differ greatly between individuals.  

Rehabilitation for Spinal Cord injuries can continue to be beneficial for many years following the initial injury for both complete and incomplete spinal cord injuries. 

Physiotherapy and Occupational Therapy play a large role in Rehabilitation focusing on regaining functional independence, however rehabilitation also includes a wide range of other areas, not just physical ability.  Below is a diagram showing all the areas that Rehabilitation should cover and is covered at Hobbs Rehabilitation.

Physiotherapy is a combination of hands on therapy and activity based rehabilitation with the goal of achieving your maximum level of functional independence whatever your level of injury.  Rehabilitation is goal driven and focused and these are discussed and set at the beginning and reassessed throughout your rehabilitation journey.  Physiotherapy can also look at return to sport, swimming, the gym/ cardiovascular fitness and recreational activities. 

Hobbs Rehabilitation is proud to work with a number of Technology Companies who have developed exciting Technology to assist in the rehabilitation process allowing for further rehabilitation time in a fun but challenging environment.  The range of technology available can be seen here

Occupational Therapy in Spinal Cord Injury Rehabilitation covers a vast range of areas, including sexual function, vocational rehabilitation and driving.

An Occupational Therapist has the knowledge and skills to guide you through return to work and all the equipment and accessibility hurdles that may come with this.  They are able to support you as you either return to your previous role or help you to investigate a new role that you would find interesting and enjoyable.  An Occupational therapist is able to guide you through equipment hurdles in your home too.


"As a retired doctor who has a wide, first hand experience of physiotherapy in the USA and the UK after a spinal cord injury, I know that there is none better than Hobbs Rehabilitation".

PHS, Winchester

"I understand my biggest challenges, I know where I have to get to and now I have a map to get me there".

PF, Bristol Intensive Neurotherapy Centre

"Having that extra few millimetres in my left hand has allowed me to catch a ball for the first time and the slight change in my gate could add years to my joints. None of it should be underestimated but most of all it has re focused my mind on what I should be doing day to day and through seeing change has motivated me to carry on.
I know that I will be rehabbing forever, growing old isn’t fun for anyone and growing old with a spinal cord injury is particularly daunting but like always I will embrace it as a challenge and accept the outcomes".

EJ, Bristol Intensive Neurotherapy Centre

For more information on the primary elements of rehabilitation above, please see the Spinal Cord Injury page or contact us at Hobbs Winchester for more details.

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