Parkinson’s Disease

Exercise is a cornerstone of evidence-based management for Parkinson's Disease (PD), with strong research showing that targeted, high-effort training can slow functional decline and improve day-to-day mobility. Programs that emphasise large amplitude, exaggerated movements help counteract the bradykinesia and reduced movement size characteristic of PD, retraining the nervous system to produce stronger, more efficienct motor patterns.

Exercise combined with music offers powerful benefits for people with PD. Rhythmic auditory cues — like a steady beat or metronome — can help improve gait and overcome freezing episodes by bypassing the affected motor areas in the brain. Together, movement and music enhance neuroplasticity, helping neural circuits adapt and compensate. Practically, pairing enjoyable music with regular, goal directed exercise makes sessions more fun and motivating, increasing adherence and long term benefit.

Spinal Cord Injury

Exercise, targeted loading and Functional Electrical Stimulation (FES) play a critical role in spinal cord injury (SCI) rehabilitation. Regular, targeted loading helps preserve bone mineral density, optimise muscle integrity, support joint health, and reduce the risk of secondary complications such as contracture, pressure injury, and orthostatic intolerance.

Time spent out of the wheelchair - through standing, supported gait training, or task-specific loading - provides vital sensory input and promotes neuroplasticity, improving functional potential and overall physiological stability.

FES offers significat therapeutic value for people with SCI by activating paralysed or weakened muscles through controlled electrical currents. This supports muscle mass preservation, improves circulation, enhances joint health, and reduces secondary complications such as spasticity and pressure injuries. It can help provide meaningful sensory input, promote neuroplasticity and reinforce functional movement patterns optimising long-term physical health.