Q: Can I receive neurological rehabilitation even if I am seeking treatment for an orthopedic condition or general conditioning?

A: Rest assured, our services are highly effective for these needs as well. With the cooperation of one of our clients treated for an orthopedic condition, we have put together a short video of a recent session.

Our approach goes beyond standard exercise-based assessments. We evaluate each individual from diverse perspectives to design a truly personalized program. We invite you to take a look and see how our methods can benefit you.

Q: How long do the effects of rehabilitation last?

A: Our goal is not just temporary "physical comfort," but rather the "learning of motor control." By combining our clinical sessions with consistent self-exercise at home, you can make these improvements permanent.

To answer this question more clearly, we conducted a survey with the cooperation of our clients. The results are shown in the charts below.

According to the pie chart (top left), 85% of our clients consistently perform their prescribed self-exercises, while 15% find it difficult to maintain a routine.

The bar chart (top right) highlights a significant difference in outcomes: the 85% who stay active with self-exercise report that the effects of a single rehabilitation session last for 3 to 4 weeks. In contrast, the 15% who do not exercise report that the effects diminish within 3 days to 1 week.

While physical changes immediately following a session tend to revert within a few days to a week, incorporating self-exercise into your daily routine helps the brain and muscles "memorize" correct and efficient movements.

As this "learning" progresses, the benefits are no longer just temporary. They become integrated into your body as your "new normal"—movements that feel natural and effortless every day.

Q: How is the self-exercise program structured?

A: Our approach to self-exercise is rooted in the principle of neuroplasticity—the brain's ability to reorganize itself. Scientific evidence suggests that creating neural change requires "novel stimuli" (stimuli that differ from your usual patterns). We tailor these stimuli to each individual to guide them toward their specific goals (Dimyan & Cohen, 2011; Emmenegger et al., 2026; Jannatti et al., 2022; Shaffer, 2016).

To ensure progress, we propose supplementing the new stimuli received during your clinical sessions with consistent self-exercise at home, creating a cumulative effect for your recovery (Dimyan & Cohen, 2011; Emmenegger et al., 2026).

Our Clinical Reasoning Process

When designing your program, we consider how humans maintain posture. Posture is determined by sensory input from both feet, allowing the body to position itself in the most "easy-to-move" way for that individual (Gandolfi et al., 2018). Therefore, we perform personalized evaluations by analyzing the unique combination and alignment of each joint.

A Personalized Approach for Every Condition

Based on these detailed evaluations, we create customized self-exercise programs tailored to each individual. This approach is effective for a wide range of conditions, including both orthopedic disorders and cerebrovascular diseases (such as stroke).

Case Study: Tenosynovitis (Tendonitis) Post-Stroke

As another example, let’s look at a client who developed tenosynovitis in their non-paralyzed wrist following a stroke.

Generally, when people hear "tenosynovitis," they tend to focus rehabilitation only on the wrist itself. However, in this specific case, the client’s hobby is home gardening, which they perform primarily using their non-paralyzed hand.

When tending to the garden and inspecting vegetables, they frequently reached far to the left and pulled the plants toward their body using only the healthy hand. We determined that this repetitive, compensatory movement put an excessive strain on the wrist, making them highly susceptible to developing tenosynovitis.

To address this, we implemented a strategy to prevent the body from leaning too far to the left by utilizing a wall on the left side as a guide. Furthermore, by having the client "observe" their left hand while raising it, we introduce a combination of movements they do not typically use.

Through this process, we work on aligning the body's central axis, including the spine and the area around the shoulder blades, to support these new movement patterns.

References

  • Dimyan, M. A., & Cohen, L. G. (2011). Neuroplasticity in the context of motor rehabilitation after stroke. Nature reviews. Neurology, 7(2), 76–85. https://doi.org/10.1038/nrneurol.2010.200
  • Emmenegger, T. M., David, G., Mohammadi, S., Ziegler, G., Callaghan, M. F., Thompson, A., Friston, K. J., Weiskopf, N., Killeen, T., & Freund, P. (2026). Neuronal plasticity during motor rehabilitation training after spinal cord injury. Communications Biology, 9, Article 561. https://doi.org/10.1038/s42003-026-09793-7
  • Gandolfi, M., Valè, N., Filippetti, M., Dimitrova, E. K., Geroin, C., Picelli, A., & Smania, N. (2018). Postural control in individuals with Parkinson’s disease. In M. K. Gunel (Ed.), Different Areas of Physiotherapy. IntechOpen. https://doi.org/10.5772/intechopen.81098
  • Jannati, A., Oberman, L. M., Rotenberg, A., & Pascual-Leone, A. (2023). Assessing the mechanisms of brain plasticity by transcranial magnetic stimulation. Neuropsychopharmacology: official publication of the American College of Neuropsychopharmacology, 48(1), 191–208. https://doi.org/10.1038/s41386-022-01453-8
  • Shaffer J. (2016). Neuroplasticity and Clinical Practice: Building Brain Power for Health. Frontiers in psychology, 7, 1118. https://doi.org/10.3389/fpsyg.2016.01118

Q: You seem to evaluate the body very thoroughly. Is this only done during the initial visit?

A: No, we perform a detailed evaluation during every single session. Regardless of whether you have an illness or injury, a person's body condition changes day by day. In order to provide the most suitable rehabilitation tailored to your specific goals and concerns in that exact moment and place—while taking these subtle daily fluctuations into account—we never fail to evaluate your body at every visit.

As a result, our approach is highly customized, meaning we do not simply repeat the exact same routine every time. Regarding the effectiveness of our rehabilitation, we focus on accumulating immediate on-the-spot changes and linking them to long-term, lasting results. We will guide you through each step with clear explanations as your program evolves.

Q: I would like to know my current status and future outlook. Which service plan would be most suitable for me?

A: We will first analyze your body in detail through our "Initial Trial Plan (Individual Evaluation)" to explain your current status and outlook, and then propose the most suitable plan for you.

  • Regarding Your Current Status: We provide clear, real-time explanations of your body's condition during the session and before you leave. If you are concerned about not being able to remember everything at once, please rest assured—we can send you a summary via text (LINE or written document) upon request.
  • Regarding Your Future Outlook: We will guide you through step-by-step "short-term goals" that align with your ultimate "final goal." However, physical changes through rehabilitation, daily lifestyles, and the frequency of home exercises vary completely from person to person. Therefore, we do not force a fixed, pre-determined schedule months into the future. Instead, we ensure steady progress by firmly accumulating each day's changes and presenting the most reliable and clear next step ("Let's aim for this next time") at every session.

Q: What should I do if I cannot remember how to perform my home exercise program?

A: Please rest assured. We will carefully provide your program in a way that is easy to remember, tailored entirely to your preference, such as sending you video clips or providing illustrated documents.

While we believe that independent home exercises are essential for maintaining the long-term effects of rehabilitation, we do not want the act of "memorizing the movements" to become a burden for you. Therefore, our facility offers the following flexible options:

  • Video Delivery via Smartphone: (Recording your actual movements during the session or providing a demonstration video by the therapist).
  • Clear, Visual Documents: (Providing easy-to-understand illustrations or written instructions).

Just recently, a client requested to review their movements via video. We filmed their exercise and shared it, which was highly appreciated (a sample video is available at the bottom of this page).

The best method is the one that allows you to continue comfortably. Please feel free to let your therapist know how you would prefer to receive your program.