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Interested in finding out more about Bridges?


PRACTITIONERS click here for detailed FAQ's or click here for the evidence supporting the programme






RESEARCHERS/COLLABORATORS/GENERAL ENQUIRIES please register your interest here...



Bridges Open Workshops


We run open workshops for individual practitioners working in neurological and general rehabilitation, or perhaps you work with stroke survivors in the voluntary or third sector.   


Click here for more information about our open workshops





Case studies


John, aged 67 years, underwent an 8-week period of rehabilitation following his stroke. On discharge from hospital he was referred to a Stroke Liaison Service for ongoing rehabilitation to enable him to walk outdoors. In the first month of being at home John encountered some setbacks, including a number of falls. He was feeling low in mood and felt he had no control over his life anymore. John was introduced to the Stepping Out workbook over 2 sessions and he and his family were very positive about using it. He says ‘it was good to know that other people had been through similar experiences’ and he was able to draw on Brian’s progress to identify that he wanted to achieve a similar goal. Using this he had set a long-term goal of getting the bus into the nearest town and back on his own before session 2.

John broke down his long term goal into smaller targets of walking to the bus stop, going on the bus with his wife and then getting a lift one way and returning alone. John used the Bridges workbook to record these targets and review his progress and was pleased to be able to achieve his goal. He is continuing to self-manage his progress by setting goals including going to Australia and carrying his suitcase on the plane.

The nurse who introduced the Bridges workbook to John commented that ‘it is important to emphasise that the workbook is now the persons own book to use and record in as some stroke survivors thought it was too nice to write on!’. She also highlighted the importance of discussing ongoing self-management and goal setting with stroke survivors to reduce their reliance on healthcare professional input for this.

Lucinda and Violet

Lucinda is a senior physiotherapist working in the Community Neurorehabilitation Team based Southwark, London.  Her work involves working with adults with a range of neurological conditions including stroke. She feels that she has taken on an altogether more collaborative role since she attended the Bridges workshop in June 2008.

The programme provided Lucinda with the structure and tools to build collaborative relationships with her patients; an example being Violet Baston, an 86 year old woman who after her cerebellar stroke has been following the Bridges programme under Lucinda’s guidance.

Preceding her stroke in August 2008, Violet was fully independent and living in a warden controlled flat, and despite a recent hip operation, would walk up and down the corridors everyday with her stick. After her stroke Violet also suffered from dizziness and vomiting, which severely affected her confidence in all aspects of her mobility.

Lucinda used Violet’s own goals to brainstorm what would be included in her self-management programme, and she set her own review dates. She mixed Violet’s ideas with her own to design the programme that their Rehabilitation Support Workers carried out with her. During her reviews with Lucinda, Violet began to set herself new goals and would come up with her own exercise ideas. With the help of the Bridges programme, Violet slowly regained her confidence in personal care and cooking and by January 2009 had regained most of her everyday independence.

Violet felt that writing down her future goals and targets in the stroke workbook really helped because she could see what she was aiming to achieve. Although she will miss Lucinda and the Rehabilitation Support Workers, she is looking forward to being fully independent.

 Aware of Violet’s aims throughout treatment, Lucinda agreed that it was a positive step towards empowering the patient, and know that their outcomes and goals were not entirely resting on the clinicians’ shoulders.  She spent less time in the office designing complicated exercise programmes, and instead designed them with the patient incorporating their own ideas according to their goals.

Bridges encourages a move away from a passive expert-patient relationship, to one of active collaboration between clinician and patient. This approache helps patients to prepare for life after stroke, and beyond regular rehabilitation.

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