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Anja Dierssen
REVIEW:
Denis Mecklenburg and the entire team at PhysioActive are very friendly. Denis has a pleasant disposition and is a professional physiotherapist who takes time to explain the nature of my condition, treatment plan and prognosis. My questions were always answered in a very understanding and empathetic manner.
Traumatic brain injuries (TBIs) can affect a person’s movement, balance, speech, and independence. At PhysioActive Singapore, our physiotherapists design personalised rehabilitation programmes to help patients regain mobility, restore function, and rebuild confidence — every step of the way.
→Book an appointment or speak with our neuro-rehabilitation team today.
A traumatic brain injury occurs when an external force — such as a fall, traffic accident, or sports impact — causes the brain to move within the skull. This can damage neural pathways responsible for coordination, strength, and balance.
Even mild TBIs (concussions) can lead to lingering effects like fatigue or dizziness. More severe injuries may affect speech, walking, or cognitive function. Globally, TBIs account for nearly 50 million new cases each year, and many survivors experience long-term movement challenges if left untreated [1].
Early, targeted rehabilitation has been shown to improve mobility, balance, and quality of life for those recovering from brain injuries [2].

Depending on severity and affected brain region, symptoms may include:
Because no two brain injuries are the same, physiotherapy plans must be highly individualised — addressing both immediate needs and long-term function.
Our rehabilitation philosophy centres on progressive recovery: improving safety, strength, and independence through structured, evidence-based physiotherapy.
We begin with a comprehensive physical and functional assessment. This includes mobility tests, muscle tone evaluation, balance analysis, and a review of daily activity challenges.
When muscle stiffness or limited mobility is detected, we may integrate methods similar to those used in Neurological Rehabilitation programmes for conditions such as stroke or spinal cord injury.
We use targeted exercises to retrain neural pathways and rebuild muscle control. Techniques may include:
Many TBI patients experience increased muscle tightness. Our therapists employ gentle stretching, mobility drills, and manual facilitation techniques to reduce spasticity and improve comfort.

Our sessions gradually build endurance, core strength, and upper-limb coordination. Each programme is adapted to the patient’s progress — from assisted movements to more advanced functional tasks.
We guide family members on safe transfer techniques, home exercises, and supportive care — crucial for continuity after clinic sessions.
Evidence shows that starting physiotherapy early after brain injury significantly enhances neural recovery [2]. Regular, goal-oriented movement helps:
In Singapore’s healthcare context, early community rehabilitation access and consistent follow-up are key to sustaining improvements beyond hospital discharge [3].

Anja Dierssen sought care at PhysioActive following neurological challenges that affected her movement and daily function. Under the care of physiotherapist Denis Mecklenburg, she underwent a structured rehabilitation plan focused on improving mobility, strength, and confidence.
“Denis Mecklenburg and the entire team at PhysioActive are very friendly. Denis has a pleasant disposition and is a professional physiotherapist who takes time to explain the nature of my condition, treatment plan and prognosis. My questions were always answered in a very understanding and empathetic manner.”
Through guided balance retraining, strength conditioning, and functional re-education, Anja made steady progress. With time and consistency, her walking control and overall confidence improved dramatically.
Her story reflects what many of our neurological rehabilitation patients experience — compassionate, patient-centred therapy that empowers recovery and restores independence.
Recovery from a TBI continues well beyond the initial phase. Our team ensures:
Patients recovering from post-surgical or complex injuries may also benefit from elements of Post-Surgery Rehabilitation for strengthening and mobility support.
Family support is essential for long-term outcomes. We recommend:
Maintaining a positive, patient mindset — neurological healing takes time.
Physiotherapy should start as soon as the patient is medically stable. Early activation helps prevent muscle shortening, stiffness, and deconditioning.
To restore movement, balance, strength, and functional independence. Treatment also targets spasticity and helps the brain relearn coordinated motion.
Recovery varies. Many patients achieve significant improvement with consistent physiotherapy and family support. Neuroplasticity allows the brain to adapt and compensate, even months or years after injury [1].
Yes — depending on your insurer or care pathway, rehabilitation may be claimable. We’ll assist with documentation where possible.
Our neurological physiotherapists bring clinical expertise and empathy to every session. We understand the challenges faced by TBI survivors and their families — from balance difficulties to emotional recovery.
Through evidence-based therapy, patient education, and consistent communication, we help individuals regain movement, independence, and confidence in everyday life.
→Book your consultation and begin your path to recovery with our experienced neuro-rehab team.
PhysioActive’s TBI rehabilitation programme provides structured, compassionate, and effective physiotherapy to help patients recover mobility and independence. With the right therapy and support, recovery after brain injury is not only possible — it’s achievable, one step at a time.
[1] Dewan MC et al. Estimating the Global Incidence of Traumatic Brain Injury. J Neurosurg. 2018; 130(4): 1080-1097.
[2] Langhorne P, Bernhardt J, Kwakkel G. Stroke Rehabilitation and Early Mobilisation: Evidence and Controversies. Lancet Neurol. 2011; 10(9): 777-786.
[3] Tan L et al. Community-Based Rehabilitation for Brain Injury in Singapore: A Review of Outcomes and Models. Singapore Med J. 2023; 64(6): 322-330.
