Inpatient rehabilitation services to all patients in wards 4,5, 23, 24 who will benefit from improved function. Outpatient rehabilitation services, in the AT&R physio gym, for patients with neurological disorders, falls risk, or following discharge from AT&R Unit. There is also a community rehabilitation programme for neurologically impaired people living at home. Inpatient and outpatient rehabilitation is also provided at Pukekohe Hospital.

An outpatient clinic is held at Manukau SuperClinic on Wednesday and Friday mornings. A physiotherapy assessment is undertaken and patients are monitored on an individual and regular basis. Physiotherapy focus includes effective airway clearance, optimal exercise tolerance and medication management. This service also incorporates home visits as indicated. Click here for more information about bronchiectasis.

A comprehensive 8 week programme is available to patients who have recently had a myocardial infarction, angioplasty, cardiac surgery or who are limited by angina or heart failure. The programme consists of education and/or exercise, together with relaxation. Two programmes are available: Exercise for Fitness and Exercise for your Health. A comprehensive assessment is undertaken prior to and upon discharge of the exercise programme, and advice provided regarding on-going exercise for the future.

Child Development Service is a community based team providing therapy to enable children with disability and their families/whanau to achieve their full potential in their daily lives. We work closely with the whole team. Click here for more information. Paediatric Outpatient Service follows up children after an episode in hospital, when additional help is needed.

This service is provided to clients of any age who are unable to access outpatient services or whose needs would be more appropriately met in the home. There are 4 geographic bases, Pukekohe, Papakura, Howick and Orakau Rd, each servicing a particular region of the CMDHB community. Priority is given to those clients who are at risk of deterioration without physiotherapy intervention, with a key focus being to reduce the number of hospital admissions and increase independence in the client’s everyday life. Click here for more information.

Hand Therapists are registered Physiotherapists and Occupational Therapists who are specialised in assessing and treating injury and non-injury related conditions of the hand, wrist, forearm and elbow. This outpatient clinic is located in Module 5 at Manukau SuperClinic™ and is for all types of hand conditions e.g. orthopaedic, burns, post-surgical. Inclusion Criteria New Zealand residents (adults and children) who live within the Counties Manukau region with any of the following conditions: Trauma of the hand, wrist, forearm and elbow. Non-traumatic conditions of the hand, wrist, forearm and elbow (e.g. osteoarthritis, carpal tunnel syndrome, De Quervain’s, Dupuytren’s contracture, trigger finger, etc). Rheumatology patients following surgical procedures to the hand, wrist, elbow or upon referral from Rheumatology OT. Brachial plexus injuries. Congenital hand deformities. Exclusion Criteria Gross movement/pain anomalies of neurological cause such as CVA, cerebral palsy, spinal cord injuries, multiple sclerosis, muscular dystrophy etc (except where those patients have undergone a corrective surgical procedure at Counties Manukau Health). Anomalies of neurological cause in those who have received Botox injections. Shoulder injuries/conditions (these patients will be seen by MSOP physiotherapy). Rheumatology patients (except those who have undergone surgical procedures). Carpal tunnel syndrome and De Quervain’s associated with pregnancy (these patients will be seen by the women’s health physiotherapist). Non-New Zealand residents. Contact details for Hand Therapy External Phone: (09) 250 8053 External Fax: (09) 250 8054

An outpatient service available for patients whose abnormal breathing pattern has a negative impact on their lifestyle. Following assessment, treatment is focused on breathing retraining, relaxation, developing stress management strategies and lifestyle adjustments.

This is a general physiotherapy outpatient service for adults (over 15 years of age) with any disorder affecting the bones and muscles of the body. This may occur after surgery, injury or illness, arthritic conditions, broken bones and pain conditions. Physiotherapy aims to help you regain and maintain usual function. Inclusion Criteria New Zealand residents (adults) with musculoskeletal conditions resulting in impairment of function. Live within the Counties Manukau area. Patients not eligible for healthcare funding under Ministry of Health directives will be advised their treatment is chargeable. Patients must: Understand the reason for the referral Have given consent for the referral Be able to travel to Middlemore Hospital. Exclusion Criteria Patients who do not have any functional impairment due to their musculoskeletal condition. Patients referred by GPs covered by ACC. Refer to private provider. Patients with musculoskeletal conditions who are unable to travel to Middlemore Hospital, or their particular problem requires assessment within their own environment. Patients with gross movement / pain anomalies of neurological cause such as CVA, cerebral palsy, spinal cord injuries. Patients with Benign Paroxysmal Positional Vertigo (BPPV). Refer AT&R Physiotherapy Outpatients. Adults >65 years where high risk of falls and balance impairment is the main problem. Refer AT&R Physiotherapy Outpatients. Patients with hand / forearm conditions. Refer to Hand Therapy at Manukau SuperClinic. Patients with Lymphedema. Refer to Lymphedema Physiotherapist at Home Health Care. Patients who are re-referred for the same condition within 12 months. Patients who are receiving Physiotherapy treatment with a private provider.

A comprehensive 8 week exercise and education programme is available for patients with pulmonary conditions whose disease limits their function, exercise tolerance and quality of life. A comprehensive assessment is undertaken prior to and on completion of the programme. For one eight-week period, a rehabilitation programme is offered at Pukekohe Hospital in place of the one based at Middlemore Hospital.

The Auckland Spinal Rehabilitation Unit (ASRU) offers an inpatient rehabilitation programme, and outpatient reassessment and rehabilitation service. The unit is at Bairds Road, Otara. The ASRU team will also support staff in managing any acute spinal injury inpatients at the Middlemore Hospital site.

Obstetric patients may access inpatient or outpatient services to assist them with complications of pregnancy where physio is particularly effective e.g. pelvic arthropathies. There is an outpatient continence service for clients of either sex and any age with conditions affecting normal bladder and bowel function. There is a waiting list for this service. This service is based in the Acute Allied Team with obstetric services at Middlemore Hospital, Botany Maternity Unit and Papakura Maternity Unit.

For a lot of us it can be a real challenge to start and maintain regular physical activity. However, the benefits of activity such as feeling good, having more energy, increased fitness, and preventing or controlling medical conditions make it worthwhile. With a bit of help to find an activity you enjoy and ways of fitting it into your schedule you can soon develop a routine and reap the rewards of being active! A Green Prescription is written advice from your doctor or practice nurse recommending that you be more physically active to improve your health. With your permission, the prescription is faxed to your Regional Green Prescription Patient Support Team: North Harbour Waitakere Auckland City Counties Manukau For more information about Green Prescription ask your doctor or contact your local Green Prescription Team on 0800 ACTIVE (0800 22 84 83). GPs and Practice Nurses can contact Jacinta Harris, Green Prescription Promotions on or Phone (09) 623 7900.