Written by Rachel van de Vorst, Physiotherapist for at home and online therapy
As a physical therapist specializing in neurorehabilitation, I have had the privilege of taking my skills beyond the walls of the clinic and into the diverse environments of patients’ homes worldwide. These experiences have been transformative, not only for my patients but also for me personally and professionally.
Putting Theory into Practice: Empowering Independence
One of the most fulfilling aspects of working internationally is helping patients regain their independence within their own environments. In a clinical setting, patients can practice skills in a controlled environment. But when you work with them in their home, you can truly apply those theories in real-life scenarios. Whether it’s helping someone navigate through the kitchen or picking up previous hobbies, it’s incredibly rewarding to see them take the next step toward full integration back into their daily lives.
By working in the patients’ homes and communities, I’m able to address challenges that don’t always arise in the clinic. The goal of neurorehabilitation is ultimately to give patients the tools and confidence to live their lives as fully as possible, and nothing compares to seeing that unfold in their natural environments.
Family and caretakers: essential partners in recovery
Involving family and caretakers in the rehabilitation process is crucial. They play an integral role in the patient’s day-to-day recovery, providing both physical and emotional support. By including them in the process, we ensure that the care strategies extend beyond therapy sessions, creating a stronger support system for the patient’s journey toward independence.
Every culture and healthcare system offers unique perspectives and approaches to care, which in turn helps me become a more adaptable and well-rounded therapist.
Educating local staff and sharing knowledge is a part of this and is incredibly rewarding. It’s about more than just passing on information—it’s about empowering others to continue improving patient outcomes long after we leave. Often, we follow-up with online consultations. In neurorehabilitation, this continuity of care is essential, and having a well-equipped local team ensures long-term success.
The Cultural Experience: Growth Through Diversity
International assignments are not only a professional challenge but also a cultural journey. Each patient brings with them a unique set of cultural beliefs, customs, and daily practices. This diversity offers a learning experience that goes far beyond physical therapy.
Understanding how different cultures view rehabilitation, recovery, and even independence adds layers of complexity to my work but also enriches it. It pushes me to be culturally sensitive and adaptable in my approach, tailoring therapy not just to the patient’s medical needs but to their cultural context as well.
A Multifaceted Role: Bridging the Gap Between Teams
In international assignments, my role often expands beyond just providing physical therapy. I serve as the eyes and ears for the entire medical team, which includes specialists in neurology, nutrition, and neuropsychology, among others. This broader responsibility means I act as a critical link between the patient, local teams, and the broader clinical team. At the same time, it offers the patient access to a larger team without bringing the entire clinic home.
A Focus on “Returning to Life”
Ultimately, my role is focused on much more than just physical therapy. It’s about helping patients transition back to living their lives. This “return to life” encompasses not only mobility but also personal and social activities, independence in daily routines, and reintegration into their communities. Neurorehabilitation is about restoring more than just physical function—it’s about guiding the patient to reclaim their sense of self and independence.
Working as a neurorehabilitation therapist on international assignments has been one of the most enriching experiences of my career.
