Increasing the amount of exercises completed has been shown to help recovery for people after a brain injury. This study will explore if providing extra training of exercises prescribed to a patient and carer team, will allow more practice of these exercises, better abilities to move and balance, and to assess if carer confidence changes with doing this. It is a repeated case design in the in-patient acute Neurosciences setting at the Norfolk and Norwich University Hospital NHS Trust (NNUH).

Inclusion

• Adults with acquired brain injury on NNUH Neurosciences Unit with a carer physically able to complete exercises with the patient.
• Patient to be able to follow simple commands (1 stage) for exercise intervention.
• Patient able to consent along with their relative together to participation in the study.

Exclusion:

• Discharge plan for ESD from initial assessment with no care package required due to too short timeframe of being an acute in-patient.
• Patient's with severe cognitive - communication deficits meaning they cannot follow 1 stage command for exercises or consent to the study.
• Severe pain, joint abnormality or spasticity limiting participation in exercise programme.
• Carer/relative not able to physically help the patient with the required exercises or carer/relative not able to consent to the study.