Thank you for your detailed reply. I did a detailed neuro exam when I saw the patient and identified problems to work on and used the same cl reasoning as to the selection of exercises to facilitate the creation of new neuro pathways and improved function. I am just waiting for the pt to get back to me to start rx. He has just started very aggressive chemo and radiotherapy. He is also doing a general strengthening programe with another physio. I hope he will want to do a more neurologically based rx with me but his schedule is packed with hospital visits.