Multi-Disciplinary Centre for Neuro-Rehabilitation

(013) 741 4911

1 Weber Street, Sonheuwel,

Mbombela 1200

Hearing-Aid Acoustics

Hearing is an essential part of effective verbal communication. Loss of hearing can hinder normal speech and language development in children, cause communication breakdown, and over the long term, lead to social isolation.

It is our desire to assist you with sensitivity to better understand your own hearing, the impact it has on your daily functioning, and what can be done to get access to optimal communication function again.

Speech Therapy

Although Speech-Language Therapy encompasses a wide field of treatment, LOURENS Speech Therapy has a specific (although not exclusive) focus on the evaluation and treatment of speech, language and swallowing disorders related to neurological impairments. We work in both the paediatric and the adult populations.


Physiotherapy is an evolving occupation, which aims to improve the physical function of patients. This is achieved by decreasing pain, increasing strength and mobility and re-teaching movements that a patient’s body cannot perform.

Occupational Therapy

Occupational Therapy joined the STEPMED team in 2010. This growing practice works in the clinical areas of neurology and physical rehabilitation in the adult as well as the paediatric fields.

Welcome to StepMed Rehabilitation

The StepMed Centre is the brainchild of Marlene Steyn and opened its doors on 4 January 2011. It is situated in the Sonpark, Nelspruit area and boasts full wheelchair accessibility to the building, its bathrooms and all other facilities.
Each discipline functions administratively as an independent practice, but functions clinically within a team context. This means daily communication between team members from the different disciplines to ensure
  • A holistic approach to understanding and treating our patients
  • Communal patient treatment goals (set by the clinical team with the patient)
  • Continued educational cross-pollonization (that’s a fancy way of saying that we like learning from each other)

Where necessary, relevant referrals are made to highly competent and proven clinicians that share our holistic approach to patient care, including bio-kineticists, social workers, dieticians, orthotists, audiologists, Orthopaedic Surgeons, Paediatricians, Maxillo-facial surgeons, Internal Specialists, Psychiatrists, Ear-Nose and Throat Specialists, and General Physicians.


I have been a regular patient at StepMed for the past 10 years for treatment with a physiotherapist.

I am a 65 year old female with moderate scoliosis in my upper back which gives rise to discomfort and pain from time to time. As a former teacher, I spent long hours doing preparation and marking which aggravated my condition and resulted in neck and shoulder pain as well. StepMed has helped me to manage my condition with her professional expertise and gentle manner. The exercises that I have to do at home help to ease the pain so lessen my need for anti-inflammatory medication.

I would strongly recommend StepMed for their high level of professionalism, friendly, warm care and consistent concern for the well- being of their patients.


The StepMed stroke response units are reputed to be the best in South Africa. Here is why: 

Even before Johan, my dad (who suffered a stroke and was taken to hospital) was through casualties, the speech therapist was already waiting for him,  to begin immediate therapy. Shortly after, the OT and the physiotherapist arrived, to begin with, assessments and treatment. However, the speed with which they responded to the call is just the first aspect of their excellence. 

Throughout his 3 week stay (first hospital and then a step-down clinic) these dedicated therapists did much more than treating their patient: they endeavoured to connect with my dad (who is mostly deaf and has impaired sight) and expressed compassion and kind-heartedness beyond our expectations. Remarkable. 

Furthermore - because of the COVID-19 regulations regarding hospital visits, they created a Whatsapp group for our family to be able to communicate with them - giving us regular feedback, especially during the first week, and more importantly, perhaps, they were able to tell us how he was really doing - having suddenly found himself in a strange place with unfamiliar people -  not just with regard to the stroke, but how he was coping emotionally and mentally. A lifeline to us, in a sense.  

Thank you to each of you who administered your expertise with such professional therapy and such personal encouragement to him. We will always remember this. 


When we heard the news of my baby son's stroke, he was only 18 months when he was diagnosed. We were devastated and very confused about the road ahead. Our paediatrician referred us to Stepmed rehabilitation centre.

Almost immediately after we received the test results and our son's condition was confirmed we were visited in the hospital by numerous therapists from StepMed. Who each brought so much clarity to our baby's diagnosis and his specific disability. It was a very sad and difficult time for us. The advice and guidance from StepMed's therapist gave us hope for our son's future. A week after my baby was dismissed from the hospital we started therapy at StepMed.

What makes StepMed so unique and valuable is the way they approach each patient. StepMed follows a very personal approach. A team of therapists work together to achieve the best results for each patient,  they all work with the same end in mind, and this plan and approach is clearly communicated to the family or caretakers. The team of therapists are very good at identifying any need the patient might have. These needs are addressed at every session. The therapists do everything in their power to assist the patient and the family.

StepMed became our support system. Their advice and guidance gave us clear instructions on how to deal with daily struggles. Our weekly therapy sessions helped my son with numerous challenges. It also helped me as his primary caretaker to assist him at home.

After almost 2 years of therapy, we have overcome many challenges, with the help of StepMed's dedicated staff. Because of their effort and care my son is able to do things that seemed impossible for him to do.

Without StepMed we would not have come this far and my son would have struggled in many ways. I am eternally grateful for the service and support from StepMed and their wonderful staff.


We all stumble in many ways. Anyone who is never at fault in what they say is perfect, able to keep their whole body in check.