NEURO REHABILITATION PROGRAM FOR
STROKE
Stroke or cerebrovascular accident(CVA):
can be caused due to a block (infarct) in the blood vessel which is supplying to the brain or a intracranial bleed (intra cranial hemorrhage ICH) inside the brain which occupies space in the bony cranium(skull) compressing the brain tissue. it produces paralysis or weakness of either one side of the body or both sides in rare occasions. It is called hemiplegia if one side of the body is paralyzed, hemiparesis if one side is weaker than the other. it can also lead to a non responsive or vegetative state in some people, very rarely it paralyses all of the above, but leaves the ability to think intact. The only communication with the client will be true blinks of the eye which is called a locked-in syndrome. Physiotherapy can be of help in all the above situations.
HEAD INJURY
Brain injury;
Our brain can be damaged by infections like meningitis/encephalitis, space occupying lesions like tumors/hydrocephalus, or by trauma like a road traffic accident. It can produce problems like paralysis, paresis(weakness), of one or both sides of the body, spasticity, incoordination, balance issues, cognitive deficits like problem solving , visual perception problems like inattention to one side.
SPINAL CORD INJURY
Spinal Cord Injury (SCI) can be caused by traumatic ( incidences such as traffic accidents, violence, sports or falls) or non_traumatic neural damage like (Spinal Cord Infections,Transverse Myelitis, Acute Intervertebral Disk Herniation, Spinal Abscess).
It causes impaired motor, sensory and respiratory function as well as bladder and bowel function.
SCI can be a complete and incomplete spinal cord injury . Complete Spinal cord injury results in Paraplegia (loss in motor and/or sensory function in the lower limbs and trunk), tetraplegia or quadriplegia where all four limbs and trunk are involved.
Incomplete spinal cord injuries have some motor or sensory functions intact.
Paraparesis (partially unable to move your legs or weakness in legs)
GUILLIAN BARRE SYNDROME (GBS)
Guillian barre syndrome/ landry palsy is a rare disorder in which your body’s immune system attacks your nerves. GBS can produce weakness in your legs, trunk & progress to the arms and chest making breathing difficult . For some people cranial nerves can also be affected leading to facial palsy, double vision speech difficulties swallowing difficulties etc
GBS can be classified into (AIDP) acute inflammatory demyelinating polyneuropathy, (AMAN) acute motor axonal neuropathy, (AMSAN) acute motor sensory axonal neuropathy or Miller fisher syndrome according to the damage it causes to the body.
Physiotherapy for Guillian-barre syndrome during the acute phase when no movement is available. The focus will be on chest physiotherapy, and positioning. In the rehabilitative phase when muscles are starting to recover, physiotherapy is focussed towards strengthening muscles to produce enough force to perform activities of daily living like sitting to standing(a common problem) especially from low toilets. Exercises for GBS have to be specifically customised for that particular client. Exercises are planned for short periods with non-fatiguing exercises tailored to client strength. Progression of exercises is done only when no deterioration is seen
Clients with residual paralysis have to be counselled on alternative mobility options like using a walker or wheelchair or prescribing supportive devices for walking and other daily activities.
BELLS PALSY
Facial palsy or facial paralysis or Bell’s palsy causes partial or complete paralysis of one side of the face. Sagging of one side of your face, inability to close your eyes/blink, watering or dryness of eyes, drooling on the side of the mouth, loss of facial expression on one side, deviation of mouth on smiling, reduced speech clarity and losing confidence to appear in front of people are common.
Physiotherapy for facial/bell’s palsy. Initial assessment to measure the extent of damage.. Exercise therapy strategies like retraining(relaxation of overactive side, strengthening weak side), Biofeedback, mime therapy and Functional Exercises sharpen your blink response, improves ability to seal lips even while you move water in the mouth, increases clarity of speech, helps achieve even expressions on both sides of the face. Education and Counselling helps you to take better care of your face and become confident in facing the community. Electrical stimulation is utilised when no active movement is available until the nerve starts recovering.
- Parkinson’s Diseases
- MS
- VERTIGO
- SCOLIOSIS
WHEELCHAIR MOBILITY TRAINING
ADAPTIVE DEVICE USAGE TRAINING
EQUIPMENT MODIFICATION COUNSELING
BACK TO WORK COUNSELING
ORTHOTICS GUIDANCE
VIRTUAL REALITY
MIRROR THERAPY
EMG BIOFEEDBACK.