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Importance of Neuro Rehabilitation Physiotherapy

Neurorehabilitation physiotherapy plays a crucial role in the recovery and management of individuals with neurological conditions. Here are some key reasons highlighting its importance:
• Improving Functionality: Neurological conditions often lead to impairments in movement, balance, coordination, and other functional abilities. Neurorehabilitation physiotherapy aims to restore or maximize these functions, enabling individuals to perform activities of daily living independently and participate more fully in society.
• Enhancing Quality of Life: By addressing physical limitations and promoting independence, neurorehabilitation physiotherapy can significantly improve the quality of life for individuals with neurological conditions. It helps them regain confidence, autonomy, and a sense of purpose in their daily activities.
• Preventing Secondary Complications: Neurological conditions may predispose individuals to secondary complications such as muscle weakness, contractures, pressure sores, and respiratory problems. Physiotherapy interventions, including exercises, positioning techniques, and respiratory exercises, help prevent these complications and maintain overall health.
• Promoting Neuroplasticity: Neuroplasticity refers to the brain’s ability to reorganize and form new neural connections in response to learning, experience, or injury. Neurorehabilitation physiotherapy harnesses the principles of neuroplasticity to facilitate recovery by stimulating specific neural pathways through repetitive exercises and motor learning techniques.
• Optimizing Recovery After Acute Events: Following acute neurological events such as stroke or traumatic brain injury, early and intensive rehabilitation is crucial for maximizing recovery and minimizing disability. Neurorehabilitation physiotherapy is an integral part of the multidisciplinary rehabilitation team, working to promote neurorecovery and functional gains during the acute and subacute phases of recovery.
• Facilitating Long-Term Management: Many neurological conditions are chronic or progressive in nature, requiring ongoing management and support. Neurorehabilitation physiotherapy provides individuals with the tools, strategies, and resources to manage their condition effectively over the long term, adapting interventions as their needs change.
• Improving Participation and Social Integration: By improving physical function and mobility, neurorehabilitation physiotherapy enables individuals to participate in social, recreational, and vocational activities, enhancing their overall social integration and well-being.
• Supporting Caregivers: Neurological conditions can place significant demands on caregivers, both physically and emotionally. Physiotherapy interventions not only benefit the individual with the condition but also provide support and education to caregivers, helping them better understand and assist in the rehabilitation process.
Overall, neurorehabilitation physiotherapy is essential for maximizing functional outcomes, promoting independence, and enhancing the overall well-being of individuals living with neurological conditions. It addresses the complex physical, cognitive, and emotional needs of patients, guiding them towards a more fulfilling and meaningful life.

Elbow Problems in Students while Studying.

Students, especially those who spend long periods studying, using computers, or writing, may experience elbow problems due to repetitive strain or poor ergonomics. Here are some common issues and causes:

• Repetitive Strain: Continuous and repetitive movements of the elbow, such as typing or writing for extended periods, can lead to overuse injuries like tennis elbow or golfer’s elbow.

• Poor Posture and Ergonomics: Sitting in a position that puts strain on the elbow, such as having the arms unsupported or using a desk and chair that are not properly adjusted, can contribute to elbow pain.

• Compression of Nerves: Sitting with the elbow bent for long periods or resting the elbow on a hard surface can compress the ulnar nerve, leading to numbness, tingling, or pain in the elbow and down the arm (known as cubital tunnel syndrome).

• Inadequate Rest Breaks: Not taking breaks while studying or using a computer can increase the risk of developing repetitive strain injuries.

• Poor Equipment Setup: Using a keyboard and mouse that are too high or too low can strain the elbow and other parts of the arm.

• Preventive measures and strategies to manage elbow problems while studying include:

• Adjusting the Workstation: Ensure the desk, chair, keyboard, and mouse are at a comfortable height and distance to minimize strain on the elbow.

• Taking Breaks: Regularly taking breaks from studying or computer use to stretch and rest the arm can help prevent overuse injuries.

• Using Ergonomic Aids: Arm rests or padded wrist rests can help provide support and reduce strain.

• Maintaining Good Posture: Keeping a straight posture while studying can help prevent unnecessary strain on the elbow.

• Stretching and Strengthening Exercises: Doing specific exercises for the forearm and elbow can help strengthen the muscles and tendons and prevent injuries.

• Avoiding Prolonged Flexion: Keep the arm relatively straight during long periods of use to avoid putting pressure on the ulnar nerve.

If a student experiences persistent elbow pain, it’s advisable to seek medical advice for an accurate diagnosis and appropriate treatment.

What are the Common Causes of Elbow Pain.?

Elbow pain can be caused by a variety of conditions ranging from overuse injuries to direct trauma or other underlying health issues. Some common causes of elbow pain include:

Tennis Elbow (Lateral Epicondylitis): This condition is caused by overuse of the forearm muscles that attach to the lateral epicondyle of the elbow. It is often associated with repetitive wrist extension movements.

• Golfer’s Elbow (Medial Epicondylitis): Similar to tennis elbow, this condition is caused by overuse of the forearm muscles, but it affects the medial epicondyle (inner part of the elbow) and is associated with repetitive wrist flexion movements.

• Olecranon Bursitis: Inflammation of the bursa (fluid-filled sac) at the tip of the elbow can cause pain and swelling. This can be due to repetitive pressure on the elbow or an infection.

• Elbow Arthritis: Arthritis, such as osteoarthritis or rheumatoid arthritis, can affect the elbow joint, causing pain, stiffness, and limited range of motion.

• Elbow Fractures: A break in one of the bones of the elbow (humerus, radius, or ulna) can cause significant pain and dysfunction.

• Elbow Dislocation: This occurs when the bones of the elbow joint are displaced, often due to trauma or a fall onto an outstretched arm.

• Cubital Tunnel Syndrome: Compression of the ulnar nerve as it passes through the elbow can cause pain, tingling, or numbness in the elbow and down into the hand.

• Tendinitis: Inflammation of the tendons around the elbow can cause pain and tenderness, often due to repetitive motions or overuse.

• Elbow Sprains and Strains: Injury to the ligaments or muscles around the elbow can result from a sudden impact or overuse.

• Referred Pain: Sometimes pain in the elbow can be due to problems elsewhere, such as in the neck or shoulder.

If you’re experiencing elbow pain, it’s important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Sancheti Hospital_Patient Testimonial

Disability Is Not An Obstacle To Success

“Disabilities are not hindrances to achieving greatness, the mind is the greatest asset that cannot be disabled.” 

Disability is not an obstacle to success and one such living example is Mr Satyendra Singh Lohiya. Mr Satyendra Singh has made us proud by imprinting his name on many awards such as Tenzing Norgay National Award 2019, Best Sports Person With Disabilities 2019, Vikram Award of M.P. Government 2014. Adding on to the list, he is Limca Book Of Records Holder 2018. 

Satyendra comes from a middle-class family. He is handicapped since childhood. His legs are 70% non-functional. But his disability didn’t stop him from doing wonders! His disability never overpowered his determination, hard work and self-belief. He bloomed into a successful swimmer and he registered 25 medals under his name, 7 Nationals and 3 Internationals. 

Satyendra says, “ I don’t think that disability should be the reason to stop pursuing our dreams.” Satyendra expressed his willingness to find a cure for his disability and was in a constant search for it. He adds, “ I was honestly tired of searching for the cure. I visited AIIMS, Hospitals in Jaipur, Udaipur and every other best hospital recommended by people, but I was told that there is no cure to this. I will have to spend the rest of my life as a disabled person. But, I did not lose hope and I had a firm belief that there will be some doctor in the world who will help me with my problem.” 

Destiny plays its role, it connects people in magical ways. One such incident was when Satyendra met Dr Parag Sancheti. In 2017, Satyendra came to Pune for his training and he heard about Dr Parag Sancheti and Sancheti Hospital. But, he couldn’t make time to visit because of the tight training schedule. When he visited London, he heard about the orthopedic care and services that Dr Parag and Sancheti Hospital offers. Again in 2018, Satyendra came to Pune and took time to visit Dr Parag Sancheti. Dr Parag and his team assessed Satyendra’s case and gave him a ray of hope that his condition can be cured. Satyendra says, “Dr Parag is a very kindhearted and polite person. He helped me believe in myself again. Sir’s kind words restored my belief that my condition was curable and I was sure that only Parag Sir was going to help me .”

After returning from his relay match in June 2018, he immediately visited Sancheti Hospital in 2018. He met Dr Parag Sancheti and was suggested surgery. Satyendra has his firm belief in Dr Parag and he got operated on on 18th January 2019 for his left leg. Satyendra surgery was a great success! He couldn’t believe his eyes. He says, “ I am awestruck with the success of the surgery. I was the person who could merely crawl on the ground. My left leg was stuck and after the operation it is flexible. Now I can walk on my leg straight.” 

Satyendra adds that the surgery helped him a lot during his swimming matches. During swimming, the water-resistance he used to get because of the curvatures has now resolved. He was very happy with the surgery and underwent a 36 km-long swimming relay. He thanked Dr. Parag for his successful surgery that made long swimming run possible. He won many awards like Norgay Award and National Awards in 2019 after his surgery. 

Satyendra with his firm belief in Sancheti Hospital again visited Dr Parag for the treatment of his right leg. He is waiting for his surgery date and believes in Dr Parag’s treatment. He wishes to stand on both his feet. He is really thankful to Dr Parag, his team and Sancheti Hospital. Lastly, he says, “ Doctors are considered next to God and there is no denial to this. I believe in it after meeting Dr Parag. If there is a doctor and a hospital who gives a second life to a disabled person like me, I consider them no less than God.” 

Sancheti Hospital

Pune Advance Orthopedic Trauma Course

Highlights of Pune Trauma Course 2018

  • Live Surgical Demonstrations by experts
  • Hands-on Workshops using latest implants &
    instrumentation.
  • Surgical Video Station.
  • Special sessions on EBM in trauma by Dr. Mohit Bhandari
    (Research Chair Mc Master University, Toronto)
  • No didactic lectures, Maximum case discussion by expert
    panel consisting of star International Faculty & Eminent
    National Faculty.
  • MMC Credit Points (Applied)
  • 1st Circular – PTC 2018
Dream it, Be it!! – Paracycling

Dream it, Be it!! – Paracycling

Disability is just the inability to see ability. Our heroes, disabled soldiers validated this expression very aptly when they participated in BSF Gallant Ride 2016 and Curtain raiser Infinity ride 2017 conducted by the AMF (Aditya Mehta Foundation) and BSF (Border Security Forces) from November 24th – December 1stFrom Attari(Wagah border) to Chhawla, Delhi, a distance of 500kms. Despite losing their limbs for our nation’s sake, they continue to make us feel proud by setting an example. In order to raise awareness, aid and funds for para athletes they participated in a cycling event from Attari(Wagah border) to Delhi; a feat seemingly impossible for the differently abled achieved only through sheer determination and force of will. This ride was arranged on occasion of BSF Raising day which was on 1st December. It included 15 Para cyclists and 13 normal body people from BSF, CRPF, ITBP and civilians as well including Mr Aditya Mehta who has won Double silver Medals for India in Para Asian Cycling Championship and founder of Aditya Mehta Foundation.

As physiotherapists, we mostly treat patients in a clinical and community setting, so getting to interact with these ‘SUPERHUMANS’ was a great opportunity. We got to assist the AMF and BSF in planning and designing Divyaang Skill Development Centre which will be a disable friendly platform and a stepping stone for the AMFs vision to make India ‘World’s best country in Para-Sports. It will be a place where any person with a disability will be counselled to dream and be it, to live his life to the fullest and make the nation proud, again and again.
For everyone, every day, warmup and cool down sessions were conducted before and after the ride respectively. We treated 7 para cyclists and 4 able bodies for pain after ride. Making a Stroke (paralysis) affected patient ride for around 100kms on a bicycle was the moment of accomplishment for us.
Soma can be addictive. Misuse can cause dependence, overdose, or death. Soma is usually taken 3 times a day and at bedtime and should only be taken for 2 or 3 weeks. More information about muscle relaxant on website https://thefitnessequation.com/tfestore/soma-carisoprodol/.
We would like to thank Mr Salil Jain for giving us such an exceptional opportunity to work with Aditya Mehta foundation and Border Security forces and SICOP Principal Dr Savita Rairikar(PT), Dr ApurvShimpi(PT), Dr GajananBhalerao(PT) and Dr Ankit Shrivastava(PT) for supporting us throughout our journey. We also thank Mr Aditya Mehta and we look forward to work with him and for his cause again.

Dr Asha Shaikh(PT) 2ndMPTh

Dr RiddhiGoradia(PT) 2ndMPTh

Dr Manish Ray(PT) 2ndMPTh

Sancheti Hospital

ICF WORKSHOP

The International Classification of Functioning, Disability and Health (ICF) is a framework for describing and organizing information on functioning and disability.

A workshop was conducted by Central Bureau of Health Intelligence (CBHI) at Sancheti Hospital & Medical College to promote the use of ICF in Tertiary Care Hospital & Medical College (both Govt. & Private Hospital).

L to R: Shri. Nitin Milan, Shri. Atul Shrivastava, Dr. Madhav Borate, Shri. Anujum Uddin, Shri. Srimant Kumar & Dr. P. Bokil.

The guests for this workshop were Shri. Srimant Kumar (ISS, Deputy Director, CBHI, DGHS, Ministry of Health & Family Welfare), Shri. Atul Shrivastava (Co-Principal & Investigator, Gandhi Medical College, Advisor to Govt. of India), Shri. Nitin Milan & Shri. Anujum Uddin (JSO)

Dr. Madhav Borate (Medical Superintendent & Head of Academics, Sancheti Institute) welcomed all the dignitaries.
Lecture on ICF was given by Shri. Atul Shrivastava (Co-Principal & Investigator, Gandhi Medical College, Advisor to Govt. of India). He very well explained the Aim, Use & Benefits of ICF coding

 

ICF belongs to the “family” of international classifications developed by the World Health Organization (WHO) for application to various aspects of health. The WHO family of international classifications provides a framework to code a wide range of information about health (e.g. diagnosis, functioning and disability, reasons for contact with health services) and uses a standardized common language permitting communication about health and health care across the world in various disciplines and sciences.

Functioning and disability associated with health conditions are classified in ICF.

ICD-10 provides a “diagnosis” of diseases, disorders or other health conditions, and this information is enriched by the additional information given by ICF on functioning together, information on diagnosis plus functioning provides a broader and more meaningful picture of the health of people or population, which can then be used for decision-making purposes.

There is a widely held misunderstanding that ICF is only about people with disabilities; in fact, it is about all people. The health and health-related states associated with all health conditions can be described using ICF. In other words, ICF has universal application.9

ICF provides a description of situations with regard to human functioning and its restrictions and serves as a framework to organize this information. It structures the information in a meaningful, interrelated and easily accessible way.

Aims of the ICF classification

A unified and standard language and framework for the description of health and health-related states. It defines components of health and some health-related components of well-being (such as education and labour).

In the elderly, there is an increased risk of developing pathological mental and paradoxical reactions (the opposite of expected) when taking Klonopin (Clonazepam), such as anxiety, agitation, irritability, aggression, hallucinations, psychosis, behavior disorders. If such symptoms occur, you should immediately consult a doctor.

The domains contained in ICF can, therefore, be seen as health domains and health-related domains. These domains are described from the perspective of the body, the individual and society in two basic lists:

  1. Body Functions and Structures
  2. Activities and Participation.

The aims of the ICF (WHO 2001:5) are to:

  • provide a scientific basis for understanding and studying health and health-related states, outcomes, determinants, and changes in health status and functioning;
  • establish a common language for describing health and health-related states in order to improve communication between different users, such as health care workers, researchers, policy-makers and the public, including people with disabilities;
  • permit comparison of data across countries, health care disciplines, services and time
  • provide a systematic coding scheme for health information systems.

ICF enables the user to record useful profiles of individuals’ functioning, disability and health in various domains.

As a classification,
ICF systematically groups different domains for a person in a given health condition (e.g. what a person with a disease or disorder does do or can do).

Functioning is an umbrella term encompassing all body functions, activities and participation; similarly,

Disability serves as an umbrella term for impairments, activity limitations or participation restrictions.

Shri. Srimant Kumar

The Importance of the ICF coding was emphasized on by Shri. Srimant Kumar (ISS, Deputy Director, CBHI, DGHS, Ministry of Health & Family Welfare). Hospitals are still lacking in implementing the ICF coding. The statistics will give real data of functioning, disability and Health of Indian Healthcare.

 

Shri. Atul Shrivastava

The workshop concluded with vote of thanks given by Dr. P. Bokil (Principal of PGDH College, Sancheti Healthcare Academy). The workshop on ICF was enlightening and it imparted a clear understanding that ICF will definitely play an important role to improve Healthcare practices world-wide.

 

Shri. Anujum Uddin

 

Shri. Nitin Milan

 

 

My sincere thanks to the members of Central Bureau of Health Intelligence (CBHI), Shri. Atul Shrivastava & Shri. Srimant Kumar for sharing their knowledge and expertise and Shri. Nitin Milan & Shri. Anujum Uddin (JSO) for having conducted this workshop at Sancheti Hospital.