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Our neurological rehabilitation(Neuro-rehab) wing caters to improve functional skills in people with diseases, injury or disorders of the nervous system. Our aim is to improve patient’s quality of life physically, emotionally and socially by enhancing their functional abilities and making them self-independent.
Neurological Rehabilitation Team at Prayatna
Prayatna’s neurological rehab programs are on outpatient basis. We have a team of qualified, dedicated and highly skilled professionals who attend to each patient’s needs wholeheartedly in consultation and partnership with each member of the team. Our professional team include,
- Occupational therapist
- Speech therapist
- Social worker
Our objective is to provide comprehensive rehab program and to make this effective, our team coordinates with all health professionals involved with the patient.
What conditions benefit from Neuro-Rehab at Prayatna?
Some of the conditions that we attend include,
- Degenerative disorders like Parkinson disease, multiple sclerosis, Alzheimer disease, amyotrophic lateral sclerosis
- Post trauma – brain and spinal cord injury
- Vascular disorders like ischemic strokes (caused by blood clot), haemorrhagic strokes (caused by bleeding in the brain), subdural hematoma and transient ischemic attacks (TIA)
- Post infections namely meningitis, polio, encephalitis and brain abscess
- Structural or neuromuscular disorders like Bell palsy, cervical spondylosis, brain or spinal cord tumours, peripheral neuropathy, muscular dystrophy, myasthenia gravis, Guillain -Barre syndrome
Injuries, infections, tumours, structural defects, degenerative disorders and disorders of the circulatory system can affect nervous system. Neurological diseases or injuries can lead to loss of basic skills such as mobility, communication, cognition and/or personal hygiene in an individual. As these skills are essential for functional independence and active participation in life, it is necessary to improve/regain these skills. At Prayatna, our team of professionals work single-mindedly towards improvement of these specific skills essential for enhancing patient’s self esteem and better life experience.
Assessment & Treatment
Our team evaluates individual’s condition, present level of skills and skill requirements and designs the most appropriate treatment program to maximize patient’s functioning and help achieve personal goals. The objective of neurological rehab is to assist the patient return to his/her optimum level of functional independence. Our team assesses patient’s physical, cognitive and emotional abilities. Assessment helps us to,
- gain an understanding of the individual’s involvement in activities before their neurological condition
- evaluate attention, memory, information processing and executive function such as planning
- observe the individual performing functional tasks in real environment besides standardized testing. This helps to know the physical, cognitive and emotional barriers affecting his/her ability to engage in activities as before
- understand the physical, emotional and social supports the individual has at home, work and community
- design a comprehensive treatment plan
Goals are usually set by the patients themselves with full support, guidance and assistance from our team of professionals. Realistic rehabilitation goals ensure focus on activities that are important and relevant to the individual’s age, family, social and employment needs. A long term goal is broken down into measurable short term sub-goals achievable within a time frame. For example, our team may start with the goal of sitting without support, move onto standing without support, then gradually make the patient walk slowly with the help of another individual, then help him/her walk with aids and then finally achieve independent walking.
Our rehab program includes,
- Assistance with activities of daily living (ADL) – eating, dressing, toileting, bathing, handwriting, cooking, basic housekeeping etc.
- Activities to enhance movement, muscle control, walking and balance
- Exercise programs for improving movements, strengthening muscles, maintain range of motion, avoid or reduce weakness due to lack of use, manage spasticity
- Fine motor and dexterity
- Sensory integration
- Speech therapy for improving speaking, swallowing and reading
- Activities to improve problems with memory, attention and concentration
- Stress, anxiety and depression management
- Pain management
- Social and behavioural skills retraining
- Bladder and bowel retraining
- Assistance in obtaining most appropriate adaptive devices for independence in movement and function
- Provide guidance on home modifications for independent functioning at home
- Provide information and advice about the nature of disability, prognosis etc.
- Guidance, support and training to family members for their active involvement
Our rehabilitation process is not confined to the physical disease or impairment alone. It also deals with the psychological consequences and social environment in which the patient has to function. The purpose is to help the patient return to regular life and cope with family, friends, work and leisure as functionally as possible.
Our team evaluates patient’s progress regularly and adjusts or alters the program based on individual’s progress through the rehabilitation process. While early therapy helps in improving long-term outcome, earlier and consistent rehabilitation leads to higher probability of success.
Our Neuro-Rehab Therapy Sessions & Home Programs
At Prayatna, a patient receives 45 minutes therapy session, 2-5 times a week, which may vary from few weeks to months depending on the severity of the problem. For individuals who stay far and not in a position to visit for therapy regularly, we arrange sessions fortnightly or once-a-month and provide training and guidance on exercises for practice at home.
It is essential to follow home programs as advised by our team to ensure achievement of goals and functional independence. Therapy program will be gradually weaned and stopped upon achievement of desired goals. Post discharge, periodical review sessions may be scheduled depending upon the condition.
Assistive & Adaptive Devices
Following neurological conditions, many patients require assistive and adaptive devices such as wheelchairs, walkers, crutches, prosthetic devices, orthotic devices etc. to maximise functional capabilities. Our team helps determine the most appropriate fit for the patient based on his/her condition and needs and provides training on the proper use of device. This helps the patient to get adapted and use the device more effectively. There are different assistive/adaptive technologies to attend to the needs of people with disabilities. Some of these are:
- Mobility aids – walkers, wheelchairs etc. These help the patient to move around
- Augmentative and Assistive Communication Systems (AAC) – for people who have difficulty communicating
- Technologies for feeding difficulties – curved utensils intended for people with limited dexterity, ergonomic bottle openers etc.
- Home modifications – handrails near toilet, voice command systems, non-slip mats etc.
- Vehicular modifications – wheelchair ramps, adaptive steering systems etc.
- Technologies for the visually impaired – Braille printers, screen readers etc.
- Technologies for the hearing impaired – Teletype phones, cochlear implants, hearing aids etc.
Neurological rehabilitation goes beyond diagnosis and focuses on functional consequences. It aims to help reduce the impact of disability on the individual.
Neuro-rehabilitation facilitates nervous system’s ability to restructure and adapt itself for resuming functions after an unalterable damage. The plasticity of nervous system is activated and optimized by various therapeutic activities. Depending upon the patient’s condition, despite intensive rehabilitation, sometimes, it may not be possible to regain previous abilities like free physical movements or impeccable communication. However, with neurological rehabilitation, it is usually possible to improve necessary skills required to help the patient participate to his/her best optimal level in social and professional life.