Medical Services
"Not to be ministered unto but to minister "
"Not to be ministered unto but to minister "
Our team strives to provide the highest quality of care to patients by developing individual rehabilitation plans for every patient. This comprehensive approach addresses all the needs of our patients and their families to realise their potentials and to maximise independence. Family is included in all aspects of rehabilitation including goal setting and decision making.
Based on your medical condition and rehab goals, admission for rehabilitation will be to either the Main Hospital or Rehabilitation Institute. Admission will be decided by the consultant who sees you in the outpatient section. There is often a waiting list for the admission process. Following admission you will be looked after by a team of professionals including Physiatrist, PT , OT, P&O , ST , Nursing, Psychologist, Engineers, Social Workers
Outpatient section has various speciality clinics The Hemophilia clinic helps patients with arthropathy and multple joint deformities following bleeds with exericises, casting, splinting, surgery and radiosynoviorthesis. The Neuromuscular clinic helps patients with muscular dystrophies, myopathies and anterior horn cell diseases. The Amputee clinic helps in the multidisciplinary management of patients with amputations.
The medical team attempts to address medical problems. EMG evaluation is done to evaluate patients with nerve injuries.Nerve blocks and surgeries are done for spasticity reduction..Assessment and management of the neurogeic bladder is crucial and includes Ultrasound scans, Cystoscopy. and Urodynamic studies. Surgeries done include multiple soft tissue release, suprapubic cystostomy, cystolitholapexy, excision and closure of pressure sores and flap surgeries
Understanding the dynamics of movement while using various designs of appliances is a constant challenge. As a combined effort between PMR and IIT Chennai , the first Gait Analysis Lab in the country was set up in the year 1989 and this was supported by the DST. The gaits of children with cerebral palsy, stroke patients and amputees are analysed here. The lab has 12infrared cameras , a motion lab EMG system and a Kistler force plate.
Our team of nurses, attendants and housekeeping staff introduce the patients to a new way of life different but worthwhile. They don’t just teach care , but teach patients and families to look after themselves, help them to understand diagnosis, implications and ways to cope with it. This may include teaching intermittent catheterisations, , push ups for pressure relief, sexual counselling, health education etc. The focus is always on the patient and family empowering them to look after themselves.
Physiotherapists work towards strengthening muscles and employ compensatory strategies to improve mobility and balance with appropriate appliances. Will I be able to walk is the first question asked by most of the patients . Patients are trained initially in the parallel bars and after repeated practice sessions,they may progress to to walk on rough terrain, ascend and descend ramps and stairs according to their neurological level.
Occupational Therapists focus on enhancing function by training independence in transfers, ADL training and assistive strategies to get the best of everyone. Mirror therapy is a recent research for patients with hemiparetic arm.
Patients with TBI have cognitive deficits and they are given cognitive retraining and taught strategies to compensate for deficits Patients are taken to the community at the end of their training so that they feel confident in real life situations.
Speech therapists work to improve speech and communication and work with patients to ensure safe swallowing. Patients with severe difficulties in language are evaluated for the usefulness of alternate and augmentative communication aids.
Social workers facilitate the rehab process by being a vital connection between the patient, family, rehab team and the community. They do an initial home visit while the patient is in the hospital to assess the socioeconomic and vocational back ground and the environmental accessibility so that contextually appropriate goals can be made. They help the patient and families to cope with the various issues arising from disability and play a significant role in giving guidance regarding future vocation. In addition they help to educate patients regarding their rights and responsibilities as well as various social security benefits. Other staff include clerical staff, pharmacist, accountant, librarian and a driver.
Understanding the dynamics of movement while using various designs of appliances is a constant challenge. As a combined effort between PMR and IIT Chennai , the first Gait Analysis Lab in the country was set up in the year 1989 and this was supported by the DST. The gaits of children with cerebral palsy, stroke patients and amputees are analysed here. The lab has 12infrared cameras , a motion lab EMG system and a Kistler force plate.
Sports is a way to regain fitness, boost self esteem and restore personal dignity. Some form of sporting activity is encouraged- a game of caroms, athletics, badminton, cricket , basket ball- Several players represented the country in the national level and last year won the 3rd prize in the national wheel chair basket ball competition.