STROKE (HEMIPLEGIA) PHYSIOTHERAPY & OCCUPATIONAL THERAPY SERVICES (ಪಾರ್ಶ್ವವಾಯು ಭೌತಚಿಕಿತ್ಸೆಯ & ಔದ್ಯೋಗಿಕ ಚಿಕಿತ್ಸೆ)

Stroke is one of the leading causes of long-term adult disability. The very word “stroke” indicates that no one is ever prepared for this sudden, often catastrophic event. Stroke survivors and their families can find workable solutions to most difficult situations by approaching every problem with patience, ingenuity, perseverance and creativity. Early recovery and rehabilitation can improve functions and sometimes remarkable recoveries for someone who suffered a stroke.

Around half of stroke survivors are left with significant disability. The brain is, however, very adaptable and, with physiotherapy , Occupational Therapy & Speech Therapy, recovery can take place over a period of years. Patients often have a rapid period of recovery in the first few months after a stroke followed by a slower recovery over the following years. To gain the maximum recovery, physiotherapy treatment should be continued once you leave hospital.

You will be discharged from hospital when you are medically stable. Being discharged from hospital does not mean that you will not improve further. Your rehabilitation should continue as soon as you leave hospital. With the correct physiotherapy input and advice you still have lots of potential to improve over the coming years.

In the hospitals, many stroke patients and their families are told that they have either reached their rehab potential, or have no significant rehab potential. This can often be misleading, because the hospitals will make decisions very soon after an individual has had a stroke, based on restricted hospital resources. These restrictions do not allow long-term treatment, therefore, many patients do not receive physiotherapy or treatment is only provided for a brief period.

With the correct level of physiotherapy input, long term improvements can still be made. Steadfast Neuro Super Specialty Rehab Center commonly see individuals who have been discharged from the hospitals with no rehab potential go on to make significant improvements.

For example:

  • Bed bound patients regaining sitting balance
  • Patients requiring hoist transfers becoming independent with transfers
  • Patients being told they will never walk again on discharge, walking with a mobility aid

During your initial assessment you will discuss your short and long term rehabilitation goals. These goals will then be at the centre of your rehabilitation.

Physiotherapy & Occupational Therapy will assist you in regaining as much movement and function as possible. Treatment often focuses on sitting balance, standing balance, walking, using your affected arm / hand and managing any changes in muscle tone, pain or stiffness.

Neurological stroke physiotherapy can help:

  • Improve balance and walking
  • Increase ability to roll / move in bed / sit / stand
  • Reduce muscle spasms, pain and stiffness
  • Increase strength
  • Retrain normal patterns of movement
  • Increase affected arm and leg function
  • Increase hand function
  • Increase energy levels
  • Increase independence and quality of life
  • Reduce the risk of falls

After a stroke may people experience difficulties performing tasks that were previously simple. This can make everyday life a struggle for both you and those close to you. Steadfast Neuro Super Specialty Rehab Center will advise you on the use of walking aids, splints, supports and home equipment to make your life easier.

During treatment sessions our specialized physiotherapists will lead you through a graduated program of functional exercises to increase your mobility and muscle control. The physiotherapists at Steadfast Neuro Super Specialty Rehab Center will usually teach you (and your family members / carers if appropriate) exercises to be continued between appointments.

Steadfast Neuro Super Specialty Rehab Center provide services for carers, care homes and organisations as well as individuals. We are able to provide manual handling training sessions for carers, care homes and families. This training involves teaching safe therapeutic handling and positioning techniques that will promote normal movement patterns and normal postural alignment of patients to those caring for them. The therapeutic use of specific hoists and slings can also be taught. Where required postural, bed, seating and wheelchair assessments can be carried out by our specialist physiotherapists. Following this assessment our physiotherapists can refer you to appropriate NHS or private services to enable you to obtain the recommended equipment.

Having a stroke is a life changing event. Many individuals feel low in mood and have reduced confidence following a stroke. At Steadfast Neuro Super Specialty Rehab Center we aim to make our treatment sessions effective and enjoyable. Many patients develop close relationships with our physiotherapists. This, combined with increased function and independence, allows our patients to lead as fulfilling lives as possible.

Early Recovery

There’s still so much we don’t know about how the brain compensates for the damage caused by stroke. In some cases, the brain cells may be only temporarily damaged, not killed, and may resume functioning over time. In other cases, the brain can reorganize its own functioning. Every once in a while, a region of the brain “takes over” for a region damaged by the stroke. Stroke survivors sometimes experience remarkable and unanticipated recoveries that can’t be explained. General recovery guidelines show:

  • 10% of stroke survivors recover almost completely
  • 25% recover with minor impairments
  • 40% experience moderate to severe impairments requiring special care
  • 10% require care in a nursing home or other long-term care facility
  • 15% die shortly after the stroke

The goal of stroke rehabilitation is to help you relearn skills you lost when a stroke affected part of your brain. Stroke rehabilitation can help you regain independence and improve your quality of life.

The severity of stroke complications and each person’s ability to recover vary widely. Researchers have found that people who participate in a focused stroke rehabilitation program perform better than most people who don’t have stroke rehabilitation.

When should stroke rehabilitation begin?

The sooner you begin stroke rehabilitation, the more likely you are to regain lost abilities and skills. The long-term goal of rehabilitation is to improve function so that the stroke survivor can become as independent as possible. This must be accomplished in a way that preserves dignity and motivates the survivor to relearn basic skills that the stroke may have impaired – skills like bathing, eating, dressing and walking.

However, your doctors’ immediate priorities are to:

  • Stabilize your medical condition
  • Control life-threatening conditions
  • Prevent another stroke
  • Limit any stroke-related complications

It’s common for stroke rehabilitation to start as soon as 24 to 48 hours after your stroke, while you’re in the hospital.

How long does stroke rehabilitation last?

The duration of your stroke rehabilitation depends on the severity of your stroke and related complications. Some stroke survivors recover quickly. But most need some form of long-term stroke rehabilitation, lasting possibly months or years after their stroke.

Your stroke rehabilitation plan will change during your recovery as you relearn skills and your needs change. With ongoing practice, you can continue to make gains over time.

What factors affect the outcome of stroke rehabilitation?

Stroke recovery varies from person to person. It’s hard to predict how many abilities you might recover and how soon. In general, successful stroke rehabilitation depends on:

  • Physical factors, including the severity of your stroke in terms of both cognitive and physical effects
  • Emotional factors, such as your motivation and mood, and your ability to stick with rehabilitation activities outside of therapy sessions
  • Social factors, such as the support of friends and family
  • Therapeutic factors, including an early start to your rehabilitation and the skill of your stroke rehabilitation team

The rate of recovery is generally greatest in the weeks and months after a stroke. However, there is evidence that performance can improve even 12 to 18 months after a stroke.

Intensive Stroke Therapy – Minimum 2 Hours (ತೀವ್ರ ಪಾರ್ಶ್ವವಾಯು ಚಿಕಿತ್ಸೆ)/ / day

Intensive Stroke therapy includes physiotherapy & occupational therapy, will be given minimum 2 hours with following techniques at Steadfast Neuro Super Specialty Rehab Centre:

Treadmill Partial Body Weight Support Gait Training (TPWBS)

Constraint Induced Movement Therapy (CIMT)

Myotherapy (Myo fascial Release & Trigger Point Therapy)

Virtual Reality (VR) hand Training

Neuro Developmental Therapy (NDT)/Bobath Technique

Advanced Hand Rehabilitation

Dry Needling for Pain

Therapeutic massage

Proprioceptive Neuro Muscular Facilitation (PNF)

Gait Lab/ Movement Analysis & Training

Balance & Fall Prevention

Occupational Therapy

Facial Palsy Physiotherapy & Retraining

Motor Relearning program

Task oriented Functional Training

Cognitive Behavioral Therapy & Exercise Groups & Educational Services.

Intensive Stroke Therapy – Hours & Fee (ತೀವ್ರ ಪಾರ್ಶ್ವವಾಯು ಚಿಕಿತ್ಸೆ)/ day for Month

I. Mild Stroke Therapy (MSPT) – Minimum 2 Hours/ day for Month. Rs.16,000.00 ( Based on requirement and disease condition fee may vary).

II. Moderate Intensive Stroke Therapy (MISPT)) – 2 1/2 Hours / day for Month.Rs.18,000.00(Contact admin for more info)

III. Super Intensive Stroke Therapy (SISPT) – 3 Hours/ day for Month. Rs.20,000.00.

The above pattern is not always applicable as requirement may vary patient to patient. Duration of treatment may extend upto 6 hours per day according to requirement and demand from the patient.   Hua Wang PhD did a study in USA , “found that longer daily therapeutic duration was significantly associated with total functional gain. Patients who received a total therapy time of <3.0 hours per day had significantly lower total functional gain than did those treated ≥3.0 hours. The daily treatment time of physical therapy, occupational therapy, and speech and language therapy also was significantly associated with corresponding subscale functional gains”. However, We recommend patient’s to take a decision on duration of treatment time at Steadfast Neuro Super Specialty Rehab Centre.

Why Steadfast Neuro Super Specialty Rehab Centre

  • Specialist neurological physiotherapists & occupational Therapists
  • Motivated, caring staff
  • Unique treatment programmes tailored to suit each individual
  • No waiting lists
  • Be seen in our clinic, at your home or in your care home
  • Patients can be seen by more than one physiotherapist at once, if required
  • Dedicated, patient centered approach
  • Specialist falls prevention programme available
  • Case management
  • Proven track record

Steadfast Neuro Super Specialty Rehab Centre provide private stroke physiotherapy services throughout Bangalore and Hosur. Stroke physiotherapy treatment can be provided at home, care homes and in our physiotherapy clinic. Steadfast Neuro Super Specialty Rehab Centre usually arranges accommodation for the patients who wants to stay near to the centre and take treatment.

Steadfast Neuro Super Specialty Rehab Centre understand the difficulties experienced following a stroke and the impact it has on those close to you. Our dedicated, specialized staff can maximize your potential by working closely with you, your family and carers.

Unlike other services, there are no waiting lists and treatment is available until you reach your maximum potentialLong term physiotherapy can be provided to maintain your improvements.

Following an initial assessment Steadfast Neuro Super Specialty Rehab Centre will liaise with your Physician, consultant and other medical professionals. Where appropriate we can refer you to other government or private services that you may benefit from.

Steadfast Neuro Super Specialty Rehab Centre has helped many people following a stroke and their families. See our testimonials to read about the experiences of our patients.

To book an appointment call + 91 8073643202.

 

 

 

 

 

 

 

Testimonials

What our patients say about us

I am very much thank full to steadfast especially Dr. Rubeena for solving my neck pain in 1 week without any medication. Really it was a miracle.

Gloria Priston

Wow! It's a miracle to me #i m suffering badly. Just in one week, it's like a magic... Wow  my pain was gone#

Happy to see my child standing and taking first step. Thank you Steadfast.

Renuka Reddy
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