Neuro Rehabilitation

  • Neuro Rehabilitation Department

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    Neurorehabilitation is a multifaceted treatment process which offers innovation, dedicated and reliable rehabilitation services from nervous system injuries and long term neurologic care. It generally deals with the managment and functional recovery of major nervous system injuries such as stroke, multiple sclerosis, Alzheimer's disease, spinal cord injuries and peripheral nerve injuries. Brain injuries due to accidents, tumors, Developmental delay in kids.

    Clinical Programs

    Stroke Rehabilitation Brain Injury Rehabilitation Orthopaedic Rehabilitation Pediatric Rehabilitation Child Devlopment Clinic Learning Disability Clinic Coma Arousal Program Cardio Pulmonary Rehabilitation Parkinsons Disease Rehabilitation Geriatric Rehabilitation Tele Rehabilitation

    Rehabilitation Medicine

    • Advanced Medical management of complications and secondary changes in Neurological illness, Trauma and Childhood developmental disabilities
    • Regaining functions in
    • CVA, TBI, SCI, movement disorders, Development disorders.

    Aims to avoid,reduce,treat & overcome disability.
    • Addresses Spasticity, Weakness , Functional, Mobility , Communication and Cognitive problems.
    • Motor point blocks,
    • Botulinum toxin Injections,
    • intrathecal Baclofen,
    • Structured Rehabilitation therapies,
    • Neurogenic bladder management
    • Advanced mobility orthotics like SUYAM, ARGO, REWALK etc
    • Rehabilitation Robotics
    • Virtual Rehabilitation
    • Comprehensive Services
    • Promise of Independence and Dignity delivered with state of Art technology

    Components of Neuro Rehabilitation

    Neurorehabilitation is a multifaceted treatment process which offers innovation, dedicated and reliable rehabilitation services from nervous system injuries and long term neurologic care. It generally deals with the managment and functional recovery of major nervous system injuries such as stroke, multiple sclerosis, Alzheimer's disease, spinal cord injuries and peripheral nerve injuries. Brain injuries due to accidents, tumors, Developmental delay in kids.

    The major components in Neurorehabilitation are

    • Developmental nerurorehabilitation
    • Behavioural cognitive rehabilitation
    • Clinical neruorehabilitation
    • Neuropsychological rehabilitation
    • Communication rehabilitation
    • Nutritional counselling
    • Ethical aspects of neurorehabilitation
    • Rehabilitation Sociovacational

    The major rehabilitation techniques developed and implemented are one of the long term Neurolgic care and requires time for the patient to overcome properly.
    Mild traumatic brain injury may cause temporary dysfunction of cells. More serious Spine or brain injury can result in bruising, torn tissues, bleeding and other physical damage that can result in long term complications like memory disturbance, speech difficulty, swallowing difficulty, no walking, depression etc...

    Scientific Basis of Neuro Rehabilitation

    Neuromodulation and Nuroplasticity

    The field of Neurorehabilitation is relatively new, and some cutting edge therapies including neuromodulation may be potentially beneficial to patients with CNS injuries or other disorders. The advances in the understanding of brain circuit together with the development of neurostimulation technologies have prompted us to explore the potential of electrical stimulation of the nervous system to promote functional recovery in patients who are the sufferers of the CNS disorders

    Neuromodulation also offers new therapeutic interventions for patients with stroke, traumatic brain injury, spinal cord injury and epilepsy by counteract and abnormal network in the brain.

    • Neural prosthesis
    • Neuromodulation, Visual and Auditory perception
    • Unconstrained unconscious cognition
    • Peripheral Nerve Stimulation
    • Spinal Cord Stimulation
    • Cortical reorganization




    Neural and Musculoskeletal Modeling

    Interventions like

    • Muscle - driven simulations
    • Muscle - tendon activation
    • Model calibration and validation
    • Neuromuscular synergies help patients to stand, walk to be independent
    • Helps in musculoskeletal modeling for neuro muscular recovery

    Tigbtness of Arm/Leg

    The Neurological disorders in general have residual impairments whuch needs to be treated in the rehabilitation phase. Management of all these like tightness, weakness,speech & cognitive distrabance are explained below.
    All the advanced medical treatment for reducing the tightness and jerks which are common in neuro patients. The Botox* An Injection Which Relaxes The Muscr.E.-5 foundation.

    Weakness of muscles

    Neuro rehab proposes new models to reduce the abnormal brain functioning of motor weaknesses.

    The human motor system attains adaptability through acquired immunological actions. Motor learning is a loosely defined term that emcompasses motor adaptation,skill acquisition and decision-making. Motor learning can be catagorized into kinematic and dynamic components. Advance technological approaches, using animal models and functional imaging in humans show that the mature can undergo plastic changes during both learning and recovery as they have the tendency to undergo differentiation upon receiving signals.

    Quantitative motor control approaches allow differentiation between compensation and true recovery although both improve with practice. Several promising new rehabilitation approaches are based on theories of motor learning.
    • Modular motor therapies
    • Constraint - induced movement therapy (CIMT)
    • Electromvogram - triggered neuromuscular stimulation
    • Neuro motor control

    First Time in South India

    These treatments aim at strengthening of the weak muscles to make them strong enough for next stage - walking and other activities.

    Independent Walking

    The Brain tries to repair itself after any damage with a priority on functions most needed. Hence early mobiliization is the key for better outcome in walking. This is made possible by technologies which takes up weight of the patient from legs, so he can use his weak legs to move. Also the walking style is corrected of maintained to avoid the usual circumduction or dragging gait

    Cyclic muscle strengthener

    The field of Neurorehabilitation is relatively- new, and some cutting edge therapies including neuromodulation may be potentially beneficial to patients with CNS injuries or other disorders. The advances int the understanding of brain circuitry, together with the development of neurostimulation technologies have prompted us to explore the potential of electrical stumilation of the nervous system to promote functional recovery in patients who are the suffers of the CNS disorders. It offers therapeutic intervention to counteract the a bnormal network in brain.

    Speech and communication training

    The first and basic need of a person is to interact and communicate what he wants to the other person. Speech and language pathologies are taken care by the speech therapist.

    Functional Training

    The improvements in strength gained by the rehab team is latter transformed into meaningful functional activities like brushing, dressing, toileting eating by occupational therapy.
    Children with special needs are also trained for head holding, sitting, crawling and them made to walk.

    Paediatric Neurorehabilitation

    Paediatric Rehabilitation provides comprehensive rehabilitation Care to children suffering from range of Neurological difficulties.
    It is dedicated to treating children, teens and their families to promote recovery form and adaptation to changes resulting from brain injury or significant neurological disease. Combining the family's knowledge of their child with the team expertise in brain injury rehabilitation, working together to achieve the goal of returning the child to participation in home, school and community based activities.

    The main aims of the paediatric neurorehabilitation service are :
    • Enable children and young people to reach their optimum physical potential.
    • Maximise function and independence.
    • Reduce the risk of developing contractors and deformity.
    • Improve quality of life in children with
    • Traumatic brain injury
    • Encephalitis
    • Child developmental disorders
    • Epilepsy in children
    • Hypoxia
    • Paediatric assistive technology

    Specialized devices individualized for each patient

    Orthosis are mechanical devices used to support a weak part or to reduce tightness of a muscle. This is not an off the shelf product but custom made to each patient according to their needs and problems.

    Coma / cognitive Disturbance

    Coma Arousal Program

    To bring back memories / cognitive or thinking abilities of brain damaged individuals.
    We, at Neuro Foundation, have an advanced comprehensive multimodal stimulation, the CAP - Coma arousal Program, given to brains injured patients once their medical condition is stable.
    This treatment brings back Remote, recent memories of the patient and also improves the thinking skills of the patient.

    Rehababilitation Nursing

    Nursing as an integral part of the health care system, encompasses the promotion of health, prevention of illness, and care of physically ill, mentally ill, and disabled people of all ages, in all health care and other community settings. Neuro rehabilitaion nursing comprises not only of individuals taking care of the patient but also the way to nurse and eradicate the disorders in long term neurologic care.
    It comprises of both small and big approaches to improve the health standards of a patient and ensure a better way of living by rendering him complete care via machines and personal care.



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"Dr. Nithya Manoj MD.,DPMR Senior Consultant"

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Dr. Nithya Manoj MD.,DPMR

Senior Consultant