The physiotherapists work in close conjunction with members of the medical team to reduce the average length of stay of the patients in the hospital and strive to optimize the patient's physical functions for better outcomes. The services are rendered in the intensive care units (ICU) and followed up in the patient rooms (wards). The team of Therapists ensures that patient is mobilized at the earliest to prevent any post-operative complications.
Patients undergoing procedures in the Cath Lab are counselled regarding the benefit of exercises and are taken up for a preventive rehabilitation program.
The Neuro-Rehab program is aimed at maximizing the potential of patients suffering from stroke, multiple sclerosis, Parkinson’s Disease, spinal cord injuries, etc. The dedicated team of Neuro-Physiotherapists works closely with the Neurologists and Neuro-Surgeons to achieve the best possible results. The services of Neuro- Physiotherapists are available in the Intensive Care Units and the wards. A separate Neuro – Rehab area is earmarked in the ambulatory care area where the patients undergo therapy on a regular basis. Special packages have been devised for such patients. Support group meetings are held on a regular basis to motivate the patients and the care-givers.
Physiotherapy in Orthopaedics
The team of Physiotherapists work closely with the Orthopaedic Surgeons to ensure early mobilization and rehabilitation of patients with musculo-skeletal disorders/dysfunctions. The therapy usually involves mobilizing patients after joint replacement surgeries, orthopaedic trauma cases and other conditions causing disability on account of muscular and bony problems. The therapy is aimed at preventing and minimizing the extent of disability.
Physiotherapy in Obstetrics and Gynaecology
The disease, trauma and natural physiological process of menstruation and pregnancy demand the introduction of physiotherapy at different levels and at various stages of the illness. The common ailments indicated for physiotherapy are Pelvic inflammatory diseases, Prolapse uterus and rectum, stress incontinence etc. besides ante-natal and post-natal care.
Pain management forms an integral part of the services offered in the ambulatory care program. Most people at some time or other suffer from back or neck pain, disability on account of knee pain or multiple joint pains (Polyarthralgia). Physiotherapy aims to not only treat the pain and other symptoms, but also to help identify the causes and provide self-management strategies.
Physiotherapy in Sports injuries
Sport is a vital part in an individual’s lifestyle today. It provides exercise, social contact, relaxation, competition and promotes good health. It may also cause injuries, many of which can be prevented. Many common injuries like bruises, ligament sprains and tears, muscles and tendon strains, joint injuries, overuse injuries and stress fractures etc are prevented and treated with physiotherapy. The program also helps in enhancement of sports performance and a detailed biomechanical assessment.
Physiotherapy as endurance exercises after liver/kidney transplant
The success of transplant surgeries like liver and kidney transplant is dependent upon getting the patient back to his normal routine. The physiotherapists work closely with the transplant surgeons and help minimize any chest complications after the surgery. A tailor made program to build the strength and endurance of the patient is devised which helps in early mobilization and return to activity of the patient.
Physiotherapy in Paediatrics
The primary focus for physiotherapists is to observe children for their individual strengths and abilities and to promote a functional, quality developmental process. The plan includes prevention, early identification, evaluation, diagnosis, treatment and rehabilitation. Impairment, disability and handicap, directly impacts the child physically and they would need special neuro-developmental regime of exercises to become independent in their activities of daily living. The problem also caters to children with congenital orthopaedic deformities and chromosomal abnormalities.
Physiotherapy in Geriatrics
With the ongoing improvement in medical facilities and technology, the life expectancy is also rising and with it the percentage of older people in our society. The difficulties observed in this group in performing the daily activities are identified along with the possibilities of decreased fitness levels and the presence of developing or developed disability. Exercises and other therapeutic interventions to alleviate their problems are designed to help such people lead a healthy life.
Problems arising on account of faulty postures and occupational hazards are of common occurrence and affects people from all walks of life. A comprehensive program including the evaluation and advice to the patients is devised which aims to reduce the difficulties faced by such people.
Occupational Therapy, is the "use of productive or creative activity in the treatment or rehabilitation of physically, cognitively, or emotionally disabled people". It involves the use of meaningful occupation to assist people who have difficulty in achieving a healthy and balanced lifestyle and to enable an inclusive society so that all people can participate to their potential in daily occupations of life. Occupational Therapists work with a variety of individuals who have difficulty accessing or performing meaningful occupations.
Most commonly, Occupational Therapists work with people with disabilities to enable them to maximize their skills and abilities. Occupational Therapy gives people the "skills for the job of living" necessary for "living life to its fullest."
Services typically include:
- Customized intervention programs to improve one's ability to perform daily activities.
- Comprehensive home and job site evaluations with adaptation recommendations.
- Performance skills assessments and treatment.
- Adaptive equipment recommendations and usage training.
- Guidance to family members and caregivers.
Areas of Practice in Occupational Therapy
Occupational therapists may work in both hospitals, ranging from inpatient, sub acute, to outpatient clinics. Occupational therapists also have a role in healthcare teams in the community. There are many areas of practice in Occupational Therapy, which is often divided into Physical Health and Mental Health. The areas include :
- Acute rehabilitation (e.g. Spinal Cord Injuries)
- Rehabilitation centers (TBI, Stroke (CVA), Spinal Cord Injuries, etc.)
- Outpatient clinics (e.g. Orthopedics)