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Introduction

What is Neurological Rehabilitation?

Neurological Rehabilitation provides specialised management for people who have impairments as a result of brain or spinal cord injury, stroke or other neurological condition. Neurorehabilitation is an integral part of medical management and continues longitudinally through acute care, post-acute care until community integration.

Why KDAH?

What are the services offered at Kokilaben hospital for Neurological Rehabilitation?

The neurorehabilitation programme is divided into four services as per primary impairments and functional needs.

Neurocognitive Service : For brain injury, tumour & aneurysm and anoxic brain damage with primary cognitive / behavioural / speech / swallowing issues and minimal physical and medical needs

Neurophysical Service : For Parkinson's disease, multiple sclerosis, anoxic brain injuries, motor neuron disease, GuillainBarré Syndrome(GBS), peripheral neuropathy, and muscle diseases with primary sensory / motor dysfunction with disability in performing activities of daily living and mobility

Stroke Service : For ischaemic / haemorrhagic stroke with multiple disabilities in mobility, self care, balance, coordination, speech & language, swallowing, cognitive and sensory / perceptual skills

Spinal Cord Service : For traumatic and non-traumatic spinal cord injury, spinal tumour, transverse myelitis & related conditions with paralysis and bladder / bowel / sexual disability

What are the facilities for Neurological Rehabilitation at Kokilaben hospital?

The multi-disciplinary team is lead by rehabilitation medicine specialist (Physiatrist) and includes rehab nurses, physical & occupational therapists, speech & language pathologist, psychologist, biomedical engineer, orthotist & prosthetist, nutritionist and medical social worker. The rehabilitation medicine specialist evaluates and makes a comprehensive management plan, provides medical management and performs therapeutic procedures. The rehab plan provides optimal environment for recovery, functional improvement, reduction in secondary complications, impairments & disability, teaching compensatory strategies, appropriate equipment & modifications and continuity of care.

Type of services offered: inpatient / outpatient

Average Stay: 6-8 weeks

Criteria for Admission to INPATIENT Neurorehabilitation Program:

  • Medical monitoring
  • Stable neurologic status / persisting neurologic deficit

Identified disability affecting at least two of the following:

  • Mobility, self-care activities, communication, swallowing, bowel or bladder control
  • Adequate cognitive function / communicative ability
  • Reasonable physical ability and endurance
  • Achievable therapeutic goals
  • Able to tolerate three hours or more of active involvement per day

Criteria for OUTPATIENT Neurorehab Program:

  • Stable medical status
  • Unable to tolerate more than one hour of active involvement a day
  • Require minor degrees of assistance in any one of the following: Self-care, mobility, speech, cognition, swallowing or bladder/ bowel

Technology

The latest cutting-edge technology available at our hospital is on par with other rehabilitation facilities across the globe. The key technologies are:

  • Gait & Motion Analysis Laboratory
  • Multi-joint Dynamometer with Work Simulator
  • Balance Assessment and Training System (BATS)
  • Body-weight Support Treadmill Gait Training System (BWSTT)
  • Video Nystagmography (VNG)
  • EMG Biofeedback
  • Activities of Daily Living Training (ADL)

Highlights

The neurorehab programme provides a full continuum of specialised care, including inpatient services, out patient services and follow-up clinics. Patients can enter the system at any point or move through the system from beginning to end.

Family conferences are held during the first week of service, and throughout the patient's rehabilitation, so that the patient and his/her family can work with the team to set goals, discuss progress and plan for discharge.

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