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NEURO REHABILITATIONOur Neuro Rehabilitation Centre caters to the needs of people with physical and mental disabilities like cerebral palsy, mental retardation, slow learners, learning disabilities, autism, behaviour problems, epilepsy etc. Physiotherapy The physiotherapy department has facilities specific for children as well as adults. Those with physical disabilities like hemiplegia, paralysis, spasticity, nerve and orthopedic injury etc., undergo intensive physiotherapy at the centre, carried out by experienced physiotherapists with a variety of facilities like interferential current therapy, shortwave diathermy, ultrasonic massage, cervical and pelvic traction and wax bath. The centre has also specialized in pediatric physiotherapy and every effort is made to rehabilitate the child with motor disability like cerebral palsy, delayed development etc., with a variety of tools, some of which are custom made to suit the individual requirements.
Hydrotherapy Specially designed heated water pool is available for hydrotherapy to treat children with muscle spasticity, weakness, abnormal posture and gait.
Manual Myofascial stretch Programme (MMSP) A novel and unique technique designed by the Neurologist and orthopedic surgeon of the medical centre and highly useful for relieving the spasticity in children with spastic CP. Patients are selected after a thorough evaluation, & involved muscles are identified. The tight muscles are stretched and the weak ones are stimulated and strengthened. This massage helps in relieving the pain due to spasticity, promotes better mobility and also improve mental alertness. Parents are also educated and trained in the technique along with interaction so that the same is continued at home after completion of the programme. M.M.S.P (Loosely termed as Oil Massage) is an indigenous technique programmed and started by Dr. Nagesh M N Bhat with valuable guidance and support from Dr. Suresh Rao Aroor, Chief Neurologist, Parijma Neurodiagnostic and Rehabilitation Centre from July 16, 2008. This unique programme was started to treat Spastic neurological disorders, mainly cerebral palsy. In brief, this technique involves gradual stretching of spastic (tight) muscles first segmentally and then constantly and strengthening of relatively weak muscles manually using various techniques so that unnecessary surgical procedures such as tenotomies are avoided or kept to a minimum, keeping intact the integrity of the muscles. Though our primary goal was to relieve the spasticity or tightness, one year down the line, we have found a lot of additional advantages after treating more than 100 patients. To mention a few we have found a rapid progress in physical milestones (increase in their mobility), definite improvement in their mental milestones and alertness (increased mental interactions), decreased respiratory tract infections which they are prone for (improved general health), and decreased pain associated with dystonia and spasticity. Our aim is also to educate and counsel the parents about the disorder and also teach the technique to the best of our ability, so that they can involve, interact, and continue the therapy at home. This technique is not generalized or universal for every child but follows a particular protocol depending on the type and severity of the condition as the child is assessed daily during the course of therapy and feedback from the parents. Best results are achieved if the therapy is started as early as possible. We advice 3 to 4 week therapy on a daily basis so that the parents understand and learn the technique better. For further information and details, please contact us.
Botox Therapy If spasticity persists inspite of regular physiotherapy and MMSP, above therapy can be advocated. However the child has to be evaluated by the pediatric neurologist, who can be the best judge to suggest the muscle to be injected and the correct dose of Botox.
Speech Therapy Some of the disorders that are diagnosed and treated are:
Infant Stimulation Programme ( Early intervention ) We have facilities for the early detection and evaluation of “High Risk Infants “ who are potential candidates for developing serious neuro developmental problems like visual or hearing impairment, special learning disabilities, movement disorders, attention deficits, hyperactive and destructive behaviour, poor impulse control etc. It must be emphasized that the maximum growth of the brain takes place in the first one year of life. Hence there is a need to identify such high risk infants at the earliest opportunity and start appropriate interventional therapy. There are various types of stimulation methods like auditory, visual, tactile, etc. It has been proved that such early intervention techniques have succeeded in prevention of many disabilities at a later stage.Research in Neurology suggests that experience beneficial for learning should occur when the brain is most open [‘plastic’] to experience, which coincides in the prenatal, perinatal and early child stages of life. This initial stage is one of relatively rapid change in which the brain is very receptive to extrinsic environmental experience. The adult brain retains some plasticity, but not as much, compared to the child stage. Intervention to facilitate learning is most appropriate early in life when the Central Nervous System is being organized and when there are fewer constraints on its ability to change. At Parijma we have designed a number of Infant Stimulation programs in Early Intervention in order to compensate for infants with dysfunctional brain functioning. The success of early intervention programs with infants indicates that neural tissue can respond to stimulation to facilitate healthy functioning. Pre School and Slow Learner’s School At Parijma we believe that education is an important aspect related to the overall rehabilitation and integration process of children. We have 2 schools at our centre to cater to children who are slow learners or have a learning disability. These are unaided and self-supporting units of Parijma. The schools seeks to discover and nurture each child’s potential that would otherwise go untapped in the warm and stimulation environment of our centre, our children grow naturally and joyfully. Our team of qualified, experienced and dedicated teachers work to enable students to develop into healthy and responsible adults.
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