Physiotherapy is a broadened branch of modern science; proven in its effectiveness which strives not only for the improved functional status of the patient but also for improved quality of life. Physiotherapists are independent healthcare professionals who provide safe, quality, client-centred physiotherapy through a commitment to service availability, accessibility and excellence. Physiotherapists exercise professional judgement in unique, complex and uncertain situations.

The Department of Physical Medicine and Physiotherapy at SGRH has been offering specialized care to its patrons for many years. With the upgradation of the facility SGRH continues to show its commitment towards the science of rehabilitation. The Physiotherapy Department at SGRH is one of the largest and well-equipped in the country with latest computerized equipment, working in all subspecialties in physiotherapy offering a multifaceted approach to the patient’s rehabilitation by a qualifi ed and highly experienced team of physiotherapists with treatment procedures of international standards providing:

• OPD services (Direct and referral)
• IPD services (in Wards and Intensive Care Units)

Our team of therapists is committed to client-centred services that respect the autonomy and dignity of the recipient. Our physiotherapists work with clients of all ages in a diversity of settings to provide health services in wellness, acute care, rehabilitation and long-term care. They are bound by ethical principles to act with integrity, accountability and judgement in the best interests of the client. Our team of physiotherapists is constantly evolving through research, education and practice. In their services, they strive to achieve optimal health outcomes and use resources effi ciently and safely. The centre for rehabilitation medicine is committed to the initiation, promotion, execution and dissemination of highquality treatment of all aspects of rehabilitation.

The department offers comprehensive services in areas of:

• Pain: Low back pain, neck pain, any other musculoskeletal pain
• Shoulder, arm, wrist, or hand problems
• Knee, ankle or foot problems
• Carpal tunnel syndrome
• Repeated stress injuries (RSI)
• Peripheral nerve injuries
• Spinal injuries
• Sports injuries
• Sprains and muscle strains
• Arthritis
• Post-traumatic stiffness
• Cardiac rehabilitation
• Rehabilitation after a serious injury
• Chronic respiratory problems like COPD/ILD
• Stroke rehabilitation
• Problems with balance
• Disabilities of newborns
• Pre-/post-natal programmes
• Incontinence
• Fitness and wellness education

Areas of physiotherapy

• Critical care medicine and ICU
• Cardiology and cardiac surgery
• Cardiothoracic and vascular surgery
• Chest medicine
• General surgery
• Genetic medicine
• Multi-organ transplantation
• Nephrology
• Neurology
• Neurosurgery
• Nuclear medicine
• Obstetrics and gynaecology
• Orthopaedics/knee/hip replacement
• Paediatrics/paediatric surgery
• Plastic surgery
• Renal transplant surgery
• Spinal rehabilitation
• Sports rehabilitation
• Surgical gastroenterology
• Urology
• Post-surgical spinal rehabilitation in cases such as cervical plating, lumbar fi xation, scoliosis, spinal stenosis, spondylolisthesis, etc.
• Post-Covid rehabilitation

Facilities available

• Manual therapy : Hands-on stretching, manual resistance training, joint mobilization and manipulation, manual lymphatic drainage (postlymphoedema), chest physiotherapy
• Electro-therapy techniques : Laser therapy, EMG: Biofeedback, ultrasound therapy, diathermy (PSWD, MWD, LWD), interferential current therapy, other currents like Russian, Galvanic, Faradic, etc.; traction (cervical and lumbar), continuous passive motion lower extremity
• Exercises : Posture training, muscle strengthening, cardio vascular training and stretching
• Other services : Advice orthosis and prosthesis offering information regarding equipment aids (wheel chairs, walking aids), taping and splinting

Physical modalities

• Moist hot packs
• Cryotherapy (ice-therapy)
• Paraffi n wax bath
• Soft laser therapy
• Pulsed short-wave diathermy
• Microwave diathermy
• Ultrasound therapy and phonophorosis
• Interferential therapy
• Electronic cervical and lumbar traction
• Cold compression therapy
• TENS (transcutaneous electrical nerve stimulation)
• Faradic and galvanic stimulation (iontophorosis)
• Russian stimulation
• MF currents
• Ultra-reiz currents
• Continuous passive motion exercises (CPM)
• Motorised electronic tilt-table (to treat postural hypotension, initiate standing)
• Gait training treadmill–machine which helps to achieve proper gait cycle with the screen score)
• Multi-gym exerciser
• Unweighing system
• CRYOFLOW is a cold-air therapy unit with an adjustable airfl ow and biofeedback system

Special facilities for spinal cord injury

Spinal cord injury refers to damage to spinal cord resulting from trauma (e.g. car crash, fall from height) or from disease (e.g. cancer), which causes partial or complete loss of motor and sensory function of arms/legs or body. Most severe spinal cord injury affects the system that regulates bowel and bladder control, breathing, and blood pressure.

Rehabilitation involves

• Physical training
• Proper positioning
• Bed mobility/wheelchair transfers
• Activities of daily living training
• Adaptations and modifi cation of home and environment
• Education about complications and prevention
• Precautions need to be explained
• Ergonomics

Facilities for gait and balance includes

• Dynamic stair trainer : The revolutionary dynamic stair trainer (DST) combines the unique feature of parallel bars and height adjustable stairs.
• Thera-vital : Thera-vital can be used for upper and lower limb: active assisted, passive, active.
• Gait training treadmill to improve gait and prevent falls.
• Balance system (BIODEX) : Computerized machine which help the patient to achieve proper balance with the screen score and proper report for balance training to improve gait and prevent falls.
• Unweighing system : Enables partial weight-bearing therapy to be conducted with the assurance of patient comfort and safety, and with convenient access to the patient for manual assistance and observation.
• Parallel bar

Other facilities

• Exercise therapy
• Joint mobilization and manipulation
• Soft tissue mobilization and manipulation
• Relaxation therapy
• Cyriax deep friction massage
• Trigger point therapy
• Orthotics/splinting
• Ante-natal classes
• Fitness consultation
• Tapping
• Training schedules for sportsmen and sportswomen
• Ergonomic advice

Occupational therapy

Occupational therapy is a branch of medicine which is the application of purposeful, goal-oriented activity through latest technology with computerized system and evaluation, diagnosis and/or treatment of person whose function is impaired by physical illness or injury, emotional disorder, congenital developmental disability or the ageing process, in order to achieve optimal functioning, to prevent disability and maintain health.

Occupational therapy service

1. Paediatric rehabilitation in cases such as

• Sensory processing disorders
• Autism spectrum disorders
• Cerebral palsy
• Learning disorders and cognitive defi cits
• ADHD/ADD
• Bipolar disorder and reactive attachment disorder
• Developmental delays
• Dysgraphia (diffi culty with handwriting)
• Genetic disorders
• Rett syndrome
• Spina bifi da
• Failure to thrive/feeding issues
• Seizure disorders
• Traumatic brain injuries
• Other neurological and musculoskeletal disorders

2. Therapeutic activities to enhance functional performance

3. Guidance in the selection and use of adaptive equipment applying assistive technology

4. Design, fabrication, and application of orthosis (splints)

5. Prevocational evaluation and training

6. Consultation concerning the adaptation of physical environments for the handicapped

Other areas under occupational therapy

• Sensory integration
• Neurodevelopment therapy
• Wheelchair training and transfers
• Pain management
• Stress management and relaxation therapy
• Ergonomics to prevent occupational disorders
• Neonatal intervention
• Adaptations in sports injury rehabilitation
• Geriatric rehabilitation and counselling
• Community rehabilitation

Hand therapy

‘A perfect anatomical repair without functional recovery is useless’. Hand therapy focuses on functional recovery from an upper limb injury/disease. Treatment programmes are individualized to meet the goals of each patient. This is done through close communication between the referring physician, our specialized hand therapist and the patient.

Rehabilitation includes

• Exercise in four phases after surgery includes tendon gliding and block exercises
• Static and dynamic splinting
• Precaution
• Purposeful activity guidance

Address

Room no : Ground Floor, Old Building, Ext: 1888