Neurological Rehabilitation

Traumatic brain injuries are caused by external trauma or force exerted on the skull which can violently move around the brain inside the cranium. For the continued recovery of the patient after acute-care phase, an integrated and comprehensive rehabilitation program addressing the challenges and goals of the patient is always advisable. Depending on the level of disability experienced, patients are provided with rehabilitative care to enhance function and recover strength and movement in the muscles, with the goal of enabling them to engage in everyday activities with maximum independence

Traumatic brain injury, depending on the magnitude of the impact perceived by the patient, impedes a wide range of brain functions. The symptoms of TBI can, therefore, be studied at several levels. Some of the most primary symptoms are as follows:

• Cognitive: Amnesia, inability to speak or understand language, mental confusion, difficulty concentrating
• Behavioural: Abnormal laughing and crying, aggression, impulsivity, irritability, lack of restraint
• Muscular: Instability or stiff muscles
• Speech: Difficulty in speaking or slurred speech

Spinal cord or the backbone is a long, tubular structure composed of nervous tissues which originates from the base of the brain and extends till the lumbar region of the vertebral column. The brain and the spinal cord together make up for the Central Nervous System (CNS) that is responsible for integrating, coordinating and influencing a wide array of voluntary and involuntary activities throughout the body.

Damage sustained to the spinal cord can alter the physical functioning of the patient temporarily or permanently. SCIs are classified as complete or incomplete spinal cord injuries, with complete SCI severely compromising all functions below the region of injury. In the case of incomplete SCI, the patient may still retain some motor and sensory functions below the spot of injury. SCI rehabilitation is a multidisciplinary program which entails experts from different disciplines, such as physiotherapy and occupational therapy, providing care to the patient at each progressive stage of rehabilitation to help the patient get back to their normal life. Another vital component of the patient’s well-being is ensuring them emotional support through continuous counselling during the course of the rehabilitation care

Muscular dystrophy is a group of inherited diseases that damage and weaken your muscles over time. This damage and weakness is due to the lack of a protein called dystrophin, which is necessary for normal muscle function. The absence of this protein can cause problems with walking, swallowing, and muscle coordination.

Parkinson’s disease affects the nervous system, rendering motor functions difficult. Parkinson’s is a degenerative disease whose symptoms worsen with time but today treatment is available in the form of medications, brain stimulation along with rehabilitative techniques to abate its progression in a patient. Targeted rehabilitative treatment can benefit the patient in terms of improvement in flexibility, mobility, gait speed and strength. In addition, with effective rehabilitation, patients can exhibit improvements in regards to functions and fall risk.

Major goals are early diagnosis and establishment of a rehabilitation plan, maintenance of ADL and ambulation as long as possible by proper Physiotherapy and Occupational therapy, anticipation of complications, and the development of a program of prevention and supportive counselling to patient and family.

GBS is characterized by the breakdown of myelin insulation of the nerves by the immune system. This in turn leads to neuromuscular weakness and associated disabilities in the patient. The patient might initially experience a tingling sensation or weakness in the legs, which can evolve into paralysis or hemi-paresis as the condition worsens. Since GBS induces neuromuscular weakness, the patient can also experience difficulty in breathing.

Rehabilitative care for GBS has been found to be effective in returning functions to the patient. As the severity of the condition and the impairments experienced will be different from individual to individual, rehabilitative care for GBS entails a very personalized prognosis and rehab strategy. The prognosis can demand an integrated rehab plan with different experts like physiotherapists, speech therapists, pain management and medical management experts tending to the patient with the goal of returning them to life with maximum independence.

At DGS Stroke Rehab, we treat below mentioned Neuro conditions also.. (apart from above mentioned conditions),

• Multiple sclerosis
• Subdural Hematoma
• Post-Brain Tumor surgery
• Peripheral Nerve Injuries (Brachial Plexus Injury, Lumbo-Sacral Plexus Injury)
• Post-Brain Surgery
• Movement Disorder

To effectively conduct a neuro rehab program, there is a need for cross-functional medical experience. Here are the members and specialists you’ll find in your neurological rehabilitation team

• Physical Therapist
• Occupational Therapist
• Speech/Swallowing Therapist
• Dietician
• Counsellor