|
Physiotherapy department in Batra Hospital and Medical Research Center is one of the largest and is equipped with latest computerized equipment, working in all sub specialties in physiotherapy. We have a qualified and highly experienced team of physiotherapists providing OPD services (Direct and
refferal) and IPD services ( in wards and intensive care units) with treatment procedures of international standards, to offer a multifaceted approach to the patients rehabilitation.
Physiotherapist provides wide range of therapies after examination, tailored to suit individual needs.Physiotherapist aims to restore functioning of the body, to reduce impact of dysfunction, disability and pain of the body, from trauma and disease. To improve mobility, health and reduce risk of injuries.
Therapies includes:
Manual Therapy: Stretching, manual resistance training, joint mobilization and manipulation, Manual lymphatic drainage (Post lymphedema), chest physiotherapy.
Electro Therapy Techniques: Laser therapy, EMG, Biofeedback, ultrasound therapy, Diathermy (SWD,MWD,LWD), Interferential current therapy, traction (cervical & lumbar), continuous passive motion shoulder and elbow and lower extremity.
Exercises: Posture training, muscle strengthening, cardio vascular training and stretching.
Specialties:
- Sport injuries Rehabilitation CPMs shoulder and elbow, rowing machine, ergometer, treadmill and therabands.
- Maunal lymphatic Drainage Post Lymphedema.
- Pelvic floor reeducation Post Incontinence with EMG Biofeedback.
- Ante-Post natal classes.
- Paediatrics neonatology and congenital abnormalities.
- Weight management centre Exercise regimns with a team approach.
Other Services:
Advice orthosis and prosthesis (post amputation) offering information regarding equipment aids (wheel chairs, walking aids), taping and splintings.
Facilities in Department of Physiotherapy
Electrotherapy - SWD/IFT/Ultrasonic/NV & MS Stimulator, infratonic, Hydrocollator, Paraffin wax bath, Cryotherapy, Laser unit, microwave diathemy, Lymphapress, Longwave
Diathemy.
Diagnostic - I.T curve/MS testing/ADL assessment
Mechanical - Traction-Cervical/Lumbar/Pelvic/C.P.M. for lower extremity and CPM elbow & shoulder. Tiltable, rowing, ergometer with lower extremity, treadmill.
Manual Mobilisation Therapies - Mobilization couch with specific features for mobilization.
Exercise Therapy - Active/Assisted/Passive/Resisted/Graded resisted exercises, PNF techniques, suspension therapy, Theraband/tubes exercises.
Chest Physiotherapy - Assessment of pulmonary functions, therapeutic functions, postural Drainage, Therapeutic, Interventional physiotherapeutic procedures, Nebulization Breathing exercises, Incentive spirometer, Humidification, home care and follow ups.
Gynae/Obstertric - Antenatal & postnatal Ex., postural correction & awareness, incontinence feedback.
Fitness - Assessment & Improvement etc.
Post Operative Cardiac Surgeries - following cardiac surgeries Pre & Post operative Physiotherapeutic exercise for patients including-Breathing exercises, chest manoeuvers, humidification, nebulization, Incentive Spirometers, Limb Physiotherapy,cardiac rehab- phase I -IV
For Neurological Disorders - Proper positioning of the limbs (Anti synergic patterns) general mobility & strengthening exercises, PNF,Bobath
ICU post surgical care :
- Chest physio & general mobility ex.
- Incentive Spirometer ex.
- Bronchial hygiene
- Proper positioning of the operative side/part
- Ambulation
Prevention:
- General postural awareness
- Ergonomic advice at home and at workplace
Geriatrics - Community based rehabilitation starting from village level
(PHCs)
| Diagnostic
Facility |
Therapeutic
Facility |
| Strength duration curve |
Stress, Urge & mixed incontinence |
| Manual Muscle Testing |
Biofeed back (for strengthening muscle ) |
| ADL Assessment (Activities of daily living functional status) |
Lymphoedma (past carcinoma) |
| |
Oedema - DVT/PVD (deep vein thrombosis)(Peripheral vascular disease) |
| |
Hemi plegia, Post Polio residual paralysis) |
| |
Post Trauma/ Arthritis etc. |
| |
Cerebral Palsy |
| |
Neurological Disorders |
| |
Chest Physiotherapy related to post pneumonia in Neonatal Peadiatrics |
| |
Nephrology |
| |
Intensive care (post cardiothoracic), Neurological, Surgical Respiratory, Kidney Transplant |
|
PHYSIOTHERAPY Includes:
Examination, treatment, advice and instruction to any person preparatory to or for the purpose of or in connection with Movement dysfunction, Bodily malfunction, physical disorder/disability, Healing of pain from injury, Diseases, physical and Mental condition using physical agents, Activities and devices including Exercises, Mobilization Manipulation and Electrotherapy for Diagnosis : Prevention and Treatment.
Because of the long years of the successful use of physical agents under different classifications the Physiotherapists, physiologists and recent development in the science of physics and various branches of medicine has made it possible to develop a sound scientific basis for physiotherapy.
What Is Health & Fitness?
- HEALTH : As defined by W.H.O is the state of physical, Mental and Social well being of the
Humans.
- FITNESS : It is the state of well being of the human body. It includes the elements of strength, stamina, flexibility, coordination and behavior, which depend upon the efficient functioning of the circulatory, respiratory, digestive, hormonal, nervous, muscular and skeletal system of the body and psychological state of the mind to enable the individual to get through his daily activities without endangering the injury and fatigue.
How Does Disability Develop?
Physical impairment leads to functional limitation and functional limitation leads to disability.
PHYSIOTHERAPY Why & When:
If the person is suffering from:
- Pain in the Muscles, Ligaments, Soft Tissue Structures, Nerves and joints due to stress, strain and overuse injury.
- Weakness / Stiffness of Muscles/Neuro-Muscular Control/Nerves due to injury or Paralytic/Disease effect.
- Restriction of spinal/extremity, Joint movements due to Arthritis, Spondylisis, Slip Disc, Fractures, Surgery or any other pathology.
- Physical Impairment, Dysfunction or Disability due to the disease, Physical, Mental condition or Injury.
- Non Healing Wounds/Ulcers/Slow Healing Fractures/Odema/Amputations/Adhesions of soft tissues.
- Breathing difficulty due to Traumatic/Obstructive/Restrictive Lung Diseases.
It is advisable to consult the Physiotherapist.
How PHYSIOTHERAPY Helps?
The Physiotherapists are well qualified and trained in the application of appropriate Physiotherapeutic measures after evaluating and identifying the problem. Physiotherapy involves Electrotherapy such as Shortwaves (27.12.MHz), Ultra Sound Waves (1 & 3 MHz), L.F., M.F., Interference Currents, LASER Ultraviolet radiation, Magnetic Field, Traction, Thermal, Mechanical, Exercise and Manual therapy.
What Are The Common Diseases For The Effective Indications Of PHYSIOTHERAPY?
Physiotherapy helps in most of the diseases, disorders, presenting the symptoms as explained earlier but it can be classified as:
- Fitness & Physiotherapy
- Principle Of Evaluation to Assess
Muscle Tone, Coordination, Muscle Strength Testing, Muscular Endurance, Joint Movements, ROM, Flexibility and Stability & Cardio-Respiratory Endurance.
PHYSIOTHERAPY Principle:
- Identify the area of fitness that needs improvement.
- Evaluate any health risk factor and test current fitness levels.
- Overcome the effects of previous injuries, diseases and disabilities because one has to get better to be fit. Set goals appropriate to one's physical condition, making allowance for disabilities, age & pregnancy.
- Design the programme to achieve these goals in view of one's time, profession, motivation, and access to facilities etc.
- Monitor the programme with regular testing, posture correction and maintenance exercises, strength development, flexibility, stamina, coordination, training for selected physical/sporting activity and motivation is to be achieved.
Sports Injuries & PHYSIOTHERAPY:
Sports is a vital part of the Indian lifestyle. It provides exercise, social contact, relaxation, competition and promotes good-health. It may also cause injuries, many of which can be prevented.
Common Injuries:
- Bruises
- Ligament sprains & tears
- Muscles & tendon strains
- Joint injuries
- Overuse injuries
- Stress fractures etc.
Prevention:
- Correct warm-up and cool-down exercises
- Proper stretching exercises
- Protective strapping in some cases
- Correct footwear
- Specific conditioning for a particular sport
- Good general and aerobic fitness
Avoid The H.A.R.M factors:
- H - Heat increases bleeding.
- A - Alcohol increases swelling.
- R - Running or exercising too soon, makes an injury worse.
- M - Massage in the first 24 hours increases swelling and bleeding
PEDIATRICS & PHYSIOTHERAPY:
The primary focus for a physiotherapist 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 acknowledge their inter-relationship and impact on each other. The physical impairment (e.g. central nervous system abnormality) directly affects the child physically.
Common Condition:
Clubfoot, Scoliosis, Congenital, Deformities, Osteogenesis Imperfecta, Genetic Disorders. Duchenne Muscular Dystrophy (DMD). Spina Bifida Occulta, Meningoceles,Meningomyelocele, Chromosomal Disorders, Downs syndrome. Environmentally related Disorders, Cerebral Plasy (CP) etc.
Common Muscular & Skeletal Conditions And PHYSIOTHERAPY:
Include the over use injuries and Trauma of muscle, Ligament, Tendon, Meniscus and other soft Tissues.
Spondylosis, Ankylosing Spondylosis, Myeigia, Myosities. Rh. Arthrities, Peri Arthritis, Frozen Shoulder, Cervico Branchial Syndrome, Bursities, Distortions, Osteochondropathy, Atonia of Muscles, Amputation, Spondylolisthesis, Lumbaristion, Sascralisation, Post Immobilisation, Movement Dysfunction, Disability Management, Kyphosis, Lordosis & Scoliosis, Rickets, Genuvaigus, Varum, Recurvatum, Cocoydynia, Disuse Atrophy, Muscular Dystrophy, Epicondylities, Tennis Elbow, Golfers Elbow, Trigger Finger, Carpal Tunnel Syndrome, Contractures, Calcaneal Spur, Flat Feet, C.T.E.V. ETC., Tendinitis, Lumbago, Causalgia, congenital Dysplasia, Irritative Radiculitis, Haemarthrosis, Effusion of the Knee joint, Tenosynovitis, Tendo Vaginitis, Prolapse I.V.Disc. Sacro Iliatis, I.V.Ligament Strain, Sciatica and Low back pain, Delayed healing in fractures, Dental pain, Tempromandibular ankylosis.
Surgical conditions commonly referred to the physiotherapist include. Pre-operative care, Total Joint Replacement, Amputation, Synovectomy, etc., for prevention and minimising the extent of disability.
Common Cardio-Pulmonary Conditions And PHYSIOTHERAPY:
Include Ischemic Conditions. Ischemia, Arteriosclerosis, Coronary Heart-Diseases (CHD) & Lung Diseases & Operative.
- Obstructive: If the pathological changes in the lung cause abnormality in airflow through the bronchial tubes.
Symptoms: Chronic productive cough, excessive mucus production, changes in the sound produced,
when air passes through bronchial tubes, and shortness of breath (dyspnoea). The specific disorders
that can produce these changes include chronic bronchitis (inflammation of the bronchi), emphysema
(trapping air in the alveoli), and peripheral airway disease (collapsing of terminal bronchioles). Other
disorders that are sometimes included. Asthma (spasm like contraction of bronchi resulting in air
trapping) and cystic fibrosis(dysfunction of glands causing blockage of the bronchi).
- Restrictive lung disease: If the pathological changes cause the decrease in the volume of air in the lungs.
Cause of this disease: The process, which effects lung tissue directly, is idiopathic or unknown.
Other causes include chronic inhalations or air pollutants such as coal dust, silicon or asbestos,
infections such as pneumonia, cancer of the lung etc. Some of these affect the lung tissue itself,
while others affect the chest wall or the muscle of respiration.
Common Gynecological, Obstetric Conditions And PHYSIOTHERAPY:
The disease, trauma and natural physiological process of menstruation and pregnancy demand the introduction of physiotherapy at different levels and at various stages of illness.
The common ailments indicated for physiotherapy are pelvic inflammatory Disease (PID), Menstrual Pain, Adnexitis, Parametritis, Salpingitis, Hydrosalpinx, Prolapse uterus & rectum, Stress incontinence, Tubal blockages causing sterility often needs active physiotherapy Management, besides Antenatal & Post natal care.
Aims of Physiotherapy in Obstetrics (During Antenatal care).
(a) To teach the patient to relax, so that she may really rest between uterine contractions and thus
preserve her energy.
(b) To assist in establishing a healthy psychological approach to the birth.
(c) To teach the patient, elementary physiology of labor.
(d) Posture corrections and prevent follow-up Back Pain.
(e) During Labor-To prevent premature bearing down.
Geriatric PHYSIOTHERAPY: For The Persons:
The population of the older adults in the country is approx. 7.8%. The difficulties observed in this group in performing the A.D.L.s is identified for the possibilities of decreased fitness levels and presence of developing or developed disability and need to be assessed, evaluated and managed on the basis of clinical findings observed.
With the increasing awareness amongst the patients about physiotherapy and its benefits, more number of patients are opting for physiotherapy nowadays.

|