A Special Issue on Stroke Rehabilitation

It has been aptly said thatThe best way to predict the future is to INVENT it”.

The maiden issue of PhysioTimes received an overwhelming response from Physiotherapists across India. The suggestions and offers of help have poured in. I consider it my privilege to thank our readers for their unstinting support. This second issue of Physio Times is focused on the management of patients with stroke. The issue of management of the stoke patient in the ICU and then later after release into the general ward has been a matter of intense debate amongst both clinicians and Physiotherapists. There is a dearth of Physiotherapists dedicated to rehabilitation of the post stroke patients.

Where does the battle begin? In the ICU itself and then continues till the patient can effectively have a good quality of life and if possible return to independent performance of routine activities. What has been the evolution down the years in rehabilitation of the stroke patient? What are the prevalent concepts in post stroke rehabilitation? These are some of the interesting issues which are profiled in this issue of Physio Times. Keeping the current trends in stroke management, I concur with some clinician and Physiotherapists’ opinions that “We have to acknowledge the progress we made, but understand that we still have a long way to go. Those things are better, but still not good enough!”

The Marketing Mantra section got special compliments from the readers in the first issue. In this issue, we bring you information on a unique scheme of the government of India that could help you get financial assistance you require to start your own PT center with less hassles. Student corner discusses the role of muscle relaxants in spasms and spasticity. The issue also features a special article on the role of physiotherapists in disaster management by Dr. Ali Irani. Physio Yoga by Dr. Nilima Patel features the role of yoga in stroke rehabilitation. Dr.Nitesh Bansal has provided an update on recent developments on Physiotherapy central council. The Physio Speaks section features interview of renowned manipulative therapist Dr(Prof.) Uma Shankar Mohanty. 

COVER STORY: Physiotherapy in Stroke Rehabilitation-Recovery or Compensation? - DR.ASMITA KARAJGI

Movement is a critical aspect of life. Stroke has been an arena of intense research over the past decades. A better understanding of the etiopathogenesis of stroke has been the outcome of this research. In addition, the risk factors and symptoms are better recognized, as is the importance of responding quickly to minimize brain damage. In fact, today stroke has sometimes been referred to as a "brain attack" to emphasize the urgency of a brain attack with a heart att... Read More

CLINICIAN SPEAKS: The Role of Physiotherapists in Stroke Patients - DR.SUNIL PRADHAN

Stroke is the leading cause of disability. After coronary heart disease (CHD) and cancer of all types, stroke is the third commonest cause of death worldwide. It is more common in males and uncommon below the age of 40 years. According to the National Stroke Association, 10% of stroke survivors recover almost completely, 25% recover with minor impairments, 40% experience moderate to severe impairments that require special care. 10% require care in a nursing home or other long-term facility, 1... Read More

REVIEW ARTICLE: Stroke Rehabilitation: Adapting Research Findings into Clinical Practice. Are we ready? - CLINICAL MEDICINE INFORMATICS INDIA

The types and degrees of disability that follow a stroke depend upon which area of the brain is damaged. Generally, stroke can cause five types of disabilities:

1) Paralysis or problems controlling movement, 2) Sensory disturbances including pain, 3) Problems using or understanding language, 4) Problems with thinking and memory, 5) Emotional disturbances.

The role played by physiotherapists in stroke rehabilitation

Physical therapists specialize ... Read More

PHYSIO SPEAKS: Interview with the founder of Manual Therapy Foundation of India - PROF.UMASANKAR MOHANTY

Prof. Umasankar Mohanty, B.P.T (Hons), M.P.T (Manual Therapy), S.R.P (London), M.I.S.E.P, M.I.A.P, F.A.G.E, is the founder and Chairman of Manual Therapy Foundation of India®. He is the member of International Society of Educators in Physiotherapy (under WCPT) and life member of Indian Association of Physiotherapists. He has several publications in the Journals and newspapers. He conducts regular programmes in Manual Therapy (Integrated approach) at different places ... Read More

STUDENT CORNER: Muscle Relaxants For The Treatment Of Spasms & Spasticity: Boon or Bane? - DR. VAISHALI DADKAR

A variety of neurological disorders and musculoskeletal disorders are accompanied by spasticity and muscle spasm. Spasticity and muscle spasm differ from each other in the sense, spasticity is an increase in the muscle tone associated with a decrease in muscle power whereas a spasm is an involuntary contraction of a muscle or a group of muscles leading to pain and functional limitation.

Lesions at various sites within the brain and spinal cord cause spasticity. Diseases such as ... Read More

MARKETING MANTRA: CGTMSE: Key To Getting The Financial Assistance You Require To Start Your Own Physiotherapy Centre - MUKESH JAIN

The section ‘Marketing Mantra’ is dedicated to share with you the essential management & marketing skills you need to facilitate your professional growth. In our previous article in the maiden issue, we had discussed some of the key factors you need to keep in mind while ‘starting and managing private practice in physiotherapy’. However, of all the aspects, finding appropriate sources of raising the funds and managing the finances, are the principal components of a... Read More

CASE REPORT: Neuroregenerative Neurorehabilitation Therapy Using Autologous Bone Marrow Derived Stem Cells In Concert With Intensive Physiotherapy In A Case Of Spinal Cord Injury. - DR.MAMTA LOHIA

Often spinal cord injury is more frequent in younger age groups. Mostly they result from damage caused by traumatic events such as motor vehicle accidents, falls, or gunshot wounds. The physical, personal, financial and social impact of injury is such that most patients are lost in follow ups or succumb to life-threatening complications associated with spinal cord injury. Thus, Spinal cord injury is a low incidence, high costing disability requiring tremendous changes in an individual’s... Read More

EXPERT SPEAKS: Role of Physiotherapists In Disaster Management - DR.ALI IRANI

Disasters and disaster response have become prominent issues in recent years. This article would primarily talk about the description of disaster; current role played by the physiotherapist and the prospective role of the physiotherapists in future disasters. Disaster is a sudden, calamitous event bringing great damage, loss, destruction and devastation to life and property.  As defined by the Center for Research on the Epidemiology (CERD), disasters are events or situations that overwhe... Read More

PHYSIO YOGA: Yoga and Stroke Rehabilitation - DR.NILIMA PATEL

There are three keys to successful rehabilitation for stroke patients: 1. Rehabilitation must begin as soon after the stroke as possible.  2. The family can be the affected person's most important form of support during rehabilitation. Family support is critical to successful rehabilitation. 3. Rehabilitation requires cooperation of professionals, patient and family members. Two common problems that arise after a stroke are difficulty with balance, and one-sided weakness affecti... Read More

BOOK REVIEW: Steps To Follow: The Comprehensive Treatment of patients with Hemiplegia - Patricia.M.Davis & Skeletal Muscle From Molecules to Movement: A Textbook of Muscle Physiology for sports, Exercise, Physiotherapy and medicine - Jones, David Anthony

Steps to Follow: The Comprehensive Treatment Of Patients With Hemiplegia

This new edition of a best-selling guide incorporates significant practical advances in the early and later neurorehabilitation. Based on the Bobath concept, Davies' approach to stroke rehabilitation stresses the need to equip the patient for a full life, rather than setting arbitrary goals for functioning in a sheltered environment. Activities are described for encouraging the recovery of active movements ... Read More

READERS DESK: Bharat Natyamand Physiotherapy-A Correlation - DR.BIJAL CHAMPANERIA

The reader’s desk is a section dedicated to encourage our readers to share their practical experience & knowledge on any topic related to physiotherapy profession. The first in the series is an article by Dr. Bijal Champaneria, who is presently perusing her internship at SBB College of physiotherapy, A’bad. Apart from being a physiotherapist, she is also a Bharat Natyam dancer.

Bharat Natyam & Physiotherapy: Bharat Natyam involves repetitive move... Read More

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