Physiotherapy and Rehabilization
Physiotherapy and Rehabilization Science in India
Physiotherapy led rehabilitation is a clinically and cost effective intervention for those patients whose life has been adversely changed by injury, illness or disease.
What is rehabilitation?
Physiotherapy rehabilitation aims to optimise patient function and well-being, to help integrate that patient back into their chosen lifestyle activities whether at home, work or leisure. Rehabilitation should focus on changes to functional disability and lifestyle restrictions based on the patient’s own goals for functional improvement.
Rehabilitation can be used for recovery from injury or disease and also for the management of long-term conditions (e.g. Parkinsons and MS).
Rehabilitation should start as soon as possible to speed recovery. The programs that combine many different components are likely to be most effective.
19 minutes of additional exercise a day in an acute or rehabilitation setting is all that is required to achieve:
- improved mobility and activity levels
- shorter length of stay in hospital
- significantly improved quality of life
Having found compatible people with the correct approach, one begins the method, the priniciple of which is to survey the patient as. a human being with family and financial responsibilities, with work problems, and with a disability which has temporarily disorganized his whole life. Let us emphasize once more that the rehabilitation programme should begin on the day on which he has the operation or accident, or on which his illness begins. This is a saving in time, in money, and in human suffering, because delay has been known to lead to unnecessary tnental and physical deformities which at a later date are more difficult to repair. These then are the steps. in the whole method:
- 1. Evaluation.
- 2. Physical Medicine.
- 3. Psychological Supportive Training.
- 4. Vocational Training.
Types of Disabilities.
The types of disabilities encountered fall into two groups:
- 1. Those with acute short-term conditions.
- 2. Those with chronic long-term disabilities.
In the first group one finds:
- (a) Postoperative patients reqUirIng techniques such as breathing exercises and prophylactic conditioning of muscles neces~ sary to prevent the evils of uncontrolled rest.
- (b) Traumatic and orthopredic patients with fractures, amputees, paraplegics in the initial stage of their disability, and others with muscle and nerve injuries which seriously impair function.
- (c) Patients with vertigo following fenestration operations. At King’s College Hospital a very special routine has been worked out for these patients with excellent results.
- (d) Thoracic patients both medical and surgicaL
- (e) The early planning of prophylactic care for all patients with medical conditions necessitating more than a week of bed rest, especially those patients suffering from disturbances of the central nervous system and the cardiovascular system, for example with hemiplegia.
In the second group one finds:
- (a) Paraplegics, either as a continuation of their initial care, or for those unfortunate individuals who have been allowed to develop complications.
- (b) Hemiplegics, who always need retraining for a long period.
- (c) Quadriplegics.
- (d) Amputees.
- (e) Patients with miscellaneous disabilities resulting from conditions such as arthritis, poliomyelitis, cerebral palsy, multiple sclerosis, or Parkinson’s disease.
- (f) All patients with traumatic conditions.