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Physiotherapy in Delhi

Our range of Physiotherapy Services

Orthopaedic

  • Improves joint functionality
  • Therapy for general injuries

Neurological

  • Recover from neurological impairments
  • Physiotherapy for stroke & spinal cord injuries
  • Therapy for Parkinson’s disease

Sports

  • Therapy for sports injuries
  • Joint, muscle & bone injury prevention

Post-Operative

  • Restores motion and strength
  • Speedy recovery after surgery

Paediatric

  • Therapy for babies, toddlers and young children
  • Helps developmental of cognitive & motor skills
  • Helps babies start walking, improve balance & grip.


Geriatric

  • Therapy for elderly family members
  • Treatment for arthritis, Alzheimer’s, joint stiffness, etc.

Bachelor of Physiotherapy (BPT) Top Colleges,

D

Top Colleges for Bachelor of Physiotherapy [BPT]

BPT Course: Highlights

Some of the major highlights of the course are tabulated below.

Course LevelUndergraduate
Duration4.5 years
Eligibility10+2 from a recognized educational Board.
Admission ProcessCounseling after qualification of a relevant entrance examination.
Examination TypeSemester System
Total Course FeeINR 1 to 5 Lacs
Average Starting SalaryINR 2 to 8 Lacs
Top Recruiting Areas/FieldsHospitals, Educational Institutions, Health Institutions, and such.

PT Course: What is it about?

Physiotherapy is a branch of healthcare that applies modes of physical movement such as exercise, massage, besides education, advice, and counselling services to circumstances where movement and function are threatened by ageing, pain, injury, diseases, disorders, conditions, or other environmental factors.

Students enrolled to the course are taught on an advanced level about core physiotherapeutic skills such as manual therapy, therapeutic exercises, and application of electro-physical modalities, which have been proven to cure a range of disabilities and disease related to spine, back, neck, and even stress-related incontinence.

BPT Course: Top Institutes

Some of the top institutes offering the course in the country are tabulated below along with their corresponding locations and fees charged by each.

NAME OF INSTITUTELOCATIONAVERAGE ANNUAL FEES
Christian Medical College (CMC)VelloreINR 40,603
Madras Medical College (MMC)ChennaiINR 1,150
SRI Ramachandra UniversityChennaiINR 66,667
Lokmanya Tilak Municipal Medical College (LTMMC)MumbaiINR 29,143
Institute of Post Graduate Medical Education and Research (IPGMER)KolkataINR 12,500
Government Medical College (GMC)NagpurINR 24,200
Topiwala National Medical College (TNMC)MumbaiINR 35,060
PT Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMES)RohtakNot Mentioned
M.S. Ramaiah Medical CollegeBangaloreNot Mentioned
Maharajah’s institute of Medical ScienceVizianagaramINR 64,000
Baba Farid University of Health ScienceFaridkotINR 53,333
Manipal University (MU)ManipalINR 99,500
Maharashtra University of Health Science (MUHS)NashikINR 20,830
Santosh UniversityGhaziabadNot Mentioned
Bundelkhand UniversityJhansiINR 40,755
Maharaja Agrasen Medical College (MAMC)AgrohaINR 47,705
Hamdard Institute of Medical Science and Research (HIMSR)New DelhiINR 1,00,000
NIMS UniversityJaipurINR 52,222

NEUROGEN REPORT: Neuroregenerative Rehabilitation Therapy – DR.MAMTA LOHIA

Physiotherapists play a significant role in improving the functional status of patients with neurological disorders. However, there are some neurological diseases and injuries, where despite our best efforts, the patients are still left with severe and incapacitating neurological deficits.It is for this group of patients that there is now a new hope in the form of regenerative medicine using stem cell therapy.The relevance of stem cell therapy to us is that, physiotherapist have a very important role to play in this therapy, both before, during and after the treatment.The combination of regenerative medicine using stem cells and an aggressive neurorehabilitation program is referred to as Neuroregenerative Rehabilitation therapy(NRRT). The interesting fact of this combination is that the stem cell therapy helps in improving the clinical results of our physiotherapy, whereas at the same time physiotherapy helps in improving the clinical results of stem cell therapy.

The neurological disorders that respond to NRRT include  Spinal Cord injury, Multiple sclerosis, Muscular Dystrophy, Cerebral Palsy ,Stroke, Motor Neuron diseases ,Dementia, Sequelae  of head injury  &  Neurological infections and other genetic neurological disorders .The  concept of Neuro Regenerative Rehabilitation Therapy(NRRT) at NeuroGen promotes a multidisciplinary & holistic approach to bring about recovery of neural function with a close integration of Neuro regenerative (including stem cell therapy), Neuro protective (medications)& neurorehabilitative therapies (physical / occupational / speech). Thus, it combines the best neurobiological repair technologies & neurorestorative techniques. The rehabilitation protocol  is then individualized to the specific requirements of each 

patient emphasizing on functional recovery & independence in ADL.

As Physiotherapists we would all like to know “What are stem cells?”: Stem cells are unspecialized immature cells that are capable of dividing endlessly & making exact replicas of themselves and also of spawning a range of more specialized cells. There are 3 types of stem cells:

a)Embryonic stem cells (ESC’s):derived from embryos obtained from IVF clinics & aborted tissues.

b) Cord blood stem cells: obtained from umbilical cords at birth & they are collected & stored in cord stem cell banks.

c) Adult stem cells: found in adult tissues such as bone marrow. Their primary role in the body is maintenance & repair of different tissues. These adult stem cells have the potential to form other types of tissues such as neurons.

Their exists confusion in the mind of many medical and rehabilitation professionals about the governmental regulations that exist regarding stem cell therapy.The actual facts are that , in India,the Indian Council of Medical Research (ICMR)  is responsible for the regulations for stem cell therapy and according to them the use of adult stem cells is permissive. The ICMR however puts the use of  embryonic stem cells in restrictive category and therefore, we do not use embryonic stem cells at NeuroGen. We use only Autologous adult stem cells derived from the bone marrow. The advantage of using adult stem cells is that recipients  will not experience immune rejection or any other serious side effects since; it is their own tissue (autologous) that has been injected back in to them.

The NRRT protocol includes hospitalization of patient for 6 days, where in on day 1 ,the patient is thoroughly evaluated by the rehabilitation team. The scales used to assess the patients are disorder specific, eg. Modified Ashworth scale for spasticity, Manual muscle testing , Functional independence measure(FIM), ASIA scale for Spinal cord injury , STREAM scoring for stroke patients,  GMFCS–E & R for cerebral palsy , Expanded disability status score for Multiple sclerosis ,Amyotrophic lateral Sclerosis Functional rating scale for Motor Neuron Disease, Brooke & Vignos scale for Muscular Dystrophy. After thorough evaluation, in cases of selective muscle weakness(eg. In muscular dystrophy patients), motor points on those muscles are plotted by the  physiotherapists,  where stem cells are to be  injected (intramuscularly).Motor points are the surface references of the muscle beneath, which either denotes the main entrance  point of the nerve into the muscle ,or  in case of deeply placed muscles, the point where the muscle emerges from under cover of the more superficial ones .Thus , injecting stem cells at e motor points of the muscles facilitates further specific implantation of the  cells in isolated individual muscles, with a better chance of improving their overall function or muscle power.After evaluation on day 2, patient undergoes autologous stem cell( bone marrow derived mononuclear cells) transplant, intrathecally and in select cases  intramuscularly too.This  is a minimally invasive procedure & is reasonably safe, done under local anesthesia & a mild sedation. Following this, patients undergo intensive neurorehabilitation from the very  next day .

The rehabilitation protocol includes individualized treatment plan with emphasis on individual muscle strengthening, especially the muscles that have been injected with stem cells .These are usually the  anti gravity muscles of upper , lower limbs and trunk muscles. Research reveals that the  injected stem cells release cytokines, growth factors and  promotes angiogenesis in the injected area, i.e., in the nervous system and the muscles. This further  promotes  regeneration of the nervous system with  strengthening   the connectivity  as well as stimulating optimal activity of  the skeletal muscle fibres and delaying the degeneration in the muscles .Studies also reveal that exercise helps in mobilizing the stem cells thus giving enhanced results. Hence, muscle strengthening exercises using theraband, weight cuffs & swiss ball activities are widely used. We also advise regarding the orthotic management of the patient , so as to facilitate easy movements & promote early weight bearing &  gait training. After infusion of stem cells, physiotherapy plays a prime role in enhancing & facilitating their mobility & multiplication within the body. It has been observed that patients, who have continued a regular , vigorous & intensive rehabilitation program after the therapy have shown better & sustained clinical improvements .Hence, it is advised to follow the international rule of 6 which recommends “6 hours of rehabilitation activities per day for 6 days a week for 6 months “. Thus, rehabilitation forms the core of the NRRT.

STATISTICS:  At NeuroGen,  we have treated  over 400 patients of different Neurological Disorders like Spinal Cord Injury ,Muscular Dystrophy , Multiple Sclerosis , Cerebral Palsy , Stroke ,Motor Neuron Disease  & other miscellaneous conditions  like spinocerebellar ataxia,  syringomyelia, spinal muscular atrophy, head injury ,autism, peripheral neuropathy, etc. Our results analysed for 300 patients with 6 months of followup ,  broadly, are as follows: Out of 300 patients, 73% of them have improvements in their symptoms & functions, thereby, improving their quality of life. A few of them, who were suffering from MND (a rapid progressive disorder) despite  the therapy, continued to deteriorate .Specific improvements seen in various disorders (at the end of 6 month follow up & regular physiotherapy) are as follows:In Multiple sclerosis, out of 22 patients, 17 patients showed reduction in spasticity, 9 showed improved UE & trunk coordination, 6  improved in speech clarity, 8 showed increased muscle strength, & 17  showed spasticity reduction. Also, 11 patients shifted on EDSS Scale showing objective neurological improvement.In Muscular Dystrophy patients out of 72, 32 showed improved trunk strength, 30 improved in their LE strength & 20 improved in UE strength, with 11 of them showing gait improvement.In spinal cord injury patients about 12 shifted on ASIA scale by 2 grades, showing improvements in muscle power & gait with assisted devices.In cerebral palsy, out of 16 patients 6 showed improvement in oromotor functions like speech swallowing &  neck holding  ,8 of them  showed reduction in  seizure frequency & 10 showed normalization of tone.Out of 11 Stroke patients ,6 showed reduction in spasticity, speech & gait improvement while 4 improved in hand function.In Motor Neuron Disease, results are not very promising,since only (7 %) improved while (97%) deteriorated with symptoms of early fatigue , weakness, muscle wasting &  bulbar symptoms ,which progressed  with  the natural  course of the disease.

In such a scenario, we envisage a very important and combinatorial role of rehabilitation enhancing the outcomes of upcoming regenerative therapies.This multi-pronged approach is surely the way ahead and it behooves us, as the rehabilitation specialists, to participate more actively to be a part of this burgeoning, frontline research. 

Home Healthcare: Best Practices By Poonam Botadara

Home health care is a system of care provided by skilled practitioners to patients in their homes. The goals of home health care services are to help individuals to improve function and live with greater independence; to promote the client’s optimal level of well-being; and to assist the patient to remain at home, avoiding hospitalization or admission to long-term care institutions. When it comes to physiotherapy, home health care is an integral part of the practice. More so in the modern era, where people have started expecting everything over a single click of a button, home health care is fast becoming a more convenient and usually less expensive alternative, especially for the elderly population.

After listening to the home health care experiences of my colleagues at work and other physiotherapists, I thought of writing about this important topic from my point of view. I have been actively involved in home health care for about three years now along with my Job at the hospital and thus thought of taking up this topic on a larger scale for all of us in this field.

While I was in the United States, I was constantly reminded about the importance of documentation, insurance policies and also heard numerous cases of clients suing the therapist or the Insurance Company’s queries for Physiotherapists to justify the number of sessions needed by the patient to restore them to their prior function level. However in India, most of us are not currently facing such issues due to the standard of practice being different from other countries but very soon I am sure that we will also have these procedures soon enough with so much advancement in our field in the last few years!

Let me narrate a small incidence that prompted me to take this up more sincerely. I will highlight the important things. I was treating an elderly lady aged around 80 years for her right knee pain, which developed after having twisted her knee while trying to get off the car. She was unable to travel due to the pain thus wanted to be seen at home. They had already tried some home remedies but to no avail. She resided with two maids in the house and her daughters would visit/stay whenever possible. We started rehabilitation keeping all the factors such as age, medical history (HTN, IHD and severe OA of both knees requiring TKR which she didn’t wish to undergo), x- ray and orthopedic clearance in mind and progressed very slowly with her.

I explained all precautions and necessary steps that needed to be taken to the daughter and the maids, gave regular updates to the daughter post every session and handed an exercise sheet with instructions in the language understood by her daughter and maid separately. Having learnt the importance of documentation, I used to keep a record of general patient details, anything clinically relevant or the changes made in exercise protocol in a notebook as and when possible, more for my reference and self reflection to modify treatment/evaluation.

The sessions were irregular after sometime as she was having other health concerns and I insisted on medical clearance from her Cardiologist before continuing her physiotherapy treatment. Her daughter contacted me after sometime stating that her mother was better and the doctor said we could continue rehabilitation. I resumed the session and noted that she was complaining of increased pain in her right knee on weight bearing which wasn’t present earlier and I requested her daughter to see an Orthopedic at the earliest, however they said they had shown him and he had advised TKR only so we should continue. However I refused to go ahead with the treatment as I noted increased swelling, bruising and pain in her knee.

I also noted that the maids and daughter had different versions of details which were told to me when I inquired about my patient’s activities in details. After a few days the daughter said that she took her mother to a different Orthopedic who advised her bed rest and also made a comment regarding the Physiotherapist not having enough knowledge and thus she had landed with a tibial stress fracture (She used colloquial words on behalf of the Orthopedic which I do not deem appropriate to quote here as I am aware of only one side of the conversation). The daughter didn’t accuse me directly of anything but I was deeply hurt by her statements and sudden change of words. 

Despite repeated requests and concerns to take her mother to an Orthopedic they refused to do it when it was needed and found it so easy to put us at fault for what could have gone wrong at their end. Luckily having my notes, images of the patients knee range (after taking her permission) I was confident that I had taken all precautions and still faced with this unpleasant situation. I start wondering what if I wasn’t keeping a note of things, what if I had not stopped further treatment at the right time? This led me to thinking that so much could have gone wrong in terms of not knowing the truth from the daughter or the house help regarding patients activities at home which could have led to the increase in pain, any carelessness on the part of the house help as they have their own advice to give to patients, what message was conveyed to the Orthopedic, were the exercises being done or not, were they not followed correctly and so many small things which could have gone wrong. Luckily she didn’t land up with anything severe or it could have led to a negative mark on ones career without being at fault. I discussed this with all my colleagues and HOD at work that also started thinking that even when we try to go with the right clinical decision every time we may not have evidence to prove it.

I would like to take this opportunity to provide with some guidelines and safety measures for all those practicing home health care.

The few things which I think are important are:

SAFETY

>Have brief knowledge of the family members of the patient you will be visiting.

> Safety is important and an issue that is not given lot of thought.

> For female therapists make sure there is some Female present in the house while treating male patients and visa versa

> Also keep someone informed about the area / homes one plans to visit.

CHARGES

>Be clear about the charges before you visit (these are variable everywhere but till then its ethical to keep charges uniform for all from a particular workplace).

> Discuss how the payment will be given (Cheque/ Cash).
> Inquire if they require a receipt for the sessions in the beginning itself.

> Avoid using signatures and try using a stamp (there could be a misuse of your signature in your absence) or Letterhead.

DOCUMENTATION

>Document details especially clinical findings, reports, medical history and any other relevant information needed on day 1 of the visit.

>Keep a copy of the reports.

>Make a note of exercises added/changed and a note of important progress notes with dates.

> It is also important to notify the Orthopedic/ Doctor concerned with the updates in patients rehabilitation. It could be in the form of a message /call or a simple note when the patient has an appointment scheduled with the Doctor concerned. That is an appropriate way of gaining the patients faith and confidence as well. 

FOR THE THERAPIST

  • Take care of your own body posture while treating patients. Ask for help where possible as a home set up is different from a hospital set up and thus make use of equipment to enable easy functional transfers.
  • Sanitize
  • Wear comfortable and appropriate clothing including Footwear

FEW POINTERS IN GENERAL:

  • Make sure you keep a record of the days that you make a visit and notify patients to do the same.
  • Request the patient / family members not to make payment in front of the other staff at home and respect the privacy of your payment.
  • Keep a tab on medical condition of the patient & remember to STOP therapy if there is slightest suspicion of any abnormal.
  • Give clear instructions to the family members with regards to exercise and how they need to be done
  • train the staff with regards to hygiene, transfers , care for the patient
  • Carry a small physiotherapy kit. The following things which comes to my mind (tape, goniometer, pulse oximeter, stethoscope, theraband, pocket tns/us/ift, measuring tape, sanitizer, tissues, diary/notepad and pen).

If you are unsure about anything regarding the case, please discuss and ask for guidance than proceed with something that may prove detrimental to the patient. I would be more than happy even if one small thing is of use to any one of us!  I am sure there may be things I may have missed out but I would be happy if this topic leads to a discussion amongst us!

Career in Physiotherapy

physiotherapist rehabilitates patients by helping them improve their physical movement. They treat people who are injured or disabled in order to recover full function and movement. It’s both cure and prevention focused, and requires in-depth anatomical and musculature knowledge. Therapy usually covers:

  • Exercise
  • Massage
  • Stretching
  • Medication

Physiotherapists are required to maintain close physical contact with their patients; they must not shy away from such closeness, or be unwilling to demonstrate exercise methodology. Compassion, empathy, friendliness, good communication and patience are a must.

Eligibility Criteria

Physiotherapy colleges generally offer the Bachelor of Physiotherapy (BPT), which requires 50% marks in 10+2 (science stream). Hospitals prefer BPT graduates to B.Sc. graduates for this field; the former is a more in-depth and pertinent course. A one year Diploma in Physiotherapy (DPT) will also grant access into BPT physiotherapy courses. Further studies involve the two-year Master of Physiotherapy (MPT).

Career Prospects

Physiotherapy jobs may be found at:

  • community health centres,
  • mental health centres,
  • nursing homes/private care centres,
  • rehabilitation centres,
  • sports clinics,
  • fitness centres
  • government hospitals
  • the Institute of the Physically Handicapped
  • Defence establishments
  • Teaching establishments
  • Their own clinic

रामबाण है Physiotherapy, बिन दवा और सर्जरी कई रोगों को करती है फुर्र…

मौजूदा समय में स्मार्ट और सिंपल हेल्थ सॉल्यूशन के लिए फिजियोथेरेपी काफी लोकप्रिय हुई है. इसकी लोकप्रियता और भरोसे का कारण यह भी है कि बाकी इलाज पद्धतियों से अलग फिजियोथेरेपी उच्च पेशेवर लोग ही करते हैं.

 SHARES

रामबाण है Physiotherapy, बिन दवा और सर्जरी कई रोगों को करती है फुर्र...

फिजियोथेरेपी (Physiotherapy) यूं तो आधुनिक चिकित्सा पद्धति मानी जाती है, लेकिन भारत में सदियों से चले आ रहे मालिश व कसरत के नुस्खे का ही यह मिला-जुला रूप है. मानसिक तनाव, घुटनों, पीठ या कमर में दर्द जैसे कई रोगों से बचने या निपटने के लिए बिना दवा खाए या चीरा लगवाए फिजियोथेरेपी एक असरदार तरीका है. मौजूदा समय में अधिकांश लोग दवाइयों के झंझट से बचने के लिए फिजियोथेरेपी की ओर रुख कर रहे हैं, क्योंकि यह न केवल कम खर्चीला होता है, बल्कि इसके दुष्प्रभाव की आशंका न के बराबर होती है. तो चलिए एक नजर आपको बताते हैं फिजियोथेरेपी के फायदों (Benefits of Physiotherapy) के बारे में- 

आइए, सबसे पहले यह जान लेते हैं कि फिजियोथेरेपी है क्या?

प्रशिक्षित फिजियोथेरेपिस्ट द्वारा व्यायाम के जरिए शरीर की मांसपेशियों को सही अनुपात में सक्रिय करने की विधा फिजियोथेरेपी कहलाती है. इसे हिंदी में भौतिक चिकित्सा पद्धति कहा जाता है. घंटों लगातार कुर्सी पर वक्त बिताने, गलत मुद्रा में बैठने और व्यायाम या खेल के दौरान अंदरूनी खिंचाव या जख्मों की हीलिंग के लिए फिजियोथेरेपिस्ट की सेवा लेने की सलाह खुद चिकित्सक भी देते हैं.


फिजियोथेरेपी है इन 5 लाइलाज बीमारियों का इलाज

घुटनों का दर्द

एक उम्र के बाद घुटनों का दर्द एक आम समस्‍या बन गई है। घुटनों में मौजूद साइनोविल फ्लूड कम होने पर घुटने की ह‍ड्डियां आपस में रगड़ने लगती हैं और सर्फेस रफ हो जाता है, जिससे घुटनों में असहनीय पीड़ा होती है। घुटनों का दर्द अगर प्रारंभिक स्‍टेज में है तो फिजियोथेरेपी बहुत ही अच्‍छा विकल्‍प है। इसमें एक्‍सपर्ट अलग-अलग एक्‍सरसाइज के माध्‍यम से मरीज के मसल्‍स को मजबूत करते हैं, जिससे घुटने की उम्र 20 साल तक बढ़ जाती है और आपको पेन किलर नही खानी पड़ती है।

कमर का दर्द

अक्‍सर गलत पोश्‍चर या किसी तरह की दुर्घटना के कारण लोगों में कमर दर्द की समस्‍या रहती है। Low Back Pain की प्रॉब्‍लम सबसे ज्‍यादा देखने को मिलती है। दरअसल, हमारी बॉडी का सर्वाइक और लंबर प्‍वाइंट सबसे ज्‍यादा मूव होता है। जिससे Back Pain की समस्‍या होती है। ऐसी स्थिति में अगर फिजियोथेरेपी कराई जाए तो इस दर्द से आप छुटकारा पा सकते हैं। Back Pain या कमर दर्द में भी फिजियोथेरेपिस्‍ट अलग-अलग एक्‍सरसाइज के माध्‍यम से दर्द को को ठीक करते हैं।

फ्रैक्‍चर

फ्रैक्‍चर में सर्जरी के बाद होने वाले दर्द को भी फिजियोथेरेपी के माध्‍यम से बिना दवा के ठीक किया जा सकता है। इसमें एक्‍सपर्ट एक्‍सरसाइज की मदद से फ्रैक्‍चर के आसपास की मांसपेशियों को मजबूत बना देते हैं। इसमें ज्‍वाइंट का मोबलाइजेशन किया जाता है, जिससे दर्द दूर हो जाता है।

अस्‍थमा

बदलती जीवनशैली में अस्‍थमा केवल बुजुर्गों को ही नही बल्कि कम उम्र के लोगों में देखने को मिल रही है। अस्‍थमा एक जानलेवा बीमारी है, जिससे ज्‍यादातर लोग ग्रसित होते हैं। इस समस्‍या से निजात पाने के लिए फिजियोथेरेपी अच्‍छा विकल्‍प हो सकता है। एक्‍सपर्ट के मु‍ताबिक, अस्‍थमा में मरीज को अलग-अलग ब्रीदिंग एक्‍सरसाइज कराई जाती है, जिससे फेफड़े मजबूत हो जाएं और अस्‍थमा से निजात मिल सके।

गर्भावस्‍था में

फिजियोथेरेपी का प्रयोग स्‍त्री रोगों में भी किया जाता है। गर्भवती महिलाओं को अलग-अलग एक्‍सरसाइज कराई जाती है जिससे डिलीवरी में कोई प्रॉब्‍लम न हो। आमतौर डिलीवरी से पहले और बाद भी महिलाओं को फिजियोथेरेपी दी जाती है। अक्‍सर डिलीवरी के बाद महिलाओं का वजन बढ़ जाता है, मसल्‍स लूज हो जाते हैं। मसल्‍स को सही देने के लिए फिजिकल थेरेपी जरूरी होता है।