Saans Saksham Neurological Rehabilitation Program

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What is Neurological Rehabilitation?
Neurological Rehabilitation provides specialised management for people who have impairments as a result of brain or spinal cord injury, stroke or other neurological condition. Neurorehabilitation is an integral part of medical management and continues longitudinally through acute care, post-acute care until community integration.
Who Can Benefit?
The neurorehabilitation programme is divided into four categories as per primary impairments and functional needs:
·         Neurocognitive  Rehabilitation: Brain injury, tumour & aneurysms and anoxic brain damage with primary cognitive / behavioural / speech / swallowing issues and minimal physical and medical needs.
·         Neurophysical Rehabilitation: Parkinson’s disease, multiple sclerosis, anoxic brain injuries, motor neuron disease, Guillain Barre Syndrome, peripheral neuropathy, and muscle diseases with primary sensory / motor dysfunction with disability in performing activities of daily living and mobility.
·         Stroke Rehabilitation: Ischemic / hemorrhagic stroke with multiple disabilities in mobility, self care, balance, coordination, speech & language, swallowing, cognitive and sensory / perceptual skills.
·         Spine and Spinal Cord Rehabilitation: Traumatic and non-traumatic spinal cord injury, spinal tumour, transverse myelitis & related conditions with paralysis and bladder / bowel / sexual disability, Low back pain, neck pain, spinal deformity, Ankylosing Spondylitis, Post surgical spine rehab.

Approach for Neurological Rehabilitation at Samarth Rehabilitation Unit?

Multi-disciplinary Team

The multi-disciplinary team is lead by rehabilitation specialist and includes rehab nurses, physical & occupational therapist, speech & language pathologist, psychologist, biomedical engineer, orthotist & prosthetist, nutritionist and medical social worker. The rehabilitation medicine specialist evaluates and makes a comprehensive management plan, provides medical management and performs therapeutic procedures. The rehab plan provides optimal environment for recovery, functional improvement, reduction in secondary complications, impairments & disability, teaching compensatory strategies, appropriate equipment & modifications and continuity of care.
Type of Service: Inpatient / Outpatient/Home Care
Average Stay: 6-8 weeks
Criteria for Admission to Inpatient Neurorehabilitation Programme:
·         Medical monitoring
·         Stable neurologic status / persisting neurologic deficit
·         Identified disability affecting at least two of the following:
·         mobility, self-care activities, communication, swallowing, bowel or bladder control
·         Adequate cognitive function / communicative ability
·         Reasonable physical ability and endurance
·         Achievable therapeutic goals
·         Able to tolerate three hours or more of active involvement per day
Criteria for Outpatient Neurorehab Programme:
·         Stable medical status
·         Unable to tolerate more than one hour of active involvement a day
·         Require minor degrees of assistance in any one of the following: Self-care, mobility, speech, cognition, swallowing or bladder/ bowel

 

Highlights

The neurorehab programme provides a full continuum of specialised care, including inpatient services, out patient services and follow-up clinics. Patients can enter the system at any point, or move through the system from beginning to end.
Family conferences are held during the first week of service, and throughout the patient’s rehabilitation, so that the patient and his/her family can work with the team to set goals, discuss progress and plan for discharge.


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