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Rehabilitation and Sports Medicine

Home / Care Centres / Rehabilitation and Sports Medicine / Centre for Rehabilitation Medicine

Centre for Rehabilitation Medicine



Call us Call us on 022-61305000


The Centre for Rehabilitation Medicine at Sir H. N. Reliance Foundation Hospital and Research Centre helps individuals to overcome their health disabilities and achieve optimal health.

All rehabilitation programs are co-ordinated with the medical and surgical teams who are involved in the patient’s care, with the aim of providing the highest quality of life to the patient.

Technology & Infrastructure

The Centre for Rehabilitation Medicine at Sir H. N. Reliance Foundation Hospital and Research Centre is well-equipped with specialised systems to aid in assisting the Rehabilitation team to deliver a comprehensive treatment program in the best possible way. These include, a state-of-the-art gait and motion analysis lab with 13 high resolution cameras for detailed movement analysis assessment along with 8-channel DTS (Electromyography) EMG system. They provide us with a clear picture of each joint movement for diagnosis and treatment of several differed neurological, orthopaedic and paediatric conditions.

We also have a specialised unweighing system which helps patients recovering from stroke and other neurological conditions to walk in an assisted manner. Our computerised balance assessment and training system helps in achieving functional independence in patients. Our unique underwater treadmill, being a form of aquatic therapy, helps in reducing joint stress, decreasing pain in orthopaedic conditions and facilitating mobilisation.

There is a vast range of other electrotherapeutic modalities that helps as an adjunct along with customised rehab programs, in reducing pain and attaining functional independence.

 

Services

Our interdisciplinary team of healthcare professionals combine their individual expertise to create the best possible treatment program for the benefit of our patients in the following seven specialities:


Neuro Rehabilitation

We provide neuro rehabilitation services for patients with neurological illness or injury that has affected the ability to live and function independently...

Neuro Rehabilitation

We provide neuro rehabilitation services for patients with neurological illness or injury that has affected the ability to live and function independently. Patients may avail of rehabilitative services in an inpatient setting, inpatient rehabilitation unit, or in outpatient rehabilitation clinics.

Specialised programs are offered to those affected by:
  • Stroke
  • Traumatic brain injury
  • Progressive neuromuscular diseases such as Parkinson’s
  • Memory disorders such as Alzheimer’s
  • Spine injuries and disorders
  • Complex neuromedical conditions such as Multiple Sclerosis
  • Vertigo, dizziness and balance disorders.
Goals of therapy:
  • Regain functional independence
  • To relearn and perform activities of daily living such as walking, eating, communicating and dressing
  • To significantly improve quality of life by optimising physical, social, and psychological functioning.
Pulmonary Rehabilitation

Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed...

Pulmonary Rehabilitation
What is pulmonary rehabilitation?

Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed by patient-tailored therapies that include, but are not limited to, exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease, and to promote the long-term adherence to health-enhancing behaviors.

Who can join the program?

Any patient with obstructive or restrictive lung disease whose activity of daily life is limited due to dyspnea can be referred for pulmonary rehabilitation.
Pulmonary rehabilitation can benefit those with:

  • Chronic Obstructive Pulmonary Disease
  • Chronic Bronchitis
  • Emphysema
  • Asthmatic Bronchitis
  • Interstitial Lung Disease
  • Other Pulmonary Diseases
What are the goals of this program?

All major pulmonary organisations such as the American College of Chest Physicians and the European Respiratory Society, recommend that pulmonary rehabilitation should be an integral part of the treatment program for all patients with reduced lung capacities like COPD and asthma. It should also be considered as a standard of care for patients with Interstitial Lung Disease.

The goals of pulmonary rehabilitation at Sir H. N. Reliance Foundation Hospital are:

  • To reduce activity limitation and participation restriction.
  • To restore patients to the highest possible level of independent functioning.
  • To increase exercise tolerance and reduce the feeling of breathlessness.
  • To restore the confidence to exercise safely and effectively within the limits of their chest problem.
What does the program consist of?

The program includes:

Aerobic exercises like treadmill walking, cycling, elliptical which are prescribed after assessing your baseline capacity. The baseline capacity is mainly assessed on the basis of the 6-minute walk test which is done on the day you enroll into the program. If required, you will be given exercises with supplemental oxygen.

Strength training helps to build up muscle strength of various muscle groups in the body. This is done with the help of different weight cuffs, dumbbells, elastic therabands and pneumatic machines.

Breathing exercises are a part of the warm up and cool down exercises. This is to improve your overall lung capacity. It is of prime focus in all pulmonary patients.

Your oxygen saturation will be continuously monitored while you are exercising. In addition, your blood pressure, heart rate and exertion levels will also be timely assessed by the therapist.

Yoga, in the form of various flexibility, breathing exercises and meditation provides relaxation which will help you deal with the stress and improve your mental and spiritual well-being.

Diet is one of the important aspects of lifestyle modification which needs to be incorporated in all individuals with pulmonary disease. Our team of dieticians will help you with a diet plan and all your queries pertaining to diet.

How frequently should I visit?
  • Exercises- 3 days a week
  • Yoga- once a week
  • Diet- once a month
For further information:

Contact us on: (022) 6130-5075
E-mail us on: Nicole.Pinto@rfhospital.org

Dr. Aashish Contractor

Head of Department
Department of Rehabilitation and Sports Medicine
Sir H. N. Reliance Foundation Hospital and Research Centre


Cardiac Rehabilitation

Cardiac rehabilitation is a structured program which is designed to help people with heart disease...

Cardiac Rehabilitation
What is cardiac rehabilitation?

Cardiac rehabilitation is a structured program which is designed to help people with heart disease return to an active and satisfying life and to prevent recurrence of cardiac events.

Who can join the program?

Cardiac rehabilitation can benefit those who have had:

  • Myocardial infarction (heart attack)
  • Coronary Artery Bypass Surgery
  • Angioplasty
  • Angina
  • Congestive Heart Failure
  • Angiography showing blockages
  • Valve surgery
  • An individual who is at cardiac risk and who wants to prevent the occurrence of a cardiac event
What are the goals of this program?

Cardiac rehabilitation has Class I: Level A evidence in immediate post-surgical patients who have undergone CABG and recent angioplasty, which implies that all patients who have a cardiac history MUST enroll in a cardiac rehabilitation program.
The goals of cardiac rehabilitation at Sir H. N. Reliance Foundation Hospital are:

  • To help cardiac patients get back to normal routine, as quickly and safely as possible.
  • To institute lifestyle changes and regular monitoring to reduce future risk of cardiac events.
  • To improve the psychological well-being of cardiac patients.
What does the program consist of?

The program includes:

Aerobic exercises like treadmill walking, cycling, elliptical which are prescribed after assessing your baseline capacity. The baseline capacity is mainly assessed on the basis of the 6-minute walk test which is done on the day you enroll into the program.

Strength training helps to build up muscle strength of various muscle groups in the body. This is done with the help of different weight cuffs, dumbbells, elastic therabands and pneumatic machines.

Breathing exercises is a part of the warm-up and cool down exercises. This is to improve your overall lung capacity. It is of prime importance in those who have recently undergone a cardiac surgery with a view to prevent any respiratory complications.

You will be continuously monitored while you are exercising by a telemetry ECG monitoring system. In addition, your blood pressure and exertion levels will also be timely assessed by the therapist.

Yoga, in the form of various flexibility, breathing exercises and meditation, provides relaxation which will help you deal with the stress and improve your mental and spiritual well-being.

Diet is one of the important aspects of lifestyle modification which needs to be incorporated in all individuals with cardiac disease. Our team of dieticians will help you with a diet plan and all your queries pertaining to diet.

How frequently should I visit?
  • Exercises- 3 days a week
  • Yoga- once a week
  • Diet- once a month
For further information:

Contact us: (022) 6130-5075
E-mail us on: Nicole.Pinto@rfhospital.org

Dr. Aashish Contractor

Head of Department
Department of Rehabilitation and Sports Medicine
Sir H. N. Reliance Foundation Hospital and Research Centre

Musculoskeletal Rehabilitation

Our Centre provides comprehensive therapy services to individuals with injuries ...

Musculoskeletal Rehabilitation

Our Centre provides comprehensive therapy services to individuals with injuries or physical impairments with a focus on patient education and prevention of re-injury. Each patient is evaluated thoroughly with tests of movement, muscle strength, sensation, pain and dexterity.

Patients may avail of rehabilitative services in an acute inpatient setting, in the inpatient rehabilitation unit, or in outpatient rehabilitation clinics.

Conditions treated include:
  • Low back pain
  • Neck pain
  • Joint pain (Shoulder, knee)
  • Arthritic conditions
  • Joint Replacement Rehabilitation
  • Conservative Rehabilitation – Fractures, ligament injuries
  • Pre and Post-operative Rehabilitation.
The facilities available in our Centre to aid in the assessment and treatment are:
  • Gait and Motion Analysis system
  • DTS (Electromyography) EMG system
  • Underwater pool with treadmill and disinfection unit
  • Other electrotherapeutic modalities.
Goals of therapy:
  • To assist the patient to improve functionally, decrease pain and avoid surgery whenever possible
  • To help the patient achieve optimal level of independence, restore function following injury and prevent disability
  • To live the most active lifestyle possible including return to work activities and normal home and recreational life.
Paediatric Rehabilitation

We offer comprehensive paediatric rehabilitation services, which include evaluation and medical treatment of underlying disorder...

Paediatric Rehabilitation

We offer comprehensive paediatric rehabilitation services, which include evaluation and medical treatment of underlying disorder by a paediatric neurologist and developmental paediatrician. The centre offers specialised testing for learning disabilities and their treatment.

Children who can benefit from therapy, include those with:
  • Cerebral palsy
  • Mental retardation
  • Autism
  • Developmental delay
  • Paediatric stroke, neuromuscular diseases, epilepsy
  • Chromosomal and other genetic disorders
  • ADHD (Attention deficit hyperactivity disorder)
  • Learning Disabilities
  • Speech and language delay
  • Emotional, behavioural and Psychiatric disorders.
Goals of therapy:
  • To help children function to the greatest level of their ability
  • To help achieve independence in school and home activities
  • To provide emotional training and support to children and their family members.
Oncology Rehabilitation

Cancer is a life changing event, and affects the patient and family members. However, an appropriate rehabilitation program...

Oncology Rehabilitation

Cancer is a life changing event, and affects the patient and family members. However, an appropriate rehabilitation program and exercise can enhance your body’s recovery and contribute to better quality of life during and after cancer treatment. We provide a comprehensive approach both during and following acute cancer treatment – to accelerate your return to full ability and enhance your quality of life.

What is Oncology (Cancer) Rehabilitation?

It is a comprehensive program of exercises, yoga, nutrition and speech therapy designed to help the cancer patient recover quickly and safely, reduce fatigue, and to improve the quality of life. The program is tailor-made for each individual patient to optimize benefit.

Who would benefit from it?

Any cancer patient who is currently on treatment or has already finished with the treatment.

  • Those who have undergone surgery
  • During or after radiation therapy
  • During or after chemotherapy
  • Anyone with a diagnosis of cancer
For example:
  • Head and neck cancer
  • Breast cancer
  • Prostate cancer
  • Rectum cancer
  • Bladder cancer
  • Lung cancer
  • Brain cancer
Our rehabilitation programs provide physical therapy and overall reconditioning for many of the impairments that may result from cancer, cancer surgery, radiation therapy, chemotherapy and other treatments for cancer, including:
  • Muscle wasting
  • Weakness
  • Pain
  • Impaired mobility
  • Anxiety/Depression
  • Overall deconditioning
  • Swelling
  • Weight loss
What are the goals of the program?

Research studies by American Cancer Society and American College of Sports Medicine have shown that physical exercises help to improve the quality of life in cancer patients by positively influencing physical, functional and psychosocial well-being. Exercises also reduce perception of fatigue which is a major concern related to cancer therapy. In addition, regular exercises improve effectiveness of radiation and chemotherapy.

What does the program consist of?
    1. Physical therapy exercises
    2. Manual lymphatic drainage (MLD)
    3. Speech therapy
    4. Yoga
    5. Nutrition
    1. Physical Therapy Exercises

They are divided in 3 parts

  • Cancer specific exercises
  • Aerobic exercises
  • Strength training

Cancer specific exercises are focused on the area/ body part which is affected by cancer with an aim to relieve pain, improve mobility and build up strength.

Aerobic exercises like walking on the treadmill, cycling or cross trainer are prescribed after assessing your baseline capacity. They help in maintaining or improving your capacity further and reduce fatigue levels.

Strength training to build up strength and endurance of various muscle groups of your body. This is done using weight cuffs, dumbbells, elastic thera-bands and pneumatic machines.

    1. Exercises for lymphedema or manual lymphatic drainage (MLD)

Exercises to prevent or drain lymphedema are specific set of exercises which are necessary for the patients who have developed or are at risk of developing swelling in arm or leg after surgery or radiation. In case of excessive swelling, manual lymphatic drainage (MLD) is given as needed with or without the use of special machines like Lympha-tron or Deep Oscillation Unit.

    1. Speech Therapy

Swallowing & Speech problems can occur after cancerous sections of the mouth, throat or larynx (voice box) are surgically removed and during/after radiation therapy.

Assessment and diagnosis of speech / swallowing problems can be done using various objective and subjective methods (e.g. FEES-fiberoptic endoscopic evaluation of swallowing, Acoustic Analysis of voice) by a therapist.

If the individual requires treatment, the speech-language & swallowing therapist can work with him / her to improve these functions.

Therapy may include:
  • Muscle exercises
  • Compensatory strategies
  • Head postures
  • Designing a safe diet
  • Safe swallow techniques
  • Voice restoration post laryngectomy

Early intervention can prevent late effects of radiation on speech / swallowing functions.

    1. Yoga

Cancer and its treatment are associated with a high degree of stress, anxiety and depression. Yoga, in the form of breathing exercises, meditation and aasanas, provides relaxation and also improves mental and spiritual wellbeing.

    1. Nutrition

Our team of dieticians will help you with a diet plan and all your queries pertaining to diet.

How frequently should I visit?

You will need to visit the hospital at least 3-4 days a week for therapy, which will be tailor-made for individual patient.

Cancer group support

We are holding a cancer support group meeting frequently. This meeting is open to all patients with cancer, and their families. The purpose of this group is to promote communication among members and also provide information regarding dealing with cancer and related problems with a view to improve their quality of life.

To join the group online:

Register on Google groups from your email ID: HNRF_CANCER_SUPPORT_GROUP

Contact: Dr. Jaini Patel- 7710010860

For further information:

Contact us on: (022) 6130-5075
E-mail us on:Jaini.Patel@rfhospital.org

Dr. Aashish Contractor

Head of Department
Department of Rehabilitation and Sports Medicine
Sir H. N. Reliance Foundation Hospital and Research Centre

Speech & Swallowing Rehabilitation

Most of us are able to communicate our needs without much effort. However, when due to some medical...

Speech & Swallowing Rehabilitation

Most of us are able to communicate our needs without much effort. However, when due to some medical condition(s), these skills are partially / completely affected, it leads to a significant impact on an individual’s quality of life. Speech-language pathology services help in the diagnosis and treatment of swallowing (dysphagia), speech-language, and cognitive-communication disorders that result in communication disabilities.

This therapy team includes licensed speech therapists who assess and treat adults and children of all ages. Speech Language Swallowing therapists can treat a variety of communication and swallowing disorders caused by a number of conditions, including but not limited to:

  • Autism
  • Learning Disability
  • Cleft lip and palate
  • Down’s syndrome
  • Hearing impairment
  • Head and neck cancer
  • Parkinson’s disease and other movement disorders
  • Stroke
  • Pediatric developmental disorder
  • Dementia
  • Traumatic brain injury
  • Vocal cord dysfunction
What are the programs available?

The programs for Speech Language and Swallowing therapy at Sir H. N. Reliance Foundation Hospital & Research Centre are:

    1. Pediatric:

Speech-language pathologists work with children of all ages. For example,

  • Infants and toddlers may receive speech therapy if they have feeding and swallowing problems or need assistance in developing verbal communication.
  • Preschool children may also require extra help to learn basic skills, such as communicating wants and needs.
  • School-age children can learn to correct articulation errors and improve language / reading skills.
  • Also children with stuttering require early intervention to help them develop fluent speech.

The therapy program includes a detailed evaluation followed by an individualized and multidisciplinary intervention to support their overall development. Therapy is conducted in a child friendly environment with the use of various play based activities. Group therapy is also conducted to promote development of social skills.

    1. NeuroRehabilitation:

Speech Language Swallowing therapist diagnose and treat a variety of disorders resulting from stroke, brain injury or other neurological conditions. Therapist address the needs of patients diagnosed with a wide range of disorders like,

  • Aphasia: Impairment of comprehension/expression of spoken language
  • Apraxia: Inability to execute purposeful & coordinated muscle movements
  • Dysarthria: Difficulty articulating words & voice-resonance changes (Slurred Speech)
  • Orofacial Myofunctional Disorders: Difficulty in Speech- Swallowing due to facial& laryngeal muscle weakness

Therapy usually entails individual therapy training, multi modality stimulation and education to help an individual overcome or compensate for any of their difficulties. Specialized Voice Treatment for patients with Parkinson’s disease and other neurological impairments is also done.

    1. Voice Clinic:

At our specialized voice clinic, patients with voice complaints like harsh/breathy voice, strained voice, and reduced loudness/pitch range are evaluated and treated with state of art technology.
Voice therapy also helps professional voice users (singers, teachers and actors) to meet their vocal demands and prevent voice disorders.
Our therapist work closely with the ENT specialist to holistically assess patient voice., using Laryngoscopy, Stroboscopy and Acoustic analysis software.
Therapy includes various exercise protocols, voice training and education on voice care and lifestyle modification to improve patient’s voice quality.

    1. Oncology Rehabilitation

Most patients with head and neck cancer have difficulty with Speech and/or Swallowing which may be temporary or permanent in nature.
Some of the important roles of a speech language therapist are:

  • Rehabilitation during and post-radiation treatment (focused on speech, voice and swallowing).
  • Post-laryngectomy voice restoration: Tracheosesophageal voice, Artificial larynx and Esophageal speech.
  • Post Glossectomy articulation and swallowing rehabilitation.
  • Swallowing evaluation and treatment to prevent aspiration & facilitate oral food intake.
  • Family education and counseling.

A multi disciplinary team approach involving Oncosurgeon, Radiation oncologist, ENT specialist, Dietician and Physical therapists, is used to deliver best care to patients.

    1. Stuttering Therapy:

Stuttering affects the fluency of speech. It begins during childhood and, in some cases, lasts throughout life. The program includes breathing exercises, fluency shaping strategies and counseling to bring about behavioral changes needed to achieve improvement that will be generalized into daily living. Devices like Delayed Auditory feedback are also used to facilitate fluent speech production. Group therapy and Support group for Stammering are conducted to assist in generalization of therapy.

    1. Swallowing Rehabilitation:

Swallowing disorder also called as dysphagia is difficulty in eating food. This can occur in patients with stroke, brain injury, Parkinson’s, head-neck cancer etc. It can also occur in children with cleft palate, oral sensory disorder, cerebral palsy etc.
At Sir H.N. Reliance Hospital state of the art assessment procedures like Video fluoroscopic swallowing evaluation (Modified barium Swallow) and Fiber optic Endoscopic Evaluation of Swallowing (FEES) are used to diagnose swallowing disorders.
Swallowing therapy includes exercises to improve muscle movement, positions or strategies to help the individual swallow more effectively and diet modification to ensure safe swallow. Electrical stimulation to stimulate muscle activity necessary for phonation/swallowing is also used.

Partners in care

Dr. Aashish Contractor

Head of Department
Dr. Aashish Contractor
Department
Rehabilitation and Sports Medicine
Qualification
MBBS, MED (US)
Call us Call us on 022-61305000


Dr. Bijal Dodia (P.T.)

Consultant
Dr. Bijal Dodia (P.T.)
Department
Rehabilitation and Sports Medicine
Qualification
BPTh, MPTh (Cardiovascular & Respiratory Sciences), MIAP
Call us Call us on 022-61305000


Dr. Poonam Bajaj (P.T.)

Consultant
Dr. Poonam Bajaj (P.T.)
Department
Rehabilitation and Sports Medicine
Qualification
BPT, DR (PT)
Call us Call us on 022-61305000


Dr. Sunil Rajpal (P.T.)

Deputy Head & Consultant
Dr. Sunil Rajpal (P.T.)
Department
Rehabilitation and Sports Medicine
Qualification
BPT, MLD, MDT, Sports Sciences, MIAP
Call us Call us on 022-61305000