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Brain Injury and Stroke

Brain Injury and Stroke treatment in Hebbal, Bangalore

Brain Injury

Post brain damage recovery involves two processes, 

  • Spontaneous: it is related to repairing of the central nervous system soon after the brain injury and diaschisis regression.

  • Function-induced: It is geared towards promoting neuroplasticity as a response to environmental stimulation and activity practice for a behavioural therapy, just as for constraint-induced movement therapy protocol.

Physiotherapeutic Interventions for Brain Injury Patients

There are three major categories of physiotherapeutic interventions,

  • Restorative: It focuses on reactivating diaschisis and penumbra premorbid movement restoration.

  • Compensatory: It focuses on optimal enhancement of function by employing the therapy for loss compensation, with use of the non hempleigic side

  • Preventative: It focuses on lowering impairment and enhancing general health, for example, chest health is enhanced by respiratory physiotherapy.

Some treatments for brain injury are,

  1. Therapeutic exercises

  2. Techniques of manual therapy, such as mobilisation

  3. Application and prescription of equipment including prosthetic or orthotic devices, wheelchair and other mobility aids

  4. Techniques for airway clearance

  5. Functional training for home care and self-care 

  6. Functional training for school, work, leisure, and play activities, including reintegration into the community

  7. Using physical agents and various different modalities, such as cryotherapy, electrotherapy, and hydrotherapy

  8. Integumentary protective techniques for better tissue viability

In a brain injury intervention’s prescription, some parameters that can be used are,

  • Frequency and duration

  • Intensity, load and tempo 

  • Method, mode and device 

  • Progression

Stroke

About 50% of survivors of stroke acquire severe disabilities. But, the brain is extremely adaptable and can recover with therapy.  Post a stroke, for the first few months patients recover rapidly, then recovery slows down for several years. It is essential to continue neurophysiotherapy. 

Physiotherapy helps patients to regain function and movement to the extent it is possible.  Generally, the brain injury and stroke treatment in Hebbal, Bangalore is geared towards,

  • Acquiring balance while sitting

  • Acquiring balance while standing

  • Acquiring balance while standing

  • Walking

  • Making use of the affected hand /arm / leg

  • Managing changes that have occurred in muscle tone

  • Alleviating pain and / or stiffness

Goal and associated therapies include,

  • Gait and mobility training

  • Treadmill Training: Virtual reality, rhythmic cueing, community walking, overground walking, orthotics

  • Upper Limb Therapy

  • Constraint induced movement

  • Bilateral arm training

  • Stimulation by using electricity

  • Robot assisted arm training

  • Mirror therapy

  • Virtual reality

  • Splinting

  • Mental practice

  • Strength training

  • Hydrotherapy

  • Circuit class

  • Cardiorespiratory training

  • Fatigue management

  • Contracture management

  • Spasticity management

  • Botulinum toxin

  • Stretch 

  • Electrotherapy

Neurological stroke physiotherapy can help,

  • Improve balance and walking

  • Increase ability to roll / move in bed / sit / stand

  • Reduce muscle spasms, pain and stiffness

  • Increase strength

  • Retrain normal patterns of movement

  • Increase affected arm and leg function

  • Increase energy levels

  • Increase independence and quality of life

  • Reduce the risk of falls

Book an apppointment at Manipal Hospitals to know more about treatments with the help of best doctors in Bangalore. 

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