EVIDENCES OF CEREBRAL PALSY MANAGEMENT


EVIDENCES OF  CEREBRAL PALSY MANAGEMENT

Author of article:

DR. GAJANAN BHALERAO (PT), PhD Scholor, MPTH NEURO, Certified Adult NDT therapist. HOD Physiotherapy & Rehabilitation Dept in Sancheti Hospital Shivajinagar Pune

Associate Professor & HOD  PT in Neuro Rehabilitation  DEPT at Sancheti Institute College of Physiotherapy, Shivajinagar Pune

 

OBJECTIVES

  • What is evidence based practice?
  • What is the need for it?
  • What is Level of evidence?
  • How to read a evidence, interpret and apply in clinical practice?
  • What are the evidences in management of cerebral palsy?
  • Which are the of evidence requires more evidence & why?

Evidence Based Practice

  • Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise.
  • An approach to decision making in which the clinician uses the best available evidence to decide which treatment option suits the patient.
  •  Addresses healthcare questions with an evaluative and quantitative approach.

LEVEL OF EVIDENCE

LEVEL DESCRIPTION
LEVEL I Randomized Control Trial (RCT)

Systematic Review (with homogeneity*) of RCTsLEVEL IICohort study /low

quality RCT

Systematic Review  (with homogeneity*) of cohortLEVEL IIICase-Control Study (CCT)

Systematic Review  (with homogeneity*) of case control StudiesLEVEL IVCase-series (and poor quality cohort

and case-control studies)LEVEL  VExpert opinion

INTRODUCTION

—For the child with CP the main aim of therapy should be to improve their quality of life with three general aims of:

1) Increasing or improving the skill repertoire

2) Maintaining functional level and general management

3) Minimization of musculoskeletal impairments contractures and deformities.

Common interventions usually address

  • —Reduction of the effects of abnormal muscle/postural tone,
  • —Musculoskeletal problems (muscle weakness and muscle length),
  • —Working for activity in a functional context
  • Providing opportunities for practice.
  • —Activity-based approaches aim to prevent secondary musculoskeletal impairments and maximise physical functioning, foster cognitive, social and emotional development of the child and develop, maintain and perhaps restore neural structures and pathways.

Topic to be covered in the article are

1.NDT

2.Strengthening

3.Treadmill training; 6 articles (all studies)

4.Balance training

5.Neuromuscular stimulation

6.Biofeedback

7.Casting

8.Stretching

9.Splinting

10.CIMT

11.Virtual reality

12.Frequency of physiotherapy; 4 articles (all studies)

13.Hydrotherapy

14.Hippotherapy

15.Conductive education

16.Medical managment

17.Orthotic management

for details please click here EVIDENCE BASED MANAGEMENT OF CP

also check these attachment

Motor control evidence based practice

TaskSpecificTraining week 2 motor control 1 (1)

 

Paraplegic walking marathon attempt to break his own record


logo

Author of article:

DR. GAJANAN BHALERAO (PT), PhD Scholor, MPTH NEURO, Certified Adult NDT therapist. HOD Physiotherapy & Rehabilitation Dept in Sancheti Hospital Shivajinagar Pune

Associate Professor & HOD  PT in Neuro Rehabilitation  DEPT at Sancheti Institute College of Physiotherapy, Shivajinagar Pune

 

One of my paraplegic patient Mr Akash Kumbhar  had a accident eight years back due to which  had a spinal cord injury at L1, L2 due to which he became paraplegic. He had walked a distance of 42.5 km in 12 days in 2012 which was a Indian record book & 25th Limca book of records 2014 in human story category.

Akash Kumbhar who changed the meaning of mobility, a 29 year old who has created new horizons of hope for those who think their life has no value. Akash lost power in his both the legs when he met with an accident on 20th August, 2006. Next day he was operated for the same and continued his hospital stay for 12 days where he received medical and physiotherapy management. After discharge he continued basic physiotherapy treatment at home only in the form of bed mobility and approximately 15 to 20 minutes of wheelchair sitting. He was given a pair of Knee Ankle Foot Orthosis (KAFO) which he used only for few days and due to postural hypotension in upright position he stopped standing attempt. Afterwards family members took care of him. So, he was bed ridden for 5 years and tolerated only 30 to 60 minutes of wheelchair sitting.

Such a long period of recumbence, bought in a sense of irritation and depression in him.
Secondary to bed recumbence, he developed complications like grade 3 bed sore which remained for 4 years.

He visited many doctors in the 5 years but to no avail. He couldn’t see a ray of hope anywhere.

It’s said that, life throws obstacles at times when we try to attempt a sky ride. So was it for our 29 year old Akash?

Like a silver lining behind a dark cloud, he saw the suggestion given by a friend and came to Sancheti Hospital. He consulted Dr. Rajas Deshpande, a Neurophysician who referred him to Dr. Gajanan Bhalerao (PT), a Neurophysiotherapist for his physiotherapeutic treatment.

He came to the physiotherapy department, where he was evaluated and treatment plan was designed for him. His treatment objective was to train for bed mobility, transfer activities, sit to stand with walker and walking with KAFO and walker with community wheelchair ambulation. He made him stand with the help of a pair of KAFOs in parallel bars or with walker. Akash took 3-4 steps initially. First he was made to walk in closed environment under therapist supervision and then gradually progressed in open environment in community under supervision of caretaker. He was advised to walk at home and in community for daily lifestyle needs. He progressed with increasing the distance every day. Knowing the kind of positive urge that Akash holds towards making the best of his handicap, he practiced more at home to show people who lacked belief in him. PT rehabilitation continued for 6 months.
In the month of April 2012 he read the story of this lady named, Claire Lomas in the newspaper. Claire and that got him inspired to achieve a memorable milestone in his life just as she did.

Then again he visited Sancheti Hospital Physiotherapy Department, this time not only for rehabilitation purpose but also with a desire to participate in the marathon. For which he underwent intense practice sessions for 6 months. He first attempted his walk on the road for half an hour on 2nd December 2012. This gave him the confidence to walk the marathon that he did.

The whole program of walking was planned with help of Sancheti Hospital, Shivaji Nagar pune. He was provided with 2-3 therapists and one ambulance for next 12 days. He used to come to hospital daily around 6.30am from where the team used to go the place where they stopped last day and again continue  the walk from that point for next 3-4 km. He was advised to stop and record the vital parameters after every 1 km. If they are in normal limits thy next walk will be continued. And if they are abnormal parameters noted they were advised to stop that day’s walk and come back to hospital. He was accompanied by two physiotherapists.

(http://www.sanchetiinstituteresearchrehabilitation.com/media-room/news/231-world-records-india-paraplegic-mr-akash-kumbhar-walking-full-marathon.html)

In December 2014  he  broke his own record y walking 42.195 Km Marathon  in 7 days. He started his walk on 1st  December 2014 and completed on 7th December 2014.He walked on the route (http://www.marathonpune.com/img/Pune_Marathon_14_Full_Marathon.png) of 29th Pune international  marathon 2014 (http://www.marathonpune.com/).

Pune_Marathon_14_Full_Marathon

As per the decided regulation, Akash had to walk 6-8 kms each day, following the same route as that of the 29th Pune International Marathon. Depending on his strength and motivation, average distance covered was approximately 6 kms to 8 kms/day. He was given appropriate rest periods and there was a careful monitoring with which he successfully completed a 42.5 km marathon in 7 days on day of 29th Pune international  marathon 2014, 7th Decemebr 2014 at  Neharu stadium Pune.

Now his  work is recognized by

World record India

_DSC0542

http://www.worldrecordsindia.com/?s=akash+kumbhar

25th Limca book of records 2014 in human story category.

_DSC0544

Unique world records

_DSC0545

http://www.uniqueworldrecords.com/find-out-more—marathon-attempts/2016ma092-paraplegic-walking-marathon

Physiotherapy and rehabilitation department of  Sancheti hospital was helping him with this noble cause by providing him physical therapist throughout the whole marathon walk. Thanks to Dr. Parag Sancheti Chairman and Medical director Sancheti hospital and  Mrs Manisha Sanghavi Executive director Sancheti healthcare academy for her support through out  the event.

_DSC0548_DSC0549_DSC0553

IF YOU HAVE TALENT THEN SANCHETI IS RIGHT PLACE FOR YOU!


Author of article:

DR. GAJANAN BHALERAO (PT), PhD Scholor, MPTH NEURO, Certified Adult NDT therapist. HOD Physiotherapy & Rehabilitation Dept in Sancheti Hospital Shivajinagar Pune. Associate Professor & HOD  PT in Neuro Rehabilitation  DEPT at Sancheti Institute College of Physiotherapy, Shivajinagar Pune

 

 

I believe this world is full of opportunity, it is just that you need to be at right place in right moment of your life.

I feel Iam lucky I was at right place at right time in my life. The place is name as Sancheti institute. My life has changed from the day I joined Sancheti in 2004 for my Masters in Physiotherapy. I am from lower middle class family. My father was a teacher in high school. He dedicated his entire life with the minimal salary for education of his children. We are 4 brothers and 2 sisters. Being eldestamongst all I had to take inchargeof my living hood and education in early period of life. My dad paid my expenses till my graduation. After my Bachelors of physiotherapy I joined in DeenathMangeshkar hospital rehabilitation Centre in Kothrud Pune. I worked there for around 2 years then, I joined CMF College of physiotherapy as lecturer. I dint have any plans of doing Masters in physiotherapy. One day, one of senior Manoj Bora, advised to join Master in physiotherapy. He was doing masters in Sancheti after a gap of around 7-8 year after his graduation. He closed his 3 clinics and joined Masters. He told me the importance of master and advised me to join Sancheti. Today I am grateful to him for guiding at right moment. My batch in Masters was second batch after Pune University launched their Masters course.

Even though I was good in my studies, work and other skills I was not best. The period I spent in Sanchetihelped me take out best out of me. Here, I started believing that I am not just good but I am best among all. My confidence was pumped up which boosted my self-esteem. This made my dream come true. In my graduation days I could not even achieve 1st position in my class and here I topped the Pune University. I feel honored to see my name on University toppers board as we enter Sancheticollege.

I got the opportunity to join as Lecturer in Sancheti college of Physiotherapy just after completion of my master program. I joined college as teacher on 2nd April 2007. Being a teacher is itself a great honor for me. During my teaching experiences, I could also develop my clinical expertise. We developed neuro department in sancheti hospital. In the beginning we used to keep 2-3 hours dedicated for neuro patient. After a year we got a 200 sqft area dedicated for neuro rehab. In 2011 neuro rehab was expanded with 1500sqft area & 3 therapists for neuro and with more patients being referred for neuro rehab. Sancheti was started recognizing by good neuro rehabilitation too.

In this period,Sancheti institute believed in me and supported me in all my all ventures. It is with their support and security I was encouraged to take big steps in my life. I bought my own house within my 2 years of employment. You will be surprised to know that my salary was 19,000/- and my EMI was 15,000/-. At the back of the mind, I always had that, in case of any problem my institute will be always there.Its every man dream to own a house. To buy a house the most important think, is not money, home loan and security but just a small thing called a “guts”.  This you get by the environment around you. This conducive environment was Sancheti Institute. Please note I had to work extra hours after the job in evening till eleven clocks in night to pay for my living expenses.

I read in books that to be successful either you invent everything from the scratch and work hard toward the excellence till you achieve it or be a part of successful system. Sancheti institute was already is successful system. So I decided to be a part of successful system and grow together with the institute instead of struggling alone.

I believe each one of has the burning and talent and desire to explain. This zeal of excellence is like a potentially active volcano.  If this volcano bursts, it will throw out lot of rocks and debris.  Rain is like world full of opportunity. Each drop of rain is a potential opportunity. It will wash away all the debris and rocks will start rolling down the hill. This flow of water creates a river which takes down all the rocks along with the water. This river is like a good system (sancheti institute). The uneven rocks of volcano starts taking good shapes as they roll down with the flow of water. So if you want to be in good shape then you need to flow with the river. So what you need to do is find a good river.

In last two year I got opportunity to serve as Head of Department of Physiotherapy and rehabilitation. It is with Manisha Madam’s support and guidance that I am able to serve the physiotherapy department. Today I am able to do so many activities and carry so many responsibilities just because of the belief and trust of Sancheti institute in me.  I thank the entire management team and the institute for shaping me.

Today I can proudly say to all of you, if you have talent and zeal to excel then join the sancheti group.

Top posts in last two years


Top Posts for all days ending 2015-01-19 (Summarized)

Title Views
Home page / Archives 10,183
Causes and management of hyperextension of knee in hemiplegic and Paraplegic 7,897
Taping in hemiplegic shoulder subluxation 2,333
DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS 661
BOBATH APPROACH 636
Hydrotherapy for traumatic brain injury with hemiplegia – our challenges and solutions 579
ABOUT ME 531
Spinal Cord Injury Rehabilitation workshop organized by Indian Association of Physiotherapist Pune Branch and Sancheti Institute college of Physiotherapy, Pune 408
HOW TO IMPROVE SITTING BALANCE OF SPINAL CORD INJURY; METHOD 1: BALL CATCH AND THROW 401
Basic Neuro-Developmental Treatment (NDT Paeds) workshop in November -December 2012 378
The law of shunting reaction & Application of shunting rule in treatment: Bobath Approach 358
How to do ambulation training with KAFO in patient of spinal cord who got complication with accidental burn on thigh region? 337
MOTOR LEARNING PROGRAM (MRP): 3. Principle of the functional task oriented approach. 331
NDT/Bobath Certificate Course in the Management and Treatment of Adults with Hemiplegia, Pune, India 2015 313
NDT/Bobath Certificate Course in the Management and Treatment of Adults with Hemiplegia in Pune, India 294
TILT TABLE STANDING: early weight bearing and standing in patient with Total Hip Replacement with complications. 200
When & how to progress from KAFO TO AFO in patients with Incomplete Spinal cord injury. 176
Outcome Measures used in Cerebral Palsy; Types of scales & Validity, reliability & sensitivity of scales 172
Fourth year CBR Project made easy, well planned, organized and fun filled Potential Research questions for a high-quality research project -A trial 160
Principles of Bobath Approach 157
I HAVE COMPLETED FIVE YEARS IN SANCHETI COLLEGE OF PHYSIOTHERAPY AS A ASSISTANT PROFESSOR/ LECTURER. 147
What is the therapeutic management of thalamic bleed? 145
Every patient of thalamic bleed doesn’t show symptoms of thalamic syndrome…! 145
SCI REHAB: Modified prone push up in high Paraplegics & Quadriplegics with weak triceps 130
HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS WITH ASIS TYPE C QUADRIPLEGIA WHO DO NOT HAVE HAND CONTROL TO HOLD THE WALKER DUE TO LMN LESION AT C7, C8 & T1. 128
USE OF DUPATTA/CHUNARI AS A GAIT BELT IN GAIT TRAINING IN HEMIPLEGICS AND BALANCE DISORDERS 121
Spastic muscles cant do eccentric lengthening 119
MOTOR RELEARNING PROGRAM REFLECTS THROUGH KEY FEATURES 117
MOTOR LEARNING PROGRAM (MRP);Theoretical framework: 111
Neuro therapeutic approaches in neuro rehabilitation : Workshops Details 98
MOTOR LEARNING PROGRAM(MRP): MRP provides practical guidelines 98
STROKE REHAB 97
SPINAL CORD INJURY REHAB 96
Dr. ASHA CHITNIS’S FOUR DAY WORKSHOP ON “ NDT BASIC COURSE” SEPTEMBER- 2014. 91
Never plan the therapeutic management based on the medical diagnosis or cause of stroke 84
What to do while application of Bobath Approach? 83
HOW TO CHOOSE BETWEEN KAFO WITH STATIC ANKLE UNIT & DYNAMIC ANKLE WHILE PRESCRIBING KAFO IN SPINAL CORD INJURY? 82
HOW TO IMPROVE AROUSAL IN PATIENTS HAVING COMATOSE STATUS OR LOW SCORE ON GLASGO COMA SCALE? 81
Workshop on ” Neuro therapeutic approaches in neuro rehabilitation : part I- Proprioceptive neuro Muscular facilitation” on 13th Sept 2014 ​ 77
WORKSHOP ON MOTOR RELEARNING PROGRAM FOR STROKE REHABILITATION …..A Practical Approach On 16th and 17th August 2014 69
COMPARISION OF BOBATH APPRPACH & MOTOR LEARNING PROGRAME 66
Evidences of cerebral palsy management 65
HOW TO DO WALKINNG TRAINING IN SPINAL CORD INJURY WITH B/L COLLES’ FRACTURE (WRIST). 64
Ambulation Training in Spinal Cord Injury Rehabilitation:Complete and Incomplete 59
MY BOOKS 59
Spinal Cord Injury Rehabilitation workshop in Sancheti Institute college of Physiotherapy, Pune, August 2014 58
MOTOR LEARNING PROGRAM (MRP):Theoretical framework 57
My first International publication as Co Author in NDTA Network on the net, NOVEMBER/DECEMBER 2011, VOLUME 18, ISSUE 6: Thanks to Dr. Asha Chitnis, C/NDT 55
Neurophysiological Assumption underlying of Bobath approach 51
DO NOT WORK ON MOBILIZATION & INCREASING THE RANGE OF MOTION IF MUSCLES DON’T GOOD STRENGTH THROUGHOUT THE RANGE. 51
Postponed the course on Basic Neuro-Developmental Treatment (NDT Paeds) workshop in December 2012 50
Nature of handicap of patient with brain lesions:: Bobath Approach 48
NDTA Advanced Handling and Problem Solving Course Pune, Maharashtra, India 2015 43
All patients showing Type A lesion on initial ASIA scale assessment are not complete cord injury 42
we commonly get confused between homonymous hemianopia and neglect…! 40
MOTOR LEARNING PROGRAM (MRP);Theoretical framework:1. Dynamic system theory & CNS plasticity 39
HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ? 37
MOTOR LEARNING PROGRAM (MRP);Theoretical framework: 2. Development of maladaptive strategies 34
TWO DAYS WORKSHOP ON MOTOR RELEARNING PROGRAM FOR STROKE REHABILITATION …..A Practical Approach On 16th and 17th August 2014 28
Two distinct paradigm shifts in the treatment of neurological disorder, particularly stroke. 28
Ambulation Training in Stroke Rehabilitation 27
KEY ELEMENT AND PINICPLES OF NEURO REHABILITAION 26
TO LEARN NEURO REHABILTATION, IT IS IMPORTANT TO LEARN THE PAEDIATRIC REHABILITATION 23
WORKSHOP ON 2D & 3D GAIT ANALYSIS AND MANAGEMENT Of GAIT DEVIATIONS 22
ANY SENSORY STIMULUS WHICH IS PURPOSELESS IS USELESS 17
Patients with balance disorders/postural instability may be suffering from ealry parkinsonism: Reporting them to neurologist is moral responsibility of physiotherapist. 15
USE OF DUPATTA/CHUNARI AS A GAIT BELT IN GAIT TRAINING IN HEMIPLEGICS AND BALANCE DISORDERS 4
Top post of my blog on Neuro Rehabilitation in last two year 4
Never plan the therapeutic management based on the diagnosis or cause of stroke, but based on sign and symptoms and the patients’ occupational demands. 2
Hello world!

Top post of my blog on Neuro Rehabilitation in last two year


Top Posts for all days ending 2015-01-17 (Summarized)

Title Views
Home page / Archives 10,156
Causes and management of hyperextension of knee in hemiplegic and Paraplegic 7,887
Taping in hemiplegic shoulder subluxation 2,324
DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS 661
BOBATH APPROACH 635
Hydrotherapy for traumatic brain injury with hemiplegia – our challenges and solutions 579
ABOUT ME 524
Spinal Cord Injury Rehabilitation workshop organized by Indian Association of Physiotherapist Pune Branch and Sancheti Institute college of Physiotherapy, Pune 408
HOW TO IMPROVE SITTING BALANCE OF SPINAL CORD INJURY; METHOD 1: BALL CATCH AND THROW 400
Basic Neuro-Developmental Treatment (NDT Paeds) workshop in November -December 2012 378
The law of shunting reaction & Application of shunting rule in treatment: Bobath Approach 358
How to do ambulation training with KAFO in patient of spinal cord who got complication with accidental burn on thigh region? 337
MOTOR LEARNING PROGRAM (MRP): 3. Principle of the functional task oriented approach. 331
NDT/Bobath Certificate Course in the Management and Treatment of Adults with Hemiplegia, Pune, India 2015 312
NDT/Bobath Certificate Course in the Management and Treatment of Adults with Hemiplegia in Pune, India 294
TILT TABLE STANDING: early weight bearing and standing in patient with Total Hip Replacement with complications. 200
When & how to progress from KAFO TO AFO in patients with Incomplete Spinal cord injury. 176
Outcome Measures used in Cerebral Palsy; Types of scales & Validity, reliability & sensitivity of scales 172
Fourth year CBR Project made easy, well planned, organized and fun filled Potential Research questions for a high-quality research project -A trial 160
Principles of Bobath Approach 156
I HAVE COMPLETED FIVE YEARS IN SANCHETI COLLEGE OF PHYSIOTHERAPY AS A ASSISTANT PROFESSOR/ LECTURER. 147
What is the therapeutic management of thalamic bleed? 145
Every patient of thalamic bleed doesn’t show symptoms of thalamic syndrome…! 145
SCI REHAB: Modified prone push up in high Paraplegics & Quadriplegics with weak triceps 130
HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS WITH ASIS TYPE C QUADRIPLEGIA WHO DO NOT HAVE HAND CONTROL TO HOLD THE WALKER DUE TO LMN LESION AT C7, C8 & T1. 128
Spastic muscles cant do eccentric lengthening 119
USE OF DUPATTA/CHUNARI AS A GAIT BELT IN GAIT TRAINING IN HEMIPLEGICS AND BALANCE DISORDERS 119
MOTOR RELEARNING PROGRAM REFLECTS THROUGH KEY FEATURES 116
MOTOR LEARNING PROGRAM (MRP);Theoretical framework: 111
Neuro therapeutic approaches in neuro rehabilitation : Workshops Details 98
MOTOR LEARNING PROGRAM(MRP): MRP provides practical guidelines 98
STROKE REHAB 97
SPINAL CORD INJURY REHAB 96
Dr. ASHA CHITNIS’S FOUR DAY WORKSHOP ON “ NDT BASIC COURSE” SEPTEMBER- 2014. 91
Never plan the therapeutic management based on the medical diagnosis or cause of stroke 84
What to do while application of Bobath Approach? 83
HOW TO CHOOSE BETWEEN KAFO WITH STATIC ANKLE UNIT & DYNAMIC ANKLE WHILE PRESCRIBING KAFO IN SPINAL CORD INJURY? 82
HOW TO IMPROVE AROUSAL IN PATIENTS HAVING COMATOSE STATUS OR LOW SCORE ON GLASGO COMA SCALE? 81
Workshop on ” Neuro therapeutic approaches in neuro rehabilitation : part I- Proprioceptive neuro Muscular facilitation” on 13th Sept 2014 ​ 77
WORKSHOP ON MOTOR RELEARNING PROGRAM FOR STROKE REHABILITATION …..A Practical Approach On 16th and 17th August 2014 68
COMPARISION OF BOBATH APPRPACH & MOTOR LEARNING PROGRAME 66
Evidences of cerebral palsy management 65
HOW TO DO WALKINNG TRAINING IN SPINAL CORD INJURY WITH B/L COLLES’ FRACTURE (WRIST). 64
Ambulation Training in Spinal Cord Injury Rehabilitation:Complete and Incomplete 59
MY BOOKS 59
Spinal Cord Injury Rehabilitation workshop in Sancheti Institute college of Physiotherapy, Pune, August 2014 58
MOTOR LEARNING PROGRAM (MRP):Theoretical framework 56
My first International publication as Co Author in NDTA Network on the net, NOVEMBER/DECEMBER 2011, VOLUME 18, ISSUE 6: Thanks to Dr. Asha Chitnis, C/NDT 55
Neurophysiological Assumption underlying of Bobath approach 51
DO NOT WORK ON MOBILIZATION & INCREASING THE RANGE OF MOTION IF MUSCLES DON’T GOOD STRENGTH THROUGHOUT THE RANGE. 51
Postponed the course on Basic Neuro-Developmental Treatment (NDT Paeds) workshop in December 2012 50
Nature of handicap of patient with brain lesions:: Bobath Approach 48
NDTA Advanced Handling and Problem Solving Course Pune, Maharashtra, India 2015 43
All patients showing Type A lesion on initial ASIA scale assessment are not complete cord injury 42
we commonly get confused between homonymous hemianopia and neglect…! 40
MOTOR LEARNING PROGRAM (MRP);Theoretical framework:1. Dynamic system theory & CNS plasticity 39
HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ? 37
MOTOR LEARNING PROGRAM (MRP);Theoretical framework: 2. Development of maladaptive strategies 34
TWO DAYS WORKSHOP ON MOTOR RELEARNING PROGRAM FOR STROKE REHABILITATION …..A Practical Approach On 16th and 17th August 2014 28
Two distinct paradigm shifts in the treatment of neurological disorder, particularly stroke. 28
Ambulation Training in Stroke Rehabilitation 27
KEY ELEMENT AND PINICPLES OF NEURO REHABILITAION 26
TO LEARN NEURO REHABILTATION, IT IS IMPORTANT TO LEARN THE PAEDIATRIC REHABILITATION 23
WORKSHOP ON 2D & 3D GAIT ANALYSIS AND MANAGEMENT Of GAIT DEVIATIONS 22
ANY SENSORY STIMULUS WHICH IS PURPOSELESS IS USELESS 17
Patients with balance disorders/postural instability may be suffering from ealry parkinsonism: Reporting them to neurologist is moral responsibility of physiotherapist. 15
USE OF DUPATTA/CHUNARI AS A GAIT BELT IN GAIT TRAINING IN HEMIPLEGICS AND BALANCE DISORDERS 4
Hello world! 2
Never plan the therapeutic management based on the diagnosis or cause of stroke, but based on sign and symptoms and the patients’ occupational demands. 2

WORKSHOP ON 2D & 3D GAIT ANALYSIS AND MANAGEMENT Of GAIT DEVIATIONS


Author of article:

DR. GAJANAN BHALERAO (PT), PhD Scholor, MPTH NEURO, Certified Adult NDT therapist. HOD Physiotherapy & Rehabilitation Dept in Sancheti Hospital Shivajinagar Pune. Associate Professor & HOD  PT in Neuro Rehabilitation  DEPT at Sancheti Institute College of Physiotherapy, Shivajinagar Pune

Sancheti college of physiotherapy is organizing

A WORKSHOP ON 

2D & 3D GAIT ANALYSIS AND MANAGEMENT Of GAIT DEVIATIONS

 On 20th and 21  December 2014

 

 Workshop details 

S. No. TOPIC
1. IntroductionGait-Cycle
  • Basics of human Gait
  • Normal gait, Phases of gait
  • Temporo-spatial parameters
  • Gait traces and terminology
  • Kinematics &Kinetics
  • EMG and muscle function
  • Physical examination Techniques
  • Strength Testing

phases

2.  Methods of gait assessment  images (2)
2.a Techniques in 2D video analysis
Observational gait analysisFoot print method·Videographic/cinematographic analysis·Digital goniometric kinematic measurements
2.b  3D Gait analysis107814_7
  • Set up of a lab
  • Marker placement
  • Force plates
  • EMG
  • Procedure

images download

3. Gait deviations
Causes and factors affecting gait
PT management of gait deviations
Orthotic prescription
4. Case Discussion

 Venue: – Sancheti Institute College of Physiotherapy Shivajinagar, Pune.

 Contact hours – 16

 Eligibility – Clinical Therapist, Post Graduate, 3rd & 4th year students and Intern

Registration fees: – Rs 2500 per candidate.

 Limited Entries-30 only

Those who are interested please contact for registration.

Contact: – anjalipradhan.sha@gmail.com, gajanan_bhalerao@yahoo.com

 

 

ABOUT THE RESOURCE PERSON

Dr. GAJANAN BHALERAO (PT)
Associate Professor

Masters in physiotherapy, Neurosciences,

Certified Adult NDT (C/NDT) Therapist

Sancheti Institute College of physiotherapy,

HOD Physiotherapy Dept Sancheti Hospital

Shivajinagar, Pune.

gajanan_bhalerao@yahoo.com

Credits : University Topper in Master of Physiotherapy 2007 Pune university

Work Shops Conducted (Continued Medical Education)

  1. Workshop on Motor Relearning program for stroke

Rehabilitation at Youth Men Christian Association (YMCA), Pune, on 29th & 30th of March 2007.

  1. A 2 day workshop under Indian Association of Physiotherapy Pune branch, on “Spinal Cord Injury Rehabilitation” in 2008
  2. Resource person for the pre conference workshop and lecture during National Seminar On Multidisciplinary Approach To The Management Of Paediatric Disabilities organized by Faculty of Disability Management and Special Education Ramakrishna Mission Vivekananda University SRKV, Coimbatore, Tamil Nadu 641 020, INDIA. June 2010
  3. A workshop on 2D & 3D Gait Analysis And Management Of Gait Deviations organized by Indian Association Of Physiotherapy Pune & Pimpri Chinchwad Branch on 27th &28th November 2010, at Sancheti institute college of physiotherapy.
  1. A workshop Motor Relearning program for stroke Rehabilitation on October 2010, organized by Indian Association of Physiotherapy Pune & Pimpri Chinchwad Branch on 27th &28thNovember 2010, at Sancheti Institute College of physiotherapy.
  2. A workshop on 2D & 3D Gait Analysis And Management Of Gait Deviations organized by Indian Association Of Physiotherapy Pune & Pimpri Chinchwad Branch on 27th &28th November 2010, at Sancheti institute college of physiotherapy.
  3. A workshop Spinal cord injury Rehabilitation, organized by Indian Association of Physiotherapy Pune & Pimpri Chinchwad Branch on December 2010, at Sancheti Institute College of physiotherapy.
  4. A workshop Spinal cord injury Rehabilitation, organized by Sancheti healthcare academy on December 2012, at Sancheti Institute College of physiotherapy.
  5. A 2 day Workshop on Task specific training in neuro rehabilitation, on 30 -31 sept 2013, at Mission health physiotherapy center Ahmadabad, Gujarat.

Neuro therapeutic approaches in neuro rehabilitation : Workshops Details


neuro rehab

Author of article:

DR. GAJANAN BHALERAO (PT), PhD Scholor, MPTH NEURO, Certified Adult NDT therapist. HOD Physiotherapy & Rehabilitation Dept in Sancheti Hospital Shivajinagar Pune

Associate Professor & HOD  PT in Neuro Rehabilitation  DEPT at Sancheti Institute College of Physiotherapy, Shivajinagar Pune

 

We have to study all the Neuro therapeutic approaches in  Neuro rehabilitation from BPT third year class, to fourth year and MPT.  In these Approaches there are similarities and differences, advantages and limitations of each approaches need to be understood and studied during our graduation.

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In third year and fourth year we need to discuss about it and show at least few techniques and do the demonstration on patients. It was very  difficult for me to understand all these components  and its was more difficult to apply these approaches in clinical practice.

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Even though i was exposed to these approaches/technique it was very difficult to practice it. There was not enough opportunity to attend these kind of workshops or training. this thought process regarding this issue has been continuously thought-provoking in my mind. And i have experienced my students coming to me with the similar problem. they have been facing the similar problem like i use to.

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There are so many approaches, What approach i suitable for my patient? This always a question with us all the time.

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What is the technique i use for improving the desired control? The more try to answer this question we get more confused and we reach no where.

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So i  am planning to conduct a series of workshop on different approaches in neuro rehabilitation. These workshop will include practical demos on patients, clinical application of these approaches.  These workshop  will emphasis on similarities and differences, advantages and limitations approaches.

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Date Topic Participant Criterion Participant fee INR Resource No. of days
13/09/2014 Neuro therapeutic approaches in  neuro   rehabilitation :part I-  Proprioceptive neuro Muscular facilitation.

https://gajananbhalerao.wordpress.com/2014/08/28/workshop-of%E2%80%8B-proprioceptive-neuro-muscular-facilitation-pnf-in-neuro-rehabilitation-on13th-sept-2014-%E2%80%8B/

 

4th year +, BPT, MPT30 students MAX Indian –RS 1000/-International US $25/- Dr. GAJANAN BHALERAO (PT) 1 DAY
18th & 19th October 2014  Neuro therapeutic approaches in  neuro   rehabilitation : Part II-  NDT /Bobath approach in Adult hemiplegia  4th year +, BPT, MPT30 students MAX Indian –RS 2000/-International US $50/-/ Dr. GAJANAN BHALERAO (PT) 2 DAYS
27th December 2014 Neuro therapeutic approaches in  neuro   rehabilitation  : part III-  Brainstorm & Roods approach 4th year +, BPT, MPT30 students MAX Indian –RS 1000/-International US $25/- Dr. GAJANAN BHALERAO (PT) 1 DAY
3rd & 4th January 2015 Neuro therapeutic approaches in  neuro   rehabilitation : part IV-  Motor relearning program 4th year +, BPT, MPT30 students MAX Indian –RS 2000/-International US $50/- Dr. GAJANAN BHALERAO (PT) 2 DAYS
28th February 2015 Neuro therapeutic approaches in  neuro   rehabilitation : part V-  Recent advances with evidences.(CIMT, Mirror therapy, FES, BWSTT, mental imaginary training, strength training, robotic therapy etc) 4th year +, BPT, MPT30 students MAX Indian –RS 1000/-International US $25/-

Dr. GAJANAN BHALERAO (PT)

 

1 DAY

Other Workshops

November2014 Spinal cord injury rehab 4th year +, BPT, MPT30 students MAX Indian –RS 2000/-International US $50/-/ Dr. GAJANAN BHALERAO (PT) 2 DAY
13th & 14th December2014 2D and 3D gait analysis and management of gait deviation 4th year +, BPT, MPT30 students MAX Indian –RS 2000/-International US $50/- Dr. GAJANAN BHALERAO (PT) 2 DAYS
14th & 15th March 2015 Neuro therapeutic approaches in stroke   rehabilitation:  part VI-  Motor control & Strategies to improve motor control 4th year +, BPT, MPT30 students MAX Indian –RS 2000/-International US $50/- Dr. GAJANAN BHALERAO (PT) 2 DAYS

Please give your suggestions 1akuzic3mu6ujpl6tedtew

Dr. ASHA CHITNIS’S FOUR DAY WORKSHOP ON “ NDT BASIC COURSE” SEPTEMBER- 2014.


Asha chitnis clinic

DEAR ALL,

 

               WE ARE PLEASED TO INFORM YOU THAT Dr. ASHA CHITNIS( PT,MPT,C/NDT) WILL BE CONDUCTING  “ NDT BASIC COURSE”   ON THE FOLLOWING DATES :

SEPTEMBER-6TH ,7TH , 27TH ,AND 28TH  2014.  .

TOTAL : 2 WEEKENDS

VENUE: KOHINOOR HALL PRABHADEVI  DADAR(WEST) MUMBAI.

 

REQUIREMENTS FOR THE COURSE:

ALL  THERAPISTS SHOULD BE FROM AN IAP RECOGNIZED COLLEGE

                                OR

MUST HAVE AN IAP MEMBERSHIP

ALL OCCUPATIONAL THERAPISTS MUST BE REGISTERED WITH THE AIORTA.

SPEECH THERAPISTS

 

COURSE FEES: RS 13,000/-

 

ALL THERAPISTS WHO ARE NOT FROM MUMBAI MUST PAY VIA DEMAND DRAFT. PAYABLE TO:  “VEDANTAPROGRAMS”  payable in Mumbai

THE THERAPISTS FROM MUMBAI CAN PAY VIA CASH/DD/ CHEQUE .

Please let us know your food preference- jain or non jain with the DD or cheque  that u send.

 

FOR ANY QUERIES KINDLY CONTACT:

PRERONA-9167600506 ,         AMIT – 09930514596,           CLINIC:  022-265042623

 

KINDLY SEND YOUR DRAFTS/ CHEQUES TO THE FOLLOWING ADDRESS                                                         

 Dr (Mrs.) Asha M Chitnis. NDT (PED) US

Gr Floor, Mistry Building S S Parellkar Marg, Behind Catering College,

Dadar (West) Mumbai 400 028, India.

Work Tel # 011 – 91 – 22 – 65042623

                                                                                                           

                                                                                                 

Workshop on ” Neuro therapeutic approaches in neuro rehabilitation : part I- Proprioceptive neuro Muscular facilitation” on 13th Sept 2014 ​


On the occasion of word physiotherapy Day on  in month of September

Sancheti Institute College of physiotherapy, Sancheti healthcare academy

  ​organizing​ a one  days work shop on​

Neuro therapeutic approaches in  neuro   rehabilitation : Part I-  Proprioceptive neuro Muscular facilitation

Date :- 13th Sept 2014

Contact hours – 8hrs

Eligibility – Clinical Therapist, Post Graduate, 3rd & 4th year students and Intern

Registration fees: – Rs 1000 per candidate.

Venue: – Sancheti Institute College of Physiotherapy Shivajinagar, Pune.

Limited Entries: 30 Only

Course instructor

Dr. Gajanan Bhalerao (PT)

Master of Physiotherapy (Neurosciences)

Certified Adult NDT (C/NDT) Therapist

Associate professor Sancheti Institute College of Physiotherapy

HOD Physiotherapy Dept Sancheti Hospital

Shivajinagar, Pune.

Kindly send registration on
 

PROGRAM HIGHLIGHTS.

  1. Definition and neurophysiologic bases of PNF
  2. Principals of PNF
  3. Pattern of movement –D1 and D2
  4. Pattern of movement in upper limb – unilateral pattern, bilateral pattern, symmetrical, asymmetric and reciprocal pattern of UL.
  5. Pattern of movement in lower limb – unilateral pattern, bilateral pattern, symmetrical, asymmetric and reciprocal pattern of LL.
  6. Training of use these patterns in patient treatment.
  7. The approached PNF techniques will be: Slow Reversals (SR), Slow Reversal Hold (SRH), Repeated Contraction (RC), Timing for Emphasis (TE), Agnostic Reversals (AR), Hold-relax Active Movement (HRAM), Resisted Progression (RP), Rhythmic Rotation (RR), Hold-Relax (HR), Contract-Relax (CR), Rhythmic Stabilization (RS), Rhythmic Initiation (RI), Alternating Isometrics (AI),
  8. Use of PNF for facilitation, inhibition or stability
  9. Exercises for stability, mobility and coordination.
  10. Training of activities of daily living, ambulation and transfers training using PNF.

ABOUT THE RESOURCE PERSON

Dr. GAJANAN BHALERAO (PT)

Associate Professor

Masters in physiotherapy, Neurosciences,

Certified Adult NDT (C/NDT) Therapist

Sancheti Institute College of physiotherapy,

HOD Physiotherapy Dept Sancheti Hospital

Shivajinagar, Pune.

gajanan_bhalerao@yahoo.com

Credits : University Topper in Master of Physiotherapy 2007 Pune university

 

Work Shops Conducted (Continued Medical Education)

  1. Workshop on Motor Relearning program for stroke

Rehabilitation at Youth Men Christian Association (YMCA), Pune, on 29th & 30th of March 2007.

  1. A 2 day workshop under Indian Association of Physiotherapy Pune branch, on “Spinal Cord Injury Rehabilitation” in 2008
  2. Resource person for the pre conference workshop and lecture during National Seminar On Multidisciplinary Approach To The Management Of Paediatric Disabilities organized by Faculty of Disability Management and Special Education Ramakrishna Mission Vivekananda University SRKV, Coimbatore, Tamil Nadu 641 020, INDIA. June 2010
  3. A workshop on 2D & 3D Gait Analysis And Management Of Gait Deviations organized by Indian Association Of Physiotherapy Pune & Pimpri Chinchwad Branch on 27th &28th November 2010, at Sancheti institute college of physiotherapy.
  1. A workshop Motor Relearning program for stroke Rehabilitation on October 2010, organized by Indian Association of Physiotherapy Pune & Pimpri Chinchwad Branch on 27th &28th November 2010, at Sancheti Institute College of physiotherapy.
  2. A workshop on 2D & 3D Gait Analysis And Management Of Gait Deviations organized by Indian Association Of Physiotherapy Pune & Pimpri Chinchwad Branch on 27th &28th November 2010, at Sancheti institute college of physiotherapy.
  3. A workshop Spinal cord injury Rehabilitation, organized by Indian Association of Physiotherapy Pune & Pimpri Chinchwad Branch on December 2010, at Sancheti Institute College of physiotherapy.
  4. A workshop Spinal cord injury Rehabilitation, organized by Sancheti healthcare academy on December 2012, at Sancheti Institute College of physiotherapy.
  5. A 2 day Workshop on Task specific training in neuro rehabilitation, on 30 -31sept 2013, at Mission health physiotherapy centre Ahmadabad, Gujarat.
     
    Hurry up! limited sits only.

    For eligibility  program & Registration from details click attachment.

    Please forward this information to the interested therapist and students​.​