Neuro Physiotherapy clinic cum centre in Rohini, Delhi
Neuro Physiotherapy is a health care profession that provides treatment to individuals to develop, maintain and restore maximum movement and function throughout life. Our team of experienced physiotherapists chart the course of your recovery helping you regain your independence thus rebuilding your self-esteem and positive attitude.
The Physiotherapy department at Healthcare caters the following aliments :
• Pediatrics : Cerebral Palsy, Muscular Dystrophies, Down’s syndrome etc.
• Musculoskeletal : Joints Pains, Nerve Injury, Sports Injury, Tennis Elbow etc.
• Women’s Health : Antenatal / Postnatal care Weight Reduction, Post pregnancy etc.
• Geriatrics : Arthritis, Obesity, Joint Pain etc
Neurological physiotherapy is the treatment of the patient who have the neurological disorder . neurological disorder are those affecting the brain,spinal cord,and nerves for example stroke,multiple sclerosis and parkinson’s disease which arter very common nowadays.Neurological treatment is based on the restoration of the motor fiunction to overcome the motor deficit.Before initiating the neuro treatment a through assessment is done to evaluate the extent of deficiency or deficit.assessment includes the motor,communication and cognition and at the end outcome measure.Various conditions are Stroke,alzeihmers diseases,parkinsons disease,multiple scelerosis,muscle dystrophy,brain injury,myasthenia gravis, myopathies, dystrophies.
Treatment of stroke depend upon the part of the brain affected by the disturbance to cerebral function with symptoms lasting 24 hrs to longer,stroke leads to the death also in many cases.The cause of the stroke is of vascular origin and includes cerebral infarction,intracerebral hemorrhage and subarachnoid hemorrhage.At the base of the brain carotid and veretebrobasilary arteries form a circle of communicating arteries called circle of willis,from this circle,other arteries like anterior cerebral artery,middle cerebral artery and posterior cerebral artery arises,and they travel to the all part of the brain.The functional areas of cerebral cortex affected following insufficiency of blood to the respected supply.Stroke occurs when there is interruption of the blood supply to a particular area of the brain ultimately leads to the cell injury and cell death.Stroke occurs in two ways one is Ischemic and another is hemorrhagic.Ischemis is the most common as there is the occlusion of the blood vessel impairing the flow of blood to the brain,it includes Thrombotic,Embolic,venous thrombosis,systemic hypoprofusion.
Hemorrhagic stroke occurs when a blood vessel in the brain ruptures and start bleeding.It can occur in two ways intracerebral and subarachnoid.Location of the infarct and deficits produced are left MCA,right face and arm upper motor weakness due to damage to the motor cortex,Brocha’s aphasia due to damage to the Broca’s area.There may be right face and arm cortical sensory loss,if the infarct involves the sensory cortex.Other deficit includes Wernickes aphasia due to damage to the Wernickes area. Right MCA includes left face and arm upper motor weakness due to motor cortex damage.these are the damage to the superficial areas.
Left PCA includes right hemianopia due to the damage to the left visual cortex,in the occipital lobe.Larger infarcts includes the internal capsule and thalmus may cause right hemisensory loss and right hemiparesis due to interruption of ascending and descending information passing through these structures. Right PCA includes left hemiparesis due to the right visual cortex in the occipital lobe.
Left ACA includes right leg upper motor neuron weakness due to damage to the motor cortex and right leg cortical sensory loss due to damage to the sensory cortex.Grasp reflex ,frontal lobe behavioral abnormalities,aphasia can also be seen if prefrontal cortex involved. Right ACA includes left leg upper motor neuron weakness due to the damage of motor cortex and left leg cortical type sensory loss due to damage to the sensory cortex.Grasp reflex frontal lobe behavioral abnormalities seen if prefrontal cortex involved.
Management of stroke includes in acute stroke is to stabilize the patient and complete initial evaluation assessment which includes imaging and laboratories test also.Glasgow coma scale with the different scores for motor sensation and verebal .Patient presenting with the Glasgow coma scale score of 8 or less requires the emergent airway control via intubation.The goals of physiotherapy rehabilitation includes prevention of complication,minimize impairement and maximize ther function.Prevention of pain,improvement in fine and gross movement,proper positioning is required to support.ROM exercises is to be initiated tom improve and maintain the available range of motion.Strength training which can improve the strength without increasing the tone and pain in individual with stroke.