Neurological Rehabilitation Centre

CAPAAR is the Best Neurological Rehabilitation Center in Bangalore, Hulimavu. Motor neurone disease (MND) is the name given to a group of disorders that affect nerve cells in the brain and spinal cord leading to muscle weakness, wasting and loss of function. It also affects the muscles that enable us to speak, breathe and swallow making these processes difficult. Motor neurone disease is a rare progressive neurological condition that commonly affects people between the age of 50 and 70.

Physiotherapy for Motor Neurone Disease

At CAPAAR we understand that being told that you have motor neurone disease (MND) can be an emotional experience and the news can be difficult to take in. CAPAAR has the Best Neurological Rehabilitation Center in Bangalore, Hulimavu. Our doctor will recommend an early intervention which is very important as this allows time for an effective relationship to be built up with the physiotherapist which will become invaluable as your condition progresses.

Our specialized neurological physiotherapists acknowledge that MND affects everyone differently so treatment is tailored to your needs. An initial assessment will look at how MND affects you and goals will be developed centered around you and those close to you. Physiotherapy treatment will be focused on:

• Minimizing abnormalities of muscle tone
• Maintaining muscle strength for as long as possible
• Preventing secondary problems such as soft tissue contractures and infection
• Advice on postural management
• Facilitating the use of efficient functional movement patterns including the quality of walking.
• Helping stiff muscles and joints
• Increasing range of motion
• Increasing flexibility
• Improving balance and posture
• Increasing comfort when sitting, standing or sleeping
• Reducing the risk of falling
• Education and advice about MND
• Increasing energy levels
• Improving sense of well being
• Helping maintain independence

Assessment of your individual needs will be taken on a regular basis as your physical symptoms will change over time. Physiotherapy treatment for motor neurone disease includes:

• Exercises to maintain muscle strength and length and how to incorporate these into everyday activities.
• Teach techniques that help make some automatic movements and functional abilities easier. For example, walking, sitting down and standing up are some of the tasks that may become difficult as MND progresses, but can be improved by learning new ways of doing things.
• Balance training to help improve confidence and reduce the risk of falling.
• Teaching and advising family and carers on positioning, transfers and mobility aids.
  Gentle exercise and massage will help reduce your anxiety.
• Hydrotherapy treatment will also help relax and stretch tight muscles and help with mobility.

CAPAAR has specialized as the Best Neurological Rehabilitation Center in Bangalore; Hulimavu. Multiple sclerosis or MS is caused by damage to the nerve fibers in the central nervous system (brain and spinal cord) affecting movement, cognition, and behavior. MS is also termed an autoimmune disorder as the immune system attacks the myelin (protective sheath) that surround the nerve fibers disrupting signals traveling along these fibers resulting in a loss of muscle control, balance, coordination, difficulty walking and changes in mood.

Physiotherapy for Multiple Sclerosis

Physiotherapy can be of great benefit to people with MS. It helps maintain independence by improving symptoms such as fatigue and muscle spasm, as well as preventing loss of mobility, strength, and balance. Physiotherapists play a key role in the treatment of MS. Our specialized neurological physiotherapists at CAPAAR are experienced in treating people with MS.

Physiotherapy is important when the physical symptoms are changing, or during the recovery phase after a relapse. Physiotherapy aims to:

• Help control and coordinate movement patterns.
• Reduce spasticity and encourage more normal movements.
• Regain functional abilities.
• Keep muscles strong and strengthen those that are weak.
• Keep joints mobile and prevent stiffness
• Improve coordination and balance.
• Prevent pressure sores.
• Prevent muscle contractures
• Reduce the risk of falling
• Promote recovery

Physiotherapy treatment will depend on which symptom you are experiencing at the time and treatment programmes will be tailored to your individual needs. At CAPAAR we understand that MS not only affects you but those close to you. A structured programme will be developed to incorporate family and careers and will be centered around:

• Correcting posture with particular emphasis on the right way to stand, to walk, to rise from a sitting or lying position, and how best to position oneself for sleeping.
• A range of exercises and physical activity to improve muscle strength and functional ability.
• Specialized stretches to relieve stiffness or spasms
• Exercises to build stamina and reduce fatigue
• Exercises to promote coordination and balance
• Advice on walking aids, ankle braces or orthotic devices to aid everyday activities and minimize injury.
• Hydrotherapy can help people with MS stretch tight muscles and improve posture in standing and walking.
• Promoting normal and easier movement so that you can enjoy a more active life.

A spinal cord injury is damage to the spinal cord, which carry signals to and from the brain. A person with damage to the spinal cord may suffer from loss of sensation and motor function depending on the level and severity of injury. Most injuries to the spinal cord are incomplete and do not sever the spinal cord. Some injuries will allow almost complete recovery. Others will result in complete paralysis.

Damage to the spinal cord can be caused by fractures, compression, or disease:

• Fracture of the spine can displace bone fragments, disc material, or tear into spinal cord tissue causing a spinal cord injury
• Compression of the spinal cord can damage nerve cells that carry signals to and from the brain
• Diseases of the spinal cord are rare but can cause spinal cord injury

Physiotherapy for a complete Spinal Cord Injury

Physiotherapy for people with a complete spinal cord injury will concentrate on maintaining tissue capability increasing muscle strength and maximizing potential and promoting independence. Treatment will focus on:

• Increasing muscle strength above the level of injury to reduce muscle weakness
• Maintaining muscle, tissue length and range of movement below the level of injury
• Muscle stretching below the level of injury to help lengthen tight muscles and reduce stiffness
• Regular standing to weight bear and improve function of internal organs
• Exercises to improve balance and confidence
• Teaching wheel chair skills which includes pushing and turning the chair, operating the brakes, and removing the footplates and armrests
• Breathing control and assisted coughing if appropriate to maintain a clear chest
• Teaching transfers (getting in and out of a wheelchair, bed, car, shower/bath and onto and off a toilet) to improve safety and promote independence
• Advice on orthotic devices
• Advice on positioning to help posture and prevent pressures sores
• Improving safety
• Increasing energy levels
• Reducing pain and muscle spasms
• Hydrotherapy treatment

Physiotherapy for an incomplete Spinal Cord Injury

People with an incomplete spinal cord injury present in different ways depending on the severity of the injury. Each person therefore needs individual treatment and continuous assessment. Our doctors at CAPAAR the Best Neurological Rehabilitation Center in Bangalore, Hulimavu will treats a physiotherapy on rehabilitation and returning the individual to their previous physical level as much as possible. Treatment will improve functional abilities and focus on:

• Exercise to strengthen weak muscles
• Reducing contractures by stretching muscles that have become stiff
• Promoting normal movement
• Increasing control of movement of the arms, legs and trunk
• Promoting activities of daily living
• Exercises to improve balance
• Reduce any anxiety that you may have and regain your confidence
• Increase ability to transfer including roll/move in bed/sit/stand
• Exercise to increase stamina and reduce fatigue
• Mobilization exercises to improve circulation and range of movement
• Advice on effective positioning to increase comfort
• Advice on orthotic devices and walking aids
• Hydrotherapy treatment
• Promoting independence
• Improving the quality of life

CAPAAR has the Best Neurological Rehabilitation Center in Bangalore, Hulimavu. Parkinson’s disease is a progressive neurodegenerative condition affecting the coordination of movement. Parkinson’s disease also affects cognition, mood, speech, and bladder and bowel dysfunction. Parkinson’s disease involves a lack of a neurotransmitter called dopamine in the brain which causes stiffness, tremors and slow movement and cognitive impairments.

Physiotherapy for Parkinson’s disease

Physiotherapy treatment can increase your energy levels and help you stay positive by increasing your sense of well-being. Physiotherapy treatment will address:

• Helping stiff muscles and joints
• Maintaining muscle strength for as long as possible
• Increasing range of motion
• Increasing flexibility
• Improving balance and posture
• Improving walking
• Postural problems
• Helping prevent or manage falls
• Increasing comfort when sitting, standing or sleeping
• Increasing energy levels
• Improving sense of well being
• Helping maintain independence

At CAPAAR the Best Neurological Rehabilitation Center in Bangalore, Hulimavu, our dedicated physiotherapists will help a person with Parkinson’s disease live the best life possible by maximizing potential. Physiotherapy treatment is centered on:

• Muscle stretching to prevent stiffness and lengthen tight muscles
• Exercise to help relax rigid muscles and joints to maintain a good posture, keep your joints flexible and help make movements smooth and efficient
• Exercise to increase stamina and reduce fatigue
• Reducing any pain that you may be experiencing
• Teach techniques that help make some automatic movements and functional abilities easier. For example, walking, sitting down and standing up are some of the tasks that may become difficult as Parkinson’s disease progresses, but can be improved by learning new ways of doing things
• Cueing and movement strategies to reduce the effects of freezing
• Teaching ways of transferring such as getting up out of a chair or moving in bed
• Advice on aids and adaptations to the home that might be of use for functional abilities for people with Parkinson’s disease
• Balance training to help improve confidence and reduce the risk of falling
• Hydrotherapy treatment
• Relaxation therapy help reduce stress which can often bring on symptoms of Parkinson’s.