Need based medical care of a person needing rehabilitation services
Consists of Clinical Assessment and its evaluation, if required supplemented by CT-SPECT Fusion Scan of brain or equivalent, to delineate areas of brain dysfunction requiring management and repair.
Instruct Therapists on neural damages identified, so that they may choose specific need based neuro-rehabilitation strategies accordingly.
Makes medical diagnoses of complications for taking care of, e.g. malnutrition, micronutrient deficiencies, epilepsy, deformities, hypothyroidism, diabetes, etc.
Where needed, advise electro diagnostic approach
In selected cases, based on clinical assessment and investigations, have detailed discussion of all pros and cons of modern and/or experimental interventional therapies like HBOT, Biomedical approach, • surgical correction of deformities and spasticity, and Regenerative Medical Therapies
Make it clear to the attendants and patient that a variable degree of disability WILL persist, but, with proper holistic Neuro-Rehabilitation and need based medical interventions, quality of life may be enhanced significantly in most but not all cases.
Familiarity and regular use of established scales for measurement of disabilities
Regular follow up for years if needed
Awareness that holistic Neuro-Rehab is the foundation of all management strategies
The patient’s physical, functional, emotional, and psychosocial well-being must always be considered in totality for effective treatment.
Detailed medical history taking: why/how the mishap occurred, followed by Biomedical, Genetic and/or Health tests as per individual case needs
Discuss with group members to decide the final management, orthotic aids, further tests, etc.
In patient is not responding to any approved and established therapy, and is only being given palliative tonics, etc, only then consider using Experimental Therapies if they fit Helsinki Protocol Para 35 guides.- Here, approach must be as in a clinical trial, with all its safeguards, detailed record keeping, full information to patient or guardian. A 2 year follow up is recommended.
Musculoskeletal care:- Different forms of arthritis: Osteo-, Rheumatoid, Traumatic, Ankylosing, Fibromyositis, Low Back Pain, etc.Sports injuries:- Examples: Achilles Tendonitis, Iliotibial Band Syndrome, Turf Toe, Medial & Lateral Epicondylitis, Tenosynovitis, Rotator Cuff Pathology, Acromioclavicular Separation, Biceps Tendonitis, Stress Fractures, Concussion, etc.
Neurorehabilitation:- Cerebral palsy, Traumatic Bain Injury, Autism Spectrum, Stroke, Spinal Cord Injury, Muscular Dystrophy, Parkinsonism, Multiple Sclerosis, Motor Nuron Disorders, etcPain medicine:- Different Neuralgias, Chronic Fibro-myossitis, Cancer Pain Management, Regional Pain Syndrome, Back Pain, Degenerative Arthritis, Carpal Tunnel Syndrome, Tennis Elbow, etc.
Post traumatic cognitive impairment, eg. After accident, war injuries,
Brain damage with cognitive impairment after stroke, cardio-respiratory failure and other forms of Hypoxic Ischemic Encephalopathy (HIE)
All forms of impairment of-Cognition, especially its regression for no cause-Psycho-social behavior,-Communication skills- Attention deficit• Hyperactivity
• Bizarre behavior as in Autism Spectrum, Depression, criminal tendencies, Schizophrenia,
• Mental Impairment
Contrary to popular opinion, a Speech Therapists’ work is not limited to speech only.
He provides all necessary Physical and Special Education Therapies to functions related to the area from throat to nose.
Soft palate control
Hard palate control
Communication, language and speech development
Dietician-Balanced, hypo-allergenic need based diet avoiding foods that are prohibited in a particular situation / disease.
Vascular Surgeon-Specific target organ based administration of a drug
• Diagnosis of obscure genetic disorders by tests
• Surgical correction of deformities and spasticity
• Neurologist / Neurosurgeon
Brain pathology management by surgery or medication especially in cases Hydrocephalus, brain trauma, tumors and abscesses, epilepsy, etc-Pediatrician
Manage pediatric complications in childhood disprders
Internal Medicine Specialist (Physician)
Group Leader, who can consolidate everyone’s opinion, and then lay down the ultimate holistic approach to be followed in a particular case and be the main handler.
HBOT: Hyperbaric Oxygen Therapy has stood the test of time over 3 decades and is now recognized and approved therapy for well over a dozen indications by US FDA & its European counterparts.
Cerebral Palsy in children: likely to be officially approved soon
Autism: reports of many small trials encouraging but more data needed from large scale long follow up trials for its final official approval.
Stem Cell Therapy: Adult Human Stromal Stem Cells are recommended to be in Clinical Trial Phase as of early 2014.-Autologous stem cells somewhat closer to approval. Good for acquired pathologies, but prolonged relief in genetic disorders questionable as the very stem cells used are defective, coming from the patient only.
• Allogenic Stem Cells from unrelated healthy donors might be better for genetic disorders. Recommended to be used in Phase II and Phase III Clinical Trials only.