Departments
Introduction
The diagnosis of spinal injury and its subsequent management can be difficult and a missed spine injury can have long-term consequences. Spinal column injury must there be presumed until it is excluded.
History
Modern prehospital emergency care has accepted immobilization as essential to prehospital secondary injury prevention as the prevailing view in spine injury. This concept has formed the foundation of prehospital care for potential spine injury patients. As a consequence of this foundation, substantial resources have been employed for medical provider training and treatment in secondary spine injury prevention with patient immobilization evolving into a practice routinely employed.
Mechanism of injury
The suspected spine injured patient evaluation begins with the history. While mechanism of injury consideration is not included as a means so patient exclusion for immobilization, the injury mechanism does serve as an initial historical component to adjust the potential for spine injury. Historical components that should heighten suspicion for spine injury include axial load, blunt trauma, motor vehicle collision or fall from a height greater than 3 feet. Fall from a standing height represent a risk to adult patients, particularly elderly patients of those with pre-existing spine injuries.
Objective
To render best quality physiotherapy services to Tachieve pain reduction and functional restoration to make the patients functionally independent.
Services
Physiotherapy services are related to alleviating pain related to movement dysfunction and have key role to prevent and rehabilitate person with locomotor disability.
The department provides services through use of physical agents such as mechanical force, water, heat, radiation, sound, electricity and manual handling; training related to function, aids and appliances and communication; and counseling of patients for preventive, restorative and rehabilitative treatment. tic and degenerative due to ageing.
Exercise Therapy related services such as active and passive moments, passive stretching, mobilization, postural drainage, Myofacial Release, Proprioceptive Neuro-muscular Facilitation, Neuro-developmental Technique, coordination exercise, cardiopulmonary rehabilitation, management in ICU and Gait training, Core Muscle Training.
Electrical modalities related services such as Short Wave Diathermy, Infra red radiation, Ultra Violet Rays, Microwave Diathermy, Cryotherapy, Electrical Stimulator, Interferential Current Therapy, Transcutaneous Electrical Nerve Stimulation, Ultra Sound and Laser Therapy, Moist packs.
Electro Diagnosis through Electromyography-Nerve Conduction Velocity, Reaction of Degeneration Test, Strength Duration curve.
Advice and counseling for back care, knee care, neck care, home exercise, handling and carrying of child with Cerebral Palsy.
Unique features
The department has latest equipments and machineries Gait Trainer, Isokinetic exerciser, Balance Master and Work Assessment System, Pulmonary Function Test, Spiro-Tiger Trainer, Electromyography-Nerve Conduction Velocity study, Fitness centre, Cardiopulmonary Rehabilitation Unit.
It has conducive environment for motivation ofpatients and well qualified hospital staff.
Attachment to the Government Physiotherapy College helps access to latest national and international knowledge and practices in the field of physiotherapy.
Objective
Through interdisciplinary approach for preventing disabilities and promoting knowledge and practices among all categories of persons with disabilities on rehabilitation.
Services
Services related to physical impairment due to congenital, hereditary, birth injuries, infective, metabolic, traumatic and degenerative due to ageing.
Paediatric viz. Cerebral Palsy, Post polio residual paralysis, Congenital anomalies, Arthogryphosis, Myelomeningocele, Rickets, Muscular dystrophy
Neurological viz. Hemiplegia, Head injuries, Parkinsonism, Multiple Sclerosis, Peripheral neuropathies, Motor neuron diseases, Spinal cord injuries
Orthopaedic viz. Cervical and Lumbar spondylosis, Osteoporosis, Post fracture sequelae, Painful conditions of joints, Peripheral nerve injuries, Perthes disease, Deformities resulting from Leprosy, Secondary complications of Diabetes, Burn contractures and post operative instant fitment to Scoliosis and Kyphosis patient
Arthritic viz. Osteoarthritis, Rheumatoid Arthritis
Amputations viz. Congenital and acquire, making immediate post operative prostheses and orthoses and on-table fracture brace fitment.
Unique features
Free modular high-tech prosthesis to children below 18 years.
Free artificial limbs to patients above 18 years.
Silicon cosmetic restoration to patients for
augmentation
Pressure garments for patients with burns and after
reconstruction surgery.
Special machinery for prosthesis, orthosis and
alignment measurement.
Objective
Occupational Therapy (OT) department works Otowards re-establishing physical and mental status of patients to achieve possible highest level of functioning, wellness and independence through recreational, creative and educational interventions.
Services
- Limb strengthening and breathing exercises, recreational activities and self care training
- Tilt table activities for preparing gradual sitting posture.
- Morning outdoor sports for limb strengthening and improving sitting balance and tolerance.
- Coordination activities to improve hand functions for quadriplegic patients.
- Modernized Resistive Sanding activities for strengthening of upper limb with audio visual feedback for patient self motivation.
- Transfer activities from wheelchair to bed/floor level and from ground to wheelchair.
- Training for activities of daily living and kitchen activities for female patients.
- Mobility aid use training (propelling wheelchair, driving tricycle, and use other mobility aids).
- Pre-vocational assessment for achieving self-sufficiency.
- Ergonomic advice for adaptation in home and work environment for IPD patient.
- Pediatric and Sensory Integration set up for Cerebral Palsy, ADHD, Autism, Learning disabilities etc.
- Services to patients referred by other departments of civil hospital.
- Follow up of OPD patients, assessment of home environment and training to patient/family members for optimal
Unique features
It is one of its kind of set up for patients of Spinal Cord injury in India run by Government of Gujarat.
Exceptional motivational and inspirational actions initiator for rehabilitation of patients.
Sharing of lessons through mini-movie on “Modernization of Occupational Therapy Equipments” in national conference.Silicon cosmetic restoration to patients for
augmentation
Knowledge and skill transfer to interns/students of allied faculties such as physiotherapy, nursing, prosthetics and orthotics.
Objective
The department works to provide diagnostic and therapeutic services to persons with Speech,Language and Hearing disorders.
Services
The department renders clinical services to the individuals with communication disorders such as hearing impairment, mental retardation, voice, fluency, phonological and language disorders. These services can be classified as audiology and speech language pathology: e key services of department include.
Hearing impairment
Assessment of hearing loss through Pure Tone Audiometry, Speech Audiometry, Free Field Testing, Behavior Observation Audiometry and Special tests such as Tone Decay Test, Short Increment Intensity Index. Rehabilitation services through Auditory Verbal Therapy, Tinnitus Retraining and Counseling.
Speech language pathology
Assessment of speech related impairments through Speech assessment, Articulation and Phonological assessment, Fluency assessment, Voice assessment, Language assessment, Nuerogenic Communication Disorder assessment, Counseling and guidance to persons with communication disorders and their caregivers.
Rehabilitation of individuals having any difficulty in speaking and understanding through short and long term therapies such as Language therapy for persons with hearing impairment, Mental Retardation, Cerebral Palsy, Autistic Spectrum Disorders, Aphasia etc; Reading and writing remediation program for persons with learning disability; Articulation therapy for persons with misarticulation, cleft lip and palate, dysarthria etc; Voice therapy for persons with voice disorders and Fluency therapy for persons with stuttering and cluttering.
Unique features
Detailed voice evaluation using a test battery approach which include formal and informal assessment.
Use of Dr. Speech software (computer based speech
and language therapy) for voice quality assessment and informal scales for young children and adults.
Hearing evaluation through specially designed
Audiometer in sound treated room.
Objective
Boost up self-esteem of patients with Spinal Cord Injury through skill assessment and development and facilitation of linkages for their rehabilitation.
Services
To boost morale and self confidence among persons with permanent disabilities, Government Spine Institute gives special emphasis to vocational services according to patient’s capacity and interest. The vocational services also increases economic contribution of persons with disabilities to their families and reduce their dependency through self employment.
To achieve this, Government Spine Institute collaborates with various National and International Non Government Agencies and Corporate Houses for provision of need based aids and equipments to the patients. A thorough skill and interest assessment and counseling of patient is done by professional social workers of the institute and they are provided with necessary training on sewing, embroidery, tied work, paper bag, managing shop/business etc. through in-house vocational training center.
To ensure Patient’s wellbeing beyond medical conditions and towards mental, social and economic conditions, Government Spine Institute: e key services of department include
Unique features
The department has professional dedicated team like Special Vocational Trainer, Counselor and Clinical Psychologist.
Administering specific counseling and vocational skill assessment test.
Gender specific counseling assessment system.
