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Post-Trauma Rehabilitation

Surviving a traumatic injury is not just about physical recovery alone, but emotional rehabilitation as well. After experiencing an accident, traumatic brain injury or severe trauma, the right kind of medical rehabilitation is of great importance. Rehabilitation can involve physical or cognitive rehabilitation depending on the requirement of the patient.

At SIA, the role of our in-patient rehabilitation therapists differs from a regular rehabilitation center. Our in-patient physicians work with patients to improve mobility or function. Our therapists provide help and medical care to assist the patient with their physical state after severe trauma. The goal is to increase the patient’s independence and physical function after the traumatic injury to help them return to as much of their previous ability as possible. If in case the patient is not able to go back to their previous level of function, we assist them in exploring new methods, simpler ways of doing things.

The most common types of traumatic injuries for which we provide medical rehabilitation and care are:

Spinal Cord Injury | Diffuse Axonal Injury | Subdural Hematoma | Soft Tissue Injury | Amputation

Spinal Cord Injury

A Spinal Cord Injury (SCI) is damage caused to any part of the spinal cord which causes changes in its function either temporary or permanent. These changes most often translate into a loss of muscle function, sensation, or autonomic function in parts of the body served by the spinal cord, below the site of the injury. While in some cases the patient has a chance for full recovery, in severe cases it can lead to permanent tetraplegia/quadriplegia (total loss of function in the lower half of the body) in injuries at the level of the neck, and paraplegia in lower injuries. Complications that can occur in the short and long term after injury include muscle atrophy, pressure sores, infections, and respiratory problems.

At SIA, we ensure that there is interdisciplinary management of patients with spinal cord injuries. Our team works towards meeting the current needs of the patient, providing emotional support along with physical and mental rehabilitation. When it comes to physical rehabilitation, gait and strength training is done along with the development of motor skills. Wheelchair, bed mobility, and transfers are done regularly. We also ensure cardiovascular fitness along with respiratory, pain and bowel & bladder management. Comprehensive patient and family education are also provided as a part of our post-trauma rehabilitation programme.

Diffuse Axonal Injury

Diffuse axonal injury (DAI) is a traumatic brain injury which produces lesions (damage) in the white matter of multiple areas of the brain; hence the name ‘diffuse’. DAI is one of the most common and devastating types of traumatic brain injury and is a major cause of unconsciousness and persistent vegetative state after severe head trauma injuries. These can be caused by violent blows to the head, sporting injuries, falls etc. The most frequent outcome is coma, with over 90% of patients with severe DAI never regaining consciousness. Those who do wake up often remain significantly impaired.

At SIA, we ensure that there is interdisciplinary management of patients with Diffuse Axonal Injury which includes speech therapy, physical therapy, and occupational therapy. Psychological counselling is also a part of our post-trauma rehabilitation treatment. Bed mobility is done continuously along with cardiovascular fitness, respiratory, bowel and bladder maintenance of affected persons.

Subdural Hematoma

Subdural Hematoma is a traumatic brain injury where blood gathers between the layers of tissue that surround the brain. The outer layer is called dura. In a subdural hematoma, the bleeding occurs under the skull and outside the brain, not within the brain. This condition is generally caused due to head injuries such as falls, vehicular collision or an assault. If the pressure inside the skull rises to a great extent, a subdural hematoma can lead to unconsciousness or death. Subdural hematomas are often life-threatening when acute. Chronic subdural hematomas, however, have a better prognosis if properly managed. Despite prompt surgical evacuation of hematomas, patients with acute subdural hematomas often have a poor prognosis because of associated underlying brain injury. Patients often require post-operative intensive care for ventilator-dependent respiration, strict blood pressure control, and management of intracranial hypertension.

A post-trauma rehabilitation program is helpful in improving short-term postoperative balance and function. At SIA we ensure that there is interdisciplinary management of patients with evacuated Subdural Hematoma which includes physical therapy for muscle weakness and poor coordination, speech therapy for communication and occupational therapy to help patients find simpler ways to do everyday tasks. Bed mobility is done continuously along with cardiovascular fitness, respiratory, bowel and bladder maintenance of affected persons.

Soft Tissue Injury

Soft tissues are tissues that support and surround other structures and organs of the body. Soft Tissue Injury (STI) which is the most common sports-related injury is the damage of muscles, ligaments, and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-time blow resulting in overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function.

Treatment depends on the grade and severity of the injury. You can expect a full recovery from soft tissue injuries in one to six weeks. Cold therapy is often used to decrease swelling in the acute stage. Following this, electrotherapy may be employed to help repair damaged ligaments. Joint stiffness is common post joint and soft tissue injuries.

Our highly skilled team of physiotherapists at SIA will help you regain full range of movement through skilled hands-on techniques and will provide you with research-based personal exercises to help you self-manage your injury successfully. Our team of physiotherapists will provide a safe, quick and effective solution to your problem.

Amputation

Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventative surgery for such problems.

Our critical care doctors and therapists have helped more in-patients to achieve better results than most physiotherapist centers. At SIA, we provide therapy for amputees through every stage of recovery. Stump or residual limb management at SIA is done through Buerger’s exercises, connective tissue massage, dynamic stump exercises, balance and gait retraining, and short wave diathermy. The amputee is trained in stump care and mobility aids are prescribed based on the fitness, strength and balance skills of the individual.