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Deconditioning Rehabilitation

DECONDITIONING

This is a term used to define a condition that results from decreased physical activity. Any medical or surgical condition that results in decreased physical activity can cause this. Deconditioning is commonly seen after prolonged hospitalization due to complex medical or surgical issues. The Severity of deconditioning depends on lots of factors such as the age of the patient, time duration of decreased physical activity, and premorbid physical capacity.

The deconditioning rehabilitation services are facilitated by us in a manner favorable to the patients. As opposed to traditional physiotherapy clinic in Chennai, recovery from a long period of inactivity is made easier through deconditioning treatment and deconditioning exercises in our center through inter-disciplinary approach.

SYMPTOMS AND MEDICAL COMPLICATIONS

Symptoms and medical issues that are commonly encountered are

  • Muscle weakness of the arms and legs
  • Poor endurance
  • Tiredness and easy fatiguability
  • Poor breathing capacity if the respiratory muscles become weak
  • Swallow dysfunction if the swallow muscles become weak
  • Speech impairment if there is a damage to the structures or weakness of muscles involved in speech
  • Bowel or bladder incontinence if the muscles that control these functions are weak
  • Difficulty in walking or performing daily activities when these symptoms are severe, leading to poor quality of life

HOW JH REHABILITATION CAN HELP

Our comprehensive, interdisciplinary team approach (i.e. care being provided by various disciplines in a coordinated fashion) with Physician (Physiatrist), Physiotherapist, Occupational Therapist, Speech and Language Therapist, Neuropsychologist, Nutritionist and a Rehabilitation Nurse can help reduce your symptoms directly related to the illness as well as prevent medical complications that occur as a result of impaired mobility such as blood clots in the veins of the arms and legs, blood clot in the lungs, pressure ulcers, and muscle wasting. Not all patients will require all services and usually, a combination of these services is required for an individual patient. You will be evaluated at the initial visit to determine what services you require and a tailored treatment plan will be initiated.

Occupational therapist

The Occupational therapist helps patients with severe physical impairment to be independent by training them on various physical activities of daily living such as moving in the bed, transferring from one place to another, eating, dressing, bathing, toileting, and driving. The final phase of treatment involves patient training for successful community integration (education, employment etc).

Speech-language pathologist

The Speech Language Pathologist (commonly referred to as Speech and Language Therapist, will evaluate the patient’s speech and swallowing skills and train them on retraining/compensatory strategies to improve the same.

Neuropsychologist

The Neuropsychologist evaluates patients with depression and anxiety that is commonly seen after any major life-changing illness and guides them through the process of rehabilitation thereby improving their quality of life through motivation and counseling.

Nutritionist

As adequate nutrition intake is essential for optimal recovery, the Nutritionist recommends an appropriate intake of nutrition.

Rehabilitation Nurse

The Rehabilitation Nurse performs and teaches wound care management for patients with wounds caused due to immobility. They also train patients and caregivers on appropriate bowel and bladder management to improve its function.

EXPECTATIONS OF RECOVERY

Treatment duration and prognosis depends on the severity of the condition and premorbid physical condition. When there is no irreversible damage to the nerves or muscles and no other associated conditions, a full recovery can be expected. The importance of exercise in this population is to accelerate the recovery process and prevent medical complications caused due to immobility. In the event that there is an irreversible damage to the nerves or muscles, then residual physical limitations maybe noted but community reintegration may still be possible despite these limitations. To find out whether or not there is an irreversible damage to muscles or nerves, a diagnostic test called Electromyography should be done.

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