A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

There are instances when a kid doesn t show the usual signs of development compared to their peers. Most parents take it casually thinking that their child will catch up in due course only to find a larger problem associated with it. It is therefore extremely important to discuss speech and language related delays with a medical practitioner to find out whether a child is immature or has a genuine problem which requires medical help. A child can show different signs as per age:

Different age group:

Within the first 12 months, a baby should be able to relate to his environment and make babbling and cooing sound. It is often observed that by month 9, a baby is capable of stringing sounds after seeing things. If a baby is intently watching objects, but is unable to make any sound, this may be an early symptom of speech or language related problem.
Between the 12th and the 15th month, a baby should be capable of making a wide array of sounds including few commonly used words. Babies should also be able to take few basic instructions and oblige those.
Between the age of 18th and 24th months, a baby becomes smart enough to pronounce anywhere in the range of 20 to 50 words. They also start combining words and make simple sentences. They should be capable of identifying common objects and remember their names.
By the age of 3, a toddler should be smart enough to combine 4-5 words and form sentences. Kids of this age also become smart enough to take straightforward instructions and perform them comfortably. Any deviation on this should be immediately reported to the Doctor.
What are the warning signs?
If a child between the age of 1-2 is not able to do the following things:

Fails to use gesture
Use more gesture than vocalising by the age of 18 months
Produce no voice by 18th-month
Fails to perform simple instructions
A child between the age of 2-3 needs evaluation if:

Capable of imitating words but isn t spontaneous in vocalising
Repeats certain words multiple times
The tone of voice is unusual compared to his peers
Possible causes of speech and language delay:

Problems with palate leading to oral impairments
Short frenulum restricting sufficient tongue movement to produce speech
Oral-motor problems leading to speech limitation
Problems related to hearing
Chronic infection of the ear leading to speech delay
What does the pathologist assess?

What can the child speak?
What can the child understand?
Oral-motor status
Clarity of speech
Post the above evaluation a pathologist directs a plan of action. Sometimes speech therapy sessions are recommended in order to improve kids  skill. For a motor related problem, a doctor can state a plan of action and limit the expectation of parents.

Speech & Language Delay - Spot The Signs!

Addiction is one of the most common mental health problems faced by people around the globe. This could be an addition to alcohol, nicotine or drugs. Addition usually begins in a person s teenage years and if left untreated, may continue into adulthood. As with other health issues, addiction worsens with time and the later it is diagnosed, the harder it is to treat.

Alcohol Addiction
An addiction to alcohol is termed as alcoholism. In some cases, it can make the person drink heavily on a day to day basis. In others, it may cause binge drinking at regular intervals. In either case, the person cannot stay off alcohol for extended periods of time. Alcohol addiction is hard to recognize given the social acceptability of having a drink. If left untreated, this condition can be fatal and cause ulcers, bone loss, liver disease, an increased risk of cancer and suppressed immunity.

Nicotine Addiction
Like alcohol addiction, nicotine addiction is hard to spot given that people smoke openly. However, when a person cannot stop smoking even though he or she is aware of its ill effects, treatment needs to be sought. Nicotine dependence affects mood swings and has a physical effect on the body as well. It can cause anxiety, restlessness, frustration, loss of appetite, insomnia, constipation as well as heart disease and lung disease. It can also increase the person s risk of suffering from cancer, infertility and respiratory infections.

Drug Addiction
This is the most serious of the three. Drugs can take many forms. Some are smoked while others are chewed or injected into the body. It is a misconception that drugs are common only amongst the lower rungs of society. Drug addiction can cause mood swings, social withdrawal, memory loss, shortened attention span, poor judgment and other such changes in behavior.

All forms of addiction can be prevented and treated. Thus, it is important to not ignore early signs of addiction and speak to the person concerned or his or her caregiver. In some cases, treatment can take the form of outpatient therapy while in others; the patient may need to stay in a treatment facility for a specific duration of time. Even after treatment, relapses are possible. Hence, the patient needs support from this family and friends. It is also important for the patient to continue therapy in some form or the other even after coming out of the treatment facility. 

Drug & Alcohol Addiction - How To Overcome It?

An eating disorder, mostly appears when your food habits reach levels of extremity. Anorexia nervosa and Bulimia are two main and the most common eating disorders found in men and women. One is the lower extreme while the other is the higher extreme in terms of food intake.

1. Anorexia: People who are affected with anorexia think of themselves to be very overweight in spite of actually being very slim and thin. Anorexia inflicted people consume less than a thousand calories per day. They exercise rigorously and try to find more ways to lose weight. They vomit a lot due to the insufficient diet and suffer more. The treatment for anorexia nervosa generally includes a mix of mental treatment, and regulated weight gain program. An anorexia patient should seek treatment as early as possible. The best ways to deal with anorexia are:

Psychological Treatment: Various psychological treatments can be used to cure anorexia of different stages. They are cognitive analytic therapy, cognitive behavioral therapy, interpersonal therapy, focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be given.

Weight gain program: This measure will guide an anorexic patient to improve his diet habits and slowly gain weight. A patient is monitored carefully, traits are recognized and a likewise diet pattern is given.

2. Bulimia: Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is  overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimic patient is constantly trapped in the cycle of overeating and then thinking about losing weight.

Maybe you do not like the idea of binge eating and fear getting obese, but once affected by bulimia a patient cannot follow this and binge eats. Later, they adopt extreme measures for losing weight. The primary methods to deal with bulimia are:

a. Psychotherapy: Psychotherapy, or talk therapy includes examining your bulimia and related issues with an expert. It is proven that these sorts of psychotherapies restrict the symptoms of bulimia. The three modes of psychotherapy include- Cognitive-behavioral therapy, Family-based therapy and Interpersonal psychotherapy.

b. Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is a recommended and effective medicine.

c.Proper diet plan: For bulimia affected patients, having a proper balanced diet is very essential. A diet expert should be consulted, who will make the most essential food pattern for you. Undertaking a weight loss program is also recommended.

Eating disorders such as anorexia and bulimia should be avoided, and you should know the best ways to deal with them.

How to Deal With Anorexia and Bulimia

Most Practical Tips for Controlling Everyday Stress

We generally use the word 'stress' when we feel that everything becomes too much to handle - we are overloaded and wonder whether we can cope with the pressures placed upon us. Nowadays stress is a normal part of life. Almost everyone has some sort of stress. Constantly reacting to stressful situations without making adjustments to counter the effects, threatens our health and well-being.

There are steps you can help you managing day to day stressful conditions and take to feel better.

Be realistic: If you feel overwhelmed by some activities (yours and/or your family's), learn to say NO! Eliminate an activity that is not absolutely necessary. You may be taking on more responsibility than you can or should handle. If you meet resistance, give reasons why you're making the changes. Be willing to listen to other's suggestions and be ready to compromise.

Shed the 'superman/superwoman' urge: No one is perfect, so don't expect perfection from yourself or others. Ask yourself, 'What really needs to be done?' How much can I do? Is the deadline realistic? What adjustments can I make?' Don't hesitate to ask for help if you need it.

Take one thing at a time: For people under tension or stress, their day-to-day workload can sometimes seem unbearable. The best way to cope with this feeling of being overwhelmed is to take one task at a time. Make a list of things you need to get done and start with one task. Once you accomplish that task, choose the next one. The positive feeling of 'checking off' tasks is very satisfying. It will motivate you to keep going.

Share your feelings: A conversation with a friend lets you know that you are not the only one having a bad day. Stay in touch with friends and family. Ask them how they have dealt with a similar situation that may be 'stressing you out.' Let them provide love, support and guidance. Don't try to cope alone.

Be flexible: If you find you're meeting constant opposition in either your personal or professional life, rethink your position or strategy. Arguing only intensifies stressful feelings. Make allowances for other's opinions and be prepared to compromise. If you are willing to be accommodating, others may meet you halfway. Not only will you reduce your stress, you may find better solutions to your problems. Go easy with criticism. You may expect too much of yourself and others. Try not to feel frustrated, disappointed or even 'trapped' when another person criticises you.

Hobbies: Take a break from your worries by doing something you enjoy. Whether it's gardening or painting, schedule time to indulge your interest. Exercise: Regular exercise is a popular way to relieve stress. Twenty to thirty minutes of physical activity benefits both the body and the mind. Meditate: Just ten to twenty minutes of quiet reflection may bring relief from chronic stress as well as increase your tolerance to it.

Take Herbal Supplement: Herbs like Brahmi, Ashwagandha, Mandukparni, Shankhpuspi, Kaunch are very helpful in managing stress. These herbs work on the brain and help relax you which ultimately empowers you to manage your stressful conditions easily. There are many herbal supplements available in the market that can help you.

Consult the Doctor: If your stress level doesn't seem to improve with above tips, it may require more attention and consultation with an Expert.

If you would like to consult with me privately, please click on 'Consult'.

Most Practical Ways of Controlling Everyday STRESS

Sadly, millions of people around the world attempt to commit suicide every day. This can be defined as the act of purposefully taking one s life. There can be many causes for a person to take this extreme step but in most cases, the person gives out warning signs before committing suicide. It is important for us as family and friends to look out for these signs and protect our loved ones.

Social withdrawal: When a person loses interest in things he or she likes to do normally or starts keeping a distance from others, it may be cause for concern. Social withdrawal is one of the most common symptoms of depression. Depression could in many cases trigger suicidal thoughts.
Focus on death: People having suicidal thoughts may talk openly about death and wanting to die. Do not take this lightly. In other cases, they may be fixated on death and begin researching various ways to take their life. This could also take the form of buying a gun, sleeping pills or a sharp knife.
Despair: Nobody likes listening to others crib but in many cases, this may be a way for a depressed person to seek help. Many people commit suicide not to end their lives but to end the physical or emotional pain they are suffering from.
Making Plans: People thinking of committing suicide may begin drafting suicide notes or start making plans to get rid of their belongings. This could be in the form of a sudden garage sale or drawing up a will.
Reckless behavior: People who are depressed and contemplating suicide may show signs of reckless behavior as they think they have nothing to lose. They could start drinking excessively or doing drugs or even have unprotected sexual intercourse. Drugs and alcohol could also be a way for them to lessen their pain. Driving under the influence or driving too fast could also be a sign to look out for.
How can you help?
If you do notice something strange, do not ignore it. Try talking to the person and help them express their frustration in words. Find ways for them to meet more people and do something different. You should also encourage the person to talk to a professional mental health care expert. If you are in a situation where someone threatens suicide, do not leave them alone. Try to calm them down and call for help immediately.

How To Identify Suicidal Behaviour?

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