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Dr. Swetha S.

Physiotherapist, Mumbai

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Dr. Swetha S. Physiotherapist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Swetha S.
Dr. Swetha S. is a renowned Physiotherapist in Mira Road East, Mumbai. You can meet Dr. Swetha S. personally at Dr. Swetha S. - Consultant Physiotherapist in Mira Road East, Mumbai. You can book an instant appointment online with Dr. Swetha S. on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 35 years of experience on Lybrate.com. You can find Physiotherapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Physiotherapy Balancing and Coordination Exercises (In Standing And Walking)

MPT, BPT
Physiotherapist, Noida
Physiotherapy Balancing and Coordination Exercises (In Standing And Walking)

STANDING ACTIVITIES:

Once the patient has a good head and trunk control one needs to work on thecontrol of the lower limb in order to make the patient stand successfully.Activities like unilateral bridging, crawling, kneeling and half kneeling helps in developing good pelvic and leg control. 

These exercises are progressed from supported position to unsupported position.Sitting to standing can be practiced by making the patient sit on a chair or cot such that the feet are in proper contact with the ground. The patient is advised to lean slightly such that the centre of gravity is brought between the feet, the therapist should stabilize the knee and support the pelvis there after the patient is encouraged to assume standing posture. 

Repetition of this task is essential till the patient masters the activity. The patient may be also taught standing by pulling on to the wall bar or parallel bar but for this the upper limb should be strong, nevertheless in the initial stages the support and assurance by the therapist is very important. Once the patient learns to stand,balance and weight transfer is taught. 

Posturography machine provides the important feedback to the patient which helps in improving the standing balance and control. Approximation given to the pelvis or to the shoulder also helps infacilitating stability in standing. In case the patient has tremor then ankle weights, a weighted belt or theraband can help in reducing them. 

Once the patient is stable in double support phase, weight transfer is practiced. Lastly in standing the patient is made to make a step with either limb in forward,backward and outward direction as a prerequisite to ambulation. 

GAIT TRAINING 

Gait training may be initially given in a parallel bar with foot marks. Footmarks are essential to reduce the tendency of the patient to walk with wide base of support. He needs constant verbal feedback regarding the step length,body rotation, accessory movements and trunk positions if the functional activity does not present itself as a whole procedural program. 

When the patient has to be progressed to walk outside a parallel bar, the therapist decides whether thepatient needs to be given an assistive device, which is based upon the balance of the patient. Although walking aids do provide support to the patient, they also possess a problem because the patient will now need to control the position and movement of the device as well as themselves.Walker or cane may be used depending upon the patient’s comfort.

Various coordination tests were used as assessment tools for incoordination are also used as exercises to improve incoordination. The patient is asked to repeat each activity about 10 to 12 times during each session. 

The patient maybe given these exercises as even home exercise program. At home patient can have multiple sessions with good rest in between them to avoid fatigue.Proximal fixation can be improved by using PNF techniques like rhythmic stabilization and approximation.

1 person found this helpful

Since last one month my both shoulders are paining. I am regularly doing exercise, so whenever I fell pain I am doing exercise and I get relief from pain. But the thing is now I can not wash my back and I can not buckle my bra hook. It is very difficult to take my hand backside and I can’t put any bag on my shoulder. Recently I diagnosed Diabetic and its very normal and under control. Please let me know how to treat my shoulder pain.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Since last one month my both shoulders are paining. I am regularly doing exercise, so whenever I fell pain I am doing...
Is called as peri arthritis shoulder and for that you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.
1 person found this helpful
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I am 31 years old. I have a back pain in every morning. Is any solution for that.

MPT, BPT
Physiotherapist, Noida
I am 31 years old. I have a back pain in every morning. Is any solution for that.
Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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I have pain in my left leg. Its moving from thigh to lower part of my leg. Dr.saying its due to a nerve which is affected due to L4 L5== Pl. Suggest me what could I do. Can I do some yoga.

MPT, BPT
Physiotherapist, Noida
I have pain in my left leg. Its moving from thigh to lower part of my leg. Dr.saying its due to a nerve which is affe...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana -- lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
1 person found this helpful
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I have back problem. When I wake up in morning so there are so much pain in my back.

MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
I have back problem. When I wake up in morning so there are so much pain in my back.
Avoid sleeping in ac or cooler. Maintain postuer .avoid pain increasing activity. Consult with physio.
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Sir my mother hands and fingers are swelling in early morning and right side leg knee area back side also a round swelling what's problem sir, which doctor I consult sir please tell me immediately sir.

MD (Hom.), BHMS
Homeopath, Delhi
Sir my mother hands and fingers are swelling in early morning and right side leg knee area back side also a round swe...
You can give her homoeopathic medicine actea spicata 30-5 pills three times daily for 2 weeks. Revert back after 2 weeks with feedback.
1 person found this helpful
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I have pain in leg from many days please help me I am not taking any medicine you have to tell me a medicine ok.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pain in leg from many days please help me I am not taking any medicine you have to tell me a medicine ok.
stretching exercises of legs. avoid long standing. quadriceps exercises and Physiotherapy treatment for few days
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I have a knee pain from Sept 2015. I underwent 3 T MRI tat showed me chondromalacia. My proKT test was normal. I have gained weight and now unable to loose. I have tried prescribed diet too tat didn’t work out and still I am 85 kg. I have done exercises recommended by physio to strengthen hip, back n knee. N now I am fed up as I am unable to perform many exercises that I used to do n diet also not working. I have tried many kind of diets from top notch dietician but nothing worked out. Even for a week I took metformin. Can any one pls suggest me how to loose weight in such unmotivated painful condition as with gaining weight my knee pain is also increasing. Fyi. It’s been 5 days I hv started Amway glucosamine and calcium.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I have a knee pain from Sept 2015. I underwent 3 T MRI tat showed me chondromalacia. My proKT test was normal. I have...
To lose weight, you must burn more calories than you consume a day from your diet, if you burn 3000 calories, you’ll lose a pound a week. People who lose weight slowly, about 1 to 2 pounds per week, are more successful at keeping the weight off. You'll also burn additional calories if you increase your physical activity. You weight-loss plan should do all of the following: •Emphasize fruits, vegetables, whole grains, and fat-free or low-fat dairy products. •Include lean meats, poultry, fish, beans, eggs, and nuts. •Contain foods low in saturated fats, avoid trans fats, and limit cholesterol and salt (sodium). •Avoid refined sugars and processed foods. Some tips to help you lose weight: •Keep a food diary. Writing down everything you eat is critical! Noting how you feel when you eat will help you identify emotional triggers that may cause you to overeat. Emotional eaters tend to overeat. •Eat when you're truly hungry rather than when you're tired, anxious or stressed. •Eat slowly. If you eat too fast, you eat more than you need to satisfy your hunger. Your brain needs time to catch up with your stomach. •Plan your meals ahead of time so you make healthy choices. When dining out, check the menu online and decide what you will order before you sit down. Ask for dressings on the side. Opt for foods that are baked, broiled or steamed versus fried or swimming in creamy sauces. Avoid chips and bread baskets—they add unnecessary calories. •Stay hydrated. People often mistake thirst for hunger. •Eat breakfast. If you skip this meal, you'll be starving by lunchtime. You'll have more difficulty making healthy choices throughout the day. Find resources to help you keep track of your food choices and nutritional values and that can offer additional support when you need it. You need to have diet plan based on your BMI & activities. Whatever we eat is metabolised by the body for the energy needed to do daily work and the excess is stored as fat. Abdomen is the first place to gain weight and last to disappear. In brief, Weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. And by appropriate exercise plans for each part like belly, thighs, legs / chest etc. To burn off fat. Some tips 1) Drink three or four cups of water whenever you feel hungry and just before eating food 2) Take boiled or raw vegetable like cucumber, carrot etc. As half of your diet. Then take 1/2 of your total diet as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. Should be just bare minimum. And do aerobic exercises, running, jogging or at least walking briskly 3-5 KMs and swimming if possible, and in a gym if feasible. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise & dieting to take just as mush food as needed for your activities. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests. DIET CHART TimingFoods To EatCalories Early MorningLukewarm Water with Lemon 1 glass0 Tea without Sugar + 2 Biscuits90 Breakfast2 Rotis + 1/2 cup Paneer Curry330 ORBrown Bread Upma 1 plate + Milk 1 cup300 Mid-Morning1 Banana/1/2 cup Melon/20 Grapes50 LunchBrown Rice 1 cup (195 gm) + Mixed Vegetables 1/2 cup + Salad 1 bowl + Raita 1 small bowl345 EveningButter Milk 1 cup35 Dinner2 Rotis + Vegetable Soup 1 bowl + Salad 1 bowl370 Total1220/1190 Cal.
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I am 23 years old female. I have back pain from last 1 week an I have tried several home remedies but got no effect. Kindly help.

MPT, BPT
Physiotherapist, Noida
I am 23 years old female. I have back pain from last 1 week an I have tried several home remedies but got no effect. ...
Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.
1 person found this helpful
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I have pain in my right knee. What can I do. Please tell me the name of medicine.

BPT
Physiotherapist, Chennai
I have pain in my right knee.
What can I do.
Please tell me the name of medicine.
Hi sir, you consult physiotherapist for assessment of your pain then proceed with the treatment. Hot water fermentation will help you in reducing the pain.
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