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Saans Musculoskeletal Rehabilitation Program

Physiotherapist, Delhi
Saans Musculoskeletal Rehabilitation Program

What is Musculoskeletal Rehabilitation?

Musculoskeletal Rehabilitation involves maximising your function and potential so that you can return back to the community as soon as possible after any injury.

Who requires Musculoskeletal Rehabilitation?

People with following problems require Musculoskeletal Rehabilitation:

·Acute or chronic musculoskeletal pain

·Post fracture stiffness and reduced function

·Loss of a part of limb

·Chronic arthritis

·Chronic backache

·Repetitive strain injury

·Prolonged bed rest with generalised weakness (deconditioning syndrome)

Who Can Benefit?

Complex MSK Management

The Complex MSK Management specialises in treating patients who have significant functional mobility and movement impairments related to the musculoskeletal system such as, arthritis, osteoporosis, de-conditioning syndrome, post-operative complications and diabetes mellitus with associated neurological and cardiac conditions. Patients receive physical and occupational therapy, balance & gait training and education to improve their level of independence in daily living.

Multiple Trauma Management

Multiple Trauma Management provides rehab to people who have sustained multiple fractures and other injuries e.g. in a motor vehicle accident. The admission criteria are two or more active orthopedic medical conditions, multiple injuries / fractures as a result of trauma, physically ready to participate in the entire rehab process with cognitive ability to learn new activities and follow direction. These patients will be managed by a multi-disciplinary team taking care of post trauma stress disorder, pain management, mobility and activities of daily living. 

Sports Rehab

The Sports Rehab provides comprehensive care to people with shoulder joint and rotator cuff injuries, tennis and golfers elbow, hand injuries, anterior cruciate ligament tears, hamstring and ankle sprains who are engaged in outdoor sports like cricket, football, basketball, volleyball, etc. leading to significant pain, strength, movement & mobility impairments. The latest technology available at the centre - multi-joint dynamometer and gait and motion analysis gives significant input in managing these conditions allowing early return to the sporting activities.

Repetitive Strain Injury (RSI) Management

The RSI Management aims to manage patients who present with chief complaints of neck or back pain or any other cumulative trauma disorders due to overuse. Patients will be evaluated by an inter-disciplinary team and comprehensive rehabilitation activities will be provided with pharmacotherapy, electrotherapy, exercise programmes, ergonomic advice, behaviour and relaxation techniques, trigger point injection procedures and education.

Amputation Management

Amputation Management caters to the need of upper and lower limb amputation due to traumatic, ischemic, diabetic or other conditions. It offers comprehensive programme beginning with pre-amputation counselling, immediate post-operative pain reduction & temporary prosthesis, permanent prosthesis fitting & training and management of late early & late complications. The programme aims to reintegrate the person back into the society.

What is the duration of the Musculoskeletal Rehabilitation programme?

As per patient requirement, the programme duration can vary from 2-12 weeks.

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Rehabilitation After Trauma To Front Tooth

A.C.C.I - Accredited and Certified Course in Implantology, MDS - Pediatric & Preventive Dentistry, BDS
Dentist, Jammu
Rehabilitation After Trauma To Front Tooth

Upper front right tooth fractured at middle level on being self hit by a t t bat. Reattached the fractured component - had to do a rct and restored finally with a metaless crown.

Patient immensely satisfied.

6 Tests for Full Knee Rehabilitation

Physiotherapist, Noida
6 Tests for Full Knee Rehabilitation


The late functional phase is characterized by a full range of motion, no effusion, and improved muscle strength and flexibility.Advanced closed chain exercises are added at this stage. The pro fitter continues Proprioceptive and balances training. 

Stair master and versa climber are utilized to build muscular strength and endurance as well as aerobic conditioning.Quadriceps and hip musculature stretching are added as increased emphasis being placed on flexibility at this stage. 

Isokinetic exercises include the progression to velocity spectrum training(60 to 400 degrees/sec), depending on the needs of the individual patient.Running is initiated when quadriceps strength approaches 80 percent. 

At first, an underwater treadmill system is used since the buoyancy of the water decreases the amount of force is significantly less during retro running versus forward running. Retro running has also been found to increase quadriceps strength at slow Isokinetic speeds. when running forward the patient is encouraged to maintain a controlled sprint rather than a jog. 

By staying on the ball of the foot, vertical or compressive loading is decreased.Before allowing the patient to return to sports activity, the therapist needs to do more than achieve normal range of motion and muscle strength. 

The components of the patient’s sport or activity should be incorporated into the rehabilitation program as well. For example, basketball players need to jump and land. Therefore jumping activities should be included in their program.

More importantly, they should be taught how to land to protect their knees.

Golfers rely on a great deal of tibial rotation throughout the swing, their program, therefore, should include an assessment of their swing and a modification made if necessary. Agility drills in the form of figure eights, carioca, and cutting manoeuvres are included here as they replicate components of most team and racquet sports. 

Prior to discharge from rehabilitation and the full return to sports activity, a series of tests must be satisfactory: 

  1. Full range of motion.
  2. Flexibility acceptable for the needs of the activity. 
  3. Total work within 10 percent of the non-involved extremity as muscle strength is measured isokinetically.
  4. Muscular endurance within 10 percent of the non-involved extremity as measured by the number of leg press repetitions using one-half the patient’s body weight. 
  5. Functional power as measured by standing broad jump. 
  6. Proprioception power as measured on BAPS board. Apprehension (lack of) with sport specific activities.

Prosthodontic Rehabilitation!

MDS - Prosthodontics and Implantology
Dentist, Srinagar
Prosthodontic Rehabilitation!

Patient having only upper front 6 teeth treated with crowns and cast partial denture.

Sports Injuries

MS - Orthopaedics, MBBS
Orthopedist, Mumbai
Sports Injuries

Who does not like to play sports? We all do right. Playing  sports makes us more alert, makes us physically active and super cool. Sports involves lot of physical activity and thus is highly prone area for injuries. Sports injuries varies from one sport to other sport. Excessive swelling can affect the motion and interrupt the natural healing process. Some common injuries may take several months to heal, even after good treatment. If the injury is severe, the entire muscle including tendon and ligament is torn away you may need an urgent surgery. We have the best orthopedic surgeon  and medical experts  in AXIS Hospital where you can get rid of your pain.

Some of the common injuries which occurs while playing sports can be sprains and strains, knee injuries, pain along the sheen bone, fractures some times multiple, swollen muscles, tendon or ligament injuries and sometimes may also cause dislocations specially ball-socket (Knee, Hip and Shoulder Joints) and many more injuries which may need orthopedic treatments. Injuries are those which we cannot avoid, we only have to cure it. Some injuries take longer time to heal like fractures or knee injuries. Knee Injuries may also need knee replacement surgery and quick medical consultation so that the treatment starts quickly and hence can expect faster recovery.

Swelling is the normal response to all such kind of injuries.  If you are  injured you  must take care, so that you will  heal quickly. You should protect yourself from getting injured in future. Complete rest should be taken and all the physical activities must be restricted. Ice treatment is the most beneficial treatment, as it slows the inflammation and swelling after the injury, ice packs also helps in numbing the sore tissues.  It also reduce the nerve impulses in the area. Ice packs  also decrease the tissue damage. Compression with elastic bandage will help reduce swelling. You should also see that one elevate the injured area. Elevating the injured area above the heart level  will also lessen the swelling. Injuries have to be treated well so that you can play your favorite sport again with a bang!

In day to day life no one has enough time to look after the injuries. We cannot stop them we can definitely  avoid them . Listed below are the few steps we can take:

  • Do your warm-up exercises (any people avoid)
  • Run on the grounds, avoid tar roads.
  • Run on the flat surfaces .
  • Do your stretches before and after your activity.
  • While jumping, make sure you land up keeping your knees bend.
  • Check your physical health before playing.
  • Avoid overdoing it .
  • Be mentally happy.



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Introduction To Saans Rehabilitation Program

Physiotherapist, Delhi
Introduction To Saans Rehabilitation Program

What Is Rehabilitation?

A comprehensive intervention for patients with chronic diseases who are symptomatic and often have decreased daily activities.

It is designed to

  • Reduce symptoms

  • Optimize functional status

  • Increase participation

  • Reduces health care costs

  • Stabilises or reversing systemic manifestations of the disease

  • Address morbidities and their consequences through education and exercise 

Why Rehabilitation is the Need of Hour

  • Chronic Disease Era

  • Associated Mental Health Concerns with Chronic Diseases.

  • Deconditioning Effects

  • Continuity in Healthcare delivery system

Who Can Benefit?

  • Chronic respiratory disease symptomatic with optimum drug therapy

  • Chronic cardiovascular diseases with breathlessness despite optimum intervention and drug therapy

  • Chronic neurological diseases

  • Chronic orthopedic diseases, pre & post operative conditions

  • Lifestyle disorders like Stress, Sleep, Obesity, Diabetes, Hypertension etc. 

  • Special children

  • Pre Natal and Post Natal Conditions

  • Oncological Condition

  • Chronic and Acute pain conditions

  • Alcohol Deaddiction & Smoking Cessation

What are Consequences of advanced chronic disease?

  • Peripheral Muscle dysfunction

  • Respiratory muscle dysfunction

  • Nutritional abnormalities

  • Cardiac impairment

  • Skeletal disease

  • Sensory defects

  • Neurocognitive dysfunction

  • Psychosocial dysfunction

What are the components of Rehabilitation program?

  • Proper education of Disease process

  • Exercise Training

  • Psychosocial/behavioral intervention/CBT

  • Nutrition assessment

  • Breathing and Relaxation techniques

  • Medications, devices & specific therapy

  • Outcome Assessment

What are the Possible Benefits?

  • Improved Exercise Capacity

  • Reduced perceived intensity of dyspnoea and stress

  • Improve health-related QOL

  • Reduced hospitalization

  • Reduced anxiety and depression

  • Improved limb function and ADL’s

  • Benefits extend well beyond immediate period of training 

Rehab Team 

For a successful rehabilitation program, it requires an efficient coordination and teamwork of medical professionals, which includes:

  • Doctors

  • Physiotherapists

  • Nurses

  • Nursing Attendants and health care workers

  • Wellness Coach and Psychologists

  • Nutritionists

  • Education Providers

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SAANS Cardiac Rehabilitation Program

Physiotherapist, Delhi
SAANS Cardiac Rehabilitation Program

Cardiac Rehabilitation 
Cardiac rehabilitation (rehab) is a medically supervised program that helps improve the health and well-being of people who have heart problems. Rehab programs include exercise training, education on the heart and healthy living, and counselling to reduce stress and help you return to an active life.

What is the duration of this program?

As per the requirement of the patient, the program duration can vary from 6 to 8 weeks to lifelong.

What can one achieve through this program?

The goal of this program is to prevent and limit the physiological and psychological effects of cardiac illness and to improve the overall cardiovascular fitness and health of the patient. This is accomplished by developing individualised program which cover exercise, education and lifestyle modification, tailored to the individual needs and abilities of the patients.

Who requires Cardiac Rehabilitation?

People with the following cardiac diseases require cardiac rehabilitation:

·Myocardial Infarction

·Coronary Artery Bypass Surgery


·Stable Angina Pectoris

·Two Or More Documented Classical Risk Factors For Coronary Heart Disease

·Stable Chronic Heart Failure

·Peripheral Vascular Disease

·Diabetes Mellitus (Type II)

·Valvular Heart Disease

What are the facilities for Cardiac Rehabilitation at SAANS?

SAANS Foundation has a dedicated cardiac rehab facility, complete with exercise equipment, i.e., treadmills, ergocycles, steppers and cross trainers; a gymnasium for pre-class warm-up and resistance training classes; Human Performance Labs for fitness testing; and a dedicated area for patient education.

The cardiac rehabilitation team

Phase I (Initial Phase)

This is an inpatient program. It begins with pre-procedure counselling and continues immediately after coronary artery grafting or stenting and post-angina or myocardial infarction. Its aim is to initiate early mobilisation (out of the bed) to reduce the effects of de-conditioning, along with patient education about heart disease. This is continued with a walking and exercise program at home or till the patient returns back to the hospital for Phase II.

Phase II (Conditioning Phase)

This consists of a comprehensive program to modify the risk factors for heart disease and consists of exercise, stress management, smoking cessation, behaviour modification, nutritional advice and patient education about the risk factors of heart disease. The aerobic exercise program can begin as early as 2 weeks after an uncomplicated infarction, angina and stenting or 4 weeks after a complicated infarction or bypass grafting. This is conducted in the form of group sessions or classes consisting of the three steps of initial stretching exercises, conditioning phase of aerobic training on the treadmill, ergo cycle, stepper or cross trainer (along with strengthening exercises) followed by the cool down phase. One session usually lasts for 60 to 90 minutes. It takes a frequency of 3 to 5 times a week to complete 20 sessions. Initial sessions are conducted with electrocardiographic monitoring. The behaviour management and nutritional component runs along with the exercise program. All sessions are physician monitored and are conducted by trained staff.

Phase III (Maintenance Phase)

This aims at continuing the benefits gained by patients during the second phase. It consists of the continuation of the aerobic exercise program but at a lesser frequency of about 2 to 3 times a week at home/in a gymnasium/at a hospital.

Saans Pulmonary Rehabilitation Program

Physiotherapist, Delhi
Saans Pulmonary Rehabilitation Program

What is Pulmonary Rehabilitation?

Pulmonary Rehabilitation (Rehab) is a medically supervised program that helps to improve the health and well being of people who have pulmonary problems.

Rehab programs include endurance training, chest therapy, education on lung hygiene and healthy living, counseling to reduce stress & trigger factors and smoking cessation thus helping you return to an active and healthy lifestyle.

Who requires Pulmonary Rehabilitation?

People with following diseases require Pulmonary Rehabilitation:

What are the facilities for Pulmonary Rehabilitation at SAANS?

SAANS Foundation has a dedicated Pulmonary Rehab facility with separate areas for postural drainage, oxygen therapy and Non Invasive Ventilation, nebulisation and telemetric ECG monitored exercise systems i.e. ergo cycles, stepper and cross trainer; a gymnasium for pre-class warm-up and resistance training classes; Lung function testing labs; and a dedicated area for patient education.

The Pulmonary Rehab team

A multi-disciplinary team consisting of

  • Physiatrists (rehab physician)

  • Pulmonologists

  • Nurses

  • Exercise Physiologists

  •  Physical and Occupational Therapists

  • Psychologists and Wellness Coach

  • Nutritionists

What is the duration of the program?

As per patient requirement, the program duration can vary from 4-6 weeks to lifelong.

What can one achieve through this program?

The goal of this program is to prevent and limit the physiological and psychological effects of pulmonary illness and to improve overall cardio-pulmonary status and health. This is accomplished by developing individualized programs of exercise, education and lifestyle modification that are tailored to individual needs and abilities.

Three phase program

Phase I (Initial)

This is an inpatient program which starts at the time of hospitalization. It aims to initiate early mobilization to reduce the effects of de-conditioning. It consists of oxygen therapy, chest wall manipulation, nebulization, postural drainage, breathing exercises and incentive spirometry to improve oxygenation. This is continued with a walking and exercise program at home or till patient return back to the hospital for Phase II.

Phase II (Conditioning Phase)

This consists of a comprehensive program to modify the aggravating factors for lung disease along with endurance training. This consists of chest care, aerobic exercise, stress management, smoking cessation, behavior modification, nutritional advice and patient and family education. The Phase II can begin after stabilization of the early symptoms. This is conducted in the form of group sessions or classes, one session usually last for 60-90 minutes. Frequency is 3-5 times a week to complete a total of about 20 sessions. Initial sessions of aerobic training are conducted with electrocardiographic monitoring. All sessions are physician monitored conducted by trained staff.

Phase III (Maintenance Phase)

This aims to continue the benefits gained by patients during Phase II. It consists of continuation of the aerobic exercise program but at a lesser frequency of 3 times a week at home/in a gymnasium/at a hospital.

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Rehabilitation Stages Patellar Tendinopathy

Physiotherapist, Guwahati
Rehabilitation Stages Patellar Tendinopathy

Rehabilitation Stages Patellar Tendinopathy

Pulmonary Rehabilitation - How Physiotherapy Can Help?

Xcell Physiocare 89% (22 ratings)
MSPT (Master of Physical Therapy)
Physiotherapist, Delhi
Pulmonary Rehabilitation - How Physiotherapy Can Help?

Seeing someone who used to do all their activities on their own turn to someone who needs help even with small things like going to the bathroom can be very difficult.

The lungs are vital organs in that they are essential to supply oxygen to the entire body. If the various organs do not receive adequate oxygen, their function can be impaired. Therefore, lung function needs to be maintained. Lung function can be impaired by chronic conditions like COPD and bronchiectasis. In both these, the overall ability of the lungs to take in adequate oxygen is reduced. Therefore, the lungs need to be rehabilitated so that they can improve their ability to function better. These exercises are aimed at the following:

  1. Improve ability to breathe effectively
  2. Reduce episodes of breathlessness
  3. Reduce the number of hospitalizations required to clear sputum and infections
  4. Improve ability to perform small, routine chores on their own
  5. Improve exercise tolerance over a period of time
  6. Improve overall quality of life
  7. Reduce morbidity and mortality rates

It has been proven beyond doubt that in addition to medications, physiotherapy plays a vital role in improving lung function over a period of time. Depending on the actual condition of the patient, a physiotherapy program is drawn up. Initially, the therapist will guide the patient and/or the caretaker with the various exercises. Over a period of time, the caretaker and the patient can do these on their own. The intent of these common exercises is to improve breathing efficiency, clear mucus, and improve overall lung function.

  1. Active breathing techniques (ABT) – We all know that breathing is involuntary; however, making an effort to consciously breathe can improve the efficiency. More oxygen is taken in and sent to the various organs, thereby rejuvenating the entire body.
  2. Postural drainage: With any chronic lung condition, sputum or mucus tends to accumulate in various parts of the lungs. If not drained, it can attract more bacteria and cause infection. The patient is made to lie in various positions so that different parts of the lungs are drained, aided by gravity. This is highly effective in clearing secretions.
  3. Pursed lip breathing: Inhaling through the nose and letting the air out through the mouth like how a candle is blown helps improve lung function.
  4. Forced coughing: A person is taught to induce coughing so that secretions are cleared out, thereby reducing chances of infection. Inhale as usual to the full capacity and exhale in coughing spurts.

It has been proven beyond doubt that with no side effects (unlike medications), physiotherapy improves the overall quality of life in people with COPD.

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