Categories
Original

Mrs.S -Story

We are delighted to report on a patient with hydrocephalus after a stroke who has shown remarkable improvement over a period of 12 months with the help of our comprehensive care program- physiotherapy, psychology, speech therapy, and Ayurveda. The patient had suffered a stroke that resulted in hydrocephalus, which is a condition where there is an accumulation of cerebrospinal fluid in the brain.

The patient was initially unable to move her limbs and had great difficulty speaking; she was essentially wheel chair bound and had very limited mobility requiring considerable assistance for all activities. Being a former athlete and regular swimmer, she also experienced depression and anxiety due her disability. When she came to Buddhi Clinic, several months of physiotherapy delivered to her as a mono-therapy had not resulted in much improvement and she remained very disabled.

However, with the help of our team of healthcare professionals including the physiotherapist, psychologist, speech therapist, and Ayurvedic-Natturopathy practitioners, the patient began to show signs of improvement.

Physiotherapy helped the patient regain strength in the limbs and improve her mobility. Psychology sessions helped her cope with the emotional struggles of being physically impaired and unable to speak, and provided her with the tools to manage depression and anxiety. Speech therapy helped her to gradually regain her ability to communicate effectively.

Ayurveda played a significant role in the patient’s recovery as well. Our Ayurvedic practitioners prescribed external therapies that helped improve muscle tone, blood flow, overall mobility, alertness and motivation. Our holistic practitioners also recommended dietary and lifestyle changes that supported the patient’s overall health.

Through treatment the patient was under the care and supervision of our allopathic doctors who provided guidance on medication and therapy. Indeed, at the end of the first cycle of intensive therapy, the clinical note said:

Making good progress in therapy. She is now able to walk with limited support although she tends to be forward propulsive. Speech is present, expressive and appropriate with word finding difficulties being evident. She has problems with spontaneous speech. Family recognise that she is progressing well and report increased alertness, attempts to initiate action but also some confabulation. Utilisation behaviour observed.”

 

Plan: Therapy to continue for another full cycle.

With continued comprehensive care, with all four specialists remaining involved and the dedicated support of her spouse and caregivers, Mrs. S improved significantly. She was able to walk without assistance and perform daily activities first with little support and later independently. Her speech also improved, allowing her to communicate more effectively with others. At the end of one year of regular care, the clinical note was …

“Has made very good progress, is self ambulant, communicative, with improving ADL. Swallows well, speaks clearly, diet is diverse. Walking in the swimming pool (with suitable guidance and support) as well as cooking (used to be accomplished in this) and table top weaving (was a clothes designer before) discussed as OT.”

 

Plan: Therapy to continue with aforementioned focus

 Our combination of physiotherapy, psychology, speech therapy, and Ayurveda proved to be highly effective for this stroke patient with hydrocephalus who has also remained stable in medical management not requiring further surgical intervention. It is evident that a sustained, comprehensive and multidisciplinary program can help even those with serious neurological conditions and considerable disability, make significant progress towards regaining their independence and improving their quality of life.


Mr. Keerthi V
Senior specialist- Physical therapy

Categories
Original

Back to the Hills

In October of 2010, I was introduced to an elderly lady admitted under Dr. Ennapadam S Krishnamoorthy and Dr. Rema Raghu in the Intensive Care Unit of one of our admitting hospitals.  She was 88 years old, and had just suffered a stroke, which affected her mobility greatly.   

I was assigned to lead our therapy team to assist in her recovery. On her part, I found her determined to get better too. Thence started my fascinating and enduring journey with Mrs. A.  

Our Buddhi Clinic team started working with her and in the intensive phase, the comprehensive therapy delivered to her included physiotherapy (electrotherapy, manual therapy and exercise therapy, each session lasting one hour), holistic external therapies using a combination of Ayurveda, Naturopathy & Acupressure, and psychological supportive care including relaxation training. All this was delivered along with allopathic (modern medical) treatment, first in the ICU, then in the hospital room and finally after discharge at her home.

With these comprehensive therapies, Mrs. A began to recover from the effects of her stroke. So much so that after the initial 5-6 week period of intensive therapy, the step down care became physiotherapy alone.  As her physiotherapist, I was introduced to her large extended family, whose support and care she enjoyed. During her therapy sessions she liked to speak about her family members and their support, all of which played a major role in her recovery.  She thus not only shared her family with me, her hospitality, love and care was very moving. 

Mrs. A. was someone who usually spent the summer months at a hill station where she had a beautiful property.  Unfortunately, that year, because of her illness, she was unable to undertake her summer trip.  However, her determination to get better and cooperation with therapy and rehabilitation was such, that she could, quite quickly, stand and walk again.  So much so, that the very next summer, she was able to go back to her favourite hill station, and walk in the hills again. A big salute to her!


Mr. D.Jerald M Yuvaraj                                                                                                                                      
MPT(NEURO); MIAP; MS; MAPP; MSC; DCM ; MHSC (NEURO)                                                                                         
HOD & Senior specialist-Physical therapy.