Xcell Physiocare

The behavior of a child should always be closely monitored during his/her early development. Sometimes signs of several personality disorders tend to show up early in life. Proper monitoring of the child's behavior helps to identify the signs and properly diagnose the condition if the child is suffering from any potential personality disorder.

Hi,

I am Dr. Ankur Mitta. Yahan humnein apna pediatric department start kiya hai. Humari team mein 2 occupational, speech therapist hain. Aage aane vali video mein aap dekhenge ki kis tarah hum alag alag bachon se related disorder like autism, down syndrome, ADHD, fragile issue kaise treat kar rhein hain. Aap dekhenge NDT therapy, speech and special education ke baare mein aap dekhoge ki hum kaise bachon ko treat karte hain.

Thank You.

Hello everybody!

I am Dr. Ankita Grover, Cardio-Pulmonary Physiotherapist at Xcell Physiocare Pvt. Ltd. These days as you all know that the pollution levels are rising in India and especially when we talk about Delhi NCR, the situation is even worse. There are many respiratory problems that are associated with pollution and which is causing problems to the patients such as COPD, asthma, emphysema, pneumonia etc. All these are the problem very common that you will be able to find around your surroundings. This is not only creating diseases but it is also causing patients to frequently go to the hospital. And hospital admission rates have gone up, their medication usage has gone up which is creating internal side effects for them.

So, what we at Xcell have come up with is state of the art physio or pulmonary-physio specialised labs that we have set up here and it is properly dedicated to lung rehabilitation in India. It is first of its kind in Delhi NCR and it is properly dedicated to all the lung issues that you are facing. Now coming over to what we do at Xcell Physiocare. Our first start of the treatment before the treatment is the patient screening part and the assessment part that whenever the patient comes to us we access him thoroughly through the screening test and through our specialised scales that we use. We focus on proper assessment of the patient then after the assessment is done we chart some goals for the patient.

We frame some targets for him to achieve so that symptoms are reduced and his problems related to lung issues instead of getting worse, they lower down. After framing the goals for the patient, we start a customised treatment plan and that plan is according to the patients situation. It's like ABC, A part is your assessment, B is your goal formation and C is your customised treatment plan. Now coming to our treatment plan we are having certain specialised part of pulmonary and lung rehabilitation at our setup. Firstly we focus on airway clearance techniques. Now airways clearance techniques is something which is something very important for any patient who is having a lung issue. Their airways are blocked may be due to any kind of situation, be it asthama, maybe it is Bronchitis. So our motto is to clear their airways and for that we are having specialised devices in our setup and through them, we help in getting clearance techniques.

Secondly we have focus on breathing exercises of the patient which is very important because many of the patient that come up to a centre are either complaining of shortness of breath which we call Dyspnea in medical terms and they are not able to breathe properly or even if they are breathing the breath is very shallow. We focus on training their breathing and make them do breathing exercises. Now breathing exercises and not just the exercises that we do teaching them manually but we also have devices here which specially train the respiratory muscles of the patients. You all have heard about muscle training through equipments, the body muscle training through various equipments for exercises but when it comes to respiratory muscle training I think India is far behind compared to the western countries.

We have dedicatedly planned an inspiratory muscle training program also for the patients so that we can increase their inspiratory and expiratory muscle strength which is very important for their lung rehabilitation program. Coming over the third aspect that we deal is their overall increased energy levels and that will come through their increased strength, their increase stamina or endurance and this is done through our gym section which we have at our set up at Xcell Physiocare. We also train the patients through specialised equipment that we have had for strength and conditioning as well as for endurance. This is all how our Xcell Physiocare pulmonary setup is. I have just given you an introduction about it and I would like you all to come and visit us and also I would like to you to know that on your first visit we have a special free consultation offer going for you for this month. So please do make a visit and let us know about your experience.

Thank You!

Good morning!

I am Dr. Shashank, Neuro Physiotherapist at Xcell Physiocare. Spine and brain injury has a very devastating effect on the family as well as on the patient so rehabilitation place a very important role. Aaj kal ke jo physiotherapy ke existing trends hai usme generally kya focus hota hai- on the cross muscle exercises, general balance and walking. But nobody focuses on minute aspects of them which plays a very important role in the social well being of the patient. For example- components of walking, speech and specifically the hand training part. So we at Xcell Physiocare brings to you advanced neuro setups that caters to all your needs. So we use latest technologies and we have detailed assessment tools to diagnose to assess the patient and to set the customized treatment protocol according to the needs of the patient not the gross treatments which everybody follows everywhere. What is advanced neuro rehab centres? We have new technologies to aid the patients, to equip the patient.

For example, we are using state of the art machines and the latest thing which we use is cranial electrical stimulation. Basically jo neuro rehab ka patient hota hai, jo neurological disorder ka patient hota hai, usme brain mein sensation waves memory ke liye. Ya psychosomatic disorder ke liye for example- depression, insomnia, anxiety. In sab ke liye brain relaxation is very important so we stimulate the brain and it has very fantastic results. We have functional electrical stimulation. Aapne generally dekha hoga ki stroke ke baad generally jo patient hota hai uske haath mein hand function, jaise hands were like this specifically in patients or pair mein foot drop ho jata hai jisse ki patient ko hath se likhne ka kaam ho gaya, kapde pehanne ka kaam ho gaya ya activities of daily living wo hamper ho jata hai.

Similarly foot drop mei what happens is ki patient ko chalne main difficulty aati hai. Jo normally gate pattern hota hai patient ka wo uss tarah se nahi rehta hai. For example, heel pehle strike karti hai foot baad mein aata hai. Toh yeh sab cheez jo hoti hai yeh abnormalities aa jati hai normal functioning uski nahi rehti hai. We have introduced things like FES in our centres. It has a very fantastic result. It will help the patient to cause dorsiflexion of the foot jisse ki chalne mei usko bahut aasani ho jati hai. Similarly in case of hand. Hand training me kya hota hai jo post-stroke hand hota hai it is like a clenched fist. Ab usko opening mein bahut problem aati hai. But with the help of the electrical stimulation like FES, we place some kind of electrode and we have very authenticated and researched protocol on that which helps in hand opening and hand grasping.

So it's a new concept here and it is of great help. Again we have a dedicated gate lab with harness system. Ab ek paralysis patient hai jiske dono pair kaam nahi kar rahe, pelvis control nahi hai. Aise patient ko walk karwana ek bahut tedious task hai. So with the help of harness system it is very safe and effective for the therapist to make patient walk on stationery as well as on the moving surfaces and without letting the patient get injured and it is a very safe process. Spine pe excessive load nahi aata hai. Pelvis aapka balanced rehta hai and we can improve the speed of walking with help of a treadmill. So it is a new concept and we are focusing on that.

Then we have a dedicated hand unit section. Our experienced occupational therapist focus to work on the hand training protocol and teaches new techniques how to cope up with the activities of daily living. Stroke ke Baad patients main difficulty kis chiz ki aati hai? Shirt nahin pehan paate hain, toilet activity nahi kar paate hain, joote ke laces nahi bandh paate, shirt band nahi kar paate hain. Ye sari activities we dedicate training. We focus to teach such type of patients. Now we have a virtual reality training centre labs. It is very boring for a patient to do same exercises again and again and again. So we have created and simulated an environment. We are using Xbox 360. we have certain games for hand training as well as for lower limbs.

So patients become very enthusiastic while performing these activities. Then we have a visual feedback on the screen so patient ko bhi interest create hota hai. Aur ispe hum ek hi time mein multiple components pe kaam kar sakte hain for example- trunk pe, pelvis pe. Hands ki game hai to we can improve hand coordination with certain things. Foot ka koi game hai to we can improve the foot coordination, balance from that. So these things have a very positive effect on the patient.

So these are the basic things which we are using here and wish you a very happy health.