Where is The Hope, There is The Way

I am mother of Shivam from Itarsi, Madhya Pradesh. At two and half year of age we got to know that my child has cerebral palsy. We were searching for best place of treatment and we tried every possible measure to treat our child. By that, my child started standing and walking with difficulties. His knees were bend and were not able to walk properly. He also attended school and he has good intelligence and great urge to continue his education for further.

I had taken him to several places for last 18 year but I didn’t get any satisfying results. After lots of disappointment I tried to search about cerebral palsy and its treatment on internet. After a long search I got address of Dr.J.K.Jain. We came to Allahabad.

Dr. Jain had suggested my son for surgery and physiotherapy treatment. Then we came in may 2011 to Allahabad and on 10th may 2011 OSSCS surgery was done by Dr. Jain. After few days, physiotherapy started under team of therapist at trishla orthopedic rehab center and CP Home. Initially he had lots of problem due to sever sensory problem and more age (18 year) but with passage of time and effort from whole team of Samvedna his knee became straight and showing positive results. And we have seen very significant positive changes in his knees.

Now his knees are in better condition and he is walking with the help of walker. Moral of My son has increase many fold due to his own improvement. We were very much relieved because of Cerebral Palsy home. Everybody at trishla and Samvedna was very helpful. Alok Kumar Singh sir had helped us a lot in every kind of problem. I am very happy with the treatment and also grateful to Samvedna and its hard working team. 

OSSCS and Physiotherapy has Better Role than Stem Cell Therapy

I am mother of Parth from Merrut. Parth is 6 years old and suffering from cerebral palsy. At the age of 1 year we got to know about this problem. He has squint and was not able to walk and also drooling. We consulted to so many doctors. After consulting a good physician drooling stopped, eye problem was better and he also suggested for proper diet chart. We continued his treatment for 6 years by physiotherapy and medicine. We had continuously doing physiotherapy but he walk for few meter with hyperextend knee. He was improving slowly.

One day I saw an advertisement about stem cell therapy but everybody told me that it has no guaranty to rehabilitate my son in future. As usually being a mother I was very much worried for him. One day his school teacher told me about a Camp for CP children in Merrut. We had seen the banner of Samvedna and we went to the camp after registration. The doctor had given me a CD of Samvedna. After seen a positive results in many children with Cerebral Palsy we immediately came to Allahabad and contacted to Mr. Alok Kumar Singh, an active staff of Samvedna.

He had fixed an appointment to Dr. J K Jain an orthopedic surgeon at Samvedna. He advised to go for SEMLS at earliest so that posteriorly going knee could be stopped. My child undergone surgery in both lower limb and plaster was given only for two weak. I stay at CP Home for three month. We have a good experience at CP home. Everybody was very helping without any self-interest. I was lucky that I could understand that OSSCS and therapy has much better role than stem cell. I am very much thankful to Samvedna, Dr. J K Jain and the excellent therapists and Mr alok singh , who have helped us in such a big problem.

I am father of shanu from Aurangabad, Bihar. My son was born in 2001. He was premature baby. After 1 week of birth he suffered from pneumonia and he gets admitted for 4 days in hospital. After that we were continuously taking advice of child specialist, neurologist. They suggested us for physiotherapy and told us that he is suffering with cerebral palsy.

Physiotherapy was done for 4 months that time he was 1 year old. But as he was growing his Spasticity was increasing. We visited udaipur , there they to go for surgery so he had undergone surgery at Udaipur. But despite surgical intervention there were not many changes in our child, except decrease in tightness. After 2 years of surgery we were in contact with a neurosurgeon in Ranchi but we did not get any result.

One day we heard about Dr. J K Jain an Orthopedic surgeon at Allahabad. We came here and shown my son to Dr. Jain. After detail evaluation He suggested us for physiotherapy treatment. At that time my financial condition was not good but Dr. Jain and Mr. Alok Kumar Singh helped us a lot. We stay at CP Home. Everybody had supported us At CP Home. Physiotherapy was started by team of Samvedna and DR J K Jain. After few months my son was able to sit and maintaining his posture. Physiotherapy has really a big and important role in cerebral palsy. Now after everybody’s great effort my son has improved a lot. Now, I am continuing these exercises at home also. 

Constraint-Induced Movement Therapy

It is a type of rehabilitation that increases activity of the upper extremity. Typically CIMT used to inhibit the unaffected arm in the patient with cerebral palsy (spastic hemiplegic) for most of the time while involving affected limb in a range of everyday living activity.

CIMT basically a technique applied when the child stops using his affected limb due to its unexpected activities. Child with spastic hemiplegic has less power on one side then other. He just doesn’t use his affected side due to its clumsy response and this neglecting behavior towards affected side make it more and more suppressed in activity. CIMT seeks to reverse this process.

As the result of engaging patient in repetitive activity of the affected limb brain develops new neural pathways. This change referred as cortical reorganization. This CIMT is more important in cerebral palsy with the child whose one limb is more affected then other.

CIMT may work on the damaged motor network. Although, due to the intensity of this treatment, patient who have suffered profound upper extremity paralysis from their condition are normally not eligible for constraint-induced upper extremity training.

Effect of CIMT is too good. It improves movement not only this improvement remains stable for months. This also increased functional activity of daily living of the affected limb. CIMT includes transfer package in this physiotherapist applies many strategies to make learn the activities outside the clinical setups. This includes first monitoring, needs to documents patients activity towards target behavior second problem solving, in which patient needs to solve problem of obstacles third one is behavior contracting, involves getting identify the components and methods carrying out normal behavior.

There are some limitations of the CIMT. If patient is not cooperative then it’s a great problem in CIMT, as patient is of severely affected. In case of balance problem CIMT process creates problem. In case of global aphasia and cognitive problem, communicating problem may be phased. CIMT technique is intensity based if patient can tolerate this intensity then its good otherwise it creates a problem. Lack of facility is also a great problem faced by patient and therapist. Combination of therapy and CIMT shows better result its unknown till. Over all CIMT is very beneficial and result giving. So its use is more in hemiplegic Childs.

Vocational Training

Vocational education is based on occupation and employment. Vocational education is education that prepares people for specific trades, crafts and careers at various levels from a trade, a craft, technician, or a professional position in engineering, accountancy, nursing, medicine, architecture, pharmacy, law etc. Craft vocations are usually based on manual or practical activities, traditionally non-academic, related to a specific trade, occupation, or vocation.

Vocational education may be classified as teaching procedural knowledge Increasingly, vocational education can be recognized in terms of recognition of prior learning and partial academic credit towards tertiary education (e.g., at a university) as credit; however, it is rarely considered in its own form to fall under the traditional definition of higher education.

Vocational education has diversified over the 20th century and now exists in industries such as retail, tourism, information technology, funeral services and cosmetics, as well as in the traditional crafts and cottage industries.

Vocational training in India is provided on a full-time as well as part-time basis. Full-time programs are generally offered through I.T.I.s industrial training institutes. The nodal agency for grant the recognition to the I.T.I.s is NCVT which is under the Min. of labor, Govt. of India. Part-time programs are offered through state technical education boards or universities who also offer full-time courses. Vocational training has been successful in India only in industrial training institutes and that too in engineering trades.

There are many private institutes in India which offer courses in vocational training and finishing, but most of them have not been recognized by the Government. India is a pioneer in vocational training in Film & Television, and Information Technology. AFT. Maharashtra State Government also offered vocational Diplomas in various Trades.

Vocational Higher Secondary schools are under MHRD in India. All the state governments run vocational schools. In kerala state 389 vocational schools are there with 42 different courses. Commerce & Business, Tourism, Agriculture, Automobile, Air conditioning, Live stock management, Lab Technician are some prominent courses.

In India vocational training also runs on private and on the NGO’s basis. Disables were given this training to make them capable to earn their livings. Vocational training given to these disables was like making candles, knitting, sewing, incense sticks,  paintings, etc. which they can do. These can help them to make them earn in this world. Various kinds of disables can do different kinds of work according to their disability.

Vocational training is must in rehabilitation. Complete rehabilitation means to prepare a disable into a capable person and execute in outside world. 

Maintain a Perfect Balance its Good Health

The ability to control the center of gravity over the base of support in a given sensory environment. In another word is the ability to maintain normal alignment relationships between the various body segments and between the body and environment. Balance is the condition in which all the forces acting on the body are balanced such that the center of mass is within the stability limits, the bound-Aries of the base of support.

Functional balance tests

Functional tests of balance focus on the maintenance of posture (static balance), balance during weight shifting or voluntary movement (dynamic balance),balance response to manual perturbations, and functional mobility (gait)examples of static balance tasks in standing include double limb stance, single limb stance, tandem stance, and the Romberg test.

Dynamic balance tasks include sit to stand and sit down, reaching movements; turning, and step-ups. Walking tasks include timed walking, walking with commands to turn direction (180 or 360 turns), turn the head (side to side or up and down), or stop and start. Scoring can vary from a simple subjective scale (impaired or intact) to a scale with specific criterion description for successful performance. The objectivity of measurement can be used to document time in balance during a 30 second trail of a single limb stance.

Romberg test

Is used to determine proprioceptive contributions to upright balance. The patient is instructed to stand with feet together, eye open unaided for 20 to 30 seconds. If patient falls with eyes open, the test is over. The patient is then asked to stand with eyes closed. In a negative test these is only minimal sway. If the test is positive, the patient is able to stand eyes open but demonstrates increased instability or falls with eyes closed.

It is important to tell the patient you are prepared to catch him or her in event of a fall. Positive Romberg test is indicative of a loss of proprioception that can occur with posterior column lesions in the spinal cord and peripheral neuropathy. In the sharpened Romberg test, the feet are placed in tandem (heel-toe position) and the eyes open to eyes close condition imposed.

Multidirectional reach

In this we can measures how far an individual can reach in the forward, backward, and lateral directions. For forward beyond arm’s length while maintaining a fixed base of support in the standing position. The test uses level yard stick mounted on the wall and positioned at the height of the patient’s acromion. The patient stands sidewards next to the wall( without touching) feet normal stance width and weight equally distributed on both feet, the shoulder is flexed to 90 and elbow extended with the hand fisted.

An initial measurement is made of the position of the 3rd metacarpal along the yard stick for forward, the patient is instructed to lean as far forward as possible without losing balance or taking a step. For lateral reach, the patient faces away from the wall and reaches sideways to the right as far as possible. The therapist records functional reach in inches for all three trials and then averages the three trials.

Berg balance scale

The scale consists of 14 functional task commonly performed in everyday life. The item range from sitting or standing unsupported, to movement transition, variations in standing position, feet together, forward reach, retrieving an object from the floor, turning standing on one foot to placing the foot on a stool. The first five items are considered basic balance items while the last nine items are considered more advanced balance tasks.

Efficacy scale

Is a self report measure that examines how confident an individual feels while performing items of daily functional mobility and ADL tasks both with or without assistance (household).