February 2017 - ApoKos Rehabilitation
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Archive for February 2017

Why In-Patient Rehabilitative Care Wins Over Home Care!

The term rehabilitation can have varied connotations for different people. However, the one constant thing about rehabilitative care is that it is essential for patients who have suffered grave injuries. It is also vital for those patients who are having difficulty in regaining their independence in daily activities.
The primary motive of rehab program is to ensure the optimal recovery of patients who have recently undergone a surgery or stroke attack. Hence, opting for the right method of rehabilitation becomes a crucial decision for the caregivers.
Appropriate rehabilitative care can be provided in a proper facility with the right equipment or it can be given to patients as home-based care, as well. It is important to remember that the outcomes may vary depending on the facilities provided at each setting.
Understanding the vital points
Services offered at assisted living facilities or nursing homes differ vastly from those provided at post acute care inpatient rehabilitation hospital. The latter has certain advantages over home-care based facilities because of the following reasons.
• The rehabilitation team ensures the provision of a collaborative and multidisciplinary approach to services.
• Specialty nursing staff form an essential part of the rehab team and guarantee the patient’s overall well-being.
• Cutting edge technology in terms of equipment, therapy gyms, rehab technology and facilities provide an added edge to acute rehab services.
• Rehab physiatrists and physicians ensure frequent visits and assess their overall health condition on regular basis.
The maximum hours of therapy provided in a single day are crucial points as this defines intensive rehabilitation. In-patient rehab primarily means that the patient is admitted in the rehabilitation hospital and will be released only after they have attained satisfactory results.
In-patient rehab and its positives
Another interesting aspect of In-patient care over home-care is that the rehabilitation team arranges regular meetings with the patient and other caregivers. Such meetings are attended by the patient and their family along with a therapist, rehab doctor and nurses.
These conferences or meetings are necessary as it keeps everyone updated on the patient’s condition. Complete analysis regarding the progress is also done and it is coordinated with their discharge plans.
Another interesting factor is that rehabilitation hospitals require at least 3-4 hours of physical therapy, occupations therapy and speech therapy. These therapies span over a minimum of 5-6 days per week. However, at nursing homes or home-based facilities, there is no such limit.

At ApoKOS Rehabilitation Hospital, the specialists understand the requirement of providing cost-effective, safe and quality service to all patients. Be it for spinal cord or brain injury, rheumatological and cardiac disorders, the rehab doctors will be at the patient’s service throughout. It is in this respect that In-Patient services hold a greater advantage upon home-based rehab care since the rehab team is constantly available and assessing the patient’s condition, throughout!

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Technology Enabled Paths – EKSO GT in Rehabilitation Process

Rehabilitation post the acute episode could be a long process and traditional methods, though effective, may not be the most efficient always. They could be intensive in terms of time and human resources. In such a scenario the advent of modern technology has eased these concerns to considerable extent. They have widened the scope of the process by inducing efficiency and added reliability and in the case of thousands of patients have pushed the boundaries of expected results. Therefore, within a very short span of time technology enabled rehabilitation tools such as robotics and virtual reality have become an integral part of the rehabilitation process. One such tool is EKSO GTTM.

Ekso GT  is a wearable bionic suit that helps individuals with any level of lower extremity weakness or paralysis, including those with complete spinal cord injury, to stand up and walk with a natural fully weight bearing gait. The robotic exoskeleton is a comprehensive rehabilitation tool and is primarily employed to help the patient relearn correct step and weight shift patterns. The battery powered motors drive the legs which initiate the steps once the patient shifts their weight or when the sensors are activated. The tool is designed to mimic the natural physiological and bio-mechanical gait pattern to enable the patient to relearn the correct step patterns.

Suitable for

The Esko can be a very effective rehabilitation tool for patients with various levels of paralysis due to neurological conditions such as stroke, spinal cord injury or disease, traumatic brain injury and more.It can prove effective in the rehabilitation process of:

  • Stroke patients
  • Complete SCI patients – Up to C7
  • Incomplete SCI patients
  • Patients with other Neurological Conditions – Lower extremity weakness, paralysis or hemiparesis

Benefits of Ekso GT

One of the main advantages of Ekso is that it is fully adjustable to each patient’s specific needs. Based on the patient progression walking aids such as crutches, walking frame, arm slings and a walking cane are also introduced at different stages of the process.

  • Accelerates rehabilitation process and is an
    efficient and reliable assistive tool.
  • Increased patient safety
  • Improved individual patient progression.
  • Improved quality of gait training as a more
    natural gait pattern is encouraged.
  • Patients are able to stand and walk earlier in the rehabilitation
    process in a wide range of conditions.


ApoKOS is committed to harnessing technological advancements to provide our patients with the best post acut care and rehabilitation. Therefore we are equipped with some of the most revolutionary technologies in the world, which includes EKSO GTTM, and we make them available to our patients to accelerate their rehabilitation process and give them the best possible chances at getting back to an independent life.

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Managing and Preventing Secondary Complications in Stroke Patients

Secondary complications post an acute stroke episode can have immense impact on recovery, rehabilitation and, most importantly, quality of life of the patient during and post rehabilitation. They can be quite frequent and studies have confirmed that as many as 60% of patients in their rehabilitation phase acquire them. Therefore, medical observation and inputs during the inpatient rehabilitation phase is very important for ensuring the recovery and rehabilitation of the patient post the acute phase.

Some complications can arise as a direct result of the injury the brain sustained during the stoke episode. Others can be caused due to the physical and neurological changes that can limit the previous physical and cognitive abilities of the patient. For example, persistent shoulder pain as a result of paralysis of an arm which can no longer support the shoulder.

Some common secondary complications are –

  • Seizures
  • Aphasia
  • Brain edema
  • Pneumonia
  • Cognitive Impairment
  • Urinary tract infection
  • Bedsores
  • Deep venous thrombosis
  • Clinical Depression

Rehabilitation principles followed post the acute episode will dictate how the patient will come to cope with the changes and disabilities as well as prevent further complications. The end goal of rehabilitation process is to ensure that the patient recovers back as many abilities as possible and reintegrates with the society while leading an independent life.

Post Stroke Management and Rehabilitation

An ideal post-stroke management and rehabilitation strategy will include a combination of medical treatment, physical therapy, occupational therapy, swallowing and respiratory therapy and psychological treatment.

Medical Treatment – Involves medical supervision, monitoring and administration of medication.

Physical treatmentPhysical therapy is given to a patient in order to help them with their motor weaknesses and gain back muscle strength and balance.

Occupational therapy – An Occupational therapist evaluates the goals of the patient and tailors specific therapies to help them meet those goals. It primarily concentrates on helping the patient relearn basic physical and cognitive skills essential for day to day life. The ultimate aim is to enable the patient to reintegrate with the society and lead as independent a life as possible.

Speech therapy – Speech therapy concentrates on communication disorders, cognition, voice disorders and swallowing disorders.

Cognitive and behaviour therapy – CBT includes counselling and also development of personal coping strategies targeting unhelpful patterns in cognitions, behaviours and emotional regulation.

Recovery and rehabilitation post an acute stroke episode can be a long process. The life for the patient after stroke may involve coping with new physical and cognitive disabilities. ApoKOS Rehabilitation Hospital adopts a holistic, patient- first approach that leverages advanced technologies and practices that provides the patient with effective post-stroke management strategies. The end goal of our rehabilitation process is to ensure that the patient receives the best chance possible to heal, recover and reintegrate with the society.


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ARMEO Therapy: A Brief Insight About The Working Of This Ergonomic Device

Regaining active movement and improving overall bodily function are some of the primary aspects of rehabilitation. Assisting patients in performing regular tasks with considerable ease is another important motive for rehab specialists. Such experts have to work with patients who might have suffered from a road accident or a slip and fall incident.

Such accidents can have an immense impact on their brain or spine and can even lead to some other complex neurological condition. Most incidents also impact the upper extremities of patients and for this reason, rehabilitation becomes an absolute necessity for them!

ARMEO therapy is one such effective tool that aids patients in improving the function and movement of their arms and hands. Interestingly, the exercises in this equipment are self-directed and self-initiated.

What is ARMEO?

This equipment is essentially a rehabilitation exoskeleton which provides intensive arm rehabilitation to patients. These patients might have difficulty in moving their arms or hands actively because of a neurological injury or disorder.

With this advanced equipment, patients can practice movement and activities essential for their daily life and therapy progress. Research by experts also indicates that ARMEO Therapy aids in better and faster recovery of upper extremities when compared to routine therapy.

The ideal device for patients  

The technologically high-end equipment of ARMEO has been designed keeping in mind the patient’s requirements. It is the perfect device for patients who have been affected with:

Mechanisms of the equipment

ARMEO Therapy enables neuroplasticity in the patient’s early stage of recovery. It helps patients in carrying out arm movements which might be difficult for them, in general. The prime aim of this therapeutic device it to restore and maintain motor skills of the patient’s affected arm. The device further enables task-specific, high-intensity and active movement training. It further supports self-directed, intensive and functional movement therapy so that impaired patients can easily and independently practice the device’s directives.

The beneficial aspects  

  • ARMEO therapy ensures high-intensive therapy for affected patients along with enabling early recovery.
  • Encourages patients by providing performance feedbacks and appropriate exercises for hand and arm training.
  • Enables independent training of hand and arm along with motivating self-initiated, functional movement therapy.

Ensuring that patients can perform activities of daily living which can be as simple as holding a fork, writing with a pen, is the chief goal of ApoKOS Rehab specialists. With the technologically advanced, ergonomic exoskeleton named ARMEO Therapy, physiatrists can check the progress of patients. The presence of this device at the rehab center makes a huge difference to the patients as it presents continual assessment and objective analysis of their condition along with ensuring their speedy recovery.

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