June 2018 - ApoKos Rehabilitation
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Archive for June 2018

Tracheostomy care-What does it entail?

Tracheostomy is a surgical procedure that is usually performed when the patient’s airway is obstructed or swollen and it becomes difficult for them to breathe.

So, what exactly is a tracheostomy?

An opening is made on the neck, through an incision, to gain access to the trachea. This surgical procedure allows direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tracheostomy may be permanent or temporary depending on a patient’s condition. It can be done in case of an emergency at the patient’s bedside or in an operating room. Most people need 1 to 3 days to adapt to breathing through a tracheostomy tube. It will take some time to learn how to communicate with others.

When is tracheostomy considered?

Here are a few reasons where a tracheostomy may be necessary:

  • Obstruction in mouth or throat
  • Swelling in trachea
  • Difficulty in breathing
  • Lung conditions
  • Airway reconstruction after a tracheal surgery
  • Impaired swallowing and vocal function
  • Airway protection after a spinal or a head injury
  • Long-term life support

How is the tracheostomy tube inserted?

It is a small tube inserted into the trachea to keep the stoma open. It is available in different sizes and materials such as semi-flexible plastics, metal or rigid plastics. The tubes are either reusable or disposable. Tubes with a cuff can be used in cases where the patient suffers from swallowing issues and is on a ventilator.

Usually, the tube is selected depending on the patient’s health condition, neck size and the purpose behind the procedure. All the trach tubes have an outer cannula and neck-plate. The neck plate rests on your neck and keeps the stoma opening. Holes on each side of the neck plate helps to insert the tubes ties to secure the tube in its right place and keep it stabilized.

Why is tracheostomy care important?

There are many complications associated with tracheostomy and it is important to take proper precautions and care when it comes to tracheostomy.

Here are a few complications which may arise:

  • Infection
  • Bleeding due to tracheal irritation
  • Skin breakdown due to wrong positioning of the tube
  • Blockage by secretions suddenly or gradually

All these complications can have major consequences for the patients. These are some of the reasons we need intensive care. Not many rehabilitation programs offer efficient tracheostomy care, so it is important to choose a rehabilitation center which does. Explore for more information: https://apokosrehab.com/



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Post-hospitalization rehabilitation – All you need to know

It is a common misconception that the hard part is over after a successful surgery. Not everyone is aware of the situation after the surgery. Post-surgery, the recovery process can be very demanding and grueling too. The idea that a patient may need rehabilitation post hospitalization and surgery may be very unfamiliar to some people.

The concept of rehabilitation is quite unfathomable to a lot of the general masses. There is a lack of awareness on how essential rehabilitation is after post-hospitalization or surgery.

After surgery or a trauma, when your mind tells you that it is time to return to your old routine, your body might not be ready to take on the pressure. It is very likely that you may need rehab to regain your strength.

Why you need rehabilitation?

  1. Rehabilitation is required to help the body cope and recover post-surgery. Since surgery is a life-changing experience rehabilitation can be used to help you adapt to the change.
  2. Rehabilitation enables you to re-learn basic skills, for example, dressing up, walking, talking, and so on. And over a period of time, you will be able to attain normalcy.
  3. Though through rehabilitation you will be able to strengthen your body, exercising alongside will help you become much more independent.

When you get discharged from the hospital depending on surgery or the procedure you have gone through, you may face challenges in certain specific areas. Rehabilitation will solely focus on dealing with your problem areas. Rehabilitation will help you cope with the obstacles you may come across in your everyday life.

How does rehabilitation help the patient recover?

It takes patience, time and effort. But, it’s worth it. Here are a few of the key benefits of a rehabilitation program:

  • It reduces the pain in your designated area of surgery.
  • It is helpful in increasing movement and range of motion on the part of the body where the patient has surgery.
  • It raises endurance and strengthens the muscles.
  • Rehabilitation helps you re-learn all the daily activities if need be.

Who works with you?

A rehabilitation program will have different kinds of experts who can ascertain that the patient gets better and regains independence. Depending on the type of injury or trauma, there are different therapies which can be used to assist the patient, such as occupational therapy, speech and swallow therapy, cognitive and behavior therapy, robotics therapy and physical therapy as well.

All of the course of treatment and patient care will be determined by the physicians in the rehabilitation program. To get the best results out of a rehabilitation program, explore: https://apokosrehab.com/



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A stroke can be a life changing event, leaving patients bed-ridden, physically and mentally disabled. The treatment for stroke is more effective if the patient is admitted to the hospital immediately, without any delay. Hospitalisation and medical treatment alone are not sufficient for the patient to get back to normal. A rehabilitation programme is necessary for helping them regain their independence and become more functional. The most common outcomes of a stroke are slurred speech and difficulty in chewing or swallowing. Hence, a speech and swallow therapy is required to bring back the patient to normalcy.

Speech and Swallow Therapy – What does it involve?

A speech and swallow therapy is conducted on a patient who is not unable to communicate and consume food on their own. This programme is conducted regularly, to attain the best possible results. The processes involved in this therapy are:

Cognitive training:

This focuses on the receptiveness of the patient, which is the ability to understand the words of others trying to communicate with the patient. Cognitive training helps the patient resume communication with others effectively as they gain an understanding of the latter’s verbal as well as non-verbal speech.

Language therapy:

This is commonly called speech therapy. In this session, the patient is trained to use language as a means of communication. Generally, after a stroke, it becomes difficult for the patient to speak and use language. Language therapy encourages the patient to make an effort to speak normally again.

Vocal training:

This training triggers the oral motor, which is an integral part of the entire speech and communication therapy. Often, the voice of the patient becomes distorted after a stroke and they are not able to speak well. A therapist makes the patient speak and accordingly works on their voice modulation. This helps the patient regain their confidence to speak.

Non-verbal communication training:

Seriously affected stroke patients are not able to engage in verbal communication for a long period of time. Such patients are trained in non-verbal communication. This involves computer-boosted speech mechanisms which will allow the patient to exchange words with others. A trainer guides the patient throughout the programme,until the patient completely learns how to communicate through this instrument.

Swallowing therapy: A stroke leaves the entire head and its nearby areas seriously affected. Hence, swallowing food and water is a major concern for the stroke patient, due to which they are fed through a Ryle’s tube. Due to the fragile situation of the patient, a liquid diet or mush is recommended. Initially, a therapist helps the patient swallow liquid food. Training on a regular basis, with liquid-based food items, helps the patient regain their ability to swallow and consume food on their own.

Fluency training: As the patient gradually regains their ability to speak, they are trained by a therapist, to increase their pace of forming sentences and holding a simple conversation.

Speech and swallow therapy involves intensive training and the usage of computer-boosted speech mechanisms. This therapy is conducted by rehabilitation hospitals like ApoKOS, where the patient is provided with regular training and they regain their independence as soon as possible. For more details, visit https://apokosrehab.com/

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ApoKOS – Who are we and what do we offer?

With a vision and goal to help people regain their independence- ApoKOS is a joint venture between
Apollo, Asia’s largest medical caregiver and KOS group from Italy. KOS group emphasizes on social
health and an advanced support system in healthcare. Equipped with their experience in caregiving
and providing support, ApoKos nurtures the patients and helps them in regaining normalcy.
ApoKOS ensures quality care to their patients and provides the patient with proper rehabilitation
facilities. With a vision to provide post-surgery care and rehabilitation services, and a nurturing
hand, ApoKOS is redefining standards of world-class rehabilitation care.
At ApoKOS we offer numerous programs and cover a wide range of health rehabilitation specialities.
Our programs are comprehensive and wholesome, they are:
Neurological Rehabilitation
Cardiac Rehabilitation
Orthopaedic Rehabilitation
Pediatric Rehabilitation
Geriatric Rehabilitation
All of these programs are accompanied by intensive therapy which helps the patient to become fully
functional. ApoKOS provides a trustworthy, supportive and an empowering environment which
helps these patients believe in themselves and to recover at a faster rate.
With a wide range of therapies and cutting-edge technology here are a few therapies we provide:
Rehab Therapy:
This therapy is also known as physiotherapy. It comprises of a wide range of physical
exercises that helps in regaining strength. Advanced technologies and therapies such as
Manual Therapy, Geriatric Rehabilitation, Paediatric Rehabilitation, Cardio-pulmonary
Rehabilitation, Robotics and Neuromuscular Pain Management with Electrotherapeutic
Therapy are used for treatment.
Occupational Therapy:
This therapy aims to promote the well-being of individuals. The patients are trained to
perform day-to-day tasks which helps them cope with the situation and gain mastery over
their lives. They basically re-learn how to live their lives.
Robotic Therapy:
To help the patient regain body balance and to re-learn basic motor skills, the usage of
robotic technology can be very fruitful.
o EKSO: This is a wearable suit that boosts strength, stamina, and mobility. Ekso is used to
initiate standing.
o ERIGO: This instrument is also used to assist standing, but bed-ridden patients. Erigo
gradually positions the patient in a vertical manner with the support of passive robotic

o ARMEO POWER: Armeo helps the patient gradually move their limbs and re-learn motor
o BALANCE MASTER: This instrument helps the patient stand up and trains them to develop a
balanced posture. With this, the patient will be able walk eventually without needing help.
– Speech and Swallow Therapy:
This therapy aims at the revival of the patient’s speech, understanding, voice coordination
and swallowing patterns. This therapy includes language therapy, non-vocal communication
therapy, voice training and fluency development as well.
Cognitive and Behaviour Therapy:
After a major surgery or stroke, patients usually go through impairment in cognitive abilities,
mood swings, anxiety, and inability to interact with other people. Cognitive and behaviour
therapy is a psychosocial method used to rectify the disorders in the patient.
With such a wide range of therapies being offered under one roof and round-the-clock medical
supervision, ApoKOS is a world-class rehabilitation centre. Explore more: https://apokosrehab.com/

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