A traumatic brain injury can be quite a complex situation. Unlike most cells in the body, brain cells do not regenerate when they are destroyed. Every brain injury is unpredictable and unique. It is difficult to estimate the time frame for recovery and rehabilitation. However, here the best time to admit a brain injury patient into a rehabilitation program is right after they are discharged from the hospital. The other instances maybe as follows:

• If the patient is in a minimally conscious state
• When the patient is in a stage of confusion and disorientation post-surgery
• When the patient is able to gradually follow commands

While rehabilitation is a must for a patient after a traumatic brain injury, many patients and their families prefer inpatient care. Inpatient care is better as the patient lives in the rehabilitation facility on a residential basis. Inpatient care can help a patient heal faster due to various reasons such as:

• Feeling like part of a community of recovery
• Rehab supervision by experts
• 24*7 Nursing care
• Specialised quality of care
• Customized treatment plans
• 24*7 Medical supervision

• 64 bedded inpatient rehabilitation centre
• Goal-oriented treatment plan
• Comprehensive rehabilitation
• Tracheostomy care
• Recovery under specialised doctors
• Dedicated nursing care
• Round-the-clock medical supervision

Our comprehensive rehabilitation team at ApoKOS caters to every requirement for your health conditions. The entire team works in a holistic manner to regain maximum independence of the patient. Our approach towards a patient’s recovery is aimed at creating a goal oriented plan where the patient and the families feel motivated with the progress that the patient is achieving. All the patients are under constant medical supervision of our doctors, who also specialise in tracheostomy care. Round-the-clock supervision along with emergency assistance is provided by our trained nurses. Our nurses are also equipped in performing hands-on-care such as checking vitals, helping patients in performing independent CIC along with tracheostomy, patient hygiene and in demonstrating effective oral and written communication skills to develop a rapport with the patients.

Our goal-oriented approach helps patients maximise responsiveness, physical and psychological functioning, and regain independence as much possible.  The treatments offered to the patients during rehabilitation are as follows:

1. Physical Therapy
2. Occupational Therapy
3. Speech and Swallow Therapy
4. Robotics Technology
5. Cognitive and Behaviour Therapy
6.  Bladder and Bowel Training

This is also known as rehab physiotherapy. It involves traditional rehabilitation methods along with cutting edge therapeutic approaches such as Manual Therapy, Geriatric Rehabilitation, Paediatric Rehabilitation, Cardio-pulmonary Rehabilitation, Robotics Technology, Neuromuscular Re-education Techniques, and Neuromuscular Pain Management with Electrotherapeutic Therapy. It comprises of a wide range of physical exercises that aim at regaining strength, balance and independence.

This therapy aims at promoting health and well-being through regular conduction of occupational activities. The patient is given simple tasks to perform, to gradually regain their ability to function independently. Occupational therapy entails:

• An individualised assessment of the current situation
• Intervention to ensure that the patients achieve the goals identified by the therapist
• Regular evaluation to keep track of the progress made by the patient

This therapy is conducted by speech-language pathologists and is aimed at revival of the patient’s speech, understanding, voice coordination, and swallowing patterns. This therapy involves:

• Language therapy
• Non-vocal communication therapy
• Swallowing therapy and training
• Voice training
• Speech impairment
• Fluency development
• Cognitive training for understanding communicative patterns

To ensure proper rehabilitation, it is vital to conduct processes with the support of modern robotic technology that helps the patient regain balance and mobility.

• EKSO: This is a wearable suit that boosts strength, stamina, and mobility. Ekso is used to assist standing and gait training.
• ERIGO: This instrument is also used to assist standing, but for a more severely impaired and bed-ridden patient. Erigo entails gradual ‘verticalisation’ of the body with the support of passive robotic mobilisation.
• ARMEO POWER: Armeo helps the patient gradually move their limbs and regain ability to function as independently as possible.
• BALANCE MASTER: This instrument helps the patient stand up and train to develop a balanced posture. With this, the patient can gradually re-learn to walk and move around.

Surviving stroke leads to side effects like loss of 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.

The method involves:

• Psychosocial assessment of the patient by a physician
• Skill acquisition of the patient, identified by the therapist
• Application training that requires the patient to exercise their behavioural skills
• Stress reduction procedures
• Cognitive processing therapy
• Relaxation training
• Dialectical behaviour therapy

After revaluation of the patients, they are trained to perform independent, clean and intermittent CIC catheterization.

Our therapists also make sure to educate patients and their families on further prevention of TBI, along with working towards their successful recovery. There are two major factors to remember:

Obeying traffic rules –

• Wear seat belts
• Wear helmets
• Do not drive under the influence

Preventing falls –

• Fit handrails in bathrooms
• Fit handrails on both sides of staircases
• Install brighter lights in bathrooms, corridors, and stairs
• Floors and stairs must be clutter-free
• Floors must be made of non-slippery construction material

We specialise in providing a wholesome rehabilitation program to all of our brain injury patients.

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