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PHYSICAL MEDICINE & REHABILITATION (P M R)

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  3. Physical Medicine & Rehabilitation (P M R)

Overview

Rehabilitation is “a set of measures that assist individuals, who experience or are likely to experience disability, to achieve and maintain optimal functioning in interaction with their environments". It involves identification of a person’s problems and needs, relating the problems to relevant factors of the person and the environment, defining rehabilitation goals, planning and implementing the measures, and assessing the effects.

PMR, also known as Physiatry is about patient-centered care and maximizing independence and mobility with the goal of returning patients to their role in society. It is unique among medical fields in that the area of expertise addresses function of the whole patient, as compared with a focus on an organ system or systems.

At AIMS, a Rehabilitation Team is being set up to offer complete solutions to persons with disabilities. The overall functioning of the department will cover the areas depicted in the table with close collaboration among various medical and allied health specialties.



Facilities

  • Medical & Interventional Management

    • Diagnose, Prognosticate, Relevant investigations, Medical management, Preventing anticipated complications, Follow up – closely monitoring therapy progress and communication with team

  • Occupational (OT), Developmental (DT), and Speech Therapies (ASLP)

    • Training how to perform function, especially activities of daily living (ADL) including Bladder and bowel training

  • Physiotherapy (PT)

    • Exercises, physical modalities 

  • Assistive Technology, Prosthesis-Orthosis (P&O)
  • Psychosocial interventions (Psychology, MSW), Awareness creation, Education, support, counseling
  • Barrier Free Environment, Community reintegration and Vocational Training /Return to Work

Services

Assistive Technology (AT) and Prosthetic-Orthotic (P&O) Clinics.

Cerebral Palsy (CP), Developmental delays, Meningomyelocoele (MMC), Autism Spectrum Disorders (ASD) – motor coordination disorders, etc.

Spinal cord injury (SCI) Rehabilitation, Stroke rehabilitation, Acquired Brain injury (ABI) rehabilitation

Amputee Rehabilitation

Cardiac and Pulmonary Rehabilitation

Geriatric rehabilitation 

Cancer Rehabilitation – lymphedema management, spinal supports

 Movement Disorders (Parkinson’s Disease, Ataxias), Muscular Dystrophies, Spinal Muscular Atrophy (SMA), Neuropathies, peripheral nerve injury rehabilitation, spasticity clinic including botulinum toxin neurolysis etc.

 Managementof CRPS, Foot ulcer management (Diabetic/neuropathic) including total contact casts, serial casting, serial orthotic correction for deformities, etc.

ICU Care, positioning, early mobilization, augmented communication in the ICU, facilitation of recovery, rehab nursing, etc.

8-4 all working days


Faculties

Dr. Dominic K Puthoor
Reg.No: TCMC 12112
Professor & HOD
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Dr. Sindhu Vijayakumar
Reg.No: TCMC 25663
Associate Professor
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Dr. Asha Elizabeth Mathew
Reg.No: TCMC 20475
Associate Professor
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Dr. Sinjitha V K
Reg.No: TCMC 56344
Assistant Professor
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Publications

  • Tumour like lesions and their management- a retrospective study D Davis, D Kuriakku Puthur, L Manathara Thomas International Journal of Research in Orthopaedics 4 (1), 159-165
  • Tumour-like Lesions— Are We Over Treating Them? D Davis, KP Dominic Journal of Bone And Soft tissue Tumours 5 (1), 3-8
  • Recurrences of Giant Cell Tumor of Bones After Extended Surgical Curettage– A Retrospective Cohort Study SN Puthur D K, Davis D Journal of Bone and Soft Tissue Tumors 6 (1), 9-12
  • The incidence and distribution of pathological fractures in giant cell tumours of bone—a retrospective study D Davis, FL Kuriakku Puthur Dominic Kerala Journal of Orthopaedics 31 (2), 27-31
  • Dominic Puthoor, Leo Francis, Rashik Ismail. Is sclerotherapy with polidocanol abetter treatment option for aneurysmal bone cyst compared to conventional curettage and bone grafting? Journal of Orthopaedics 25 (2021) 265–270

  • Giant cell tumour-curettage and bone grafting. Indian Journal of Orthopedics. Volume41(2) April 2007; page 121

     

    Management of Giant Cell Tumor of Bone: Computerized Tomography Based Selection Strategy and Approaching the Lesion Through the Site of Cortical Break   Orthopaedic Surgery/MAY  22 2012/Pages: 76-82 

     

    Periosteal chondrosarcoma of metacarpal bone: Report of a rare entity

    Australasian Medical Journal [AMJ 2012, 5, 11,589 592]

     

    A New Surgical Technique for Extensive Exposure of the Proximal Humerus and Shoulder- Orthopaedic Surgery/Volume05(04) NOV 2013.Pages:106-10 

  • V Sindhu, U Singh, S Wadhwa, SL Yadav. Advantages of Ischial Weight Bearing Immediate Post Operative Prosthesis. IJPMR, April 2002; 13: 5-11.
  • S Vijayakumar, U Singh. PWD Act: Awareness among beneficiaries and members of rehabilitation team. Indian Journal of Physical Medicine and Rehabilitation, April 2004; 15: 12-16
  • S Vijayakumar, U Singh.“Prevalence of medical complications vis-à-vis psychosocial complications in spinal cord injury patients”. IJPMR, April 2004; 15: 38-44.
  • Sindhu V, Diganta Borah and U. Singh. “Significance of grip strength in Geriatric Rehabilitation: A Pilot Study”. IJPMR, April 2006; 17 (1): 5 – 7.
  • Sindhu V, Anil K Gupta, M MAraf, Diganta Borah, S L Yadav, U Singh, Sanjay Wadhwa. vi. “Multiple Disabilities – Challenges in Rehabilitation: A Case Report”. IJPMR, October 2006; 17 (2): 41 – 44.
  • S Vijayakumar, U Singh, SL Yadav. Spinal Tuberculosis: Presenting as Retroperitoneal Lymphadenopathy, Obstructive Uropathy, Chronic Renal Failure and Back pain – A Case Report. IJPMR, April 2003; 14: 19-23.
  • Diganta Borah, Sanjay Wadhwa, Upinderpal Singh, Shiv LalYadav, ManasiBhattacharjee and Sindhu V. “Age related changes in postural stability”. Indian Journal of Physiology and Pharmacology, October 2007; 51 (4): 395 – 404.
  • SindhuVijayakumar.“Persons with Disabilities and their Employment: Can I do anything to bring about a positive change as a Physiatrist?”. Kerala Journal of Physical Medicine and Rehabilitation (KJPMR), April 2021; 18 (3): 8 - 10.
  • SindhuVijayakumar.“Assistive Technology for Cerebral Palsy Rehabilitation”. Kerala Journal of Physical Medicine and Rehabilitation (KJPMR); Oct 2022; 19 (4): 67 – 73.
  • Mathew Asha Elizabeth, John Thomas A clinical and neurophysiological analysis of idiopathic carpal tunnel syndrome with respect to gender and occupation Annals of Indian Academy of Neurology Year : 2021 | Volume: 24 | Issue Number: 6 | Page: 865-872

    https://www.annalsofian.org/text.asp?2021/24/6/865/319015

  • John Thomas, Mathew Asha Elizabeth Efficiency of 90-Min Extended EMLA-Induced Stimulated Skin-Wrinkling Test in the Diagnosis of Carpal Tunnel Syndrome Annals of Indian Academy of Neurology". Year : 2022 | Volume: 25 | Issue Number: 1 | Page: 92-99

    https://www.annalsofian.org/text.asp?2022/25/1/92/331904