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| Functional
Rehabilitation |
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Neurological/Neuro-surgical conditions
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These conditions may include
stroke, trauma brain injury, etc.
Problems are usually very
complicated. There is a wide range of severity and different
combinations.
Problems may include dysfunction of physical, cognitive,
emotional, behavioral, and may interfere with activities of
daily living, social interactions and employment.
That is why it is so important that every client needs to be
evaluated individually and the program planned and adjusted
according to individual needs. In order to ensure adequate
quality of life, the program must encompass all aspects of life.
It is our goal to improve our clients’ ability to function as
independently as possible at home, in community and, if
applicable, at study/work situation. We also help them to adapt
to disabilities or make changes in life to accommodate their
impairments, paying attention to psycho-social issues when these
emerge.
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Physical problems: |
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- Hemiplegia:
Very often, hemiplegia is observed in clients, i.e. reduced active
control of one side of the body, such as reduced action of
right arm and right leg. Often spasticity is involved, and
makes the active movement even more difficult.
- Lower limb: This affects walking gait and balance. This
usually restores quicker than the upper limb.
- Upper limb: This affects upper limb coordination and use
of hand.
This requires a long period of physical function
rehabilitation, in terms of years, with better result for
early intervention, before compensatory or trick movements
are established.
Therapy would also need
to concentrate on normalization of muscle tone as the
spasticity will make client’s active control more difficult.
- Sensory problems:
There maybe some sensory problem related with the hemiplegia.
It maybe confusing to the client, e.g. there’s someone else
in my bed, but in actual fact, it is the unaffected leg
being aware of the unfeeling leg.
Sensory re-education program will help.
- Visual problems:
Clients may not be able to see part of the visual field or
to interpret what they are seeing. Again, re-education of
perception or compensatory techniques would be needed to
ensure safety.
Oral-motor / articulation difficulty:
Some clients may have difficulty chewing and swallowing, and
in speaking as they used to speak. Re-education will be
necessary.
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Cognitive problems: |
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This may include: |
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- Impaired attention
- Disrupted insight
- Judgment
- Reduced processing speed;
distractibility
- Memory
- Deficit in executive
function (such as abstract reasoning, planning, organizing,
making judgment, problem-solving, and multitasking)
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This is an integral area of
training in the program.
We incorporate element of cognitive function that requires
training into a program of normal daily functional activities in
order to facilitate generalization of improved skills and to
improve self-esteem of clients as they would not feel like
“students” or “inmates”. |
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Communication problems: |
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There maybe articulation, or
comprehension and expressive difficulty. Our therapy team will
engineer opportunities for practice of such skills. |
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Psycho-social problems: |
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There maybe emotional symptoms or
behavioral problems. We encourage discussion with any member of
the therapy team that the client feel comfortable with. If
necessary, we will refer to psychological practitioners. |
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Self-care problems: |
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The above problems will affect
clients’ ability for self care. And practicing of self-care
activities would also be beneficial for improving the above
problems.
Such as putting on a jacket, in a specified manner with minimum
compensatory movement, will improve upper limb active control of
movement and memory and executive functioning.
Doing shopping for the family, with specified number of items,
is good training for memory, organization, walking and balance,
safety on the road, planning of route, etc. |
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Community re-integration: |
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Our therapy team will help
clients to plan and implement steps towards re-integration into
the community. To be safe and effective would be one of the main
goals. |
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Education/work problems: |
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Sometimes it may not be possible
for client to return to pre-injury study or work. Our therapy
team will help prepare the psychological adjustment, explore
interest and aptitude, and help to identify possible direction. |
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Back to
Our Services |
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