Therapeutic care is an essential part of the rehabilitation process that helps in regaining strength, relearning skills or finding new ways to perform day-to-day activities.
APD’s Therapy division focuses on an integrated therapy approach that is geared to help beneficiaries achieve independent mobility and functional ability to their fullest potential.
APD offers various forms of therapeutic intervention including:
• Physiotherapy – The mainstay of the therapeutic process that involves manual therapy, exercise and electrophysical intervention along with health promotion and rehabilitation for correction and support of most movement difficulties.
• Hydrotherapy –A fun activity for children that helps in overall development of physical fitness and health, improves movements, stretching, breathing, balance, co-ordination and control.
• Massage Therapy – For children with CP, this helps improve circulation and reduce spasticity, improves muscle tone, flexibility and general health.
• Speech Therapy – Oromotor stimulation and speech therapy improves communication
• Integration Therapy – Designed to develop the child’s creativity through activities like visual arts, painting, music, dance and storytelling. Through individualized goals, the child is stimulated across multiple dimensions to realize balance and release all interferences.
APD’s offers therapy services at the institution’s headquarters in Bengaluru as well as extensive rural and urban community therapy programmes. It also manages a highly specialized programme for people with Spinal Cord Injury.
Apart from therapeutic services, APD also offers several related training programmes, aiming to disseminate its expertise and skill across the community.
Rural and Urban Community Therapy Programmes
Spinal Cord Injury Programe
Therapy Training Courses
At the APD centre in Bengaluru, experienced therapists conduct detailed assessments and prescribe home based or centre based therapy needs, assistive devices or surgical referrals. APD’s counsellors actively engage parents and caregivers in the therapy process. Periodical reassessment is conducted to determine further therapy, educational or livelihood training needs.
Nearly 2000 people were supported with various therapeutic interventions in 2010.
The centre also engages in capacity building by supporting several NGOs in Karnataka, AP and TN, conducts school awareness programmes and trains members of the APD State Disability Collective, parents, CBR workers, community teachers, animators and government health workers on rehabilitation and disability management. Therapy courses and student workshops develop skills that are often deployed in other NGOs, community programmes or APD initiatives.
Mahesh moves ahead
Mahesh is 6 years old, a student at APD’s Shraddanjali Integrated School.
He was diagnosed with CP- Spastic Diplegia with hip, knee and ankle contractures and flexion deformity; unable to sit, stand, roll, walk or crawl by himself.
He could not use his hands for basic ADLs, was totally dependent on his mother, could say just a few words and couldn’t articulate his toilet needs.His cognitive skills were not appropriate to his age and he displayed almost no social skills.
APD assessed his needs and provided intensive physiotherapy and hydrotherapy; encouraged self care activities and trained Mahesh to walk with the support of splints and rollator.
Mahesh’s gross motor functions improved, he gained mobility, improved the use of his hands, developed communication skills and began to interact with others around him.
He is even doing well at school!
• Rural and Urban Community Therapy Programme
Around a person with disability is a community that includes parents and caregivers, disability workers and aides, government health officials and NGOs, teachers and volunteers.
APD’s endeavour to take rehabilitation therapy to the community manifests in rigorous rural and urban community therapy programs such as weekly Taluk clinics in Magadi and Bangarapet and orientation programmes in Davangere, Bijapur and Chikkaballapur districts of Karnataka.
Dedicated teams work in several remote centres on capacity building, training and sensitizing the community through:
Identification and assessment
Development of community rehabilitation centres
Expanding services in local government hospitals and schools through community clinics
Training officials and health department workers to deal with disability issues
Awareness programmes for children and
Communication of rights under the disability act.
Parents, caregivers and home based volunteers are sensitized and trained to support children with severe and multiple disabilities and encouraged to access APD services at Community Rehabilitation Centres. In many cases, children are supported with assistive devices or referred for corrective surgeries after which APD has provided post operative care and mobility support.
A step forward for Suma
Suma lives in Chintamani Taluk in Chikkaballapur District of Karnataka. The four year old girl had severe Cerebral Palsy at birth, and had no mobility or communication skills. Her parents did not fully understand her disability and special needs and no relief was forthcoming from the hospitals that they visited either.
She was identified by APD’s Community Based Rehabilitation worker in Chikkaballapur district. APD assessed her needs and drew up a rehabilitation plan with specific goals. APD commenced therapy intervention- training Suma on basic ADL skills & encouraging speech and social skills development.
Suma can now walk with the support of splint & rollator. She is interacting with other people and has started her journey towards independent ADLs. Her parents have been trained to support and care for her and she has been referred for education needs.
The horrific trauma of Spinal Cord Injury is indescribable. Be it paraplegia (impairment of motor or sensory functions of lower extremities) or quadriplegia (partial or total loss of use of all limbs and torso), a severely shocked and depressed mind could get trapped inside a mainly dysfunctional body that will just perish painfully, without rehabilitation and support.
Today, APD is the only organization that has put together comprehensive, structured community based programmes for dealing with SCI. In 2010, 350 people with SCI were supported through APD programmes.
The complex rehabilitation process includes:
Identification of people with SCI
Medical and post surgical intervention through networking with hospitals and doctors
Providing mobility aids
Reviving mental stability of the patient and support groups with the help of counsellors and mental health professionals
Reinstating social contact and interaction through group activities, residential camps, and sports
Restoring a sense of self-reliance through formation of self-help groups supported by legal and alternate career counselling.
•Therapy Training Programmes
APD’s therapy unit also offers various courses at its premises.
The focus on community rehabilitation therapy is to help therapists go beyond physiotherapy and engage in rehabilitation of all types of disabilities, be aware of the legal provisions under the PWD Act and the UN guidelines for CBR. This gives them a much wider reach and the ability to evaluate the beneficiary and determine various treatment and legal options available to them.
- Two Year Diploma in Rehabilitation Therapy (under Bangalore University)
- One Year PG Diploma in Rehabilitation Therapy (under Bangalore University)
- Six month Community Therapy Aide Course (three days a month)
- One week Basic Management of Mental Retardation programme
- 10 day Basic Management of Locomotors Disability programme
- 10 day Neuro Developmental Therapy programme
- Early intervention Training