OVERVIEW
Rehabilitation refers to restoring of the physical and functional disabilities of patients from aging, injuries, disease or environmental factors and physical impairments. At Bangkok Rehabilitation Center we provide the full spectrum of evaluative, preventative, and rehabilitative services for patients with impairments and disabilities in physical function.
We are fully equipped with modern facilities and licensed therapists under the direction of board certified doctors. The Center’s multifaceted programs encompass injuries, diseases to meet each patient’s needs.
Physical Therapy services and programs available are:
- Physical Therapy and Rehabilitation Programs
- Physical Therapy for Neurological Problems
- Rehabilitation Therapy for Pulmonary
- Occupational Therapy
- Acupuncture and Pain Management
- Sports Medicine Therapy
- Physical Therapy for Orthopedics Problems
- Aquatic Therapy Program
- Signal Rehabilitation Services
- Respiratory Muscle Strengthening Program
- Mobile Comprehensive Rehabilitation Program
- Neck and back tractions
- Deep heat therapy
- Superficial heat therapy
- Cold compression therapy
- Exercise therapy
- Aquatic therapy
- Electrical stimulation
- Massages
- Postural drainage
- Cardiac rehabilitation
- Occupational therapy for stroke patients
- Occupational therapy for children
- ADL (activities for daily living) training
- Speech training
- Spinal and limb orthosis
If you are suffering from chronic pains or injuries described, we urge you to call for an appointment with our Physical Therapists who are dedicated in healing, managing pain for patients to return to normal activities and lifestyles. Symptoms and Conditions are as follow:
- Stroke traumatic brain injury
- Spinal cord injury
- Rheumatoid arthritis
- Low back pain
- Peripheral nerve injury
- Lung and heart diseases and failures
- Amputation or Polio
Rehabilitation Therapy To Strengthen Hand And Arm Muscles
The hand and arm rehabilitation program enhances the hand and arm muscles while restoring their functions. This program allows the patients to fully conduct their daily tasks and activities by using visual feedback system. The program has been specially designed to promote muscular activation and response best suited to each individual. Under the close supervision of the occupational therapist, a wide variety of rehabilitation devices and training equipment are enable the patient to strengthen critical muscles and regain muscular functions. During the program, resistance and range of motion can be modified by weight and range adjustment to activate muscle movements as safely and individually designed.
This program is suitable for:
- Patients experiencing post COVID-19 syndrome
- Patients with neurological diseases
- Patients with orthopedic and muscular conditions
- Elderly people
Training Devices And Equipment For Hand And Arm Rehabilitation
- Wrist ulnar and radial deviation training
- Fingers flexion and extension training
- Horizontal pulling training
- Handling and lifting training
- Thumb-strengthening training
- Palm grip strengthening training
- Wrist rotation and grip strengthening training
- Finger extensor training
- Finger symmetric training
- Finger pinching training
- Forearm rotation training
- Wrist flexion and extension training
Benefits:
- Activating the movement of hand and arm
- Strengthening muscles and improving muscular resistance in the hand and arm
- Promoting proprioception of the joints in the upper extremities
- Restoring the function of neuromuscular system involving nervous system and muscles to work together after injuries
- Facilitating the coordination of muscle movements
Post COVID-19 Rehabilitation
Patients who recovered from COVID-19 may continue to experience Post-COVID or Long COVID conditions. It will affect different organs, such as the respiratory system, cardiovascular system, muscles, cognitive and memory, etc., thereby reducing their performances, which, in turn, disrupt the patients’ daily life routine. Some symptoms are forgetfulness and fatigue. So, it is important to have the right Post-COVID rehabilitation.
Post-COVID Symptoms
Common signs and symptoms that linger over time and need rehabilitation include:
- Post-nasal drip or mucus, shortness of breath and difficulty breathing, which may be caused by pulmonary fibrosis. There’s a rehabilitation program which uses Trilogy ventilator to help improve respiratory conditions.
- Balance problem when getting out of bed or walking which affects the patient’s routine. Programs to strengthen muscles, bones and joint are available.
- Aches and pains from spending too much time in bed for those with low or moderate risks. Patients may benefit from some physical therapy equipment that can help reduce those pains and strengthen muscles.
Rehabilitation Programs For Post-COVID
Our programs are designed to help patients return to regular routine efficiently and safely return to work. Our rehabilitation team, physical therapists and occupational therapists will assess each patient’s condition and plan effective individualized program that is best for each person, such as
- Exercise to increase endurance of the respiratory and cardiovascular systems.
- Exercise to increase the flexibility of specific muscles.
- Programs to reduce aches and pains.
- Cognitive and memory enhancement programs.
- Other rehabilitation programs that correspond to other physical disabilities:
1) PMS (PERIPHERAL MAGNETIC STIMULATION) uses high-intensity magnetic field to relieve pain by stimulating the nervous system and muscles.
- Helps reduce aches, pain and fatigue to make patients relax and comfortable after the treatment.
- Helps strengthen and improve blood circulation.
- Stimulates the brain to promote motor function and regain arms and legs movement.
Candidates for PMS are:
- Patients who suffer from paresis, paralysis, peripheral neuropathy or diabetic neuropathy.
- Patients who suffer from muscle aches and pains, such as office syndrome, work from home, aches and pains from exercise or driving long distance.
2) RF RADIOFREQUENCY uses oscillating electric currents to treat the following symptoms:
- Reduces pain from peripheral nervous system before it sends signals to the brain.
- Stimulates the circulatory system for fast recovery and faster wound healing.
- Reduces residual buildup of wastes, such as lactic acid.
- Helps reduce tightness to relax and decrease the pain.
Candidates for RF are:
- Patients who have muscles and joints pain or degenerative spine.
- Patients who recover from muscles injury on the lower back.
3) TRILOGY Ventilator is capable of delivering both invasive and non-invasive pressure modes.
- Helps increase lung capacity to fill more air.
- Helps with exhalation to clear the airway passage and mucus or maintain pressure to prevent collapsed lungs.
Candidates for Trilogy are:
- Patients who are bedridden can also have collapsed lungs. The ventilator can help expand lungs capacity, reduce shortness of breath, increase blood-oxygen level, and reduce accumulation of mucus and carbon dioxide, which causes headaches leading to sleeplessness.
4) TREADMILL is a cardio workout equipment, which is good for the lungs, heart and blood vessels.
- Strengthens and enhances endurance of muscles, bones and joints.
- Exercising for 30-60 min/day can help improve brain function and memory.
5) Arms and Legs Muscles Exerciser is a computerized equipment to help patients safely develop muscles in the arms and legs.
- Helps reduce risk of muscle injuries and increases safety for users.
Candidates for Arms and Legs Muscles Exerciser
- Elderly patients
- Patients who suffer or are recovering from illnesses such as Post-COVID patients.
- People who are interested Digital Transform Fitness.
6) WalkBOT: Robot Assisted Gait Training: RAGT
- Train and control your muscles.
Candidates for WalkBOT
- Patients who suffer from paresis and paralysis or neurological disorders .
7) AQUATIC TREADMILL
- Relaxes and reduces swelling in the limbs
- Strengthens muscles
Candidate for AQUATIC TREADMILL
- Elderly patients with balance problems.
- Pre- and post-spine and joints surgery patients.
- Patients who suffer from chronic musculoskeletal pain, knee joints – hip degeneration and fractures.
- Patients with heart condition, partial paralysis, affected by Parkinson’s disease.
- Overweight people can run for exercise without joint and muscles injuries.
8) CEILING HOIST
- Practice balance, standing and walking.
- Torso support.
- Induce internal homeostasis and walking control.
- Prevent falling.
Candidates for CEILING HOIST
- Elderly patients.
- Patients who suffer from muscle weakness.
- Patients with partial paralysis.
- Patients with neurological disorder.
- Patients with compromised skeletomuscular system such that they cannot support their own weight.
9) HAND REHABILITATION TRAINING
- Motor rehabilitation to improve hands and wrists muscles strength.
- Increase daily routine performance.
- Visual Feedback System from trainer’s log helps stimulate response and cognitive.
- Therapist helps adjust difficulty levels by adding more weight to suit individual needs.
Gait training Robotic-assisted gait training
Robotic-Assisted Gait Training
Robotic-assisted gait training utilizes a robot (walkbot) to help rehabilitate locomotion-impaired patients. Each patient’s basic movements along with physical attributes are recorded by the system as reference before the walkbot is attached to the patient, such that the length of the robot’s legs can be adjusted accordingly. Every step will be measured in centimeters, while the speed of the treadmill will be in kilometers per hour.
During every session, the patient must wear a safety harness before the counter-balance system is attached for safety reasons. The counter-balance system supports the patient’s weight while taking steps, and the robot will stop immediately when it detects a pulling force, tugging, or greater than acceptable resistance. If there is any problem, the patient or the therapist can abort the training directly by means of the emergency button that is placed on the parallel bar.
Who Would Benefit from the Walkbots?
Robotic-assisted gait training is suitable for patients who cannot walk due to impairments in their neuromotor or muscular systems, or misshaped bone structures. These include:
- Stroke
- Cerebral palsy: CP
- Parkinson’s Disease
- Paraplegia: SCI
- Hemiplegic patients
- Paraplegic patients
- Multiple sclerosis: MS
- Traumatic brain injury: TBI
- Endoprosthesis e.g. total hip endoprostheses
- Muscle weakness due to lack of mobility
- Spinal muscular atrophy: SMA
- Degenerative joint disease of the lower limbs
How to Prepare for Robotic-Assisted Gait Training
- Each training session is about 45 minutes long.
- Wear suitable clothing – not too loose nor tight – so that it will not interfere with body movements.
- Articles of clothing for the training should include ankle-height walking shoes, long socks and trousers.
- Rest sufficiently prior to every session.
- It is recommended a session commences no sooner than 30 minutes after a meal. This is to prevent side-effects during the training – such as heartburn, nausea, vomiting, etc. Also, eating during a session is prohibited.
- Inform the therapist immediately if you have an unusual symptom – such as extreme fatigue, nausea, light-headedness, chest pain, heart palpitation, dizziness, etc. – or the need to use the toilet.
Restrictions for Robotic-Assisted Gait Training
- Weighing more than 135 kilograms.
- Recently underwent muscle contraction treatment.
- Weak bones.
- Has an injury around lower limbs and hips.
- Has blood circulation issues.
- Irregular heartbeats.
- Cognitive impairments, being uncooperative or resistive.
- Long time peripheral intravenous patients.
- Patients who are on ventilators.
- Patients with abnormal lower limbs developments or severe spinal disfigurement (abnormal bones or marrow progression).
- Patients with severe issues with lower body blood vessels.
- Patients who cannot be moved due to abscess in the bone, burn injury or infected wounds; as well as those who have undergone hip, knee, or ankle surgeries.
Precautions About Robotic-Assisted Gait Training
There are some possible issues that may arise from the treatment: for example, abrasion, reddish marks or bruising around the areas where the walkbot is attached, etc.
Source: https://www.bangkokhospital.com/en/center-clinic/bone-joint/bangkok-rehabilitation-center?info=overview
