WHO states, Physiotherapists assess, plan and implement rehabilitative programs that improve or restore human motor functions, maximize movement ability, relieve pain syndromes, and treat or prevent physical challenges associated with injuries, diseases and other impairments (ISCO, 2008).
Physiotherapists treat diseases or impairments affecting the muscles, bones, joints, nervous system, heart, circulation and lungs. They are autonomous professionals to identify and diagnose impairments in physical, psychological, occupational and social context, andserves through health promotion, preventative healthcare, treatment and rehabilitation using a variety of physical, electro-physical, cognitive and pharmacological agents.
PHYSIOTHERAPY DEPARTMENT AT CRP
The Department of Physiotherapy at the Centre for the Rehabilitation of the Paralysed (CRP) is the country’s largest facility for physiotherapy service and a pioneer in providing specialized & a wide spectrum of Physiotherapy services. The Department started alongside CRP’s journey from the beginning. Now, it is expanded and specialized with diverse and dedicated services in outpatient and inpatient units. There is direct access of patients for physiotherapy consultancy and services in the department with or without a referral.
Musculoskeletal & Orthopedic Physiotherapy Unit (Out Patient Unit):
Patients with Musculoskeletal, Orthopedic, Ergonomic and work related impairments like Neck pain, Back pain, Prolapsed Inter-vertebral Disc (PLID), Osteoarthritis, Rheumatoid Arthritis, Frozen shoulder, Tennis elbow and other Musculoskeletal conditions are treated in this unit. The treatment is based on worldwide renounced concepts and designed on specified to the diagnosis and evidence, that includes McKenzie, Maitland, Mulligan and Cyriax concept. Dry Needling, Kinesiology Taping, Infiltration, Neural Mobilization, Bowen Technique, Muscle Energy Technique, Muscle Balance Technique are also used to treat these wide range of Musculo-skeletal patients.
Neurological Rehabilitation Unit:
Patients with Stroke, Head injury, GBS, Poliomyelitis, Multiple sclerosis, Parkinson disease, Nerve injury/entrapment, Bell’s Palsy/ Facial Palsy, Charcott-Marie tooth Disease, Cerebral Ataxia, Poly-neuropathy/Peripheral neuropathy, Spinal Cord Injury, CIDP, Motor neuron disease (MND), Myelopathy, Myopathy are treated in this unit. PNF, Bobath approach, Rood approach, Carr and Shepard approach, Brunstrom, Motor relearning, Constraint Induced Movement Therapy (CIMT), Sensory reintegration Technique and other neurological rehabilitation concepts are used here to treat a wide range of neurologically impaired patients.
Sports Rehabilitation Unit (Outdoor):
This dedicated unit serves the impairments related to sports injury and rehabilitation including Ankle Sprain, Ligament and meniscus injuries, shoulder injuries, sprain and strain aiming to enhance the optimum sports performance.
Stroke Rehabilitation Unit (Outdoor):
The unit is specialized in Rehabilitation for the persons with stroke and associated impairments.
Pediatric Physiotherapy Service (Outdoor& Indoor):
Child hood disabilities particularly cerebral palsy and other conditions such as Down syndrome, Myopathy, Cystic fibrosis, Juvenile idiopathic arthritis and Club feet cases are treated in this unit. Pediatric physiotherapy services treat a wide variety of acute and chronic conditions in different settings from community to the school. The objectives are to enhance motor control, muscle strength and physical endurance focusing on movement and improvements in function to increase both the child’s and family’s quality of life.
Spinal Cord Injury Rehabilitation Unit (Indoor):
Physiotherapists ensure comprehensive rehabilitation services from admission to discharge in persons with spinal cord injury. Physical rehabilitation starts with providing chest physiotherapy for the acute patients and it continues through improving mobility, balance, coordination, gait re-education, lifting and transferring from one place to another as the patients progress. Community Based Rehabilitation (CBR) services are also provided by Physiotherapist to make sure appropriate social rehabilitation after being discharged from CRP.
Gynecology & Women’s Health Unit (Outdoor):
The unit serves the antenatal and post-natal care in several impairments in spinal pain, abdominal weakness, pelvic floor dysfunction, urinary incontinence and post-menopausal care. Currently the dedicated unit is functioning in CRP- Mirpur and under progress in Savar.
Besides individual sessions several group therapy are being conducted. The group sessions are Pain management group for SCI patients, Respiratory group for SCI patients, Strengthening group for SCI patients, Hand function group for Neurological patients, Balance Training group for Neurological patients, Postural re-education for Neurological patients, Gait practice/re-education for neurological patients.
QUALITY OF SERVICES
The department serves more than 700 patients a day in Savar centre only. With the increasing patient number, the department also tries to continue further development in the quality service for patients. From July 2017- June 2018, study explored that the service from department had positive changes in pain intensity, joint range of motion, achieving increased strength and significant role in the remission of disability in spinal conditions to enhance the quality of life of the clients. The department upholds skillful graduate professionals with Masters Degree in Physiotherapy, Public health, Master of Rehabilitation science and other specialties. To ensure quality service critical and challenging patients care and case presentation are conducted by the Head of Physiotherapy Department, Out-patient physiotherapy in-charge, Junior Consultants and Senior Clinical and Academic PT Professionals once in a week.
CONTINUOUS PROFESSIONAL EDUCATIONAND RESEARCH
The Department arranges and Participate several national & international training on Radiology & Imaging, Musculoskeletal USG, advanced technique in Physiotherapy, Autism and skill development affiliated by Bangladesh Health Professions’ Institute (www.bhpi.edu.bd). The Clinicians of the Department participated and presented in International Conference for Rehabilitation Professional, ASCON, International Conference on Disaster Risk Management and several conferences to exchange knowledge and expertise worldwide. In 2017-18, Clinicians of the department published 3 scholarly researches in reputed international journals. In 2017, five fellows of the department had a glorious participation in the “16thASCoN conference and workshop” on December 7thto December 10th 2017 in Chiang Mai, Thailand. During that conference, Sharmin Alam, Clinical Physiotherapist was awarded for best poster presentation.
In conclusion, the department of physiotherapy serves as a leader to fulfill and extend the ongoing demand for physiotherapy services with utmost excellence in Bangladesh. Besides Savar, the service is available in CRP divisional branches and sub-centers also.
For further information please contact:
Mohammad Anwar Hossain
Associate Professor & Head of the Physiotherapy Department