Rehabilitation In India Research Articles

Stroke Rehabilitation in India: Addressing Gender Inequities.

Gender inequality has a significant and complex impact on stroke recovery and rehabilitation outcomes. Moreover, the influence of gender on post-stroke recovery is multifactorial, primarily biological, social, and behavioral issues. The recovery paths for men and women may have different outlines in relation to stroke occurrence, injury sites, and hormonal effects. These collectively influence the effective summarization of recovery strategies and outcomes. Furthermore, societal and cultural elements play a significant role in shaping access to resources, social support networks, and participation in rehabilitation programs, which consequently affect the outcomes. Considering the gender-specific nuances is important in developing effective rehabilitation strategies. Furthermore, effective stroke rehabilitation programs are needed to achieve equitable and improved recovery outcomes for all stroke survivors and to create inclusive interventions that consider these differences.

Robotic Rehabilitation in India: A Survey of Attitudes and Perceptions

Abstract Introduction: Robotic rehabilitation is a recent advancement in the field of neurorehabilitation that can benefit patients suffering from traumatic brain injuries, strokes and spinal cord injuries. Despite its availability in India since more than a decade, the number of people who are availing such benefits are a minority of the patient population. Materials and Methods: The aim of the study was to understand the trends and perceptions of people from medical and non-medical professions. The objective of the study was to evaluate the awareness levels and general perceptions about robotics in rehabilitation, across people from healthcare and other fields including rehabilitation physicians from various parts of the country, through an open survey and using an 11-point scoring system for objective evaluation. The research work was conducted as an observational survey-based study. Questions related to awareness levels, self-perceived levels of affordability and effectiveness of robotics in the field of rehabilitation were covered through a questionnaire made by the author, completely masking the personal information of the respondents to ensure anonymity. Results: A total of 145 people from different parts of the country belonging to both healthcare and other fields responded. Scores were assessed out of 10, in all domains. The results show a significant number of people being completely unaware of robotics in the field of rehabilitation, with a low average awareness score of 3.4 out of 10. This trend was also seen amongst medical professionals. Although the reported levels of affordability were low at 3.6, the average scores of perceived effectiveness were high at 5.9. Most people believed financial limitations and lack of awareness and availability as common barriers of implementation of robotic rehabilitation in a country like India. Conclusion: This study shows that despite the availability of advanced resources in major cities in the country, there is a lack of awareness amongst doctors and members from other fields, which may result in potential benefiters not being able to make informed decisions about rehabilitative options. Although doctors of the field of rehabilitation generally had a more positive response, the rest of the members are largely unaware. Improving the availability and accessibility to such advances will help provide equal opportunity of access to clients who could benefit from the same. Upscaling the manufacturing and development of indigenous robots for rehabilitation, amongst other methods may help reduce the expenses on users, thereby improving logistic and financial accessibility and availability.

The Current Challenges in Psychiatric Community Rehabilitation: A Case Study

Psychiatric rehabilitation is to assist disabled people in developing the emotional, social, and cognitive skills required to live, learn, and work in the community with the least amount of professional assistance. The goal of the current case study revealed that support from family, friends, community, treating mental health professionals, and drug compliance contributes to the recovery. Many persons with mental illness will experience disability which becomes a barrier to regular follow-up. The needs of severely disabled people are often neglected or not met adequately by mental health professionals, family, and the community. They do not understand what is happening in the community and the home environment. Therefore, the current case study made an effort to know the actual situation of mentally disabled people in their home environment and evaluated psychiatric rehabilitation needs. A case study was presented in detail with findings of the home visit and the strengths and weaknesses of the home visit from a social work perspective. The case study concludes that community attitude; the economic burden was one of the leading causes of barriers to psychiatric rehabilitation in India.

Impact of Library Resources on Prison Education in India: A Review of Re-habilitation Efforts

This review synthesizes findings from two case studies focusing on the role of library resources in facilitating education and rehabilitation in Indian prisons. The first study explores the educational landscape within Indian prisons, highlighting various initiatives and challenges in delivering effective educational programs to inmates. The second study delves into the specific impact of library services in the District Jail of Gautam Buddha Nagar, examining how access to diverse reading materials and information resources aids in the intellectual and emotional development of inmates. Together, these studies underscore the significant role of library resources in supporting prisoner education and rehabilitation in India. They reveal how well-managed prison libraries, equipped with a broad range of materials and services, can contribute to the reformation, skill development, and overall well-being of inmates, thereby playing a crucial part in their successful reintegration into society.

Exploring vocational outcomes, quality of life, and social inclusion in patients with spinal cord injuries following vocational rehabilitation in India

Study designWe conducted a mixed-methods sequential explanatory study. In India, most spinal cord injuries (SCI) occur within low socioeconomic status populations, typically resulting in poor vocational outcomes post-injury and difficulty reintegrating into the community. This study will increase our understanding of how vocational rehabilitation affects patients with SCI.ObjectivesThis study aims to understand the factors affecting vocational outcomes, quality of life and social inclusion for patients who have completed the Amar Seva Sangam (ASSA’s) rehabilitation program, by examining both quantitative and qualitative measures.MethodsConducted at the University of Toronto, we used self-administered questionnaires via REDCap for quantitative data collection and semi-structured interviews for qualitative data collection to capture aspects of lived SCI experience for five participants.ResultsThirty-two participants completed the quantitative phone questionnaire of which 17 were paraplegic and 15 were quadriplegic. Four themes emerged including physical barriers to employment, social inclusion of SCI patients, low income, and state of mental health.ConclusionThis study provided a detailed examination of demographic information and lived experiences of ASSA participants. The findings will be relevant and applicable to both clinical and public health sectors in SCI rehabilitation in India and other low- and middle-income countries by directing rehabilitation programs to better address areas of function that allow patients to find success following rehabilitation.

The facilitators and barriers to home-based robotic rehabilitation in India: a pilot feasibility study

IntroductionRobot-assisted rehabilitation has emerged as a promising approach for enhancing motor function in stroke survivors. However, the feasibility and effectiveness of home-based robotic training in this population are underexplored, especially in low/middle-income countries.MethodsThis feasibility study aimed to address this gap by examining the feasibility and effectiveness of independent home-based training using PLUTO, a robotic device for hand training. A total of 7 chronic stroke survivors were recruited, with 5 completing the study.ResultsThe results revealed high engagement and adherence to the home-based training program, with participants averaging 1659.8 min of training over 24.8 days. The PLUTO system demonstrated excellent usability and elicited positive user perceptions. Significant improvements were observed in functional outcomes, as evidenced by a noteworthy increase in Fugl-Meyer Assessment scores (mean increase of 6.2 points, exceeding the minimal clinically important difference (MCID) of 5.35 points). Furthermore, participants showed improvements in the ABILHAND measure (mean improvement of 1.24 logits, surpassing the MCID of 0.2 logits) and the Barthel Index (mean increase of 8.8 points).ConclusionThese findings demonstrate the feasibility and effectiveness of home-based robotic rehabilitation for chronic stroke survivors. This has implications for expanding access to rehabilitation services in low- and middle-income countries, enhancing patient engagement and adherence, and improving functional outcomes. Larger controlled studies are warranted to evaluate the effectiveness of home-based robotic rehabilitation programs.

Resettlement and Rehabilitation in India: Issues, Methodologies, and Lessons Learned

Resettlement and rehabilitation (R&R) in India has received much attention due to the country's fast growth and infrastructure developments, which frequently necessitate the relocation of populations. This research study presents a thorough examination of the resettlement and rehabilitation procedures in India, concentrating on the obstacles encountered, the measures taken, and the lessons gained. It investigates the legal and policy framework for R&R, the social and economic repercussions on impacted communities, and the attempts to promote sustainable livelihoods and community well-being. In addition, the role of stakeholders, such as the government, project proponents, and civil society groups in defining R&R processes is examined. This research article attempts to improve the efficacy and equity of resettlement and rehabilitation in India by providing insights and recommendations derived from a critical examination.

Abstract P342: Virtual Cardiac Rehabilitation For Heart Failure - Real World Experience Of Medication Adherence, Blood Pressure Control And Exercise Tolerance

Introduction: India has a high burden of young-onset heart failure owing to an increased incidence of ischemic heart disease(IHD) in young and older adults (<60 years). Hypertension affects 207 million adults in India; less than 20% have controlled blood pressure. Cardiac rehabilitation (CR) effectively improves outcomes in patients with heart failure but is very scarce; there is only one spot for every 360 IHD patients/year, with more than 3 million CR spaces needed each year. Methods: Virtual cardiac rehabilitation is administered via a mobile application, Numen Health. This is a physician-led program delivered by a multi-disciplinary team of experts. The experts provide multi-faceted interventions for IHD patients, targeting increased medication adherence, behavior changes, reinforced lifestyle modification, blood pressure control through diet, exercise, and building mental resilience with continued care post-hospital discharge. Results: Between April 2021 and March 2022, 42 patients with low ejection fraction (LVEF<45%) heart failure registered on the program. They represented nearly 10% of 426 IHD patients who had joined the program. Over a median duration of 90 days, target blood pressure control was achieved in 39/42 (93%). Zero hospital re-admissions were encountered; 17/42(40%) achieved improved cardiac and exercise tolerance compared to baseline exercise tolerance time. It had increased from 15 minutes to 30 minutes, 200% from baseline. The median MET score on day 90 was 13 (9-17). Physical activity duration per week increased; to 90 minutes on average; It had risen from the ability to do for <5 minutes at baseline. Medication adherence and clinical follow-up were 100% of the prescribed. A self-rated satisfaction scale scored the program at 90 - 95 /100 on day 30 by all. Conclusions: Virtual Cardiac Rehabilitation in India is feasible and possibly effective in delivering integrated CR services at home. Numen health shows promise in bridging the gap of negligent CR services across India.

Proposing a relatable and positive brand name for pulmonary rehabilitation in India: PRABAL.

Proposing a relatable and positive brand name for pulmonary rehabilitation in India: PRABAL.

The COVID-19 (SARS-CoV-2) Pandemic: An Era to Rejuvenate Wildlife and Environmental Rehabilitation in India

The COVID-19 (SARS-CoV-2) Pandemic: An Era to Rejuvenate Wildlife and Environmental Rehabilitation in India

Cross-Cultural Adaptation and Reliability of the Berg Balance Scale in Hindi

Context: Use of outcome measurement is an important part of modern professional practice. The Berg Balance Scale (BBS) appears to be used in many Indian rehabilitation centres, but no official version has been previously available in Hindi. The BBS was translated into Hindi by the current authors according to accepted guidelines and tested for reliability. Aims: To translate the Berg Balance Scale into Hindi and investigate the inter-rater reliability when applied to geriatric patients. Setting/Design: Translation of BBS in Hindi according to guidelines for cross-cultural validation of an outcome measurement was conducted at a renowned institute for orthopedic and rehabilitation in India. Methods and Materials: The study was approved by the University Research Ethics Committee. The study involved an initial cross-cultural translation following four stages: 1) Forward Translation 2) Synthesis of translation 3) Backward Translation 4) Expert Committee. Expert committee was formed by purposive sampling comprising of experienced health professionals and language experts. For reliability testing, thirty patient participants were recruited from an Indian Orthopaedic hospital. Reliability testing was done by two experienced physiotherapists. Statistical Analysis Used: Weighted Kappa (Kw) was used to assess inter-rater reliability for the total scores and each individual item of BBS. Intraclass correlation coefficient was calculated to make comparisons of the inter-rater reliability with results of other studies. Results: The Intra-class correlation coefficient (ICC) for the total score of the BBS was 0.977(95% Confidence Interval= 0.951-0.989). The Kw for total score of BBS was 0.819 (95% Confidence Interval = 0.734-0.905). Conclusion: Hindi version of BBS appears to have excellent inter-rater reliability when used by experienced physiotherapists for rehabilitation of geriatric patients.

Experts’ consensus: pharmaco-invasive therapy for ST‐elevation myocardial infarction along with focus on secondary prevention and cardiac rehabilitation in India

In India, patients with acute coronary syndrome (ACS) tend to present with higher percentage of ST-elevation myocardial infarction (STEMI). Numerous existing challenges like patient unawareness, lack of structured STEMI care systems, inadequacy of promptly available facilities and unequipped ambulances for patient transport make it difficult to achieve optimal STEMI treatment. Also, due to socio-economic diversities prevailing in India, a large proportion of the entire population has access to only basic primary healthcare and are unable to afford proper medical facilities. Judicious and timely reperfusion strategy has been the mainstay of STEMI management. Even though, percutaneous coronary intervention (PCI) continues to be the gold standard for treating STEMI worldwide, it is not the ideal strategy in many Indian settings, especially in villages and smaller towns/cities. In such scenarios, pharmaco-invasive approach has proved to be a better reperfusion therapeutic strategy for improving treatment outcomes and subsequently reducing morbidity and mortality. The purpose of this consensus article is to highlight the clinical perspectives of Indian cardiologists at identifying and addressing the need gaps currently existing in India for optimization of STEMI treatment approaches. The experts shared their views on the rationale of pharmaco-invasive approach and highlighted the significance of commonly used thrombolytic agents, STEMI treatment protocols, secondary prevention and cardiac rehabilitation.

History of psychiatric rehabilitation in India

Psychiatric rehabilitation is a therapeutic approach in the management of mental illness which encourages people to recover from the illness and achieve their fullest potential through learning and environmental support. The method involves adapting the patient to his environment or modifies the environment to meet the patient's needs. The concept of psychiatric rehabilitation has a long history in India. In its difficult journey from colonial ages to post independence it has come across many hurdles. With the hard work of few pioneers, institutes and government reforms we have reached a significant stage today. We will discuss psychiatric rehabilitation from the Vedic period, ancient India, British rule, post-independence to the current status. Also covering the laws related to the field, achievements, people and Institutions involved. People say past is where we learn lesson and future is where we apply them. After this long fascinating journey through development of psychiatric rehabilitation in India, we can find that the development in this field is still inadequate. With multiple deficiencies in funding, infrastructure and work force this unique multidisciplinary field has a long way to go in this country..

Cardiac Rehabilitation in India: Results from the International Council of Cardiovascular Prevention and Rehabilitation's Global Audit of Cardiac Rehabilitation.

Background:Cardiac rehabilitation (CR) is recommended in clinical practice guidelines for comprehensive secondary prevention. While India has a high burden of cardiovascular diseases (CVD), availability and nature of services delivered there is unknown. In this study, we undertook secondary analysis of the Indian data from the global CR audit and survey, conducted by the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR).Methods:In this cross-sectional study, an online survey was administered to CR programs, identified in India by CR champions and through snowball sampling. CR density was computed using Global Burden of Disease study ischemic heart disease (IHD) incidence estimates.Results:Twenty-three centres were identified, of which 18 (78.3%) responded, from 3 southern states. There was only one spot for every 360 IHD patients/year, with 3,304,474 more CR spaces needed each year. Most programs accepted guideline-indicated patients, and most of these patients paid out-of-pocket for services. Programs were delivered by a multidisciplinary team, including physicians, physiotherapists, among others. Programs were very comprehensive. Apart from exercise training, which was offered across all centers, some centers also offered yoga therapy. Top barriers to delivery were lack of patient referral and financial resources.Conclusions:Of all countries in ICCPR’s global audit, the greatest need for CR exists in India, particularly in the North. Programs must be financially supported by government, and healthcare providers trained to deliver it to increase capacity. Where CR did exist, it was generally delivered in accordance with guideline recommendations. Tobacco cessation interventions should be universally offered.

Satisfaction of Life of Slum Dwellers Pre- and Post- Rehabilitation in India

The present study was primary research intended to understand the quality of life of Slum Dwellers in Gujarat, India. Quality of life of 348 Slum Dwellers in Urban City of Gujarat was mapped on physical, psychological, social, environmental and economic factors using standardized psychometric tools and statistically computed to understand the variation across males and females of below poverty line residents of slums. Findings indicate a scenario of quality of life of slum dwellers before slum rehabilitation.

Choukathe Danriye (Standing at the Threshold): Queer Negotiations of Kolkata’s Archives and Society

Research Article| October 01 2018 Choukathe Danriye (Standing at the Threshold): Queer Negotiations of Kolkata’s Archives and Society Uditi Sen Uditi Sen Uditi Sen is a historian of colonial and postcolonial India. She studied history at Presidency University and Jawaharlal Nehru University in India, before being awarded a D.Phil. in history from the University of Cambridge. She has taught history and South Asian studies in various institutions, including the European University Institute, the London School of Economics and Political Science, and Hampshire College. In 2018, she joined the University of Nottingham as the Assistant Director of Liberal Arts. Her publications include articles on refugee memory, policies of rehabilitation in India, development and nation-building in the Andaman Islands and a book entitled Citizen Refugee: Forging the Indian Nation after Partition. Search for other works by this author on: This Site Google QED: A Journal in GLBTQ Worldmaking (2018) 5 (3): 84–99. https://doi.org/10.14321/qed.5.3.0084 Cite Icon Cite Share Icon Share Twitter Permissions Search Site Citation Uditi Sen; Choukathe Danriye (Standing at the Threshold): Queer Negotiations of Kolkata’s Archives and Society. QED: A Journal in GLBTQ Worldmaking 1 October 2018; 5 (3): 84–99. doi: https://doi.org/10.14321/qed.5.3.0084 Download citation file: Zotero Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All Scholarly Publishing CollectiveMichigan State University PressQED: A Journal in GLBTQ Worldmaking Search Advanced Search The text of this article is only available as a PDF. © 2018 Michigan State University2018 Article PDF first page preview Close Modal You do not currently have access to this content.

Visual rehabilitation in India

Dr Narendra Kumar shows how both modified eccentric viewing techniques and low vision aids have helped the rehabilitation of some of his low vision patients in India

Family-led rehabilitation in India (ATTEND)-Findings from the process evaluation of a randomized controlled trial.

Training family carers to provide evidence-based rehabilitation to stroke patients could address the recognized deficiency of access to stroke rehabilitation in low-resource settings. However, our randomized controlled trial in India (ATTEND) found that this model of care was not superior to usual care alone. This process evaluation aimed to better understand trial outcomes through assessing trial implementation and exploring patients', carers', and providers' perspectives. Our mixed methods study included process, healthcare use data and patient demographics from all sites; observations and semi-structured interviews with participants (22 patients, 22 carers, and 28 health providers) from six sampled sites. Intervention fidelity and adherence to the trial protocol was high across the 14 sites; however, early supported discharge (an intervention component) was not implemented. Within both randomized groups, some form of rehabilitation was widely accessed. ATTEND stroke coordinators provided counseling and perceived that sustaining patients' motivation to continue with rehabilitation in the face of significant emotional and financial stress as a key challenge. The intervention was perceived as an acceptable community-based package with education as an important component in raising the poor awareness of stroke. Many participants viewed family-led rehabilitation as a necessary model of care for poor and rural populations who could not access rehabilitation. Difficulty in sustaining patient and carer motivation for rehabilitation without ongoing support, and greater than anticipated access to routine rehabilitation may explain the lack of benefit in the trial. Nonetheless, family-led rehabilitation was seen as a concept worthy of further development.

Tracing the development of psychosocial rehabilitation from its origin to the current with emphasis on the Indian context.

Mental illness and mental health are concepts that have existed from time immemorial. In India, the Atharvaveda and Vedic texts and traditional medical systems such as Siddha, Unani, and Ayurveda have described mental health and disorders, in detail. The advent of the mental hospital brought in the ‘chemical revolution’ in psychiatric management. The early nineties witnessed the birth of psychiatric rehabilitation in India. These developments saw a shift from a biological to a biopsychosocial model. It embraced the individual, family, community and society into the treatment process. The present rehabilitation process is geared towards providing quality of life, community living, accessible and suitable care.

Physiotherapy in Indian communities: a brief review.

Background: Importance of community rehabilitation in India has been emphasized in previous research. There is ample research that has been published for different communities in the country. However, the precise role of physiotherapy in community rehabilitation is unclear.The objective of the current brief report is to look into the role of physiotherapy in community rehabilitation. Methods: Relevant literature search was done using databases namely Medline, Scopus, PubMed, PEDro and CINAHL using search terms- India, community rehabilitation, home rehabilitation, home exercises and physiotherapy. Studies that followed the PICO format, published in English,after 2005 and that had specifically mentioned the role of physiotherapy in community projects were included. Results: While there are handful of studies that have mentioned the contribution of physiotherapy in the community, most of the interventions are targeted toward management of chronic health conditions. More work needs to be done to outline the importance and precise role of physiotherapy in the rehabilitation of communities in India, especially in preventive care.A model has been created to emphasize the holistic approach of physiotherapy in the Indian setting. Conclusion: Physiotherapy has a pivotal position in community rehabilitation in India.However, published research for the same is lacking. While physiotherapy interventions have been designed to target chronic health conditions in the community, emphasis on preventive care is lacking.