Author of article:
DR. GAJANAN BHALERAO (PT), PhD Scholor, MPTH NEURO, Certified Adult NDT therapist. HOD Physiotherapy & Rehabilitation Dept in Sancheti Hospital Shivajinagar Pune
Associate Professor & HOD PT in Neuro Rehabilitation DEPT at Sancheti Institute College of Physiotherapy, Shivajinagar Pune
One of my paraplegic patient Mr Akash Kumbhar had a accident eight years back due to which had a spinal cord injury at L1, L2 due to which he became paraplegic. He had walked a distance of 42.5 km in 12 days in 2012 which was a Indian record book & 25th Limca book of records 2014 in human story category.
Akash Kumbhar who changed the meaning of mobility, a 29 year old who has created new horizons of hope for those who think their life has no value. Akash lost power in his both the legs when he met with an accident on 20th August, 2006. Next day he was operated for the same and continued his hospital stay for 12 days where he received medical and physiotherapy management. After discharge he continued basic physiotherapy treatment at home only in the form of bed mobility and approximately 15 to 20 minutes of wheelchair sitting. He was given a pair of Knee Ankle Foot Orthosis (KAFO) which he used only for few days and due to postural hypotension in upright position he stopped standing attempt. Afterwards family members took care of him. So, he was bed ridden for 5 years and tolerated only 30 to 60 minutes of wheelchair sitting.
Such a long period of recumbence, bought in a sense of irritation and depression in him.
Secondary to bed recumbence, he developed complications like grade 3 bed sore which remained for 4 years.
He visited many doctors in the 5 years but to no avail. He couldn’t see a ray of hope anywhere.
It’s said that, life throws obstacles at times when we try to attempt a sky ride. So was it for our 29 year old Akash?
Like a silver lining behind a dark cloud, he saw the suggestion given by a friend and came to Sancheti Hospital. He consulted Dr. Rajas Deshpande, a Neurophysician who referred him to Dr. Gajanan Bhalerao (PT), a Neurophysiotherapist for his physiotherapeutic treatment.
He came to the physiotherapy department, where he was evaluated and treatment plan was designed for him. His treatment objective was to train for bed mobility, transfer activities, sit to stand with walker and walking with KAFO and walker with community wheelchair ambulation. He made him stand with the help of a pair of KAFOs in parallel bars or with walker. Akash took 3-4 steps initially. First he was made to walk in closed environment under therapist supervision and then gradually progressed in open environment in community under supervision of caretaker. He was advised to walk at home and in community for daily lifestyle needs. He progressed with increasing the distance every day. Knowing the kind of positive urge that Akash holds towards making the best of his handicap, he practiced more at home to show people who lacked belief in him. PT rehabilitation continued for 6 months.
In the month of April 2012 he read the story of this lady named, Claire Lomas in the newspaper. Claire and that got him inspired to achieve a memorable milestone in his life just as she did.
Then again he visited Sancheti Hospital Physiotherapy Department, this time not only for rehabilitation purpose but also with a desire to participate in the marathon. For which he underwent intense practice sessions for 6 months. He first attempted his walk on the road for half an hour on 2nd December 2012. This gave him the confidence to walk the marathon that he did.
The whole program of walking was planned with help of Sancheti Hospital, Shivaji Nagar pune. He was provided with 2-3 therapists and one ambulance for next 12 days. He used to come to hospital daily around 6.30am from where the team used to go the place where they stopped last day and again continue the walk from that point for next 3-4 km. He was advised to stop and record the vital parameters after every 1 km. If they are in normal limits thy next walk will be continued. And if they are abnormal parameters noted they were advised to stop that day’s walk and come back to hospital. He was accompanied by two physiotherapists.
In December 2014 he broke his own record y walking 42.195 Km Marathon in 7 days. He started his walk on 1st December 2014 and completed on 7th December 2014.He walked on the route (http://www.marathonpune.com/img/Pune_Marathon_14_Full_Marathon.png) of 29th Pune international marathon 2014 (http://www.marathonpune.com/).
As per the decided regulation, Akash had to walk 6-8 kms each day, following the same route as that of the 29th Pune International Marathon. Depending on his strength and motivation, average distance covered was approximately 6 kms to 8 kms/day. He was given appropriate rest periods and there was a careful monitoring with which he successfully completed a 42.5 km marathon in 7 days on day of 29th Pune international marathon 2014, 7th Decemebr 2014 at Neharu stadium Pune.
Now his work is recognized by
World record India
25th Limca book of records 2014 in human story category.
Unique world records
Physiotherapy and rehabilitation department of Sancheti hospital was helping him with this noble cause by providing him physical therapist throughout the whole marathon walk. Thanks to Dr. Parag Sancheti Chairman and Medical director Sancheti hospital and Mrs Manisha Sanghavi Executive director Sancheti healthcare academy for her support through out the event.