Why Aquatic therapy? What is the benefit? Who can Benefit from it?


Article by: Dr. Gajanan Bhalerao (PT) MPT neuro PT , C/NDT (USA), Aquatic therapy (Kliniken Valens Switzerland) Physical Therapy is a constantly evolving field. There are many types and methods are adding as adjunct traditional physical therapy. Most of these therapies are performed on the land. There are multiple forces are always acting on ourContinue reading “Why Aquatic therapy? What is the benefit? Who can Benefit from it?”

Spinal Cord Injury Rehabilitation workshop organized by Indian Association of Physiotherapist Pune Branch and Sancheti Institute college of Physiotherapy, Pune


Indian Association Of Physiotherapy Pune Branch & Sancheti institute College Of Physiotherapy organized a workshop on SPINAL-CORD INJURY REHABILITATION  on 27th and 28st October  2012 . Course instructor was Dr. Gajanan Bhalerao (PT) MPTH Neuro, Associate professor, Sancheti College of Physiotherapy & Inchargeof Department of Neuro and Spine Rehabilitation Sancheti Hospital, Pune. In this courseContinue reading “Spinal Cord Injury Rehabilitation workshop organized by Indian Association of Physiotherapist Pune Branch and Sancheti Institute college of Physiotherapy, Pune”

HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS WITH ASIS TYPE C QUADRIPLEGIA WHO DO NOT HAVE HAND CONTROL TO HOLD THE WALKER DUE TO LMN LESION AT C7, C8 & T1.


Quadriplegic patients who have LMN lesion at C7, C8 & T1 do not have hand control and are unable to hold the walker.  In spite of improvement in lower limb and trunk strength these patients are unable to walk with walker because they can’t hold the walker. So what is the solution? The solution isContinue reading “HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS WITH ASIS TYPE C QUADRIPLEGIA WHO DO NOT HAVE HAND CONTROL TO HOLD THE WALKER DUE TO LMN LESION AT C7, C8 & T1.”

DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS


DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH Most of the neurological cases presents with calf (Tendo Achilles tendon) tightness i.e hemiplegic, paraplegic, cerebral palsy & Parkinsonism. On routine examination we come across mild to moderate TA tightness. And common line of treatment is TA stretching. But very fewContinue reading “DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS”

How to do ambulation training with KAFO in patient of spinal cord who got complication with accidental burn on thigh region?


Mr. Shah had D12 compression fracture, spinal cord compression with ASIA type B with neurological level of injury D12 & fracture upper end humerus. After one and half month of ambulation training he could walk with walker with moderate assistance for balance during dynamic activity of walking and assistance for stepping leg forward.  He wasContinue reading “How to do ambulation training with KAFO in patient of spinal cord who got complication with accidental burn on thigh region?”

HOW TO CHOOSE BETWEEN KAFO WITH STATIC ANKLE UNIT & DYNAMIC ANKLE WHILE PRESCRIBING KAFO IN SPINAL CORD INJURY?


While staring Ambulation Training In Spinal Cord Injury we commonly prescribe KAFO for standing and walking. But there is always a dilemma between KAFO with static ankle unit and dynamic ankle while prescribing KAFO in spinal cord injury. How to decide between with static dynamic ankle unit and dynamic while prescribing KAFO in spinal cordContinue reading “HOW TO CHOOSE BETWEEN KAFO WITH STATIC ANKLE UNIT & DYNAMIC ANKLE WHILE PRESCRIBING KAFO IN SPINAL CORD INJURY?”

When & how to progress from KAFO TO AFO in patients with Incomplete Spinal cord injury.


      In patients with incomplete cord injury we start ambulation training with KAFO but it becomes very difficult how to shift from KAFO to AFO. What is the solution? While ambulation training with KAFO we start with knee locked position in KAFO that helps in stabilizing the knee. As patient is showing progressContinue reading “When & how to progress from KAFO TO AFO in patients with Incomplete Spinal cord injury.”

HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ?


Case study:       Mr. Shah had D12 compression fracture & fracture upper end humerus of left side in a Road traffic accident in first week of July 2011. He was operated for decompression followed by fixation of spine and stabilization humeral fracture with internal fixation of She was presenting with neurological level D10, Type BContinue reading “HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ?”

HOW TO DO WALKINNG TRAINING IN SPINAL CORD INJURY WITH B/L COLLES’ FRACTURE (WRIST).


Patients with spinal cord injury commonly have B/L  Colles’ fracture wrist that delays the weight bearing through upper limb. This limits the ambulation training with walker or crutches, push ups, transfers from bed to chair. Early ambulation plays a important role in restoration ambulation in incomplete cord injury with Type B,C,D. So how to makeContinue reading “HOW TO DO WALKINNG TRAINING IN SPINAL CORD INJURY WITH B/L COLLES’ FRACTURE (WRIST).”