October 2013Vol: 4, Issue: IV
EditorsDr. Daxa Mishra, ProfessorDr. Vyoma Dani, Assistant ProfessorAdvisorDr. R. Harihara Prakash, Prof. & Principal
SYNCHRONOUSPhysio soul...
K. M. PATEL INSTITUTE OF PHYSIOTHERAPY
H M PatelCentre forMedical Care& Education
Mission
Vision
In line with the parent Institute, our core purpose also is“To provide and prepare resources for modern and professional Health care
to the rural community equitably.”
We are determined to distinguish ourselves as recognized center of excellence in Physiotherapy with regards to education, research and patient care, and
emerge as an Institute of choice for students, patients and academicians alike.
Index1. Scientific Writing 1
2. Institutional Events 2
a. Academic 2
b. Patient Care 3
c. Another Milestone by KMPIP 4
d. Research 5
e. Community Extension 5
f. Faculty Updates 8
3. World Physiotherapy Day 9
4. Students’ Section 10
5. Birthday Wishes 12
6. Clinical Audit 12
KMPIP FamilyDr R. Harihara Prakash
Dr Daxa Mishra Dr Nirav Vaghela
Dr Shweta Parikh Dr Ashish Gupta
Dr Jigar Mehta Dr Vinod Ravaliya
Dr Vyoma Dani Dr Mittul Patel
Dr Parth Patel Dr Hardik Parekh
Dr Sangeeta Macwan Dr Trupti Parikh
Dr Swati Patel Dr Sanket Parekh
Dr Kamlesh Vaghela Dr Bhavin Patel
Dr Vidhi Gajjar Dr Sirajahemad Bhoraniya
Dr Shlesha Shah Dr Deepak Ganjiwale
Mrs Seema Parmar Mr Kiran Dave
Mrs Saroj Vankar
Editor’s DeskDear Readers,
We are thankful to all those who appreciated our efforts and coved their best wishes .This
issue is devoted to our profession.
On 8th of September we celebrated the World Physiotherapy Day.
World Physical Therapy Day is the day which gives an opportunity to all physical therapists from
all over the world to raise awareness about the crucial contribution the profession makes to
keeping people well, mobile and independent.
During its history the profession of physiotherapy has successfully evolved and developed,
and the role of physiotherapists has diversified and expanded considerably in recent years,
particularly in response to current health and social care reform.
The physiotherapist profession has come a long way on its road of experience. Initially it was
more focused on patient care. This was inclusive of building a balanced therapeutic relationship
which consist of trust, respect and understanding for patient’s ideas, beliefs, knowledge and
values. Patients were involved in decision making and patient’s autonomy was emphasised. In
short, therapists were focused in working within the “Biopsychologicalmodel” of care.
During this journey within a short time the profession has given due importance to the academic
development as well. By practicing the greater use of evidence and clinical guidelines, more
emphasis is laid down on understanding patient care. Not only there is growth in numbers
of clinical Scope Practitioners & Consultant Physiotherapist, but there is also proportionate
increase in numbers of Clinical Researchers. Clinical speciality itself has grown considerably
in all areas due to technological advancement. The profession had solely but firmly made its
space in the medical field and made its identity in society.
It is correctly said that ‘Doctors add years to life and Physios add life to the years’.
Dr Daxa Mishra, PT
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Scientific Writing
Neuro Developmental Therapy - An InsightBitter are the tears of a child: Sweeten them.
Deep are the thoughts of a child: Quiet them.
Sharp is the grief of a child: Take it from him.
Soft is the heart of a child: Do not harden it.
Cerebral palsy (CP) is defined as a non-progressive, but often clinically changing motor impairment due to an abnormality of the developing brain. It is a symptom complex or a descriptive term rather than a specific disease. Intellectual, sensory and/or behavioural problems may exist although the primary abnormality must be a motor deficit.
Postural alignment is negatively impacted by abnormalities in motor control, muscle tone and weakness. Weakness resulting from neuromotor deficiencies and lack of use of muscle in a variety of ways decreases the capacity to control posture against gravity and ground reaction force on the body. This results in delayed milestones.
Neuro developmental techniques aim at improving the postural control, stabilizing the trunk and improving balance and eliciting proper motor response. During therapy, input can be used through application of manual techniques to increase feedback and control in treatment and to progressively strengthen core postural musculature. Specifically, the direction of input is often applied to anchor the body and give perception of the base of support and guide the direction of desired movement.
When I treat children of such types, I am always reminded of what Bobath says,
”Since we began our therapy in 1943 we have been learning constantly, and experience has taught us to change our approach and our emphasis on certain aspects of treatment. However, the basic concept has not changed…we have been guided by the child’s reactions to our handling… improved our knowledge…tried to avoid repeating mistakes. We have learned to test the value of a particular technique by the child’s response to it, and. on the close interplay between child and therapists.’
NDT works on postures, meaning postures that reduce abnormal reflex activity. It uses theory of replication and gives the brain a “second chance”. It sets the neural clock to “correct time”. It works on specific stereotyped movements. Once begun should not be abandoned mid stream. This needs careful and qualified supervision.
When using manual points of contact the therapist can apply or direct their input to increase feedback and direct weight shift or active muscle control, limit direction of patient movements to strengthen activation of a muscle group.
Today manual contact is viewed as a method of feedback for the patient scaling information so the patient can actively produce movements that are components of functions. Principles of manual contact can be analyzed in the direction of input, the point of contact and the load the input is giving for what purpose.
For instance if manual contact would be applied from superior to inferior direction in sitting, you would attempt to align the body and add information through the shoulder superiorly and in inferior direction to facilitate the individual to activate their posture off the base by erecting the trunk. If there was no response, shifting the individual off the base laterally or in antero-posterior direction may facilitate activation of hip into the base to control the shift. In this instance the shift would move toward infero-anterior or infero-posterior or infero-diagonal to create a lateral weight shift. This is how motor control is achieved
Children find EVERYTHING in NOTHING; Men find NOTHING in EVERYTHING.Prof. R. Harihara Prakash, PT
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Institutional Events
ACADEMIC EVENTSv Undergraduate Examination
Preliminary examination for BPT students was held during 8th to 18th July, 2013 and Sardar Patel University examination for BPT students was conducted during 5th August, 2012 to 31st August, 2013. The results of the university exam are as follow:
Year 2012-1
No. ofstudents appeared
No. ofstudents passed
University result %
Student’s rank in
University
Students with first
class
Students with distinction
I BPT 31 22 (70.96%) 52.68% 1st 6 1II BPT 31 25 (80.64%) 61.86% 1st 10 -III BPT 27 26 (96.22 %) 88.68% 1st 9 -IV BPT 23 22 (95.65%) 97.83% 1st 13 -
v Orientation/Foundation Program – I BPT
The orientation/foundation program for the 15th batch (2013-14) of BPT students was held from 10th to 14th September, 2013. Students were welcomed with inspiring words and they were explained about the core values of our institute, Vision & Mission of institute, importance of Physiotherapy in health care and emphasized on its growth as a profession. Dr. Shirish Srivastava explained about the rules and regulations of university regarding the attendance and examination. An interactive session of students with Shri Sandeep Desai, CEO, CAM was arranged concerning the core values of professionalism, moral values and introduction to vision and mission of the institution. An interactive session with the parents was held to familiarize them regarding history, functioning and rules and regulation of the institution. Senior medical and physiotherapy faculty delivered special talks on various topics viz. Role of physiotherapy and practices in KMPIP, Communication skills, Professionalism, Time management, Decoding medical terminology, etc.
Visit to campus, medical college & hospital, Physiotherapy staff orientation, interaction with class co-ordinator / mentor, health check up / vaccination, village visit and patients’ interaction with students also comprised of a major part of this orientation/foundation program.
The response of the students and parents to this orientation program was overwhelming and feedback taken from the parents and students at the end of the program suggests their complete satisfaction for the same.
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v Orientation/Foundation Program – II, III & IV BPT:
Orientation/Foundation program for II, III & IV BPT students was held on 5th September, 2013. Special talk on various topics like communication skills, stress management, hospital acquired infection, anti ragging importance were delivered by the senior medical and physiotherapy faculty.
PATIENT CAREv Physio-orthotic workshop
Anti-spastic splint Shoulder arm sling
ASH brace Dynamic hand splint
This workshop has grown three months old by getting a new shape after adoption by KMPIP family under the dynamic guidance of our Principal- Dr. R. Harihara Prakash, Occupational therapist- Dr. Deepak Ganjiwale and various medical consultants. We have fabricated 34 orthotic appliances within last three months to enhance the quality of life of patients.
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Arch Support Ankle foot orthosis
Anti-spastic splint Finger extensor splint
Another milestone of KMPIP…
Our paediatric physiotherapy unit receives lot of physically challenged children for rehabilitation. They receive full fledge physiotherapy, occupational therapy and other medical services as a part of treatment protocol. Among these children, there are many mentally retarded but can improve with proper guidance, keeping in view this scenario, with the approval from our CEO the institute will commence Special Education by qualified special educators to these children to carry their need and to empower them. This will be a “Small leap for a giant commitment”.
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RESEARCH ACTIVITIESv Scientific Publication
Sr. No.
Authors Title of Article
Type of ArticleOriginal Article /
ShortCommunication /Case Report / Review
Review Journal Name, Year of Publication;Vol (Issue):Page No.
International /National /
State
1Dr.
Vinod K Ravaliya
Functional recovery in Post-
CABGpatients following
Physiotherapy- A retrospective
analysis
Original article
Indian Journal of Physiotherapy and
Occupational Therapy, July-September 2013,
Vol7, No.3
International
v Research proposal accepted by HREC
Sr. No. Name of Faculty Achievement / Recognition / Award
1 Dr. Deepak GanjiwalePrevalence, Quality of life and coping of caregivers of children
with Attention Deficit Hyperactive Disorder (ADHD)in school going children in Anand, Gujarat.
v Research projects accepted for publication
Sr. No.
Type of Article Title of Article Authors
Journal Name, Year of Publication;
Vol(Issue):Page No
International /National /
State
1 Original articles
Occupational Therapy Rehabilitation of post
operative flexion tendon injury cases using
modified low cost splints and home based exercises: A rural Indian experience
Dr. Deepak Ganjiwale,
Mrs. Jaishree Ganjiwale
International Journal of Physiotherapy and Occupational Therapy
International
COMMUNITY EXTENSIONv Camps Organized by KMPIP
Sr. No. Date & Place Type of Activity Participants Beneficiaries
1 19/7/2013,Vatav
Physiotherapy camp
Dr. R. Harihara Prakash, Dr. Nirav Vaghela,Dr. Hardik Parekh, 5 PG students and
10 Final Year BPT students
41 patients of various
neurological and musculoskeletal
conditions
2 17/9/2013, Porda
Physiotherapy camp and awareness
program about lifestyle disorders hypertension and
diabetes
Dr. R. Harihara Prakash, Dr. Nirav Vaghela,Dr. Vinod Ravaliya, 5 PG students and
10 Final Year BPT students
56 patients with various
Musculoskeletal, Neurological &
Cardiopulmonary conditions and
life style diseases
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v A Multidisciplinary Camp was organized at Gamadi Senior Citizen Hall on 7th August, 2013 by business development department of our organization. Total three disciplines i.e Medicine, Orthopedic and Physiotherapy provided its services in this camp. Dr. Ashish Gupta (PT), faculty of KMPIP along with PG students participated in this camp. Total 40 patients received physiotherapy treatment during this camp. All the patients were educated about their conditions and basic home exercise program was give with advice for follow up at K. M. Patel Institute of Physiotherapy. The response to the camp was overwhelming and feedback collected from the patients showed their complete satisfaction about the services provided in the camp
v Our institute participated in the camp organized by Rotary club- Baroda Metro, Rotary Foundation and Rotary club of ASHIA (Japan) and Bhagwan Mahaveer Viklang Sahayata Sammitee Kendra at Borsad on 21st and 22nd September, 2013. Dr. R. Harihara Prakash and Dr. Daxa Mishra accompanied by Dr. Deepak Ganjiwale (OT) and Dr. Nirali (PT, Petlad Extension Centre) along with 10 PG students participated in the camp. Around 200 patients were screened and assessed for prescription of free orthotic and prosthetic aids for orthopedically handicapped. The beneficiaries were from surrounding villages and were referred to our Petlad and Bhadaran Centres for follow-up and further management.
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v Community visit by I BPT Students
A community visit was arranged for newly joined freshers (I BPT) on 13th September, 2013 at Mehlav village. The students were accompanied by Dr. Vinod Ravaliya and Dr. Hardik Parekh. The visit was scheduled with objective to sensitize them regarding village life, economic background, educational level, sanitary facilities, health services, government related schemes for village beneficiaries etc.
The students were assigned a task of collecting detailed information related to framed objectives by interacting with the family members. The students also visited a Community Health Centre where they were explained about the services provided by the government to the village people.
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FACULTY DEVLOPMENTFaculty invited as resource person
Sr. No.
Name offaculty
Event Organization, Place, Date
State/Regional/National /
International
ParticipatingAudience
1 Dr. R. Harihara Prakash
Neuraxis International Conference
AIIMS, New Delhi 29/09/2013 to 3/10/2013
International Doctors, Physios, UG & PG students
2 Dr. Daxa Mishra Expert in interview committee for the post of lecturer/ tutor for physiotherapist
Anand people’s college for occupational and physiotherapist, Anand11/09/2013
Regional Physiotherapists
3 Dr. Deepak Ganjiwale
Visiting faculty for DSE-MR course (RCI)
Mitra rehabilitation centre 6/07/2013
National Special educators
v Faculty Participation in Symposia/ CME/ Workshops/ Conference and Developmental Programs
Sr. No.
Name of Faculty
Details of Symposia/ CME/ Workshop/ Conference/ Developmental program
Date & Place Level
1 Dr. Daxa Mishra CME on “Pain Update 2013”
14/07/2013Baroda Orthopaedic Association, Baroda
State
2 Dr. Deepak Ganjiwale
Seminar on Autism spectrum disorders and ADHD
14/09/2013National Society For
Equal Opportunities For The Handicapped (Gujarat ),
Ahmadabad
State
v Dr. R. Harihara Prakash successfully conducted a Hands on workshop on “Neurodevelopmental technique combined with Vojta technique” at AIIMS, New Delhi during 29/09/2013 to 3/10/2013.
v Dr. R. Harihara Prakash and Dr. Daxa Mishra delivered a Radio-Talk on “Prevention and Management for low back ache” on 11th September, 2013 as a part of celebration of World Physiotherapy Day
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WORLD PHYSIOTHERAPY DAYK. M. Patel Institute of Physiotherapy celebrated “WORLD PHYSIOTHERAPY DAY” on 7th September, 2013. The theme was “Physiotherapy for Preventive and promotive health”.
Institute celebrated this day in the following ways:
• Tree plantation program was arranged in the morning and 20 plants were planted in the pots by Principal, Student Support Group and Group of students.
• Poster competition among the students was arranged on the topic “Physiotherapy for Preventive and promotive health” and the winners of this competition were Surbhi Mehta, Krupali Damor and Anjali Shah (II BPT).
• Speech was delivered by Dr. R. Harihara Prakash on the day of world PT day and oath taking ceremony for physiotherapists was conducted.
•A Radio talk was arranged on “Prevention and Management for low back ache” by Dr. R. Harihara Prakash and Dr. Daxa Mishra.
• An article on “Role of physiotherapy in cancer patient” by Dr. R. Harihara Prakash was published in Gujarati news paper.
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Oath Taking Ceremony
Students’ Section
v Farewell Function- PG
Farewell function for outgoing PG students was arranged on 26th July, 2013. Dr. R. Harihara Prakash (Principal, KMPIP), Dr. Daxa Mishra (PG coordinator), Dr. Yojana Sharma (HOD Dept of ENT), Mr. Ajay Phatak and Mrs. Jayshree Ganjiwale (members of CRS), all the Physiotherapy faculty and all PG students attended the occasion. Dr. R. Harihara Prakash, Dr. Daxa Mishra delivered inspiring words and wished them all the best. Mrs. Jayshree Ganjiwale shared her experience on the process of dissertation review for PG students. Best dissertation award was given to Dr. Amreen Palejwala and best academic award of the year was given to Dr. Shailja Mashroowala. As a memory of this function, Mementoes were prepared by second year PG students and were distributed to all outgoing PG by their respective Mentors
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v Quiz competition
K.M. Patel Institute of Physiotherapy organized a quiz competition for physiotherapy students as a part of Academic activity on 23rd September, 2013. The quiz was planned as an innovative practice to boost learning and participation among students. Dr. R. Harihara Prakash, Dr. Daxa Mishra and other faculty members attended the competition to motivate the students.
Total of 10 teams (4 students per team) participated out of which 4 teams qualified at the end of Qualifying round. The entire quiz was thoroughly enjoyed by all the students with active participation. The winners and runners-up of this quiz competition were as follow:
Winner Team: Nancy (II MPT), Shreya (IV BPT), Foram (III BPT), Shivani (II BPT)Runners-Up: Apexa (II MPT), Nupur (IV BPT), Vidhi (III BPT), Rinkal (II BPT)Both the teams were awarded with certificates.
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Birthday Wishes
Faculty members who will celebrate their Birthdays soon…
Dr. Shlesha Shah- 23rd OctoberDr. Jigar Mehta- 28th NovemberDr. Trupti Parikh- 17th DecemberDr. Sangeeta Macwan- 19th DecemberDr. Vidhi Gajjar- 20th DecemberDr. Vyoma Dani- 24th December
Faculty Members who grew one year old…
Dr. Ashish Gupta- 24th JulyDr. Parth Patel- 25th JulyDr. Daxa Mishra- 5th AugustDr. Hardik Parekh- 1st SeptemberDr. Deepak Ganjiwale- 4th SeptemberDr. Sanket Parekh- 8th SeptemberDr. Bhavin Patel- 16th September
Clinical Audit
Month OPD
No of patients in year 2013
July 2533
August 1905
September 2254
Month IPD
No of patients in year 2013
July 1782
August 1707
September 1974
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Discipline
As I sat dreaming about my chances of success
I stumbled upon a topic that could lead me to the crest
A topic my teacher was bent on making me learn
So that could, with ease let success be churned…
Discipline is what my teacher stressed on…
A word that could let me make up for the time that was gone
Be it in academic or sports or any other field…
There are countless benefits a confident mind could yield…
A confident mind is the product of disciplined approach…
That, through months of hardwork, let the mind be coached…
Discipline in school plays an important role
In turning us into responsible citizens on the whole…
Discipline at home makes our parents shower on us praise.
Relieved they are to see that there is no need to mend our ways
Indeed, discipline and obedience often go together…
They help us to reach out to success in times of bad weather.
I now realise why my teacher scolds us for being naughty
If we are disciplined now, we shall be successful before forty.
Today, I am trying to be disciplined in each and every step.
Come tomorrow, I shall thank my teachers for turning me into the best.
By K.A.Manasa
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K M PATEL INSTITUTE OF PHYSIOTHERAPYGokal Nagar,Karamsad – 388325Gujarat (INDIA)