KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

PATIENT CARE

Physical Therapy Services are offered in K.E.M Hospital at following venues

1.Physical Therapy OPD No: 402

Ground floor and 1st floor

Seth Dhurmal Bajaj Orthopaedic Centre
Opposite Tata Memorial Hospital

Time: 8.30 am – 12.30 pm & 1.00 pm – 3.30 pm (Mondays to Fridays)
8.30 am – 12.00 pm (Saturdays)

Closed on all Sundays and OPD Holidays

Office Tel No: +91-22-24107476

 

OPD Patients Referrals from: General Medicine, General Surgery, Orthopaedics, ENT, Dermatology & Rheumatology,Gastroenterology,Gyanecology,Paediatric surgery, Burns and plastic surgery.

 

Musculoskeletal Section:

A.Traumatic and Degenerative conditions- Room I, II, V

Physiotherapy Faculty:

 

Ms.Bhavna Mhatre (Assoc. Professor)

Ms.Dipti Geete (Assistant Professor)

Ms.Swati Paranjape (Assistant Professor)

Ms. Poonam Patil (Assistant Physiotherapist)

Ms.Apeksha Ingle (Junior Physiotherapist)

 

Hand  Section– Room VI

CHHAYA VERMA (PROFESSOR)

JYOTSNA THOSAR (ASSISTANT PROFESSOR)

 

Neuro Section:

Physiotherapy Faculty:

Saraswati Iyer

Archana Gore

Laxmiprabha R

 

  1. Adult Neuro- Room No-III

2.Paediatric Neuro-Room No-IV

This OPD serves patients with  acute and chronic musculoskeletal dysfunction,  Rehabilitation of adult and paediatric neurological disorders , hand and brachial plexus injury,incontinence , obesity and health promotion.

 

Obesity and Health Promotion: 1st floor :

Amita Mehta ( Professor and Head)

Sushama Gajakosh

This OPD serves patients with weight management problems, Incontinence, metabolic disorders and health promotion and fitness

 

 

 

Physical Therapy   Indoor Orthopaedic wards

Amita Mehta ( Professor and head)

Chhaya Verma ( Professor)

Jyotsna Thosar (Asst. prof)

Sarika Pajai ( Asst. physiotherapist)

 

Physical Therapy   Medical -surgical conditions

 

Jaimala V Shetye

Rupali Deshpande (Assistant Physiotherapist)

Shilpa Naik (Assistant Physiotherapist)

Shardul Ganvir (Junior Physiotherapist)
Old K. E. M Hospital Building , Medical and Surgical wards,ICU, Burns

Indoor: Physiotherapy services are provided to patients admitted in KEM Hospital.

Physiotherapy following acute medical and surgical conditions, Pre & Postoperative care. Neonatology care and early intervention programme, Plastic Surgery OPD, Ward 16 & 16 A, Neuromedicine, Neurosurgery .

Intensive care –Medical, Surgical, Respiratory, cardiac, Pediatric, Orthopedic and Neurology. Offering services to the critically ill patient on all days of the week.
obesty, health promotion

 Cardiovascular and Pulmonary Rehabilitation

Cardio-Vascular Thoracic Centre (CVTC) , Ground Floor,Room No: 16
Seth G. S. Medical College & K.E.M Hospital
Telephone: +91-22-24107571

Physiotherapy Faculty:

Mariya Jiandani  -Section incharge (Assoc Professor)

Sushma Gajakosh (Assistant Professor)

Shabana Kazi (Jr Physiotherapist)

 

Monday & Thursday- 9am-3 pm, Acute Respiratory care and chest physiotherapy on OPD basis.

Tue,Wed & Fri:- 9am -3pm

Cardiovascular and pulmonary Rehabilitation (Respiratory,Postoperative and medical cardiac  conditions-arrythmia,syncope,device implanatation,vascular ,metabolic syndromes)

Tuesday: 1pm-3pm  Patient Education  & Health Risk Screening

Wednesday: 1-3 pm Relaxation class

Friday : 11am -3pm  Exercise testing ( by appointments)

Saturday:- 9-12  Joint Protection OPD and Ankylosing Class

 

This OPD serves patients with  acute and chronic cardiovascular and respiratory dysfunction in paediatrics ,adult  and elderly population. It conducts exercise testing, risk factor screening,primary prevention and health promotion and rehabilitation.It also offers joint protection  for rheumatological diseases, ankylosing stiffness prevention programme, and treatment of incontinence.

 

ICU and Indoor–offering services to the critically ill patients on all days of the week including Sundays to patients admitted in Respiratory, cardiac and cardiac surgey wards.

 

SECTION OF MUSCULOSKELETAL PHYSIOTHERAPY OPD

     Location: OPD NO 402, Ground Floor Room Nos. I, II and V

 

STAFF

Section In Charge:            Ms.Bhavna Mhatre (Assoc. Professor)

Room I, Incharge:          Ms. Poonam Patil (Assistant Physiotherapist)

Room II, Incharge:         Ms.Swati Paranjape (Assistant Professor)

Ms.Apeksha Ingle (Junior Physiotherapist)

Room V, Incharge:         Ms.Dipti Geete (Assistant Professor)

 

 

Services Given

Patients having dysfunctions of the movement system following various orthopaedic conditions (mentioned below) are assessed, using ‘International Classification of Functioning, Disability and Health’ (ICF), framework for physiotherapy diagnosis and treated with physiotherapy interventions.

 

The focus is to restore physical funtion, attain funtional independence so that an individual can perform his activities in daily living and participate in society thus improving patient’s quality of living.

 

 

Safe and effective Physiotherapy interventions are prescribed as per :

  • Severity of symptoms
  • Stages of tissue healing
  • Structural and Contextual source  of patient’s symptoms
  • Identiying dominant pain mechanisms.

 

Intervention include electrotheraputic modalities and individualsied exercise programme along with recent advances in the field of Manual Therapy.( mentioned below).

 The most commomn Musculoskeletal Conditions Treated are :

a) Degenrative

Osteoarthritis, Cervical and Lumbar Spondylosis, Ankle Conditions, Heel

Spur.

b) Traumatic:

Fractures, Ligament Injuries, Tennis Elbow

c) Pre & Post surgical sports injuries:

ACL,PCL Ligaments, Cartilage injuries, Shoulder   labral & Rotator Cuff

injuries

d) Arthroplastic:

Total Knee Replacement, Total Hip Replacement, Shoulder.

e) Peadiatrics conditions:-

Congenital Dislocation Hip, Torticollis, Spine deformities, Foot deformities

Perthe’s disease

f) Seronegative Arthropathies:-

Systemic Lupus Erythematosis, Rheumatoid Arthritis, Ankylosing Spondylosis

g) Occupation related injuries

h) Cancer related Musculoskeletal dysfunctions:-

Post Mastectomy-lymphedema, shoulder cervical dysfunction

Post Oral surgeries- Temporomandibular joint Dysfunctions, cervical joint

Dysfunctions.

i) ENT related dysfunctions-

Vertigo, Temperomandibular joint

 

j)Endocrine:

Osteoporosis, Metabolic Bone Disorder, Rickets

k) Antenatal & Postnatal conditions related to musculoskeletal dysfunctions

 

TREATMENT INTERVENTIONS:-

  • Body alignment and movement control therapy
  • Strength and endurance training
  • Performance related exercise therapy program
  • Gait training,agility,balance
  • Reaction time,coordination,Power
  • Prescription of Mobility aids, splints and braces
  • Work station design advice
  • Ergonomic Advice

 

 

Manual Therapy-

  • Joint Mobilization-
    1. Mulligan
    2. Maitland
  • Kaltenborn
  1. McKenzie
  • Soft tissue Mobilization-
    1. Trigger point release
    2. Myofascial release
  • Cyriax massage
  1. Muscle energy technique
  • Neurodynamics-PNF

Functional Training

Electrotherapy-

  1. Ultrasound
  2. Transcutaneous Electrical Nerve Stimulator
  • Electronic Muscle Stimulator
  1. Strong surge Faradic current & stimulation

 

Specialized Hand Therapy OPD:

Location: Physiotherapy OPD no. 402 Room no.6

STAFF:

CHHAYA VERMA (PROFESSOR)

JYOTSNA THOSAR (ASSISTANT PROFESSOR)

POSTGRADUATE STUDENTS

 In association with plastic surgery dept. Physiotherapy dept. works  for the patients affected with various acute conditions like

  • Finger fractures, dislocations, sprains/strains
  • Wrist injuries
  • Tendinopathies – Tennis elbow, Golfer’s elbow, De Quervain’s tenosynovitis
  • Trigger finger
  • Traumatic hand injuries, severe crush, laceration or amputation
  • Burns
  • Peripheral nerve injuries – Carpal Tunnel Syndrome, Radial Tunnel Syndrome, Ulnar Neuritis
  • Dupuytren’s disease
  • Arthritis management, conservative and post-operative after joint replacement
  • Chronic pain conditions
  • Post-operative rehabilitation following Brachial plexus injury in adult & paediatric patients.
  • Artero- venous malformation patients operated by plastic surgeons.
  • Pre and post operative assessment and management of above patients is carried out using various skills and instuments like dynamometer, hand evaluation kit and functional assesment scale
  • Fabrication of custom made splints with the helkp of occupational therapist following sprains/strains, fractures, arthritis or surgery
  • Scar care and wound management post operatively
  • Hands-on treatment
  • Electrotherapy
  • Kinesio taping
  • Patient education
  • Patient-specific exercise programs
  • Sensory re-education following nerve injuries/surgery
  • Independent clinical assessment
  • Worksite assessment
  • Upper limb functional capacity assessment.

SPECIAL OPDS ATTENDED-

  1. BRACHIAL PLEXUS CLINIC (3RD Tuesday of the month)
  2. PLASTIC SURGERY OPD ( Every Thursday of the month)
  3. PAIN AND PLASTIC SURGERY OPD (Every Wednesday of the month) staff- SARIKA PAJAI (ASSISTANT PHYSIOTHERAPIST)

 

 

 

PHYSIOTHERAPY FOR INDOOR ORTHOPAEDIC WARDS

STAFF-

AMITA MEHTA ( PROFESSOR AND HEAD)

CHHAYA VERMA ( PROFESSOR)

JYOTSNA THOSAR (ASST. PROF)

SARIKA PAJAI ( ASST. PHYSIOTHERAPIST)

Indoor Orthopaedic Patients are managed in the Ward Numbers: 27, 28 & 30 at Seth Dhurmal Bajaj Orthopaedic Centre & in the Ward Numbers: 37, 29, 25, 26 & 39 at Multistoried Building of K. E. M Hospital

 

SERVICES OFFERED BY PHYSIOTHERAPY DEPT.

Preoperative evaluation and post operative traetment for patients having

  1. Upper and lower limb fractures (open and closed) with and without nerve injuries.
  2. Spine, pelvis, ribs and facial bones fractures.
  3. Replacement surgeries for traumatic and degenerative diseases of various joints.

TREATMENT MODALITIES USED ARE-CPM. ELECTRICAL STIMULATION, MOBILISATION (ACIVE AND PASSIVE), POSTURAL CORRECTION , STRENGTHENING EXS., GAIT TRAINING AND FUNCTIONAL INDEPENDENCE.

SPECIAL OPDS ATTENDED-

  1. GERIATRIC OPD
  2. ARTROPLASTY OPD

 

 

 

 

 

Section CVTC (Indoor and OPD room no 16):

Section incharge: Mariya Jiandani (Assoc Professor)

Sushma Gajakosh: Assistant Professor

Shabana Kazi: Junior Physiotherapist

Services offered

Outdoor:

  • Assesment:
    • Cardiovascular ,respiratory and secondary musculoskeletal dysfunction using ICF
    • Health risk screening.
    • Exercise tolerance testing(6 MWT and ISWT)
    • Body fat analysis
    • Work fitness evaluation and ergonomic care
    • Quality of life

 

  • Treatment services:
    • Primary Prevention and Cardiovascular Promotive health and rehabilitation
    • Pulmonary Rehabilitation
    • Diabetic Care- Foot care and glucose control
    • Joint protection OPD(Rheumatoid arthritis)
    • Ankylosing class
    • Energy conservation techniques
    • Wound healing- Ozone therapy
    • Vascular rehabilitation ( Peripheral arterial and venous dysfunction)
    • Lymphoedema management
    • Metabolic management
    • Syncope management
    • Sleep apnoea management
    • Patient and family education for indoor and outdoor
    • Post Intracardiac device rehabilitation
    • Paediatric cardiopulmonary rehabilitation
    • Stress management – Relaxation
    • Preoperative pulmonary care

 

Indoor: Physiotherapy services in Intensive Care and wards of Cardiac medical & surgical and pulmonary units

  • Assesment and treatment of primary and secondary cardiovascular and respiratory dysfunction in acute and chronic stage.
  • Care of ventilated patient
  • Weaning from ventilator and tracheostomy
  • Chest physiotherapy and airway clearance
  • Early mobilization
  • Physiotherapy pre and post operative care.(Cardiothoracic Surgery)
  • Atelectasis prevention programme
  • Incision care and wound treatment –ozone therapy
  • Pain modulation using TENS
  • Phase I inpatient cardiac rehabilition
  • In Patient pulmonary rehabilitation
  • Home programme plan and advice
  • Preventing secondary musculoskeletal dysfunction

 

All services are individualized tailor made following complete assessment with a holistic approach. Exercise programmes with resistance training, treadmill, cycle ergometer and functional training are supervised and monitored .

Home programmes are designed for individuals who cannot attend with a follow up on regular basis.

 

 

Obesity and health promotion:- – Amita Mehta Prof & Head

Venue: Orthopaedic centre, 1st floor.

Standard Assessments with various Age/Height/Weight related Normograms and obesity Proforma and weight reduction therapeutic exercises programmes are designed & executed

Functional Capacity Assessments are done on Oxymeter and Cardio-Pulmonary Assessment Proforma.

Health promotion & Fitness training programme are  done using   therapeutic exercises, functional training programme, Therabands , weight cuffs, Exercise Cycles,  Treadmill, Cycle Ergometer Exercise Cycle, etc.

Assesmentand treatment related toWomens Health

Home exercise programs, risk stratifications and environmental modifications are prescribed to patients with respect to their functiomal capacities.

Enhancement of physical activity levels are encourged for occupation, recreation and social integration.

 

General Medical and Surgical Physiotherapy

A) General Medical Physiotherapy

Staff

Jaimala V Shetye (Associate Professor)

Shilpa Naik (Assistant Physiotherapist)

Location: Medical Intensive care unit, Emergency medical services and Medical wards, KEM old building

Physiotherapy is offered to patients admitted to

Medical ICU: EMS, MICU, IPCU-1

General Medical wards, Gynacology and obstetrics, dermatology, Hematology, Pediatric medicine, Psychiatry wards

Services offered

Airway clearance, Respiratory exercises, Mobilisation, Gait training, Early mobilisation in ICU, assist weaning from ventilator

Rehabilitation of chronic medical llness like GBS, OPC poisoning, Meningitis etc..

 

B) General Surgical Physiotherapy

Staff:

Jaimala V Shetye

Rupali Deshpande (Assistant Physiotherapist)

Shilpa Naik (Assistant Physiotherapist)

Shardul Ganvir (Junior Physiotherapist)

Location: Surgical Intensive care unit, Emergency Surgical services, surgery and plastic surgery wards, KEM old building.

Physiotherapy is offered to patients admitted to

Surgical ICU: SICU, AICU, GICU, ESR, IPCU-3, Burns

General surgery wards, Pediatric surgery, Muscle charting of meningomyelocoele, ENT, Plastic surgery, Gastroenterology, Neurosurgery, Neuromuscular stimulation for anorectal malformation surgery, rehabilitation of chronic neurological impairments.

Services offered:

Ozone therapy for Wound healing, Mobilisation and airway clearance for burns, Neuro-muscular stimulation and Rehabilitation following plastic surgery, amputation and mastectomy, chronic neurological illness.

C) Neonatal Care: 

Staff :

Jaimala V Shetye (Associate Professor)

Shilpa Naik (Assistant Physiotherapist)

Location: Neonatal intensive care unit, Multistoreyed building.

Provides Physiotherapy services to premature neonates referred from Neonatology department.

Physiotherapy interventions:

Airway clearence, positional rotations, Therapeutic positioning for obstetric brachial plexus injury, early intervention, education of mothers about handling of the neonate. Follow up of these children is done in Physiotherapy OPD after discharge.

 

 

 

 

 

 

 

NEUROREHABILITATION: 

  OUT DOOR SECTION

  Staff: Professor Saraswati Iyer

  1. Lakshmiprabha(Assistant Professor)

  Location: Physiotherapy OPD No 402, ROOM no. 3,

                 Seth Dhurmal Bajaj Orthopaedic Centre

Services offered:

  • Detailed Physical diagnosis, functional assessment  and treatment of neurological conditions like, Stroke, Parkinson’s disease, Cerebellar ataxias, Hereditory Ataxias, Spinal Cord injuries, Motor neuron diseases, Guillian Barre syndrome, Adult cerebral palsies, Brain and spinal cord tumors,
  • Different types of Myopathies, Different types of neuropathies, Vestibular lesions, Cognitive impairments , Conversion syndromes, Polio Myelitis.
  • Physical Therapy treatment includes :
  • recent advances like Motor imagery and Mirror Therapy
  • Gait training
  • Exercises to control movement dysfunction
  • Exercises to improve gross and fine motor control
  • Sensory re-education
  • Exercise to improve balance and co-ordination using various equipments like tilt-board, wobble board, vestibular ball, foam surface.
  • Postural re education
  • Fall prevention strategies
  • Functional training and Task specific training
  • Parkinson’s class twice a week
  • Electrical stimulation and exercise for Facial nerve palsy and other peripheral nerve injuries
  • Physical Therapy Assessment and prescription of orthosis for neurological conditions
  • Relaxtion therapy
  • Breathing exercises
  • Specific tailormade yogasanas

 

INDOOR SECTION

Staff: Professor Saraswati Iyer

          Rupali Deshpande( Assistant Physiotherapist)

          LOCATION; Neurosurgery ICU, WARD 10, Old KEM bldg

  • Services offered: Physical diagnosis, functional assessment and treatment of neurological conditions like, Cerebellar ataxias, Hereditory Ataxias, Spinal Cord injuries, Motor neuron diseases,Movement disorders, Brain and spinal cord tumors, Different types of Myopathies, Different types of neuropathies.
  • Airway clearance,
  • Respiratory exercises,
  • Positioning
  • assist weaning from ventilator
  • Early mobilisation in ICU and ward
  • Exercise to improve balance and co-ordination
  • Gait training

 

 

Pediatric Neuro Habilitation: 

  OUT DOOR SECTION

  Staff: Professor Saraswati Iyer

            Mrs Archana Gore (Assistant Professor)

Location: Pediatric Neurology OPD i.e room number 6 at PT OPD – OC bldng

The Physiotherapy program in Pediatric Physiotherapy OPD is geared towards Functional independence of child, ease of handling for parents and fun.

The AGE of children treated is few days to 12 years.

These are referred to us from Pediatric Medicine, Pediatric Surgery, Neuro medicine, Neuro Surgery and Orthopedic. We write back our concerns about the child to referring doctors. With prior appointment child is assesed for his/ her capabilities and disabilities. A short term goal and long term goal plan is formulated on case record form.

Each child is called 1-3 times per week. Parents convinience also is taken into consideration to have maximum compliance.

Every session lasts for 40 mins – 60 minutes. Rest periods are also given if required.

Services provided-

  • Parent education program
  • Parental training for home program
  • Oromotor therapy
  • Postural reeducation
  • Training for transition in posture
  • Balance training
  • Upper body motor control therapy
  • Fine motor training, Mirror box therapy
  • Gait training
  • Advice for splints
  • Endurance training
  • Electrical stimulations- spasticity control, Erb’s palsy
  • Cognitive training
  • Play therapy

Conditions provided treatment for-

  • Early intervention
  • Cerebral palsy
  • Global developmental delay
  • Down’s syndrome
  • Myelomeningicoele
  • Obstetric brachial plexus injury
  • Motor delays in ASD
  • Pediatric GBS
  • Brain tumors post surgery
  • Infantile hemiplegia
  • Cerebral infections.

 

Since child has motor control problems parents, are advised for home care and some exercises at home too. Each child is reassesed for change in impairment level and next level of goal setting is made.

Preventive Geriatric Care: Amita Mehta, professor with Assistant professor conducts programmes to contribute to quality care of the senior citizens.

Notices and News