There are 4 main areas of therapy are offered at “Niki Singh Occupational Therapist Inc” Practice
1. Physical Rehabilitation
This refers to the assessment, treatment and management of patients that present with a physical disability. These patients require rehabilitation to help them cope living with the physical dysfunction. The aim is to improve the patients’ level of independence. The occupational therapist provides patients with strategies and new methods of executing their activities of daily living, as well as assisting with the provision of assistive devices. Physical rehabilitation is also inclusive of helping a patient to improve various physical components such as range of motion, muscle strength, sensation, balance and other areas.
NEUROLOGICAL CONDITIONS
CVA: Cerebro-vascular accidents. E.g. encouraging tone and mobilisation of an immobile limb of a stroke patient.
TBI: Traumatic brain injury. Where the primary goal is to rehabilitate to integrate them into their everyday tasks and life roles.
Spinal cord injury: Therapy focuses on helping patients and their caregivers cope with limited mobility, acquisition of assistive devices, improving range of motion and sensation.
Neuropathies: Involves treatment of conditions causing loss of motion. E.g. Guillan Bare Syndrome, Myastina Gravis, Motor Neuron disease and Multiple Sclerosis.
POLYTRAUMA: Injuries sustained from falls, assaults and motor vehicle accidents. The Occupational Therapy programme is designed as a part of a multidisciplinary team approach, with strict recognition of the phase of management of the patient.
AMPUTATIONS: The Occupational Therapy program is comprehensive in helping the patient deal with normalising sensation and managing phantom pain, mobilisation of the affected amputated limb and strengthening of the unaffected limbs. As well as linking a patient to a Prosthetist for a prosthesis.
ONCOLOGY: Palliative care is offered as part of the occupational therapy programme whereby use of splints and caregiver training for mobility issues are done. Attention is also given to any physical aspect that may require treatment and physical rehabilitation.
1. Physical Rehabilitation
This refers to the assessment, treatment and management of patients that present with a physical disability. These patients require rehabilitation to help them cope living with the physical dysfunction. The aim is to improve the patients’ level of independence. The occupational therapist provides patients with strategies and new methods of executing their activities of daily living, as well as assisting with the provision of assistive devices. Physical rehabilitation is also inclusive of helping a patient to improve various physical components such as range of motion, muscle strength, sensation, balance and other areas.
NEUROLOGICAL CONDITIONS
CVA: Cerebro-vascular accidents. E.g. encouraging tone and mobilisation of an immobile limb of a stroke patient.
TBI: Traumatic brain injury. Where the primary goal is to rehabilitate to integrate them into their everyday tasks and life roles.
Spinal cord injury: Therapy focuses on helping patients and their caregivers cope with limited mobility, acquisition of assistive devices, improving range of motion and sensation.
Neuropathies: Involves treatment of conditions causing loss of motion. E.g. Guillan Bare Syndrome, Myastina Gravis, Motor Neuron disease and Multiple Sclerosis.
POLYTRAUMA: Injuries sustained from falls, assaults and motor vehicle accidents. The Occupational Therapy programme is designed as a part of a multidisciplinary team approach, with strict recognition of the phase of management of the patient.
AMPUTATIONS: The Occupational Therapy program is comprehensive in helping the patient deal with normalising sensation and managing phantom pain, mobilisation of the affected amputated limb and strengthening of the unaffected limbs. As well as linking a patient to a Prosthetist for a prosthesis.
ONCOLOGY: Palliative care is offered as part of the occupational therapy programme whereby use of splints and caregiver training for mobility issues are done. Attention is also given to any physical aspect that may require treatment and physical rehabilitation.
2. Hand Rehabilitation
Hand rehabilitation is a field in occupational therapy that focuses on the rehabilitation of the hand after any injury. Hand therapy encompasses the assessment and treatment of any orthopaedic condition, trauma to the hand, congenital abnormality or disease process that may affect the hand. The treatment modalities utilised are varied and extensive and incorporates splints, pressure or compression garments as well as various therapeutic games and equipment.
Crush Injury: Therapeutic intervention involves splintage, oedema and mobilisation of the injured and unaffected parts to optimise hand function.
Tendon Injury: A guided mobilisation routine is offered 48 hours post injury until 6-8 weeks of the tendon healing.
Fractures: Fracture bracing of the affected areas as well as mobilisation of affected and unaffected areas. Splints and oedema management will be utilised if required.
Peripheral nerve injuries: Rehabilitation of the hand for optimal movement, sensory re-education and function. The focus is to ensure the resumption of daily activities and functions.
BRACHIAL PLEXUS INJURIES: The focus is on reducing pain, improving joint range and muscle strength. Dominance retraining for those whose dominant hand is affected.
AMPUTATIONS: Amputations of the upper limb is treated from shoulder to finger tip level. Treatment includes desensitisation, reduced swelling and pain as well as encouraging movement of the affected part.
BURNS: Hand therapy involves different phases of rehabilitating the burnt hand. The management covers the spectrum of protected splinting for pain and positioning, managing swelling and re-teaching movement.
SPLINTING: Soft and thermoplastic splints are done for all upper limb, hand and orthopaedic conditions. These include sports injuries, fractures, tendon injuries as well as functional aids.
ARTHTITIS AND JOINT REPLACEMENTS: Guided and protected exercises following joint replacement is done post operatively until complete healing of the joint. A day / night splint regime is also followed.
LYMPHEDEMA: A combined program of pressure garments, scar management, massage techniques and range of motion exercises are incorporated.
2. Hand Rehabilitation
Hand rehabilitation is a field in occupational therapy that focuses on the rehabilitation of the hand after any injury. Hand therapy encompasses the assessment and treatment of any orthopaedic condition, trauma to the hand, congenital abnormality or disease process that may affect the hand. The treatment modalities utilised are varied and extensive and incorporates splints, pressure or compression garments as well as various therapeutic games and equipment.
Crush Injury: Therapeutic intervention involves splintage, oedema and mobilisation of the injured and unaffected parts to optimise hand function.
Tendon Injury: A guided mobilisation routine is offered 48 hours post injury until 6-8 weeks of the tendon healing.
Fractures: Fracture bracing of the affected areas as well as mobilisation of affected and unaffected areas. Splints and oedema management will be utilised if required.
Peripheral nerve injuries: Rehabilitation of the hand for optimal movement, sensory re-education and function. The focus is to ensure the resumption of daily activities and functions.
BRACHIAL PLEXUS INJURIES: The focus is on reducing pain, improving joint range and muscle strength. Dominance retraining for those whose dominant hand is affected.
AMPUTATIONS: Amputations of the upper limb is treated from shoulder to finger tip level. Treatment includes desensitisation, reduced swelling and pain as well as encouraging movement of the affected part.
BURNS: Hand therapy involves different phases of rehabilitating the burnt hand. The management covers the spectrum of protected splinting for pain and positioning, managing swelling and re-teaching movement.
SPLINTING: Soft and thermoplastic splints are done for all upper limb, hand and orthopaedic conditions. These include sports injuries, fractures, tendon injuries as well as functional aids.
ARTHTITIS AND JOINT REPLACEMENTS: Guided and protected exercises following joint replacement is done post operatively until complete healing of the joint. A day / night splint regime is also followed.
LYMPHEDEMA: A combined program of pressure garments, scar management, massage techniques and range of motion exercises are incorporated.
3. Paediatrics
“Niki Singh Occupational Therapist” treats all babies and children with any physical dysfunction that may occur due to injury, illness or disability. Therapy focuses on construction of soft or thermoplastic splints to help with positioning of the affected limb as well as use of neurodevelopmental techniques and play therapy to help the babies or children attain better movement. Where indicated stimulation of visual perceptual and cognition is also done to help with age appropriate development. The practice does not deal with children that present with learning disabilities and attention deficit and are referred to other therapists in the Glenwood and Overport areas.
NEUROLOGICAL CONDITIONS: These include cerebral palsy, muscular dystrophy and other conditions. Treatment includes stimulation for gross + fine motor, cognitive and play skills.
CONGENITAL ABNORMALITIES: Children with physical defects such as loss of limb, bone and other structures are treated in order to help the child achieve their developmental milestones.
- NEONATAL STIMULATION: Premature babies, delayed milestones, clubbed feet and upper limb can benefit from early intervention in stimulating their overall development.
DEVELOPMENTAL DELAYS AND PREMATURE BIRTHS: Therapy is done to normalise the tone in babies so movement develops. This involves physical rehabilitation, play and stimulation as well as assisting parents are caregivers.
- OTHER: Traumatic injuries, hand injuries and medical conditions (oncology, renal care and cardiac care).
3. Paediatrics
“Niki Singh Occupational Therapist” treats all babies and children with any physical dysfunction that may occur due to injury, illness or disability. Therapy focuses on construction of soft or thermoplastic splints to help with positioning of the affected limb as well as use of neurodevelopmental techniques and play therapy to help the babies or children attain better movement. Where indicated stimulation of visual perceptual and cognition is also done to help with age appropriate development. The practice does not deal with children that present with learning disabilities and attention deficit and are referred to other therapists in the Glenwood and Overport areas.
NEUROLOGICAL CONDITIONS: These include cerebral palsy, muscular dystrophy and other conditions. Treatment includes stimulation for gross + fine motor, cognitive and play skills.
CONGENITAL ABNORMALITIES: Children with physical defects such as loss of limb, bone and other structures are treated in order to help the child achieve their developmental milestones.
- NEONATAL STIMULATION: Premature babies, delayed milestones, clubbed feet and upper limb can benefit from early intervention in stimulating their overall development.
DEVELOPMENTAL DELAYS AND PREMATURE BIRTHS: Therapy is done to normalise the tone in babies so movement develops. This involves physical rehabilitation, play and stimulation as well as assisting parents are caregivers.
- OTHER: Traumatic injuries, hand injuries and medical conditions (oncology, renal care and cardiac care).
4. Assessments
Occupational Therapy deals with function and is primarily concerned with ascertaining if a person is able to cope in their various roles and tasks following any physical or cognitive dysfunction. The occupational therapist will assess an individual’s ability to perform self care, domestic, community and leisure tasks, as well as comment on how the disease or injury affects the physical ability. Furthermore with regard to adults the focus is to assess the ability to resume work. Recommendations are made to help an individual decide what strengths he /she have after an injury, illness or disability and what their employability will be.
FUNCTIONAL: For WCA and medical insurance, amongst others.
VOCATIONAL: To determine the clients ability to return to their normal work following injury, illness or disability.
MEDICOLEGAL: Functional assesment for any legal claim. This assesment incorporates all aspects of medical history, physical, cognitive and functional assesments.
4. Assessments
Occupational Therapy deals with function and is primarily concerned with ascertaining if a person is able to cope in their various roles and tasks following any physical or cognitive dysfunction. The occupational therapist will assess an individual’s ability to perform self care, domestic, community and leisure tasks, as well as comment on how the disease or injury affects the physical ability. Furthermore with regard to adults the focus is to assess the ability to resume work. Recommendations are made to help an individual decide what strengths he /she have after an injury, illness or disability and what their employability will be.
FUNCTIONAL: For WCA and medical insurance, amongst others.
VOCATIONAL: To determine the clients ability to return to their normal work following injury, illness or disability.
MEDICOLEGAL: Functional assesment for any legal claim. This assesment incorporates all aspects of medical history, physical, cognitive and functional assesments.
Other Services Provided:
- Splints: Fabrication of static and dynamic splints are done using thermoplastic. Soft splints for the hand and upper limb are also done.
Pressure garments: The construction of sleeves, gloves, anklets and other garments are done assisting with oedema and scars.
- Plastics and scar management: Hypertrophic and adhesive scars, as well as keloids following surgery or injury are attended to.
Assistive devices: ordering and provision of functional aids for mobility, feeding, bathing, dressing, computer and writing, etc is done following functional assessment of an individual
Cognitive rehabilitation: therapy involves improving all areas of cognition and visual perception to help an individual reintegrate into their daily tasks following meningitis, brain trauma and strokes
Injury on duty: workers injured on duty are treated with the aim of rehabilitating them after an injury so that the worker can return to work in their normal capacity or in alternate work where possible
Care giver training for families and patients: a service is provided to assist families and/or caregivers to help care for patients with temporary or permanent disability. This includes transfers, positioning and exercises.
Home visits: visits to assess and assist patients, family or caregivers with functional adaptations within the home to help with activities of daily living
Home based therapy: this is a specialised service that is available only for patients that have severe physical impairments and given their medical condition have restrictions with regard to immunity, loss of mobility and/or other considerations. Please note that this service will require travelling within a 5 km radius of the practice as well as therapist patient load at the time. Kindly enquire with the therapist for availability of treatment
Other Services Provided:
- Splints: Fabrication of static and dynamic splints are done using thermoplastic. Soft splints for the hand and upper limb are also done.
Pressure garments: The construction of sleeves, gloves, anklets and other garments are done assisting with oedema and scars.
- Plastics and scar management: Hypertrophic and adhesive scars, as well as keloids following surgery or injury are attended to.
Assistive devices: ordering and provision of functional aids for mobility, feeding, bathing, dressing, computer and writing, etc is done following functional assessment of an individual
Cognitive rehabilitation: therapy involves improving all areas of cognition and visual perception to help an individual reintegrate into their daily tasks following meningitis, brain trauma and strokes
Injury on duty: workers injured on duty are treated with the aim of rehabilitating them after an injury so that the worker can return to work in their normal capacity or in alternate work where possible
Care giver training for families and patients: a service is provided to assist families and/or caregivers to help care for patients with temporary or permanent disability. This includes transfers, positioning and exercises.
Home visits: visits to assess and assist patients, family or caregivers with functional adaptations within the home to help with activities of daily living
Home based therapy: this is a specialised service that is available only for patients that have severe physical impairments and given their medical condition have restrictions with regard to immunity, loss of mobility and/or other considerations. Please note that this service will require travelling within a 5 km radius of the practice as well as therapist patient load at the time. Kindly enquire with the therapist for availability of treatment