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early intervention
Home | Awards | GSMC-FAIMER 2005-2006 | Publications | Products | Presentations | Pediatric Rehabilitation Services | Hand Therapy Services | Occupational Thearpy Services | services offered | Kala academy | pHoTo sTuDiO

by Nandgaonkar's Therapy Services



It gives me great pleasure to introduce my new venture "Pediatric Rehabilitation Center" as a part of
Specialty childcare clinic. It aims at early intervention and rehabilitation of children with various disorders.

Among the pediatric conditions where therapy is required are Cerebral Palsy, Spina Bifida, Birth Brachial Plexus Palsy, and Torticollis, children with traumatic brain injury, congenital and acquired amputations, and both acute and long-term spinal cord injury, children with muscle diseases such as Duchenne muscular dystrophy and spinal muscular atrophy, pediatric burns, and a myriad of congenital disabilities. Will also provide prescriptions for durable medical equipment such as wheelchairs, bracing, and communication devices.

I would like to mention in short the concept of early intervention although you might be aware of it.

Early intervention - is a comprehensive, coordinated, community based system for developmentally vulnerable or delayed young children from birth to age of 3 years and their families.

Early intervention is designed to - enhance child development,
Minimize potential delays,
Remidiate existing problems,
Prevent further deterioration,
Limit the acquisition of additional handicapping conditions & promote adaptive family functioning.

Developmental risk indicators for therapy referral

Biological risk
Birth weight of 1500gms or less
Gestational age of 32 weeks or less
Small for gestational age (less than 10th percentile for weight)
Ventilator requirements for 30 hours or more
Intracranial hemorrhage: grades III orIV
Muscle tone abnormalities - hypotonia, hypertonia, asymmetry of tone /movement
Recurrent neonatal seizures (3 or more)
Feeding dysfunction
Symptomatic TORCH (toxoplasmosis, rubella, cytomegallovirus, herpes type II, syphilis)
Asphyxia with Apgar score less than 4 at 5 minutes

Established risk
Chromosomal abnormalities
Muscoloskeletal abnormalities (congenitally dislocated hips, limb deficiencies, arthrogryposis, joint contractures, congenital torticollis)
Multiple births greater than twins
Brachial plexus injuries (Erb's palsy, Klumpke's paralysis)
Congenital myopathies and myotonic dystrophy
Inborn errors of metabolism

Environmental /social risk

High social risk (single parent, parental age less than 17 years, poor quality infant parent attachment)
Maternal drug or alcohol abuse
Behavioral state abnormalities (lethargy, excessive irritability, behavioral state liability)

Or combination of risk factors

Other services offered include the following:
Hand function evaluation and training
Postural & gait evaluation and training
ADL evaluation, training & adaptation

Pediatric Rehabilitation center is committed to the development of children with disabilities to the fullest potential possible while providing guidance and support to their families.

Hope you will cooperate in my new venture.

Nandgaonkar Hemant P.