IEDC

kÀÆ in£m A`n-bm³ Fd-Wm-Ipfw

_n.-BÀ.kn.-Iq-h-¸Sn

Zi-Zn\ A²ym-]I ]cn-io-e\w amÀ¨vþ2014

                    04.03.2014           -        Speech therapy

                    05.03.2014           -        Speech therapy

                    06.03.2014           -        Field trip {Poh-[mc}

                    07.03.204             -        Physiotherapy

                    10.03.2014           -        Physiotherapy

                    11.03.2014           -        Physiotherapy

                    12.03.2014           -        Behavior therapy

                    13.03.2014           -        Occupational therapy

 14.03.2014           -        Occupational therapy

                    15.03.2014           -        Music therapy 

DAY 1

       
Fd-Wm-Ipfw PnÃ-bnse dntkmgvkv A[ym-]-IÀ¡m-bpÅ Zi-Zn\ sXdm]yq«nIv ]cn-i-o-e\w 04/03/2014 \v BRC Iqh-¸-Sn-bn Bcw-`n-¨p. cmhnse 9 aWn¡v cPn-kvt{S-j³ Bcw-`n-¡p-I-bp-­mbn 9.30 \v tImgvkv {_o^n-\mbn.s]-cp-¼m-hqÀ _n.-BÀ.kn bnse dntkmgvkv A[ym-]nI {ioaXn kmdm½ So¨À F¯p-Ibpw ]¯v Znh-k-s¯ ]cn-io-e\ ]cn-]mSnbpsS Dt±-iy-e-£y-§-sf-¡p-dn¨pw ¢mkp-I-sf-¡p-dn¨pw eLp hni-Zo-I-cWw \ÂIn   

       10 aWn¡v ]cn-io-e-\-¯nsâ Hu]-Nm-cnI DZvLm-S\w \S-¯n. {ioaXn kuZm-_o-hn-bpsS A²y-£-X-bn Bcw-`n¨ tbmKw Aia¶qÀ {Kma-]-©m-b¯v {]kn-Uâv {ioaXn sUbvkn tXmakv DZvLm-S\w \nÀh-ln-¨p.-_-lp-am-\-s¸« s]cp-¼m-hqÀ AEO {io Al-½-ZvIp«n Zi-Zn\ ]cn-io-e\ ]c-n]m-Sn-bneqsS hn`n¶ tijn-I-fpÅ Ip«n-Isf kaq-l-¯nsâ apJy-[m-c-bn-te¡v F¯n-¡m³ dntkmgvkv A[ym-]-IÀ¡v  km[n-¡s« F¶v Biw-kn-¨p.Iqh-¸Sn _n. BÀ.kn bnse _lp-am-\-s¸« B.P.O {io tkmP³ FÃm-h-scbpw kzmKXw sN¿p-Ibpw s{Sbn-\n-§n ]men-t¡­ \nÀtZi-§Ä Adn-bn-¡p-Ibpw sNbvXp.-dn-tkmgvkv A[ym-]-I-\mb {io ssjtPm t]mÄ IrX-ÚX AÀ¸n¨p. t\mÀ¯v ]d-hqÀ, A¦-am-en, s]cp-¼m-hqÀ, Iqh-¸-Sn, Bep-h F¶o _n,-BÀ.kn Ifn \n¶pw 44 -dn-tkmgvkv A[ym-]-IcmWv ]cn-io-e\ ]cn-]mSn-bn ]s¦-Sp-¡p-¶-Xv.

       Tea Break - \mbn FÃm-hcpw ]ncn-bp-Ibpw 11 aWn¡v ¢mkn-\mbn H¯p-tN-cp-Ibpw sNbvXp. dntkmgvkv t]gvk-W-dmb knÌÀ sFhn BZy skjsâ Dt±iye£y-amb  ‘F´mWv `mjWw’ ? F¶-Xn-s\-¡p-dn¨v hni-Zo-I-cn-¡p-¶-Xn-\mbn Hcp hoUntbm Zriyw {]ZÀin-¸n-¨p.hyXykvX hn`mK-¯n-epÅ  Ip«n-I-fpsS kw`m-j-W-am-bn-cp-¶p AXv. XpSÀ¶v Zriy-§-fn \n¶pw Is­-ണ്ട¯nb hyXym-k-§Ä Fs´Ãmw F¶v {]Xn-I-cn-¡p-hm³ ]¦m-fn-I-tfmSv Bh-iy-s¸-«p. -hy-à-amb `mjWw, Bhy-à-amb `mjWw F¶o Imcy-§Ä ]¦m-fn-I-fn \n¶v e`n-¡p-Ibpw RP AXv NmÀ«n tcJ-s¸-Sp-¯p-I-bpw sNbvXp. IqSp-X hyà-am-¡p-¶-Xn\v ¢mkn-te¡v ^km\ F¶ Ip«nsb sImണ്ടp-h-cn-Ibpw B Ip«n-bpsS kwkm-c-ssh-I-ey-§Ä Isണ്ട-¯p-Ibpw AXn-\p-X-Ip¶ hn[-¯n RP {]iv\-§Ä ]cn-l-cn¨v ImWn-¨p-sI-Sp-¡p-Ibpw sNbvXp.

           “ `mjW¯n\v klm-bn-¡p¶ Ah-b-h-§-Ä Xncn-¨-dn-bp-¶-Xn\v ”,F¶ Dt±iye£y-hp-am-bmWv ASp¯ `mKw Bcw`n-¨Xv.Vocal code,Respiration,Phanation,Amblification,Resonation,Articulation,Regulation F¶o LS-I-§-fn-eq-sS-bm-Wv kwkmcw km[y-am-Ip-¶-Xv F¶pw XpSÀ¶v Lip,Teeth,Tongue,Soft plate,Hard plate,Uvila,Alviala F¶o Ah-b-h-§-fmW v `mjW¯n\v klm-bn-¡p¶sX¶v CXn-eqsS Xncn-¨-dn-bm³ km[n¨q.

       kwkm-c-ssh-I-ey-§Ä GsXÃmw F¶v RP ]¦m-fn-I-tfmSv ]d-bp-hm³ Bh-iy-s¸-«p.Speech Mechanism¯n hcp¶ {]iv\-§fpw Cleft Lip,Tongue Tie,Avialan Ridge XpS-§n-b-h-bn hcp¶ kwkm-c-ssh-I-ey-§Ä hyà-am-¡p-Ibpw AXn-\p-X-Ip¶ ]cn-lm-c-§Ä hniZoI-cn-¡p-Ibpw sNbvXp. AtXm-sSm-¸w Ip«n-I-fn ]cn-ioe\w sImSp-¡p-t¼mÄ D­ണ്ടmb A\p-`-h-§Ä ]¦m-fn-I-tfmSv ]¦p-h-bv¡p-Ibpw sNbvXp. ]¦m-fn-I-fpsS kwi-b-§Ä¡v hyà-amb adp-]Sn \ÂIp-hm³ RP ¡v km[n-¨p.

       Bi-b-hn-\n-a-b-¯n-\pÅ D]m-[n-bmWv `mjWw F¶pw AXn-\p-]-tbm-Kn-¡p¶ Ah-b-h-§Ä GsXms¡ F¶v Xncn-¨-dn-bp-hm\pw Cu skj\n-eqsS km[n-¨q. XpSÀ¶v 1 aWn¡v D¨-bq-Wn-\mbn FÃm-hcpw ]ncn-ªp.

       2 aWn-tbmsS ASp¯ sk£³ Bcw-`n-¨p `mj-W-¯n\v klm-bn-¡p¶ Ah-b-h-§-fpsS {]hÀ¯-\-§fpw Fs´ms¡ F¶v Xncn-¨-dn-bp-¶-Xn-\pÅ ¢mkv Bbn-cp-¶p AXv.RP Speech Mechanism-¯nsâ  Structure Dwjunction Dw RP FÃm-hÀ¡pw hni-Zo-I-cn-¨p-sIm-Sp-¯p.Articulation,Fluency,voice  F¶o aq¶v LS-I-§fmWv `mj-W-¯n DÄs¡m­ncn-¡p-¶Xv.AXn Articulation  hcp¶ Soda errers Bb S-Substitution,O-Ommision,D-Distortion,A-Addition F¶n-hbv¡v IqSp-X Du¶Â \ÂIn. CXn\v tbmPn¨ ]cn-lm-c-§Ä  Rp \nÀtZ-in-¡p-Ibpw sNbvXp. XpSÀ¶v Nmb IpSn-¡p-hm-\mbn FÃm-hcpw ]ncn-ªp.

       3.30 t\msS {Kq¸mbn Xncn-bp-Ibpw `mj-W-¯n\v klm-bn-¡p¶ Ah-b-h-§-fpsS {]hÀ¯-\-§fpw t]mcm-bva-I-sf-¡p-dn¨pw NÀ¨ sNbvXp.Hyper Nasality,Rhythemic,Irregularities,Shtuttering,Stammering F¶n-h-sb-¡p-dn¨v Rp hni-Zo-I-cn-¡p-Ibpw sNbvXp.Nasal sound-Ifmb §,-ª,-a,W F¶n-hbpw I,-N,-«,-\,-b,] F¶nh kwkm-c-ssh-I-ey-apÅ Ip«n-Isf F§s\ ]Tn-¸n-¡m-sa¶pw Rp ImWn-¨p-sIm-Sp-¯p.

       4.30 \v Feedback þ\v dntkmgvtkv A[ym-]-I-cmb _nµphpw, an\n-So-¨dpw F¯p-I-bpw ¢mkv hfsc {]tbm-P-\-{]-Z-am-sW¶v Adn-bn-¡p-Ibpw sNbvXp. kwkm-c-ssh-I-ey-apÅ Ip«n-I-fn Ønc-ambn I­ണ്ടp-h-cp¶ {]iv\-§Ä¡v Cu ¢mkn-eqsS ]cn-lmcw e`n¨p F¶pw AhÀ A`n-{]m-b-s¸-«p. RT bmb {ioaXn an\n So¨À Sr.Ivy bv¡v \µn ]d-ªp.tZio-b-Km-\-t¯msS BZyZnhks¯ ¢mkv kam-]n-¸n-¨p.

      DAY 2

      

      Beph _n.BÀ.-kn-bnse dntkmgvkv So¨À {ioaXn Pnj-bpsS Cuiz-c-{]mÀ°-\-tbmsS cmhnse 9.30 \v ]cn-io-e\ ¢mkv Bcw-`n-¨p. Ignª Znh-ks¯ ¢mkn-sâ Ah-tem-I-\-amWv BZyw \S-¶-Xv. dntkmgvkv A[ym-]-I-cmb {ioaXn ssk\-_, {ioaXn kuay F¶n-hÀ dnt¸mÀ«v Ah-X-cn-¸n-¨p. {Kq¸v Xncn-¡m-\mbn {ioaXn kmdm½ So¨À ]¦m-fn-IÄ¡v Hcp Ifn \ÂIn. FÃm-h-tcmSpw aq¶v Cw¥ojv A£-c-§Ä tNÀ¶ body parts FgpXp-hm³ Bh-iy-s¸-«p.-A-Xn\-\p-k-cn¨v A,B,C.D F¶n§s\ 4 {Kq¸p-I-fmbn Xncn-bp-Ibpw , {ioaXn tPman,-F-en-k-_-¯v,-Bi t]mÄ,-D½p skÂa¯v F¶o {Ia-¯n {Kq¸p-I-fpsS Npa-Xe G¸n-¡p-Ibpw sNbvXp. Zi-Zn\ ]cn-io-e-\-¯nsâ P\-d eoU-dmbn A¦-amen _n.-BÀ.-kn-bnse {ioaXn _nµp-hns\ Xnc-sª-Sp-¯p. PnÃm t{]mPIvSv Hm^o-kÀ {ioaXn Zo] F¯p-Ibpw ]cn-io-e-\-¯n-s\-¡p-dn¨v Bh-iy-amb \nÀt±i-§Ä \ÂIp-Ibpw sNbvXp.

              10 aWn¡v Bcw-`n¨ BZy skj³ {ioaXn kmdm½ So¨À t\XrXzw \ÂIn. sNhn-sb-¡p-dn-¨pÅ hni-Zo-I-c-W¯n Outer ear, Middle ear, Inner ear F¶o `mK-§Ä sNhn-bv¡p-s­¶pw AXv IqSp-X a\-Ên-em-¡p-¶-Xn\v hoUntbm Zriy§Ä D]-tbm-K-s¸-Sp-¯p-Ibpw  sNbvXp. CXn-eqsS tIÄhn F§s\ km[y-am-Ip¶p F¶v hni-Zo-I-cn¨p. tIÄhn¡p-dhv Is­-¯pI Ah-bpsS Xo{hX a\-Ên-em-¡pI F¶ Dt±-iy-e-£y-am-bn-cp¶p BZy skjtâ-Xv.

             

                   HmUntbmaoäÀ D]-tbm-Kn¨v tIÄhn-iàn ]cn-tim-[n-¡p¶ hn[w ]cn-N-b-s¸-Sp-Ibpw sNbvXp. Air conduction,Bone conduction F¶nh ]cn-tim-[n-¡p-¶Xv CXn-eqsS a\-Ên-em-¡m³ km[n-¨p.-aq¶v Xc-¯n-eqÅ tIÄhn-¡p-d-hm-Wp-ÅXv 1)_m-ly-IÀWs¯ _m[n-¡p¶ Conductive Hearing loss, 2)Nerve s\ _m[n-¡p¶ Sensory Neural Hearing loss, 3)Mixed Hearing loss. Ch-sb-¡p-dn¨v a\-Ên-em-¡m³ knÌ-dnsâ Cu skj³ klm-b-I-am-bn. XpSÀ¶v  tea break þ\mbn FÃm-hcpw ]ncn-ªp.

       11.30 \v ho­ണ്ടpw ¢mkn-\mbn H¯p tNcp-Ibpw HmUn-tbm-ao-äÀ D]-tbm-Ks¸Sp¯n tIÄhn ]cn-tim-[n-¡p-¶-Xpw AXv IrXy-ambn tcJ-s¸-Sp-¯p-¶Xpw F§s\ F¶v hyà-am-¡p-Ibpw sNbvXp. CXn hnhn[ ‘Bhr¯n’bnepÅ i_vZ-X-cw-K-§Ä sNhn-bn-te¡v IS-¯n-hn-Sp-I-bpw AXv tIÄ¡p-¶-Xn-\-\p-k-cn¨v Ip«n-bpsS ssIbn-epÅ signal AaÀ¯p-hm³ Bh-iy-s¸-«p. 40 Db, 60 Db F¶ {Ia-¯n 60 Db tIÄ¡m³ Ign-ªm 10 Db Ipdbpw. Cu {Ia¯n BWv ]cn-tim-[\. Air conduction ]cn-tim-[n¡p-¶Xv Head phone D]-tbm-Kn¨pw, Bone conduction Bone conductor sNhn-bpsS ]pd-InepÅ Mastoid- sh¨pw ]cn-tim-[\ \S-¯p-¶p. Head phone BC bn -sh¨v ]cn-tim-[n¡p t¼mÄ 20 \v apIfn BsW¦n Conductive hearing loss  F¶v ]d-bmw.BC bnepw Xmtg¡v 5db gap (ABG) Air bone gap Ds­-¦n Sensory Neural loss. ABG 10 db- bn IqSp-X-em-bm Mixed Hearing loss -Bbn-cn¡pw. Right ear ‘O’ sIm­pw Left ear ‘X’ sImണ്ടpw BWv Audiogram- tcJ-s¸-Sp-t¯ണ്ട-­Xv F¶v knkväÀ hni-Zo-I-cn¨p. D¨-`-£-W-¯n-\mbn 1 aWn-tbmsS ]ncn-ªp.

       2 aWntbmSpIqSn c­ണ്ടmw skj³ Bcw-`n-¨p. {ih-W-k-lm-bn-I-fpsS icn-bmb D]-tbm-K-s¯-¡p-dn¨v [mcW t\Sp-¶-Xn-\pÅ ¢mÊm-bn-cp¶p AXv. hnhn[ Xc-¯n-epÅ {ih-W-k-lm-bn-I-sf-¡p-dn¨v hni-Zo-I-cn-¨p. hearing aid sh¨n«pw Ip«n¡v tIÄhn-¡p-dhv A\p-`-h-s¸-Sp-I-bm-sW-¦n tIm¢nb Cw¹m-tâ-j³ sN¿p-¶-Xnsâ {]m[m-\y-s¯-¡p-dn¨pw XpSÀ¶pÅ 5 hÀjs¯ speech therapy sb¡p-dn¨pw knÌÀ hni-Zo-I-cn-¨p.-sN-dnb Ip«n-I-fpsS tIÄhn sSÌv sN¿p-¶Xv BERA (Brain Stem Evoked Response Audiometry) D]-tbm-Kn-¨m-Wv.

       B\µv,am-Xyqkv F¶o Ip«n-I-fpsS tIÄhn hne-bn-cp-¯m-\mbn ]¦m-fn-I-tfmSv Bh-iy-s¸-Sp-Ibpw hne-bn-cp-¯p-Ibpw Ah-cn speech therapy demonstrate  sN¿p-I-bp-ap-­ണ്ടmbn. Speach therapy ¡v ap³]mbn Ip«n-I-fn vegetation skill , [sucking ,chewing ] , pre-linguistic skill (memory attention, eye-hand co-ordination etc.) Dtണ്ടm F¶v  hne-bn-cp-¯p-Ibpw sN¿-Ww.

         ASp-¯-Xmbn knÌÀ hni-Zo-I-cn-¨Xv Audio Verbal Therapy  sb¡pdn¨m-Wv. tIÄhn-bn-eqsS ]Tn-¡pI. hyà-amb `mjWw {]Zm\w sN¿p-I. Natural language ,Individual therapy, amXm-]n-Xm-¡Ä A[ym-]-I-cm-hpI F¶o Imcy-§-fmWv AVT-bneqsS hyàam¡nbXv XpSÀ¶v speech kit ]cn-N-b-s¸-Sp-¯n. I®mSn,tongue depresser,tX³, _eq¬,XqhÂ,-t]-¸ÀIjv-W-§Ä, Straw, hnknÂ, flash cards, Ifn-¸m-«-§Ä, ]uUÀ XpS-§n-b-h-bmWv CXn DÄs¡m-Åp¶Xv.  Pragmatic kit  words cards, sentence cards, action pictures F¶n-h-bmWv DÄs¡m-Åp-¶Xv F¶v ]d-bp-I-bp-­m-bn. A¦-amen _n.-BÀ.kn bnse dn³kn So¨À Hcp A\p-`hw hni-Zo-I-cn-¡p-Ibpw knÌÀ AXn-\m-h-iy-amb ]cn-lmc-amÀK-§Ä \nÀtZ-in-¡p-Ibpw Dണ്ടm-bn. XpSÀ¶v dntkmgvkv A[ym-]-IÀ knÌ-dn-t\mSv kwi-b-§Ä tNmZn-¡p-Ibpw knÌÀ \à coXn-bn a\-Ên-em¡n Xcn-Ibpw sNbvXp.“ Úm\w apI-cpsS hm Xpd-¡p-Ibpw inip-¡Ä¡v kv^pS-ambn kwkm-cn-¡m³ Ignhv \ÂIp-Ibpw sN¿p-¶p.” F¶ \sÃmcp ktµ-i-t¯msS knÌÀ ¢mÊv Ah-km-\n-¸n-¨p.-A-¦-amen _n.-BÀ.-kn-bnse {ioaXn _nµp So¨À sFhn knÌÀ¡v \µn AÀ¸n-¨p.-Xp-SÀ¶v 4 aWn-tbmsS eLp `£-Whpw Nmbbpw FÃm-hÀ¡pw Bizmkw ]IÀ¶p.

       4.30 \v C¶s¯ ¢mknsâ feedback and review  \S¯n. ASp¯ Znh-ks¯ field trip plan sN¿p-Ibpw sNbvXp.A¦-amen _n.-BÀ.kn bnse tPman So¨À ¢mkv hfsc ^e-{]-Z-am-bn-cp¶p F¶v Adn-bn¨p. tZio-b-Km-\-t¯msS 2þmw Znh-ks¯ ¢mkv 5 aWn¡v Ah-km-\n-¨p.

                                      DAY 3

aq¶mw Znh-ks¯ ]cn-io-e\w sk_n-]p-c¯v ØnXn sN¿p¶ Poh-[m-c-bn-te¡v Field trip \S-¯n-s¡m-­ണ്ടm-bn-cp-¶p.-I-gnª Znh-ks¯ Xocp-am-\-{]-Imcw FÃm-hcpw 9.30\v Poh-[m-c-bn F¯n-t¨À¶p. hfsc at\m-l-c-amb Hcp Øe-am-bn-cp¶p AXv. AIzp-]-MvN-dmWv Poh-[m-c-bnse {][m\ NnInÕm coXn. cmPy-§-fpsS AXnÀh-c-¼p-IÄ Xmണ്ടn-sImണ്ടpw hn`n¶ tijn-I-fpÅ Ip«n-Ifpw Ah-cpsS c£n-Xm-¡fpw X§-fpsS Dugw Im¯n-cn-¡p-¶Xpw ImWm³ km[n-¨p.

              Dr.Sr.Marry Eassy M.D(A.M),Phd BWv CXnsâ Øm]-I. Cu NnIn-Õm-coXn {]mNo\ ssN\okv NnIn-Õm-co-Xn-bmb AIzp-]-MvN-dpw, Cäm-en-b³ coXn-bmb Ce-Ivt{Sm-tlm-an-tbm-¸-Xnbpw tNÀ¶ k¦c NnIn-Õm-co-Xn-bmWv skdn-{_ ]Äkn,-_p-²n-am-µyw,-Uu¬ kn³t{Umw,-Hm-«n-kw,Musculsr dystrophy,spins bijida, Bkva,Learning disorder XpS-§nb {]iv\-§Ä DÅ Ip«n-I-fmWv `qcn-`mKw ChnsS NnInÕ tXSn F¯p-¶Xv.  P\n¨v Hcp amkw {]mbapÅ Ip«n-IÄ¡v apX ChnsS NnInÕ \ÂIn hcp-¶p. NnIn-Õ-bn-ep-S-\ofw Ce-Ivt{Sm-tlm-an-tbm-¸Xn saUn-kn³ \ÂIp-¶p. AIzp-]-MvNÀ NnInÕ Hcp tImgvkn\v XpSÀ¨-bmb 12 Znhkw F¶ {Ia-¯n 15 Znh-ks¯ CS-thf \ÂIn-sIm-­mWv sN¿p-¶-Xv.

              {ioaXn kmdm½ So¨-dnsâ t\Xr-Xz-¯n dntkmgvkv A[ym-]-IÀ A©v AwK-§-fpÅ 8 {Kq¸pI-fmbn Xncnªv Xte Znh-ks¯ aps¶m-cp-¡-¯nsâ `mK-ambn X¿m-dm-¡nb tNmZym-h-en-IÄ AhnsSbpണ്ടm-bn-cp¶  c£n-Xm-¡-tfmSpw NnInÕ \ÂIp-¶-h-tcmSpw tNmZn-¡p-I-bpണ്ട-­m-bn. 9 {Kq¸p-I-fmbn Xncnª ]¦m-fn-IÄ Physiotherapy,AIzp-]-MvNÀ, speech Therapy,Behoucious Therapy,Special Teaching room  F¶o taJ-e-IÄ kµÀin-¡p-Ibpw hnh-c-§Ä tiJ-cn-¡p-Ibpw sNbvXp.

              AIzp-]-MvNÀ apdn-bn sN¶-t¸mÄ hnjvWp F¶ H¶c hbÊp {]mbapÅ Hcp Uu¬ kn³t{Umw Ip«nsb ImWm³ CS-bm-bn. A©v tImgvkmWv Ah³ ]qÀ¯n-bm-¡n-b-Xv. CXnsâ ^e-ambn Xe-bp-d-¡m-Xn-cp¶ Ahsâ Xe Dd-bv¡p-Ibpw Milestone se aäp Imcy-§Ä Bb InS-¶p-\o-´p-I,-C-cn-¡p-I,-]n-Sn-¨p-\n¡pI F¶o L«-§Ä t\Sp-hm³ NnIn-Õ-bn-eqsS Ah\v km[n-¨q F¶v amXm-]n-Xm-¡Ä km£y-s¸-Sp-¯n. hnhn-[-Xcw sXdm¸n D]-I-c-W-§-fpsS klm-b-t¯msS 4 sXdm-¸n-Ìp-IÄ Ip«n-IÄ¡v sXdm¸n \ÂIp-¶Xv ImWm³ km[n-¨p. Pediatric Rollator, Parallel bar with miror, Corner step, quadric muscular stimulator, Gait trainer standing frame, Walken with wheels and handle ball pooi, Gilting table,Cp vhair XpS§n B[p-\nI D]-I-c-W-§Ä Dണ്ടm-bn-cp-¶p. Behaviour Problems Iണ്ടp-h-cp¶ Ip«n-I-fn AXv amäm\mbn Behaviour Therapy sNbvXp hcp-¶p.

                            D¨bv¡v 1 aWn-tbm-Sp-IqSn DuWn-\mbn ]ncn-bp-Ibpw 2 aWn-tbmsS knÌÀ tacn CuÊn-tbmSv kwi-b-\n-hm-c-W-¯n-\mbn H¯v tN-cp-Ibpw sNbvXp. dntkmgvkv A[ym-]-I-cmb Pm\n tdmkn,-_n-µp,-_n³j,-A-iz-Xn,-ln-a,-D½p skÂa-¯v,-B-k-t]mÄ,-dn³kn,ssjtPm t]mÄ XpS-§n-b-h-cpsS kwi-b-§Ä¡v hfsc lrZyhpw hyà-hp-ambn adp-]Sn \ÂIn. Cu NnInÕm coXnbv¡v ]mÀiz-^-e-§Ä Cà F¶pw hfsc Ipdª sNe-hn NnInÕ sN¿m³ km[n-¡p-sa¶pw knÌÀ Iq«n-t¨À¯p. -P-\-d eoU-dmb _nµp knÌ-dn\v \µn ]d-bp-Ibpw kvt\lm-Z-c-kq-N-I-ambn a[p-c-]-e-lm-c-§Ä \ÂIp-Ibpw sNbvXp. Feedback  \v tijw aq¶-c-tbmsS FÃm-hcpw hoSp-I-fn-te¡v t]mhp-Ibpw sNbvXp.                              -

                                        DAY 4

              ]d-hqÀ _n.-BÀ.kn.bnse Bi So¨-dpsS Cuiz-c-{]mÀ°-\-tbm-Sp-Iq-Sn-bmWv 4þmw Znhks¯ ¢mÊv Bcw-`n-¨-Xv. Ignª Znhkw \S-¯nb ^oÂUv {Sn¸-nsâ dnt¸mÀ«v Ah-X-c-Whpw Bh-tem-I-\-hp-am-bn-cp¶p BZys¯ {]hÀ¯\w. {ioaXn Pnj,-{io-aXn P\oä F¶n-hÀ hfsc X³a-b-Xzt¯msS Ah Ah-X-cn-¸n-¡p-Ibpw sNbvXp. AXn-\p-tijw {ioaXn kmdm½ So¨À temt¡m-tam-t«mÀ Unsk-_n-en-än-sb-¡p-dn¨v FÃm-hÀ¡pw eLp hnh-cWw \ÂIn. XpSÀ¶v s]cp-¼m-hqÀ _n.-BÀ.kn.bnse ^nkntbm sXdm-¸n-Ìmb {ioaXn {]km-Zn\n amUs¯ ¢msk-Sp-¡p-¶-Xn-\mbn £Wn-¨p.

              10 aWn¡v ¢mÊv Bcw-`n-¨p. ]¦m-fn-IÄ¡v lyqa³ A\m-«-an-sb-¡p-dn¨pw imco-cnI \ne-sb-¡p-dn¨pw Hcp Ah-t_m[w \ÂIpI F¶-Xm-bn-cp¶p ¢mÊnsâ {][m\ e£yw.Skeletal system,Muscular system,Nervous system,Respiratory system,Cardiovascular system,Lymphatic system,Endocrine system,Digestive system,Urinary system,Reproductive system F¶n-§s\ 10 `mK-§-fmbn human anatomy þsb Xcw-Xn-cn-¨n-cn-¡p-¶p-sh¶pw AXnsâ {]hÀ¯-\-§Ä Fs´¶pw sXdm-¸nÌv hyà-am-¡n.

              lyqa³ kvsIen-ä knÌw aq¶v {][m\ `mK-§Ä DÄs¡m-Åp-¶p. Bones,Cartilages and Joints F¶n-h-bmWv Ah.- AØn hyhØ \½psS ico-c-¯n\v BIr-Xn-bpw,_-e-hpw,-i-co-cs¯ Xm§n \nÀ¯p-¶-Xn-\pÅ Ignhpw {][m\w sN¿p-¶p.-am-{X-aà ico-c-¯nsâ {][m\ `mK-§fpw B´-coI Ah-b-h-§-fp-amb Xe-t¨m-dv,-lr-Z-bw,-I-cÄ apX-em-bhsb _mly-£-X-§-fn \n¶pw AØn-hy-hØ kwc-£n-¡p-¶p. Red blood cells Dണ്ടm-Ip-¶-Xn\pw AØn-hy-hØ klm-bn-¡p-¶p.

              ASp-¯-Xmbn amUw ]d-ªXv Muscular system -s¯Ipdn-¨mWv. Muscles 3 Xc-¯n-em-Wp-ÅXv. Skletal muscle,Cardiac muscle,Smooth muscle. Skeletal muscle  ssI,-Im Ne-\s¯ klm-bn-¡p-¶p. Cardiac muscle lrZ-b-¯n-sâ {]hÀ¯-\-§sf klm-bn-¡p-¶. ico-c-¯nse aäp {][m\ {]hÀ¯-\-§-fmb Respiration,Circulation,Breathing,Heat production,Maintain posture,Metabolism F¶n-h-sb-¡p-dn¨v a\-Ên-em-¡m\pw Cu ¢mÊv klm-bn-¨p. hoUntbm Zriy-¯nsâ klm-b-t¯msS imco-cnI Ne\w hni-Zo-I-cn¨p X¶p.

              AÂ]t\cs¯ CS-th-f-bv¡p-tijw Nervous system s¯¡p-dn-¨mWv sXdm-¸nÌv hni-Zo-I-cn-¨-Xv. hoUntbm Zriy-¯nsâ klm-b-t¯msS Brain -sâ hnh[ `mK-§Ä ImWn-¨p-X-cn-Ibpw hni-Zo-I-cn-¡p-Ibpw sNbvXp. Nervous system 2 Xc-¯n-em-Wp-Å-Xv. Central nervous system,Periferal nervous system F¶n-h-bmWv Ah. Spinal cord  \n¶v 31 Spair Nervous - Dw Brain   \n¶v 12 spair cranial nervous Dw Peripheral nervous system  ¯n \n¶pw hcp-¶p. XpSÀ¶v {_bn-\nsâ {]hÀ¯-\-§sfIpdn¨v hyà-am-¡n. icocw Control sN¿p-¶-Xn\pw Co- Ordinate sN¿p¶-Xn\pw Brain þs\ klm-bn-¡p-¶Xv Nervous system BsW¶pw sXdm-¸nÌv Iq«n-t¨À¯p.

              AXn-\p-tijw Respiratory system  ¯ns\-Ip-dn-¨mWv ¢mÊv \S-¶-Xv. CXnsâ `mK-§-fmb Nostril,Nasal cavity,Pharynx,Larynx,Tracha F¶n-h-sb-Ip-dn¨v hni-Zo-I-cn-¨p. XpSÀ¶v D¨bv¡v 1 aWn-tbmsS `£-W¯n-\mbn ]ncn-ªp.

              1.30 \v Bcw-`n¨ ASp¯ skj³ Endocrine system,Physiology F¶nh-sb-Ip-dn-¨mWv hyà-am-¡n-b-Xv. F³sskw BWv F³tUmt{I³ knÌ-¯n {][m\ ]¦p hbv¡p-¶-Xv.

              `£Ww Zln-¸n-¡p¶ {]hÀ¯-\-§-fn F³sskansâ {]m[m-\yhpw sNdp-Ip-SÂ,h³Ip-S XpS-§n-b-h-bpsS {]m[m-\yhpw IqSp-X ]dªp X¶p.-A-Xn\p tijw kvtImfn-tbm-knkv 2 Xc-ap-sണ്ട¶pw Ah Functional scoliosis,Structural scoliosis F¶n-h-bm-sW¶pw hni-Zo-I-cn-¨p.Lodosis thyphosis F¶-h-sb-Ip-dn¨pw RP hyà-am-¡n.

              Polio,Muscular distrophy F¶nhsbIpdn-¨pÅ ¢mÊm-bn-cp¶p XpSÀ¶v \S-¶-Xv. Iqh-¸Sn _n.-BÀ.-kn-bnse {io ssjtPm kmÀ akvIp-eÀ Unkvs{Sm^n _m[n¨ Ip«n-bpsS A\p-`hw hnh-cn-¨p. AtX-Xp-SÀ¶p­ണ്ടmb kmdnsâ kwi-b-¯n\v sXdm-¸nÌv hfsc hyà-amb adp-]Sn \ÂIn. t]in-IÄ \in-¨p-sIണ്ടm-­n-cn-¡p¶ icXv F¶ Ip«n¡v izmkw -X-SÊw amäp-¶-Xn-\mbn hnhn[ izk\ ]cn-lmc {]{In-b-IÄ \nÀtZ-in-¡p-I-bmWv RP sNbvX-Xv.RP aäp A²ym-]-IÀ¡pണ്ട-­m-bn-cp¶ kwi-b-§Ä¡pw AXn-\p-X-Ipw-hn[w ]cn-lm-c-§Ä \nÀtZ-in-¨p. kÀPdn sNbvX Hcp tcmKn¡v \nÀ_-Ô-ambpw ^nkn-tbm-sX-dm¸n sNbvXn-cn-¡-W-sa¶pw amUw Iq«n-t¨À¯p. 4.30 \v ¢mÊv Ah-km-\n-¡p-Ibpw D½p kÂa-¯v,-kuay F¶nhÀ ^oUv _m¡v \ÂIn. 5 aWn¡v tZio-b-Km-\-t¯msS 4þmw Znh-ks¯ ]cn-io-e\ ]cn-]mSn Ah-km-\n¨p.                                   

                                         

                                          DAY 6

                                    11.03.2014 cmhnse 10 aWn¡v Pnj So¨-dpsS Cuiz-c-{]mÀ°-\-tbm-sS-bmWv 6 -mw Znhks¯ A[ym-]I ]cn-io-e\w Bcw-`n-¨-Xv. s]cp-¼m-hqÀ _n.-BÀ.-kn.bnse hnZy So¨À 5-mw Znhks¯ dnt¸mÀ«v Ah-X-cn-¸n-¨p. H¡p-t¸-j-W sXdm-¸nsbIpdn-¨pÅ ¢mÊm-bn-cp¶p At¶ Znh-ks¯ ]cn-io-e-\w. tImX-aw-Kew {]Xo£ kv¡qfnse H¡p-t¸-j-W sXdm-¸nÌmb knÌÀ tacn-em BWv dn-tkmgvkv t]gvk-Wmbn F¯n-b-Xv. knÌ-dpsS kc-fhpw hyXy-kvX-hp-amb ¢mÊv Gh-scbpw BIÀjn-¨p.

              H¡p-t¸-j-W sXdm-¸nbn dn{In-tb-j-W sXdm-¸n, BÀ«v sXdm-¸n, ayqknIv sXdm¸n XpS-§n-bh DÄs¡ണ്ടm-­n-cn-¡p-¶p. Hcp Akp-J-¯n \nt¶m imco-cnI Ah-Ø-bn \nt¶m c£ t\Sp-¶-Xn-\mbn tcmKn¡v imco-cn-I-ambpw am\-kn-I-ambpw s{]m^-j-W-embn Hcp Xm§p \ÂIp-I-bmWv  H¡p-t¸-j-W sXdm-¸nbn sN¿p-¶-Xv. CXnsâ e£y-§-sf-Ip-dn¨pw knÌÀ hni-Zo-I-cn-¨p.

              Early Stimulation, Intervention activities  apX-em-bh \ÂIp-¶-Xn-eqsS hf-sc-b-[nIw amä-§Ä Ip«n-I-fn Dണ്ടm-Ip-sa¶pw knÌÀ Iq«n-t¨À¯p. Ball therapy, Neck control, Good positioning, Midline orientation, Sitting activities, Side sitting, Sitting and Balancing activities, Corner seat, Roll and Trunk rotation, Creeping and Crawling, Kneeling, Standing therapeutic activities, Different touches for sensory intyegration  apX-embh H¡p-t¸-j-W sXdm-¸nbn sNbvXph-cp-¶ {]hÀ¯-\-§-fm-Wv. -Xp-SÀ¶v 11 aWn¡v CS-th-f-bv¡mbn ]ncn-ªp.

              Early intervention {]hÀ¯-\-§s-fIp-dn-¨mWv CS-th-f-bv¡p-tijw knÌÀ kwkm-cn-¨-Xv. sshI-eys¯ {]Xn-tcm-[n-¡p-I, sshIeyw aqe-ap-­ണ്ടm-Ip¶ Developmental delay XS-bpI F¶o {][m\ e£y-§Ä DÄs¡m-Åp-¶-Xm-Wv Early intervention Early intervention {]tXyIw X¿m-dm-¡nb t{]m{Km-am-Wv. IrXy-ambpw hyà-ambpw Xbm-bm-dm-¡n-bXpw Ip«n-bpsS hfÀ¨bv¡v A\p-tbm-Py-hp-amb {]hÀ¯-\-§-fmWv CXn DÄs¡m-Ån-¨n-cn-¡p-¶-Xv. Ip«n-I-fn Early intervention F{X-am{Xw kzm[o-\n-¨n-cn-¡p-¶p-sh¶v hoUntbm Zriy-¯nsâ klm-b-t¯msS hni-Zo-I-cn-¨p. H¡p-t¸-j-W sXdm-¸n bqWn-än \S-¯p¶ {]hÀ¯-\-§-fpsS hoUntbm {]ZÀin-¸n-¨p. D¨bv¡v 1 aWntbmsS `£-W-¯n-\mbn FÃm-hcpw ]ncn-ªp.

              1.30 \v D¨-`-£-W-¯n-\p-ijw FÃm-hcpw ¢mÊn H¯p-tNÀ¶p. RP aq¶v dntkmgvkv A[ym-]-Isc hnfn¨v Øew, Iണ്ടdn-bpsS t]cv F¶nh amän ]e {]mhiyw ]d-bp-hm³ Bh-iy-s¸-Sp-I-bp-­m-bn. Hcp Imcyw sN¿p-t¼mÄ hf-sc-b-[nIw attention Bh-iy-am-sW¶v Cu Ifn-bn-eqsS ]¦m-fn-IÄ¡v a\-Ên-      em-¡m³ km[-n¨p. Hm«nkw Ip«n-IÄ¡v ]cn-io-e\w \ÂIp-t¼mÄ Play therapy

¡v IqSp-XÂ {]m[m\yw \ÂI-W-sa¶v RP A`n-{]m-b-s¸-«p.

              skdn-{_ ]Äkn F´m-sW¶pw D­m-Im\pÅ Prenatal, Natal, Posnatal F¶o L«-§-fnse Imc-W-§Ä hoUntbm ¢n¸n-Mn-eqsS hni-Zo-I-cn-¨p. skdn-{_ ]Äknbpambn _Ô-s¸«v Monoplaegia, Hemiplegia, Quadriplegia, Triplegia F¶o Condition-\pIÄ hoUntbm Zriy-§Ä ImWn¨v RP hni-Z-am-¡n. skdn-{_ ]Äknbpambn _Ô-s¸«v AXnse hnh[ hn`m-K-§-fmb Spastic,Atoxic,Mixed F¶nh RP hnhcn-¨p. Ip«n-I-fpsS Nn{X-§Ä ImWn-¡p-Ibpw Hmtcm hn`m-K-¯n hcp¶ Ip«n-I-fpsS {]iv\-§Ä Fs´Ãmw F¶p NÀ¨ sNbvXp.

       skdn-{_ ]Äknsb IqSmsXbpÅ Loco motor disabilities  Bb Spina bifida, muscular dystrophy F¶nhbpw CP bpsS H¸w Ip«n-I-fn ImWp¶ aäv {]iv\-§fpw tIÄhn-Ip-dhv, ImgvN-ssh-Ieyw F¶n-h-sb-Ip-dn¨pw ]d-ªp.

       

                                        DAY 7

              Zi-Zn\ A[ym]I ]cn-io-e\¯nsâ 7þmw Znhks¯ ¢mÊv 9.30 \v ]d-hqÀ _n.-B-À.kn bnse Bi So¨-dnsâ {]mÀ°-\-tbm-Sp-IpSn Bcw-`n-¨p. A¦-amen _n.-BÀ.kn bnse Znhy So¨À 6þmw Znhks¯ dnt¸mÀ«v Ah-X-cn-¸n-¨p. Zi-Zn\ A[ym]I ]cn-io-e\¯nsâ RP Bb kmdm½ So¨À C¶s¯ ¢mÊv Occupational therapy sb Ipdn-¨m-sW¶p ]d-bp-Ibpw ¢msÊ-Sp-¡m-\mbn F¯n-¨À¶ Sr. Marylal s\ ¢mÊn-te-¡v kzmKXw sNbvXp.

              10 aWn¡v BZys¯ skj³ Bcw-`n-¨p. Occupational therapy F¶m Fs´¶v RP hni-Zo-I-cn-¨p. OT is an art and science of directing man’s participation is selected tasks to restore reinforce and enhance the perfomance facilitate learning of those skills and functions essential for adaptation and correct pathology and to promote and maintain health. F¶ OT Dw new definition  RP ]d-ªp. Occupational therapy bpsS Aims  Bb Primary concern to increase patients ,to facilitate devolopment of component of patient,perform components  F¶nh-sb-¡p-dn¨v hni-Zo-I-cn-¨p. XpSÀ¶v Occupational therapy modalities s\¡p-dn-¨mWv ]d-ª-Xv. AXn hcp¶ Imcy-§Ä Human activity, Extrinsic adaptation, spints, Therapist, Environment Teaching / Learning F¶n-h-bm-sW¶pw Ah-sb-¡p-dn-¨pw hni-Zo-I-cn-¨p.

       Sensory integration sâ {]m[m\yw a\-Ên-em-¡p-¶-Xn-\mbn RP , SI  Fs´¶pw hni-ZoIcn-¨p. Sensory integration is the organisation of sensation by the brain for using everyday life. Sensory integration  innate nervo biological process by refers integration and intepretation of sensory stimulation from the environment by brain. A\p-Zn\ Pohn-X-¯n SI hfsc AXym-h-iy-am-sW¶pw Sensory system ¯n IqSpX-embn Du¶Â \ÂIp¶ taJ-e-I-sf-Ip-dn¨v ]d-ªp. Spastic Ip«n-bmb amXyq-kn\v Ball therapy Exercise sN¿p-¶Xv OT sImSp-¡p-t¼mÄ Htcm¶pw sN¿p¶ hn[hpw  Facial massage, face tape F¶nh tPml\ F¶ Ip«nsb sN¿p-¶Xv ImWn¨p X¶p.-Demonstration ¢mÊv hfsc \¶mbn ImWn-¡p-hm³ RP km[n-¨p.11 aWntbmsS Tea break \mbn ]ncn-ªp.

       11.40 \v ¢mÊn-\mbn ho­ണ്ടpw H¯p-tNÀ¶p. Congenital, Acquired, Disability IÄ X¶n-epÅ hyXymkw knÌÀ ]d-ªp. XpSÀ¶v Sensory integration  hcp¶ Fs´Ãmw dysfunctions  F¶p ]dªp.

       Sensory integration dysfunctions \pÅ Treatment equipments  s\ ¡pdn-¨m-bn-cp¶p XpSÀ¶pÅ ¢mÊn tactile equipments, non-suspended moving equipment, motor planning equipment  F¶n-h-bm-sW¶pw Ah-bn hcp¶ equipments  GsXm-s¡-bm-sW¶pw hyà-am-¡n. Sensory planning worksheet ]cn-Nbs¸-Sp-¯p-Ibpw Ah-bn hcp¶ Imcy-§-fmb tastel smell, oral textire, tactile, vestibular movements, vestibular gravity, visual auditory F¶nh Fs´¶v hni-Z-am-¡n. Sensory integration   hcp¶ Sensory awarness Dw sensory processing Dw X½n-epÅ hyXymkw ]d-ªp. Sensory awarness  hcp-¶XmWv  tactlile,proprioceptive,vestibular,visual,auditory,Gustatory olfactory F¶n-hbpw Sensory processing Disorder   hcp-¶  sensory modulation disorder, sensory discumination disorder,sensory based motor behaviour Dw BWv F¶v a\-Ên-em-¡m³ km[n-¨p.

       ImgvN-bnepw tIÄhn-bnepw proprioception epw tactlile Dw hcp¶ dysfunctions s\¡p-dn¨v hni-Zo-I-cn-¨p. Occupational therapy sN¿p-¶-Xnsâ End product Bbn In«p-¶Xv ability to concentrate, ability to organize, Self esteem, Self control, Self confidence F¶n-h-bm-Wv. Normal perceptual skills Fs´-Ãm-am-sW¶v hni-Zo-I-cn-¨p. Perceptual motor process Â. Problems Ds­¦n Ah XoÀ¨-bmbpw learning effect s\ affect sN¿pw F¶p ]d-ªp. 1 aWn¡v DuWn-\mbn ]ncn-ªp.

      2 aWn¡v ho­pw ¢mÊn-\mbn H¯p-tNÀ¶p. Occupational therapy  activities sN¿p-¶-Xn-eqsS socialisation D­mIp¶p F¶pw CXn play therapy  bpsS {]m[m\yhpw ]d-ªp.Play eqsS {]tXyI ]cn-K-W\ AÀln-¡p¶ Ip«n-I-fpsS Learning improve sN¿m³ km[n-¡p¶ hoUntbm ¢n¸n-Mp-IÄ knÌÀ tacn ImWn-¡p-I-bp-­m-bn. Recreational therapy  AXnsâ Psychological benefits, cognitive benefits F¶n-h-sb-Ip-dn¨v knÌÀ eLp hnh-cWw \ÂIn.

       knÌÀ dntkmgvkv A[ym-]-Isc ]e Xc-¯n-epÅ Ifn-IÄ ]cn-N-b-s¸-Sp-¯p-Ibpw Ifn-¸n-¡p-Ibpw sNbvXp. hfsc ck-I-c-amb Ifn-I-fm-bn-cp-¶p. Hm«nkw Ip«n-IÄ¡v hfsc {]tbm-P-\-{]-Z-am-bn-cn¡pw Ifn-IÄ F¶v knÌÀ hni-Z-am-¡n. 4 aWntbmSp IqSn knÌ-dnsâ ¢mÊv Ah-km-\n-¨p. knÌÀ tacn¡v P\-d eoU-dmb _nµp \µn ]d-ªp. XpSÀ¶v C¶s¯ ¢mknsâ  feed back an\n So¨À, kmdm½ So¨À F¶n-hÀ Ah-X-cn-¸n-¨p. 5 aWn¡ tZio-b-Km-\-t¯msS ¢mÊv Ah-km-\n-¨p.   

                                               DAY 8

                                 Zi-Zn\ sXdm-]yq-«nIv kÀÆo-kknsâ F«mw Znh-k-am-bn-cp¶ 13/03/2014 cmhnse 10 aWn¡v Cuiz-c-{]mÀ°-\-tbmsS ¢mÊv Bcw-‘n-¡pIbpw AXn-\p-tijw Iqh-¸Sn _n.-BÀ.-kn-bnse lna So¨À Ignª Znh-ks¯ dnt¸mÀ«v Ah-X-cn-¸n-¡p-Ibpw sNbvXp. tijw kmdm½ So¨À,tUm.kvanX amUs¯ ]cn-N-b-s¸-Sp-¯n..-A-Xn-\p-tijw amUw ¢mÊv Bcw-`n-¡p-Ibpw Physiotherapy F¶m physical modalities sIm­pÅXmsW¶pw hni-Zo-I-cn¨p. 18þmw sk©zdn apXte physiotherapy I­n-cp-¶p-sh¶pw 1813  Royal central of gymastic F¶ t]cn kznU\n Physiotherapy centre Bcw`n-¨Xmbn- N-cn{X tcJ-IÄ km£ys¸-Sp-¯p-¶p. ssI¿n-epw Imen\pw passive,active exercise sImSp-¡p-¶-Xn-s\-bm-W Gynamiclone F¶p ]d-bp¶Xv. Electrotherapy F´m-sW¶pw AXn Low current, High current  IS¯n hnSmsa¶pw, Ultrasound -Electrotherapy bn D]-tbm-Kn-¡p-¶-Xmbpw hni-Zo-I-cn¨p. IRR AXm-bXv Infra Red Radiation F§s\ ^e-{]-Z-ambn ^nkn-tbmsXdm-¸n-bn D]-tbm-K-s¸-Sp-¯m-sa¶pw DZm-l-c-W-k-ln-Xw- hn-iZoI-cn¨p. IRR {]tbm-Kn-¡p-t¼mÄ  Blood vessels \¶mbn hnI-kn-¡p-¶Xp-aqew Blood circulation hÀ²n-¡p¶p.  Hydrotherapy  shÅ-¯nsâ Force D]-tbm-Kn-¨pÅ Treatment F¶v ]d-b-s¸-Sp-¶p. Exercise therapy bn Active movements Dw Passive movments D­v. Active movements X\nsb sN¿p-¶XmWv,  Hydrotherapy bv¡v  Icepack D]-tbm-Kn-¡p-¶p. Ice t\cn«v ico-c-¯n hbv¡m-sX- XpWn c­v aS-¡p-I-fm¡n AXn sFkv h¨n«v tcmKn-bpsS ico-c-¯n {]tbmKn-¡p¶p. AXp-t]mse Heat packs sâ Treatment plan F§-s\-bp-Å-Xm-sW¶v Therapist s\ B{ibn-¨n-cn-¡pw. FÃm sXdm-¸nÌpw Massage sN¿-W-sa-¶n-à F¶v amUw hni-Zo-I-cn¨p X¶p. AXn-\p-t\cn«vtijw ic-¯nsâ Birthday BtLmjn-¡pIbpw sNbvXp. icXv Muscular dystrophy bpÅ Ip«n-bm-Wv.  AXp-t]mseXs¶ Ip«n-Isf Therapy sN¿p-t¼mÄ a\-Ên-em-t¡­ Imcy-§-sf-¡pdn-¨v amUw hni-Zo-I-cn¨p. AXm-bXv Ip«n-IÄ¡v touch eqsS AhÀ¡v Feel sN¿m³ km[n-¡pw. ]ns¶ _ew ]nSn-¨n-cn-¡p¶ Ip«n¡v Against Bbn Therapy sN¿m³ ]mSnà F¶pw Ip«n dnemIvkv sNbvX tijw am{Xsa passive exercise sN¿mhq. AsÃ-¦n Ip«n-IÄ Co-operate sN¿nà F¶pw ]d-ªp. Ip«n-Ifpw sXdm-¸nkväpw CS-bn Rapport D­m-bn-cn¡-W-sa¶pw AXp-t]mse Ip«nsb Therapy sN¿p-t¼mÄ A½-sbbpw IqsS \nÀ¯Wsa¶pw \nÀtZ-in-¨p. Hmtcm sXdm¸n skjsâbpw IrXy-amb XpSÀ¨ hoSp-I-fn c£n-Xm-¡-f-DsS taÂt\m-«-¯n \S-¯n-bm am{Xta sXdm-¸n-IÄsIm-­pÅ {]tbm-P\w ]qÀ®-ambpw t\Sp-hm³ km[n¡q F¶pw sXdm-¸nÌv hyà-am-¡n.  BZyw Xe apX-epÅ Joints s\ mobilize sN¿pI. AXp Ign-ª-Xn-\p-ti-jta Xmsg-bpÅ `mK-§Ä sN¿m-hq.  Exercise sN¿n¸n¡p-t¼mÄ Verbal prompt sImSp¯v sN¿n-¸n-¡-W-sa¶pw ]d-ªp. Flexion deformity sb XS-bm³ Exenters \v Strengthen sN¿m-\pÅ Exercise sImSp-¡mw. AXp-t]mse aÊmPv sN¿p-¶Xp \Ã-Xm-sW¶pw aÊmPn\v [mcmfw sSIv\nIvkv Ds­¶pw ]d-ªp. Ip«n \S-¡p-t¼mÄ ]mZ-¯nsâ BIr-Xnbn hc¨v Imep-IÄ FSp¯v h¨v \S-¡m³ ]d-bmw. AXp-aqew Hip Adduction In«p-sa¶pw ]d-ªp. ]ns¶ dntkmgvkv A[ym-]-IÀ Ip«n-IÄ¡v Managemant exercise s\¸än tNmZn-¡p-Ibpw AXn\v D¯cw \ÂIp-Ibpw practical cq]-¯n amUw ImWn-¨p- XcnIbpw sNbvXp. Ip«n-IÄ¡v am{X-aà A²ym-]-IÀ¡pw hcp¶ {]iv\-§Ä F§s\ ]cn-l-cn-¡m-sa¶pw ]dªp X¶p. 3.40 sXmsS ¢mÊv Ah-km-\n-¨p. XpSÀ¶v kmdm½ So¨-dnsâ t\Xr-Xz-¯n ¢mÊnsâ Review \S-¡p-Ibpw A¦-amen _n.-BÀ.-kn-bnse acnb So¨À dnt¸mÀ«v Ah-X-cn-¸n-¡p-Ibpw sNbvXp. AXn-\p-tijw 4 aWn¡v tZio-b-Km-\-t¯msS ¢mÊv Ah-km-\n-¡p-Ibpw sNbvXp. 

  DAY 9

Zi-Zn\ sXdm-]yq-«nIv kÀÆo-kknsâ 9þmw Znh-ks¯ ]cn-io-e\w 14 \v cmhnse 10 aWn¡v s]cp-¼m-hqÀ _n.-BÀ.-kn-bnse Pm\n So¨-dnsâ {]mÀ-°-\-tbmsS Bcw-`n-¨p. Beph _n.-BÀ.knbnse Pnj So¨À Ignª Znh-k-s¯ -dn-t¸mÀ«v Ah-X-cn-¸n-¨p. kmdm½ So¨À ¢msÊ-Sp-¡m-s\-¯nb Sr.Tesmin s\ ]cn-N-b-s¸-Sp-¯n.

              Orthotic diseases ]cn-N-b-s¸-SpI F¶-Xm-bn-cp¶p BZys¯ skj³. hoUntbm ¢n¸n-§p I-fpsS klm-b-t¯msSbmWv knÌÀ ¢msÊ-Sp-¡p-hm³ Bcw-`n-¨-Xv. BZy-ambn AFO sbIp-dn-¨mWv ]d-ª-Xv. AFO F¶m Ankle Foot Orthosis F¶m-sW¶pw Imensâ dorsal parts Bb hnc-ep-I-fp-sSbpw Im¸m-Z-¯n-sâbpw muscles affect  sN¿p-t¼mÄ D]-tbm-Kn-¡p¶  device  BWv AFO F¶v ]d-ªp. ‘AFO’ D]-tbm-Kn-¡p-t¼mÄ IrXy-amb Af-hn Measurement FSp-¯mte Ip«n-IÄ¡v D]-Im-c-{]Z-am-Ip-I-bp-Åq F¶v knÌÀ ]d-ªp. ‘AFO’ [cn-¡p-t¼m-Ä {i²n-t¡­ Imcy-§Ä Fs´ms¡ F¶v knÌÀ hni-Zo-I-cn-¨p. ‘AFO’c­v Xc-¯n-ep-s­¶pw Static AFO, Dynamic AFO F¶n-h-bpsS Nn{X-§Ä ImWn¨v Ch X½n-epÅ hyXymkw a\-Ên-em¡nsIm-Sp-¯p.

              RP Knee Ankle Foot Orthosis s\¡p-dn-¨mWv ASp-¯-Xmbn ]d-ªXv. KAFO [cn-¡p-t¼mÄ Heal touch sNbvXv Ib-ä-W-sa¶pw, hnhn-[-Xcw KAFO bpsS Nn{X-§Ä ImWn-¡p-Ibpw Ah-sbIp-dn¨v hni-Zo-I-cn-¡p-Ibpw sNbvXp. Severe  Bb Upper parts Dw Lawer parts Dw affect sNbvX Ip«n-IÄ¡mWv CXv D]-tbm-Kn-¡p-¶-Xv. Adductor seperator D]-I-c--W§fpsSbpw Nn{X-§Ä ImWn¨v D]-tbm-Kn-t¡­ hn[w hni-Zo-I-cn-¨p. mile stone delay Bb DSs\ Ip«n¡v ^nkn-tbm-sX-dm¸n \ÂI-W-sa¶pw A§s\  sNbvXm hf-sc-b-[nIw amä-§Ä {]Xo-£n-¡m-sa¶pw hni-Zo-I-cn¨p.

              Splint Isf-¡p-dn-¨mWv ASp¯ skj-\n ]d-ªXv Splint c­v Xc-¯n-ep-s­¶pw Static  mobilization km[n-¡nà F¶pw Dynamic  mobilization km[n-¡p-sa¶pw ]dªp.Static splint sâbpw Dynamic splint sâbpw Nn{X-§Ä ImWn¨v hyXym-k-§Ä ]d-ªXv ]¦m-fn-IÄ¡v Ch X½n-epÅ hyXymkw Ffp-¸-¯n a\-Ên-em-¡m³ klm-bn-¨p. ]e Xc-¯n-epÅ cockup splint s\¡p-dn¨v RP ]d-ªp. Comfypryne-cockup band (hfbn-Sp-¶-Xp-t]mse Npän-bn-Sp-¶-Xv) F¶o ]pXn-b-Xmbn h¶ splint Isf RP ]cn-N-b-s¸-Sp-¯p-I-bp-­m-bn. 11.30 \v So t{_¡n-\mbn ]ncn-ªp.

              Prosthetics devices F´m-sW¶v 12 aWn¡v Bcw-`n¨ skj-\n RP hni-Zo-In-¨p. Ampulation \v tijw cut sNbvX-Xnsâ Øm\¯v BÀ«n^n-jy Bbn«v ^näv sN¿p¶ t_mUn ]mÀ«v Unssh-kns\ Prosthetics Device F¶p ]d-bp-¶p. Orthosis,Prosthetics Device IfpsS hyXym-k-§Ä RP hoUntbm Nn{X-§-psS klm-b-t¯msS ]¦m-fn-IÄ¡v a\-Ên-em¡n sImSp-¯p. Frog splint s\Ip-dn-¨pÅ dntkmgvkv A²ym-]n-I-bpsS kwi-b-¯n\v Phalanges joint \v Abnormality Ds­--¦n-emWv AXv D]-tbm-Kn-¡p-¶Xv F¶v Rp hni-Zo-I-cn-¨p.

              Calipers s\¡p-dn-¨mWv Rp XpSÀ¶v hniZo-I-cn-¨-Xv. Caliper Fs´¶v hni-Zo-I-cn-¡pIbpw Axilary cructches walkers,Rotator forarm cructches,walking stand F¶n-h-bpsS Nn{X-§Ä ImWn¨v D]-tbm-Kn-t¡­ hn[w ]d-bp-I-bp-­m-bn. D¨bv¡v 1 aWn¡v  Lunch break \mbn ]ncn-ªp.

              2 aWn¡v ho­pw ¢mÊn-\mbn H¯ptNÀ¶p. Supination,Pronotion Exercise sN¿p-¶--Xn-\p-th-­n-bpÅ D]-I-c-W-§Ä ]cn-N-b-s¸-Sp-I -F-¶-Xm-bn-cp¶p Cu skjsâ e£yw. Pully,Dumbells,Cervical collar F¶o D]-I-c-W-§Ä  ]cn-N-b-s¸-Sp-¯n.  Back muscles strenghthening sN¿m-\pÅ  Bridging exercise  GsXÃmw F¶p  RP hni-Zo-I-cn-¨p. standing,frame,standing box,Cp chair F¶nh hm§p-t¼mÄ {i²n-t¡­ Imcy-§-sf-¡p-dn¨v ]d-ªp.  ‘Terra band’ F¶ ]pXnb D]-I-c-W-s¯-¡p-dn¨v RP hni-Zo-I-cn-¨p. ‘Terra band’ D]-tbm-Kn¡pt¼mÄ Shoulder exension,flexion,Adduction movement   D­m-Ip¶ {]iv\-§Ä Ipdbpw F¶p ]d-ªp. Trycycle,Till table,Ball pool F¶n-h-bpsS D]-tbm-K-¯n-s\-¡p-dn-¨pÅ dntkmgvkv A²ym-]-IcpsS kwi-b-¯n\v RP DNn-X-amb adp-]Sn \ÂIn.

              Spina Bifida sb¡p-dn-¨pÅ ¢mÊmWv ASp-¯-Xmbn FSp-¯-Xv. Spinal cord   hcp¶ viral infection aqeamWv CXv hcp-¶-sX¶pw Lower limb s\ affect sN¿p¶ tcmK-amWv DsX¶pw RP Iq«n-¨À¯p. Spina Bifida DÅ Ip«n-Ifn ImWp¶ {][m\ {]iv\-amb Urinary bladder control F§s\ ]cn-l-cn-¡m-sa¶pw ]d-ªp. Spina Bifida 3 hn[-¯n-ep-s­¶pwSpina Bifida Occultra, Meningocele, Myelomeningocel F¶n-h-bm-sW¶pw hoUntbm Zriy-§-fn-eqsS hyXymkw Fs´¶pw RP hyà-am-¡n. IotämPb-XnI Ub-ä-ns\-¡p-dn¨v knÌÀ ]d-ªXv FÃm-hÀ¡pw In«nb Hcp ]pXnb Adn-hm-bn-cp-¶p.

                     3.30 \v ¢mÊv Ah-km-\n-¡p-Ibpw ¢msÊ-Sp-¡m-s\-¯nb knÌÀ sSkvan¡v P\-d eoUdmb _nµp \µn ]d-ªp. 9þmw Znh-ks¯ ¢mÊnsâ Feedback Iqh-¸Sn _n.BÀ.knse civan So¨À Ah-X-cn-¸n-¨p.4.30 aWn¡v tZio-b-Km-\-t¯msS Ah-km-\n-¨p.       

 DAY 10

Zi-Zn\ sXdm-]yq-«nIv ]cn-io-e\¯nsâ 10þmw Znh-ks¯ ¢mÊv amÀ¨v 15 \v 10 aWn¡v Beph _n.-BÀ.-kn-bnse PnÊn So¨dnsâ {]mÀ°-\-tbmsS Bcw-`n-¨p. A¦-amen _n.-BÀ.-kn-bnse jn½n So¨À 9þmw Znh-ks¯ dnt¸mÀ«v Ah-tem-I\w \S-¯n. Ignª 9 Znh-k-§-fn \S¶ {]hÀ¯-\-§-fpsS {]kà `mK-§Ä Demonstration ¢mÊpIÄ F¶n-h-bpsS hoUn-tbm-Zr-iy-§Ä Iqh-¸Sn _n.-BÀ.-kn-bnse ssjtPm t]mÄ kmÀ LCD  {]ZÀin-¸n-¨p.

              kmdm½ So¨À C¶s¯ ¢mÊv music therapy sbIp-dn-¨m-sW¶pw {]tXyI ]cn-K-W\ AÀln-¡p¶ Ip«n-IÄ¡v GsXÃmw coXn-bn music therapy \ÂIm-sa¶pw \ap¡v ¢mÊn-eqsS a\-Ên-em-¡m³ km[n¡pw F¶pw -A-`n-{]m-b-s¸-«p. dntkmgvkv A²ym-]-Isc hnhn[ {Kq¸p-I-fmbn Xncn-¡p-Ibpw Hmtcm {Kq¸n-t\mSpw So¨À ]m«v ]mSm³ Bh-iy-s¸-«p.-A-[ym-]n-I-amÀ {Kq¸p-I-fmbn Xncnªv ]m«p-I-Ä ]mSp-I-bp-­mbn. XpSÀ¶v music therapy bpsS ¢msÊ-Sp-¡m-\mbn F¯n-t¨À¶ RP {io i¦-cm-Nmcy tImtf-Pnse Akn-Ìâv s{]m^-k-dmb {]oXn amUs¯ ¢mÊn-te¡v kzmKXw sNbvXp.

       kwKo-X-¯n {ipXn amXmhpw ebw ]nXm-hp-amsW¶ BsW¶ Bibw \ÂIn-sIm­mWv RP ¢mÊn\v XpS¡w Ipdn-¨-Xv.-j-UvPw,-E-j-`w,-Km-Ôm-cw,-a-[y-aw,-]-©-aw,-ss[-h-Zw,\njmZw F¶nh-bmWv k]vX-kz-c-§Ä.hn-`n¶ tijnbp-Å Ip«n-I-fn Xmf-e-b-kw-Kn-X-¯nsâ AXn-Øm\w DÅn D­mIpw F¶ Bi-bhpw amUw hyà-am-¡n.-A-Xp-sIm­v Xs¶ music therapy hn`n¶ tijnbp-Å Ip«n-I-fn hf-sc-b-[nIw kzm[o\w sNep-¯p-¶p. Xmfw A©v PmXn-bm-Wp-Å-Xv.- Xn-{iw (X,-In,-S),- -Np-c{i PmXn (X,-I,-[n,-an),JWvU PmXn (X,-I,-X,-In,-S), an{i PmXn (X,-I,-[n,an,-X,-In,S), k¦oÀW PmXn (X,-I,[n,-an,-X,-I,-X,-In,-S) F¶n-h-bmWv Ah. Hmtcm Xmf-hpw A[ym-]-Isc sIm­v ]mSn-¡p-Ibpw a\-Ên-em¡n Xcn-Ibpw sNbvXp. hn`n¶ tijnbp-Å Ip«n-I-fn Xmfw sNep-¯p¶ kzm[o\w ImWn-¡p-¶Xn\mbn AizXn F¶ skdn-{_ ]Äkn _m[n¨ Ip«nsbs¡m­v hnhn[ Xmf-Pm-Xn-IÄ sIm«n-¡p-Ibpw ]mSn-¡p-Ibpw sNbvXp.

              11.45 \v amXyqkv F¶ Ip«n-bpsS ]nd-¶mÄ BtLm-jn-¡p-Ibpw P·Zn\m-i-w-k-IÄ t\cp-Ibpw sNbvXp. XpSÀ¶v {XaqÀ¯n-Isf ]cn-N-b-s¸-Sp-¯n-sIm-­mWv skj³ Bcw-`n-¨-Xv. iyma-im-kv{Xn-IÄ,-Xym-K-cm-P-kzm-an-IÄ,-ap-¯p-kzman Zo£n-XÀ F¶o al-Xvhy-àn-IÄ kwKo-X-¯n\p \ÂInb kw`m-h-\-I-sf-¡p-dn-¨pw amUw hni-Zo-I-cn-¨p.-Hcp kwKoXw tI¡p-t¼mÄ hyàn-I-fn hnhn[ Xc-¯n-epÅy Response BWv D­m-Ip-¶-Xv. Physical response, Mental response, Intellectual response, Blissful response XpS-§n-b-h-bmWv Ah. Nne cmK-§-Ä ]e Akp-J-§-tfbpw XS-bp-¶-Xn-\mbn I­p-h-cp-¶p. ss`ch cmKw-þ-Sn._n, Im³kdn\pw lntµm-fw,-h-k´w F¶n cmK-§Ä hmXw, Xà-k-½ÀZw F¶n-hbv¡pw lc-l-c-{]nb cmKw-þ-sSÂj³ amdp-¶-Xn\pw kmcwK cmKw ]n¯¯n\pw Ieym-Wn,-i-¦-cm-`-cWw,Nm-cp-tIin F¶o cmK-§Ä lrt{Zm-K-¯n\pw Akm-thcnþX-e-th-Z-\,-am-\-knI Akp-J-§Ä¡pw hfsc ^e-{]-Z-am-sW¶ Adnhpw amUw {]Zm\w sNbvXp.

              Communication skills, Academic or behaviour skills, Motor skills, Other skills F¶o taJ-eIfn kwKoXw Ip«n-I-fn D­m-¡p¶ khn-ti-j-X-IÄ hoUntbm Zriy-§-fpsS klm-b-t¯msS ImWn¨p X¶p. C´y³ kwKo-Xhpw sht̬ kwKo-Xhpw Ip«n-I-fn Hcp t]mse kzm[o\w sNep-¯p-¶p. dntkmgvkv A[ym-]n-I-am-cmb Bi-t]mÄ,-Pm\n tdmkn, tPman tSman, Pnj hÀ¤okvv, PnÊn tPm¬, F¶n-hÀ ]m«p-IÄ ]mSp-Ibpw RP‘tKmhnµt_mse’ -F-¶ at\m-l-c-amb Km\w Be-]n¨p sIm­v 1.30 \v ¢mÊv Ah-km-\n-¨p.

              D¨ Xncnªv 2.30 \v kmdm½ So¨-dpsS t\Xr-Xz-¯n Zi-Zn\ ]cn-io-e\ ¢mÊp-I-sf-Ip-dn-¨pÅ Feedback \S¯n. Hmtcm-cp-¯cpw Ah-c-h-cpsS A`n-{]m-b-§Ä Gh-cp-sSbpw ap¶n hyIvXam-¡n. AXXv PnÃ-I-fn Zi-Zn\ ]cn-io-e\w \S-¯n-b-Xn-t\mSv FÃm-hcpw tbmPn-¨p.- aäv PnÃ-I-fn \S--¯nb ]cn-io-e-\-§sf At]-£n¨v Cu Zi-Zn\ ]cn-io-e\w hfsc kuI-cy-{]-Zhpw dntkm-g-vkv A[ym-]-I-cn ]c-kv]cw \à kulrZw kvYm]n-¡p-hm\pw km[n-¨-Xmbn RP amÀ A`n-{]m-b-s¸-«p. s]cp-¼m-hqÀ _n.-BÀ.kn-bnse kmdm½ So¨-dpsS Imcy-£-a-amb {]hÀ¯\w RP amsc Is­-¯p-¶-Xn\v klm-bn-¨p F¶pw Therapist IÄ CXn- -\n¶pw hn«p \n¶ kml-N-cy-¯nepw Therpist Isf Is­¯n ¢mÊv apt¶m«p \bn-¡m³ km[n-¨Xpw hfsc ÇmL-\o-b-am-bn-cps¶¶pw RT amÀ A`n-{]m-b-s¸-«p.

              3.15 \v kam-]\ kt½-f\w Bcw-`n-¨p. Ai-a-¶qÀ ]©mb¯v {]kn-Uâv {ioaXn sUbvkn tXma-knsâ A²y-£-X-bn Bcw-`n¨ kt½-f\w Iqh-¸Sn t»m¡v ]©m-b¯v {]kn-Uâv {io sdPn C«q¸v DZvLm-S\w sNbvXp. _n.-BÀ.kn s{Sbv\À {ioaXn timim½ kzmKXw Biw-kn-¨p.

             

dntkmgvkv A[ym-]-IÀ¡pÅ kÀ«n-^n-¡äv hnX-cWw {io sdPn C«q¸v {ioaXn civan¡v (Iq-h-¸Sn _n.-BÀ.-kn) sImSp¯psIm­v DZvLm-S\w sNbvXp. XpSÀ¶v 10 Znh-ks¯ s{Sbv\nw-Kn-s\-Ip-dn-¨pÅ Folloe up \pth­n PnÃm t{]m{Kmw Hm^o-kÀ {ioaXn Zo] Ae-Ivkyqkv F¯p-Ibpw Zi-Zn\ ]cn-io-e\w hfsc hnP-b-I-c-am-¡p-Ibpw IrXy-X-tbm-sSbpw sN¿m³ km[n¨p F¶pw amUw ]d-ªp. Cu ]cn-io-e-\-¯n-\p-th­n {]b-Xv\n¨ FÃm-hÀ¡pw amUw \µn ]d-ªp.- ]cnioe-\-¯n ]s¦-Sp¯ 45 A[ym-]-IÀ¡pw kÀ«n-^n-¡äpw TA Dw hnX-cWw sNbvXp. AXn-\p-tijw Beph _n.-B-À.-kn-bnse an\n So¨À 10 Znhkw \S¶ ¢mÊp-I-sf-Ip-dn¨v Hcp Ah-tem-I\w \S-¯n. XpSÀ¶v 10 Znhks¯ sXdm-]yq-«nIv ]cn-io-e-\-¯nsâ tUmIyp-sa-tâ-j³ hoUntbm Zriy-§Ä {io ssjtPm t]mfnsâ t\Xr-Xz-¯n GhÀ¡pw ImWm³ km[n-¨p. dntkmgvkv A[ym-]nI {ioaXn _nµp t__n FÃm-hÀ¡pw IrX-ÚX AÀ¸n-¨p. 4.45 \v tZio-b-Km-\-t¯msS 10 Znh-k-§-fn-embn \S-¶p-sIm-­n-cp¶ sXd-m]yq«nIv A[ym-]I ]cn-io-e-\-¯n\v Xnc-ioe hoWp.       

PHYSIOTHERAPY INAUGURATION