Rehabilitation Center

A Rehabilitation Center is a medical service provided by an experienced multidisciplinary team led by a rehabilitation physician, physical therapist, occupational therapist, dietitian, etc. The scope of services ranges from assessment, diagnosis, treatment, or rehabilitation planning using a variety of methods such as using physical therapy equipment to relieve pain due to deterioration of the body, sports injuries, people who have both acute and chronic pain problems, personalized therapeutic exercise, movement and muscle training, training in daily life in patients with impaired movement, return to normal or closest to normal. Providing rehabilitation to patients after surgery, rehabilitating swallowing and speaking, including rehabilitation of the elderly, and promoting health to prevent various diseases.

The aims of the Rehabilitation Medicine and Physical Therapy Department Princ Hospital Suvarnabhumi is provide a good experience to our service recipients, rehabilitation treatment with modern tools and technology, along with various procedures to help patients return to their own lives for a better quality of life.

 

Physical Therapy and Rehabilitation Center

Providing occupational therapy services covering both pediatric and adult patients.

• Child Development
• Swallowing Practice
• Pre-Speech
• Self-awareness - understanding Practice
• Fine-Motor Development / Hand function
• ADL training

For further inquiry please contract: Line: psuv_pt

 

Diagnostic Services

• Electromyography; EMG

Electromyography is a measurement of electrical signals in nerves and muscles for diagnosis and prediction of pathological conditions occurring in nerves or muscles. This method is a painful and time-consuming examination. The examination takes approximately 30 minutes to 2 hours. The examination consists of 2 parts as belows;

1. Nerve conduction study (NCS) is releasing a safe amount of electric current stimulate along the nerves in various parts of the body that are suspected of abnormalities. For detect abnormalities of nerves in areas where there is suspected disease.
2. Electromyographic study (EMG) is a small needle to detect abnormal signals in the muscles. The doctor will combine the information from both parts of the test for use in making a diagnosis.

- Physical Therapy Assessment

- Occupational Therapy Assessment

- Physical Fitness Test

 

Medical service

A Rehabilitation Center is providing comprehensive services to patients at all stages of recovery from Acute care to Intermediate care, and Long term care.

• Dry Needling is a Western style of acupuncture performed by a rehabilitation medicine physician to make the “Trigger Point”  spasm and release. The pain subsided and gradually disappeared.

Acupuncture suit for the patient as follows;

• Myofascial Pain Syndrome (MPS)
• Muscular dysfunction group which is caused by using muscles for a long time such as back pain, neck pain, shoulder pain, hip pain, osteoarthritis, using a mobile phone, office syndrome.
• Migraine that caused by muscle tension

 

Musculoskeletal

• Reduces inflammation and pain in muscles, tendons, joints and bones
• Neck, shoulder, back pain
• Office syndrome
• Bone osteoarthritis, knee osteoarthritis, spondylolisthesis, dislocated spine
• Herniated disc
• Sports injuries
• Post-operative patient such as Total Knee Arthroplasty, Total Hip Arthroplasty, Rotator Cuff Tear, ACL Replacement
• Rheumatoid arthritis
• Numbness from orthopedics post-operative

 

Neurological

• Stroke
• Spinal cord injury (SCI)
• Traumatic brain injury
• Parkinson’s disease
• Peripheral nerve injury
• Bell’s palsy or facial palsy
• Patients after surgery on the brain and spinal cord
• Patients with mobility and balance impairments, elderly people
• Patients with perceptual and learning disabilities

 

Cardiology

• Patients with Heart surgery or Coronary Artery Angiography
• Patients with Ischaemic heart disease
• Patients with Balloon Angioplasty or Coronary Stent Implantation
• Patients with Valve Replacement or Aortic Aneurysm
• Patients with Post Cardiac Arrest

 

Chest and Respiratory

• Patients with Lung mucus retention
• Patients with Pneumonia
• Patients with Asthma
• Patients with Emphysema
• Patients with Shortness of breath, shortness of breath

 

Pediatric

• Cerebral Palsy
• Developmental Delay
• Autism spectrum disorder
• Attention Deficit Hyperactivity Disorder (ADHD)

 

Other special condition

• Palliative care
• Breast engorgement
• Stress urinary incontinence
• Erectile dysfunction
• Diabetic neuropathy
• Other medical illness
• Long term care in elderly
• Problems swallowing
• Problems with speaking and communicating
• Problems with performing daily activities
• Continuous care and recovery
• Providing off-site rehabilitation services after discharge (Princ at home)
• Make an appointment to follow up on outpatient symptoms.

 

Rehabilitation Tools and Technology

1. Robotic assisted gait training (RAGT)

           Robotic assisted gait training are a rehabilitation technology designed to rehabilitate people with walking disabilities or have an abnormal walking pattern in repetitive movement. The human body has a set of neural circuits located in the spinal cord called Central Pattern Generator (CPG) it is responsible for memorizing repetitive movement patterns including with walking patterns. Therefore, repeated walking training with a walking robot stimulates the nervous system and muscles to learn walking. This allows the patient to regain their mobility. Currently, there are two popular types of walking robots used in Thailand:

•  End-Effector it is distinctive feature is that it has a foot plate and control the movement to make elliptical steps, similar to walking. This type of robot may or may not have a weight support system, depending on each product. Advantages is easy to use, suitable for patients who are starting to practice walking with robots and have poor balance.
• Exoskeletal It is a robot with legs that can control the movement of both the hip and knee joints while walking, which reduces abnormal movements. There are both models where the device is fixed and cannot be moved, and models where it can be worn and walked to different places.

 

Rehabilitation's Princ Hosiptal Suvarnabhumi realized the importance and increased chance of success in walking training. Therefore, modern technology has been introduced to help restore walking.Therefore, we provide both End-Effector and Exoskeletal walking robot technology to patients. The patients will be receive proper walking rehabilitation, supporting every stage of rehabilitation. Following neurological disease or limited walking movement, we can provide rehabilitation ranging from very weak and unable to balance to patients with improved balance. Muscle strength is increased, or patients who want to increase their walking speed, or patients who want to increase the variety of walking to different places in preparation for returning to normal life.

 

Robotic assisted gait training (RAGT) suit for the patient as follows;

Patients who are unable to walk or are unable to walk due to abnormalities in the nervous system, muscle system, or bones, including:

• Stroke
• Parkinson’s disease
• Spinal cord injury
• Traumatic brain injury
• Multiple sclerosis
• Patients with Knee Arthroplasty, Hip Arthroplasty
• Muscle weakness in elderly 
• Osteoarthritis
• Cerebral palsy

 

Robotic Walking Training Schedule

Do repetitive movement continuously and consistently. For best performance and stimulation of the nervous system and muscles, practice walking with the robot for 30-45 minutes per day, 3-5 days per week, continuously for 2-6 weeks.*

    * The outcome of rehabilitation depends on the severity of the disease and neurological recovery. The time required for robotic gait training for each patient may vary depending on the patient's abilities and disease limitations. * 

 

Prohibitions on Robotic Assisted Gait Training

• Weight more than 130kg.
• Patients with circulatory problems
• Irregular heartbeat
• People with severe cognitive impairments are uncooperative or resistant

      * Before undergoing robotic gait training, all patients should be assessed by a doctor and physical therapist to determine whether they can use robotic gait training. * 

 

2. Transcranial Magnetic Stimulation (TMS)

           Transcranial Magnetic Stimulation (TMS) is a new form of treatment for brain and nervous system diseases that has been widely accepted because it is a treatment that does not require surgery or medication. TMS can be used to treat diseases related to the brain and nervous system such as Muscle weakness from stroke or spinal cord injury, Depression, Obsessive Compulsive Disorder (OCD), Parkinson’s disease, including pain related to the brain system, etc.

 

            Principles of TMS rehabilitation

           Principles of TMS rehabilitation is using a magnetic field generator and applying that magnetic field to stimulate the relevant parts of the brain causes changes in the neural circuits and changes in neurotransmitters such as in cases of stroke where the patient has hemiplegia, it is found that the pathological part of the brain will function less, while the opposite hemisphere will function more. In a Thai study, it was found that TMS stimulation in the contralateral brain was performed with repeated stimulation together with physical therapy and occupational therapy training, it stimulates the part of the brain that has pathology to increase its activity. The results of the study found that Patients can use their hands to reach and hold objects better. In cases of depression, stimulation of the left frontal area of ​​the brain was used. Which from the study found that This treatment can help improve symptoms of depression in patients who do not respond to medication, also found that magnetic brain stimulation can help treat patients with memory loss.

 

Transcranial Magnetic Stimulation suit for the patient as follows;

• Depression 
• Stroke
• Spinal cord injury
• Insomnia
• Migraine
• Obsessive Compulsive Disorder (OCD)
• Spasticity
• Eating disorder
• Schizophrenia

 

Cautions on Transcranial Magnetic Stimulation

• People who have a history of seizures Should be evaluated first.

 

Prohibitions on Transcranial Magnetic Stimulation

1. Patient who have electronic devices implanted in their bodies such as Cardiac Pacemaker, Cochlear implant, and Ventriculoperitoneal shunt, etc.
2. Patient who have uncontrollable seizures
3. Patient who have metal implants in the heads such as people who has stent in the brain, Microsurgical Clipping, etc.

 

          Rehabilitation's Princ Hosiptal Suvarnabhumi has a magnetic brain stimulators with high therapeutic potential that can stimulate the brain from Low Frequency Stimulation to Theta Burst Stimulation. We can treat a variety of brain and nervous system diseases, including various psychiatric diseases such as depression. We are ready to provide services to both inpatients and outpatients.

           Although magnetic brain stimulation therapy is an effective treatment, patients should be evaluated by a physical therapist, neurologist, or other relevant specialist. Including receiving continuous care and follow-up of treatment results under international hospital standards to return to a good quality of life in the long term.

 

3. Peripheral Magnetic Stimulation (PMS)

     PMS is electromagnetic wave therapy is a device that stimulates through the skin, through clothing, down to the nerves, stimulating muscle contraction and contraction, increasing blood flow, helping patients feel relaxed and reducing pain by stimulating the peripheral nervous system to send signals to the brain to inhibit pain.

     In addition, PMS can also help rehabilitate patients with neuropathy by stimulating the abnormal sensory nervous system to return to normal, which will greatly reduce pain and numbness.

 

Peripheral Magnetic Stimulation suit for the patient as follows;

• Various pain diseases, both acute and chronic muscle pain or office syndrome, joint pain, muscle fascia, spinal disease such as Herniated disc, Spondylosis, Sports inury, etc.
• Numbness or numbness in the hands and feet PMS machine will help stimulate the sensory nerves.
• Muscular weakness patient group such as Paralysis caused by stroke, Spinal Cord Injury, and Traumatic brain injury.

 

Cautions on Peripheral Magnetic Stimulation

• Cardiac Pacemaker
• Patient who have metal implants in the heads such as people who has stent in the brain, Microsurgical Clipping, etc.

 

4. High Laser Treatment

 

 

        High power laser therapy is a high-power laser treatment device. It is a single-wavelength light that is invisible to the naked eye. It has a wavelength of 980-1,064nm.

 

High Laser Treatment suit for the patient as follows;

• Acute injuries groups such as Migraine, Stiff neck, Sprained back, Ankle sprain, Trigger finger, Wrist sprain, Plantar fasciitis, Arthritis, Muscle inflammation, Sports injuries, Shoulder tendonitis, Tendonitis, Knee inflammation.
• Chronic pain groups such as Office syndrome, neck pain, shoulder pain, shoulder pain, back pain, osteoarthritis pain, herniated disc, frozen shoulder, front and back thigh muscle pain, waist pain, hip pain, heel spurs
• Neurological disease groups such as Herniated disc, Peripheral Neuropathy, Diabetic neuropathy, Stroke.
• Swelling group such as Swollen fingers, swollen wrists, swollen ankles, swollen limbs, postoperative swelling, lymph node obstruction, lymphedema, muscle bruising
• Group of symptoms with wounds from various causes such as diabetic wounds, pressure ulcers

 

5. Shockwave

          Shockwave is works by leveraging the physical properties of shock waves to reduce pain and increase factors that cause the body to repair chronically injured tissue.

           Benefits of Shockwave 

• Stimulates blood circulation
• Stimulate the creation of new blood vessels
• Stimulates collagen creation
• Reduce muscle pain
• Dissolves Calcific Tendonitis
• Stimulates the body to experience new injuries, leading to the process of repairing new muscle tissue and tendons.

 

6. Ultrasound

           Ultrasonic therapy device in the ultrasound head area will have a crystals that function to change the incoming electrical current into heat energy. The heat energy that passes through the tissue will help increase tissue flexibility, increase blood flow, increase the speed of nerve conduction and enzyme function, reduce inflammation and reduce pain.

 

7. Electrical Stimulation

           Electrotherapy is a treatment for pain, numbness, and muscle function by using electrical currents in the treatment. There are many types of electrical currents. The choice of one depends on the cause and symptoms of the patient.

 

8. Biofeedback

           It is a treatment technique that uses electrical current to stimulate the body's nerves and muscles involved in swallowing through electrode pads attached to the skin over the muscles involved, such as the muscles of the tongue and throat. This helps to re-learn the muscles involved, increase muscle strength, and facilitate the swallowing process.

 

9. Traction (Neck Streching Machine)

10. Exercise equipment