OCCUPATIONAL THERAPY
Occupational Therapy (OT) is an allied health care profession established more than 85 years ago. It addresses problem of differently able persons and uses specific intervention procedures and activities to restore lost function, compensate for disability and promote health and wellness. It steps beyond the 'prevention and cure' mantra to the maximize independence of the individual. It focuses on recuperation, giving confidence to people whose disability may be caused by a stroke, a mental illness, a physical and mental weariness because of cardiac or other illnesses or even a hereditary deficiency.
  •  
 
In occupational therapy, occupations refer to the everyday activities that people do as individuals, in families and with communities
to occupy time and bring meaning and purpose to life. Occupations include things people need to,
want to and are expected to do.
 
It is a profession dedicated to helping people achieve well-being through occupation. The term “occupation” represents the flow of activities that fill a person's life and that have an effect on his or her health. Occupational therapy is particularly concerned with how people construct meaningful lives individually and in community.


Occupational Therapy - Adult Section
 
It is dealing with both physically and mentally ill persons. Occupational therapy uses the day to day activities of work, self care, leisure and play to enhance development of skills and possibilities. It may include adapting the work or environment as per the present abilities of the client, to achieve maximum independence and to enhance the quality of life. It is the job of an Occupational Therapist to figure out which areas are affected and how he can assist that person in performing these activities in a more functional and successful way.
 
Occupational Therapists can work with normal as well as disabled, children as well as aged people. Occupational therapy has started treading path in the new areas like Industrial rehabilitation & ergonomic interventions also.
 
The faculty & staff in the Department of Occupational Therapy of the Institute are primarily involved in teaching, research and services to the persons with disabilities. The therapeutic services to the patients are given through indoor, outdoor & outreach services, teaching / training and research etc.
 
The department of Occupational Therapy mainly consists of two major divisions :
  1. OPD Division
  2. College / Training Division
The O.P.D. division of Occupational Therapy department consists of four main sectors :
  1. Rehabilitation / Adult Section
  2. Paediatric Section
  3. Functional Training / ADLSection
  4. Endurance Testing / Training Section
 

A. Adult Section

 
This section consists of tools, apparatus, equipments and other useful gadgets for occupational therapy treatment of patients above 12 years of age. On an average, 70 to 80 patients/persons suffering from neurological or orthopaedic problems are being attended every day. It includes new cases as well as cases for follow up therapy.

Equipments in Adult Section

  1. Equipments used for upper extremities
 

l    Sanding Units

 
These sanding units are available in different forms and are used for the treatment of patients with physical impairments like frozen shoulder / peri-arthritis, paralytic / weak upper limb(s) stiff joint(s), or other such diseases/ disabilities /deformities of upper limb.

l    Pegboards / Hand Therapy Units

 
These units are available in different shapes, sizes, contour, weights, colour and sets with different parameters  used  for  comprehensive  functional testing  and  therapy of  hand in the department.
 
 
 
                                    
Shoulder and Elbow mobilization                                                      Forearm joint mobilization
 

l    Shoulder Wheel

 
This equipment is used to improve range of motion, muscle power, muscle tone , co- ordination , and other functional aspect of Upper Limb.

l    Multipurpose Wheel

 
This gadget is mainly used to improve / develop functional status of upper extremity and to increase joint range of motion of upper extremity specially shoulder and forearm.

l    Tilt Table

 
This gadget is mainly used to develop standing tolerance and prevention of Ortho-kinetic hypotension in neurological cases i.e. stroke and Spinal cord injuries patients.

l    Continuous Passive Motion

 
This is an electrically operated gadget used to increase passive range of motion usually in Orthopaedic cases.

l    Other Gadgets

 
Some other gadgets which are used in the department are Wrist Mobilizer, Shoulder Pulley, Finger ladder, Pronation- Supination Machine, Rowing Machine, Pedo-cycle, Normal Finger table etc. which are used to mobilize different joints of upper extremities.
 
 

ii.         Equipments / Apparatus used for lower extremities

 
  • Bicycle Fretsaw
This is an important modified equipment / bi-cycle which works mainly for the functional improvement of lower and upper extremity simultaneously along with eye hand coordination and is of great vocational value.

l    Jogger

This is used for the purpose of joint mobilization and muscle strengthening of lower extremity.

l    Medicine Balls

These are specially designed heavy weight balls of various dimensions. These are used to mobilize ankle joints and strengthening of foot muscles.

l    Static Cycle

Specially designed, this cycle helps to strengthen the muscles and increase ROM especially of lower extremity.

l    Other Gadgets

Other gadgets which are used in the department are Trunk rotator, Foot rocker board, Ankle foot exerciser, Rocker boards, Peg boards, Tic-tac -toe. These gadgets are used to improve, maintain, develop, joint Mobility Power, Range of motions, joint mobility coordination, balance and other functional aspects of lower limbs.
 
                                       
Coordination exercises for upper extremity               Sanding Unit in Adult Section of Occupational Therapy

B.                 Paediatric Section

This section deals with the problems of children with disabilities up to 12 years of age. This Unit uses different types of tools, apparatus, equipments and other useful gadgets for Occupational Therapy treatment. These tools can be divided into 3 categories:
 
 

i.                    Equipments / Apparatus / Gadgets used for upper extremity

 
  • Multipurpose Wheel
This gadget is mainly used by Occupational Therapist to improve functional status of upper extremity. The children from the age group of two year to seven year are usually provided this activity.

l    Zigjag Board

This gadget is mainly used to improve and maintain co-ordination prehensions, grip / strength,  range of motion , eye hand co-ordination and such other factors of upper extremity.

l    Pronation Supination Machine

This equipment is used mainly to improve and maintain joint mobility, muscle power, range of motion (ROM), grip, Prehensions and functional status of upper extremity.

a.         Equipments / Apparatus / Gadgets used for Lower extremity:

  • Walker, Saddle walker, Walking frame, Standing frame, Ladder
These gadgets are used for the purpose of training and facilitating of balancing, standing and walking activities in children affected with diseases like Polio, C.P., and Infantile hemiperesis etc.

l    Mechanical Toys i.e. Tricycle, Sliding Horse, Sliding Chairs

These equipments are used to develop and promote performance areas of lower extremity.

l    Other Equipments

Vestibular board, Rocker board, Peg boards, Mats, Crawler, Wedge board and such other equipments are used for the purpose of Therapy / Treatment in Occupational Therapy.
 
                  
Child learing lowerlimb coordination                                  Paediatric section of Occupational Therapy
 
 

C.     ADL Section/Functional training Unit

This is an important area of Occupational Therapy intervention. Here the clients are given training for the activities of daily living with the help of different gadgets in simulated forms. This unit uses different types of tools, apparatus, equipments and other useful gadgets are used by this unit for the training of Occupational Therapy.
Different Equipments / Tools being used by this section are as under:
  • ADLUnits (Functional training Unit)
  • Dressing and Undressing
  • Feeding and Drinking
  • Health & Hygiene
  • Work Station
These are designed by Occupational Therapists as per requirement of the case / client / patient according to their need / prescription.

D.                Endurance Testing and Development Section

This unit deals with patients who have already been rehabilitated and need to develop/ increase their stamina / endurance, control their speed during work, coordination in work, tolerance, performance areas.
  •      
 
The clients with disabilities having Hemiplegia, Paraplegia, Monoplegia, Cerebral Palsy, Post Polio Residual Paralysis, Neuropathies, Myopathies, Head Injury, Osteoartritis, Periarthritis, Cervical spondylitiis, Lumber spondylitis, Post Fracture Joint stiffness Amputation, Congenital abnormalities, Down syndrome, Autism, Mental Retardation etc. are being provided therapeutic intervention.
  •      
 
Occupational Therapy department provide services to approximate 100 patients including follow up cases every day. The number of patients provided with Occupational Therapy during last three years is given below:
Year No. of patient on roll Patients visit
2011-2012 5285 35429
2012-2013 5835 35281
2013-2014 6234 36380
 
 
  •      
 
The department has been involved in establishing an in house training centre for persons with disabilities at Rashtrapati Bhawan Estate in collaboration with Kalyan Kendra. There are 23 children/adult with disabilities which are being provided therapeutic management.
 
The Department is also involved in assisting outreach services in the Institute in different parts of the country. The Occupational Therapists also engaged in Rehabilitation Camps, Mela, Trade Fair and Exhibitions in the country as and where needed.
 
The Therapists of the department extended their full support and cooperation in the organization of National Awards 2013.

a)         Academic Activities:

The department is known to produce high level therapists and imparting training to them who have the capacity to be employed in country and abroad. The group of dedicated teachers of the Institute is responsible for imparting intensive teaching and training to the students and medical professionals from the collaborating medical colleges and rehabilitation centres.
The course is being run by the Institute in affiliation with University of Delhi.
S. No. Name of Course Duration in years
1. Bachelor of Occupational Therapy 4 ½ years
 
The year wise student strength in Bachelor of Occupational Therapy Course is provided herein below:
Year Ist Year IInd Year IIIrd Year IVth Year Intern Total
2011-12 52 35 33 30 36 186
2012-13 47 39 34 33 30 183
2013-14 51 42 39 34 33 199
Total 150 116 106 97 99 568
 
  • The Occupational Therapy Department of the Institute has started placement service for its students. For this purpose the department have requested different organizations to provide placement to their students. Some of the organizations have requested for providing the list of internees and the students who have pass their respective degrees to offer suitable job to them.
 
  •   The Institute is committed to upgrade the faculty and staff of the Institute. In this regard Institute permitted two of its Occupational Therapists to       complete their doctoral degree in Occupational Therapy. Both of them have completed their doctorate. Four of our faculty members have their Post Graduate Degree in Occupational Therapy (MOT) in first class. One more faculty member is pursuing Post Graduation in Occupational Therapy.
  •    During the year 2013-14 the Institute published following research papers from the department of Occupational Therapy:

Publication / Research (Department of Occupational Therapy) Completed Research Projects

  1. Effectiveness of Mirror Therapy on motor recovery of upper extremity in chronic stroke patients. May 2013 to March. (Principal Investigator: Dr. Kamal Narayan Arya, Co-PI: Shanta Pandian).
  2. Role of Less Affected upper extremity in post stroke rehabilitation. May 2013 to March 2014. (Principal Invesigator: Shanta Pandian & Co-PI: Dr. Kamal Narayan Arya)
 

Publication

  1. Motor impairment of the ipsilesional body side in post-stroke subjects. Journal of Body work & Movement therapy (Elsevier): 2013 Oct;17(4):495-503.
Effect of task-based mirror therapy on upper extremity motor recovery in chronic stroke patients; A pilot study. Kamal Narayan Arya & Shanta Pandian. Topics in stroke rehabilitation (Thomas Land): May - June 2013
    

Visitor Counter :

4778955

Last updated on 13 Aug 2015

Content of this website is published and managed by Pt. Deendayal Upadhyaya National Institute for Persons with Physical Disabilities (Divyangjan), Government Of India. For any queries regarding this website please contact Web Information Manager.