Rehabilitation Services

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Services Offered:

Physical Rehabilitation: click on each to learn more:

     

Our physiotherapy departments  helps to improve mobility, restore function, reduce pain, and prevent further injury by using exercise therapy, electro-therapy and manual therapy.

Conditions Treated

 

  • Lower back pains
  • Ambulation
  • Hemiplegia/stroke
  • Spinal/back pains
  • Arthritis
  • Fracture complications
  • Sports injuries
  • General body weakness
  • Delayed milestone
  • Downs Syndrome
  • Congenial club foot
  • Cerebral palsy
  • Osteomyelitis
  • Post burs contractions
  • Hydrocephalus
  • Spina bifida
  • Autism
  • Scoliosis
  • Ricket;Bow legs/knock knee
  • Attention deficit
  • Hyperactive Disorder (ADHD)

Benefits from our Physiotherapy clinic

  • Reduction in pain.
  • Assist your child achieve developmental delayed milestones
  • Rehabilitation to a near normal position
  • Correct your posture and gait.
  • assist people find ways of coping with the effects of disability
  • Assist you maintain functional ability of the muscles.
  • identifying tasks people find difficult to carry out
  • Prevent contractures and improve joint range of motion.
  • Assist you improve the quality of your life at home, work or schools
  • Educate you, your child and guardians on importance of physiotherapy.
  • Psychosocial support

Our treatment modalities and techniques include;

1. Manual Therapy

Special manipulative techniques commonly known as “hands on” to relieve pain, pressure and relax tense soft issues.

2. Exercise Therapy

  • Treadmills
  • Static Monark cycle
  • Pulleys
  • Paralle bars
  • Exercise mats
  • Wall bars
  • Multi-gym exercises

3. Electrotherapy

This treatment involves use of modern technology machines such;

  • infra-red
  • ultra-sound
  • electrical stimulation
  • wax bath therapy
  • provision and fitting of orthopaedic appliances such as corsets, collars, knee/ankle/foot support, teed socking (anti-embolic stockings)

We collaborate with AIC Cure International and Bethany Kids Kijabe for specialized treatment Book your appointment

Club Foot Clinic – Preventing disability

clubfot image     

images from  health library

What is Clubfoot?

Clubfoot is a congenital (by birth) deformity in which the affected foot appears rotated internally at the ankle (Dr. Deepak Inamday) Clubfoot occurs in 1 to 4 live births. Clubfoot is the most common musculoskeletal birth deformity, affecting 200,000 newborn children each year, 80 percent in developing countries.(Ponseti  international) In Kenya, 1,653 babies are born with clubfoot annually.  Clubfoot can be mild or severe.

APDK works in collaboration with the Ministry of Health, Cure International Kenya, Hope Walk, and Clubfoot Care for Kenya in the management of clubfoot. Clubfoot Care clinic is held every Tuesday at APDK Rehab clinic.

What are the Symptoms of Clubfoot? (Mayo clinic)

  • The top of the foot is usually twisted downward and inward, increasing the arch and turning the heel inward.
  • The foot may be turned so severely that it actually looks as if it’s upside down.
  • The affected leg or foot may be slightly shorter.
  • The calf muscles in the affected leg are usually underdeveloped.

What are the causes of club foot?

The causes of clubfoot are unknown, however, boys are twice as likely to develop the clubfoot than girls.

When should one seek treatment for clubfoot?

About half of children with clubfoot have it in both feet. If your child has clubfoot, it will make it harder to walk normally, so doctors generally recommend treating it soon after birth. (Mayo clinic).

How is clubfoot treated?

 1st Level of Management

The primary way of treatment is the Ponseti method which involves the manipulation of the baby’s foot with their hands. The aim is to correct the bend in the foot. Then a plaster cast is applied from the toes to the thigh, to hold the foot in position. The casting is repeated at weekly intervals.

Minor surgery may follow the Ponseti method treatment, if necessary, to release the Achilles tendon.

2nd Level of management

After the foot is corrected, second level of management is introduced.  The patient needs to wear special boots attached to a brace to hold the foot, or feet, in the best position. This is to prevent relapse.

For 2 to 3 months, the boots are worn 23 hours a day. After this, they are only worn at night and during daytime naps, until the age of around 4 years. (Ben Igesa, APDK)

         

Can clubfoot cause disability?

A clubfoot will not improve without treatment. Leaving the foot untreated increases, the risk of complications later in life and leads to disability.

What happens to untreated clubfoot? Untreated clubfoot can led to the following:

  • Your child is likely to develop arthritis.
  • Poor self-image. The unusual appearance of the foot may make your child’s body image a concern during the teen years.
  • Inability to walk normally. The twist of the ankle may not allow your child to walk on the sole of the foot. To compensate, he or she may walk on the ball of the foot, the outside of the foot or even the top of the foot in severe cases.
  • Problems stemming from walking adjustments.Walking adjustments may prevent the natural growth of the calf muscles, cause large sores or calluses on the foot, and result in an awkward gait. (Mayo clinic)

When is the world clubfoot celebrated?

On June 3rd clubfoot families and healthcare workers around the globe celebrate World Clubfoot Day. The date was chosen to commemorate the birthdate of Dr. Ignacio Ponseti, (1914-2009) the developer of the Ponseti Method to treat clubfoot.

What is the goal of celebrating World Clubfoot Day?

The goal of World Clubfoot Day is to raise awareness about clubfoot disability and its prevention using the Ponseti Method, a non-surgical treatment that includes gentle manipulation of the feet followed by the application of plaster casts and temporary bracing. World Clubfoot Day (ponseti.info)​​Ponseti International Association (PIA)

APDK works in collaboration with other stakeholders list below in management and training on clubfoot care

  • Hope Walk Kenya
  • Clubfoot Care for Kenya
  • Cure international

For more information, follow the links below;

Home (ponseti.info), Ponseti International

Clubfoot – Symptoms and causes – Mayo Clinic

Treated clubfoot cases

Clubfoot is treatable – Association for the Physically Disabled of Kenya – APDK

 

https://www.youtube.com/watch?v=fmMQ6aQ6gD0

Occupational Therapy Clinic

Making the impossible, Possible

Have you been diagnosed with a physical or sensory disability? We recognize that acquiring a disability or having your child diagnosed with disability can be devastating.

APDK offers you quality occupational therapy services focused on improving the quality of life of children and adults with disability.

Our Approach:

Stage 1

Assessment

Stage 2

Hand Function

Stage 3

Skill Transfer to Parents

Services to expect at APDK Occupational Therapy clinic;

Activities that take place in our clinic include:

  1. Assessment and evaluation of clients.
  2. Sensory integration techniques
  3. Manual therapy techniques
  4. Development of cognitive skills
  5. Therapeutic techniques
  6. Hand therapy – Splinting
  7. Assistive technology assessment
  8. Home adjustments
  9. Self-care/home management training
  10. Support groups
  11. Health Education

Why choose APDK’s Occupational Therapy Clinics?

Our occupational therapy clinic will;

  • Make everyday activities easier and less time-consuming for you and anyone assisting or living with you.
  • Assist you gain more independence and control over their lives.
  • Encourage and advise you of safe practice.
  • Help you adapt to the disabilities, enhance your confidence and self-esteem
  • Help your child achieve the Developmental Delayed Milestones
  • Nutritional assessment and treatment advices from our Nutritionist seconded by the government
  • HIV counselling
  • Neuro-surgeon’s advice in collaboration with Bethany Kids
  • Orthopaedic surgeon’s advice in collaboration with Cure International

Conditions treated at APDK occupational therapy clinic (learn more)

  • Cerebral palsy
  • Rickets
  • Delayed Development milestone
  • Autism

Orthopaedic Technology Clinic

Enhancing your mobility

Our Orthopaedic Clinic deals with correction or prevention of deformities, disorders, or injuries of the skeleton and associated fractures, (such as tendons and ligaments). We offer you assistive and a mobility device to empower you live independent life. The main aim is to improve the lives of Persons living with disabilities.

Activities done by orthopaedic clinic –  show sliding photos of activities

  • Assessment of clients with Orthopaedic conditions.
  • Prescription of appropriate mobility and assistive devices
  • Measurement taking.
  • Fabrication of Orthosis.
  • Fitting of Orthosis.
  • Training on use, care and maintaining of orthosis.
  • Referral for more specialized management.

Our orthopedic technology clinic fabricates assistive technology using WHO 8 Guidelines that are tailor-made to enhance your mobility and suitable for your condition and terrain.  We offer you a variety assorted assistive technology products both locally fabricated and imported.  Click for to view rehabilitation products;

Outreach Plus Mobile Clinics

Providing access to rehabilitation service in the rural areas

APDK is committed to ensuring that persons with disabilities have the right to the enjoyment of the highest attainable standard of health without discrimination on the basis of disability.  We use a multi-disciplinary approach to rehabilitation; this involves working closely with the Government’s Ministry of the Health, Ministry of Education, Ministry of Labour and Social Protection, faith based organization, donors, corporates, teachers, parents, community and caregivers in providing. Through this approach, we provide health services as close as possible to people’s own communities, including in rural areas as outlined in the UNCRPD Article 25 on Health.

To achieve the above goal, APDK relies on the donor community, corporates and well wishes as 1 out 2 persons with disabilities cannot afford the Health services. In 2019, we managed to provide rehabilitation services to 22,044 persons with disabilities through our mobile outreach plus program.

Join us today in ensuring that persons with disabilities enjoy their right to rehabilitation services as close as possible. Give Now towards our outreach program. 

Objectives are;

    • Promote quality and inclusive health care services to persons with disabilities,
    • early identification, intervention and management disability
    • Promote quality education for children with disabilities,
    • Reduce the prevalence of disabilities
    • Mitigating the effects of impairments through sensitisation of the community on disability issues and empowers parents /people with disabilities through Training and disability forum.
    • Assessment and provision of mobility devices eg wheelchairs and orthoses
    • Providing rehabilitation services to person with disabilities as close as possible

Outreach Plus Clinic activities.

  1. Assessment, prescription and fabrication of assistive, supportive and mobility devices
  2. Collaborate with other partners to provide assistive and supportive devices to children and adults with disability
  3. Contact training needs assessment
  4. Create awareness to PWDs, Caregivers and DPOs on current issues of disability.
  5. Referral of client to relevant services

APDK Rehab Clinic, Coast provides pre-operative and post-operative care services for corrective surgery .Click here to learn more about APDK Rehab Clinic