Department of Neuromotor & Sensory Rehabilitation, RECOUP

Introduction

This Department brings together Internationally recognized specialists in Developmental Paediatrics, Paediatric Orthopaedics, and various Rehabilitation modalities, that provide comprehensive and individualised assessment, early diagnosis, appropriate treatment and follow-up of children with Developmental and Neuromotor problems. We appreciate that treatment of children with special needs should focus on the whole child, rather than only one aspect of the individual. This department is dedicated to helping every child with this condition achieve his or her maximum physical, intellectual and emotional development. Since its inception, the department has evaluated and treated more than 5000 children, including several from states as far as Assam, West Bengal, Bihar, and Delhi, and various countries in Asia, Europe and North America. Many children may require further interventions like Orthoses, Inhibitory Casts, Botox injections or Surgery. Since April 2000, over 200 children with Cerebral Palsy and other neoromotor disorders have undergone single-sitting multi-level surgeries, with gratifying results.

Advantages of this Department

1. This is perhaps the only centre in India where developmental paediatricians (as opposed to physiotherapists) actively participate in and supervise the assessment and therapy of children on a day-to-day basis
2. The multi-disciplinary approach is convenient and economical for patients and carers, facilitates better communication, continuity and unbiased decision making

Suitable cases for referral High-risk neonates (e.g., low birth weight, bad obstetric history, perinatal complications) Developmental delay in 0-3 year age group Gait alterations (walking oddly) or deformities Cerebral Palsy Suspected neuropathies or myopathies Delayed speech Autism Behavioral problems Poor scholastic performance

A detailed typed report of assessment and treatment recommendations is provided to the patient as well as the referring physician.

Faculty

Dr Nandini Mundkur, MD Paed; Education: MAMC, New Delhi (MBBS, Paediatrics) Munich, Germany (Developmental Rehab.) Washington, USA (Neonatology); Experience: 31 years; Interests: Developmental Paediatrics, Early Intervention

Dr. Deepak Sharan, MS Ortho, DNB Ortho, D Ortho, M Sc Orthopaedic Engineering (UK), D Orthopaedic & Rehabilitation Technology (UK); Education: JIPMER, Pondicherry (MBBS, Orthopaedics) Nottingham, UK; Stanford, San Diego, Los Angeles, USA (Paediatric Orthopaedics); Experience: 14 years; Interests: Paediatric Orthopaedics, Cerebral Palsy

Dr. Chitra Sankar, DCH, MRCP Paed; Education: Madras Medical College, Chennai Various centres in UK; Experience: 8 years; Interests: Developmental & Behavioral Paediatrics, Genetic Counseling

Education + Experience = Excellence

Ancilliary Services

1. Physical Therapy: Neurodevelopmental Therapy, Myofacial Release Techniques, and Sensory Integration
2. Occupational Therapy: Optimization of functioning in the child's daily environment, in the areas of self care (toileting, bathing, eating, etc), productivity (at school, or on the job), and leisure.
3. Aqua Therapy: Water based exercise regimen that uses the effect of turbulence, buoyancy and warmth to relieve pain spasm and discomfort, to strengthen muscles, and develop balance.
4. Feeding Technique: Oro-motor stimulation principles, use of various aids, and planning a Nutritional Program.
5. Autism Intervention: Applied Behavioral Analysis Technique and Sensory Integration, Diet and Nutritional Management, Parental Counseling and training.
6. Clinical Psychology and Special education: Remedial education for children with Learning Problems, Behavioral Therapy
7. Hearing, Speech and Language Services: Facilities are available for Audiological Evaluation, Speech and Language Therapy. Genetic and Psychsocial counseling

Professional Affiliations

Dr. Mundkur and Dr. Sharan are actively associated with American Academy of Cerebral Palsy & Developmental Medicine and the Childhood Disability Group of the Indian Academy of Pediatrics. The other physicians in the team are members of their respective national and local sub-specialty associations.

Research, Training & Publications

Dr. Sharan and Dr. Mundkur have produced over 200 presentations and publications in the scientific literature and medical textbooks focusing on their special interest areas of Cerebral Palsy and other developmental disorders. Dr. Mundkur is on the editorial panel of several reputed medical journals. The department emphasizes meticulous record keeping, documentation (clinical photographs and video), evidence-based practice, audit, and continuing education. The department has started India's first online course for doctors on Learning Disabilities (2002).

Location

RECOUP Neuromusculoskeletal Rehabilitation Centre

231, 37th Cross, Off 11th Main, Opposite Shanthi Nursing Home,

Jayanagar 4T Block, Bangalore 560041

Phone: + 91-80-4121 4224

Tele-fax: + 91-80- 4121 4334