Caring for Bed-ridden Elders

5 Tips to Care for Bedridden Elderly at Home

Bedridden elderly, whether they are in that state temporarily or for the long term, can really benefit from the kind of help a home caregiver can provide. Being a caregiver can be challenging but some simple measures will not only ease their job but also ensure elderly loved ones are well cared for during those times when they are particularly fragile.

[This is a part of series of articles on bed ridden patient care. Read more about 5 Kinds of People Prone to Bed Rest ]

What are the signs that need careful attention for bedridden elderly?

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People prone to Bed Rest

5 Kinds of People Prone to Bed Rest

When one hears the word bed-rest, it usually invokes imagery of acute injury or pain and rightly so – because under normal circumstances no healthy human would voluntarily restrict him/herself to bed giving up on all physical activity.

[This is a part of series of articles on bed ridden patient care. Read more about 5 Tips to Care for Bedridden Elderly at Home ]

What does it mean to be on bed rest?

“Bed rest” literally means confinement of an individual to bed, as part of treatment. Wikipedia calls bed rest as rest-cure and defines bed rest as a medical treatment in which a person lies in bed for most of the time to try to cure an illness.

What can cause a person to be on bed rest?

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हड्डियों का दर्द – उपचार और घरेलू उपाय (Osteoporosis: gharelu upchar)

Hindi Disclaimer

हड्डियों का दर्द - उपचार और घरेलू उपाय

मूल लेख यहाँ पढ़ें


अक्सर पूछे जाने वाले प्रश्न ।  फिजियोथेरेपी उपचार  I  कारण  ।  जोखिम  I  रोकथाम  I  व्यायाम

ओस्टियोपोरोसिस या हड्डियों का दर्द, बढ़ती उम्र वाली आबादी के बीच एक बहुत ही सामान्य अवस्था है: यह हड्डियों को कमजोर करता है, जिससे वे नाजुक हो जाती है और टूटने की अधिक संभावना होती हैं। हमारे फिजियोथेरेपिस्ट जो विभिन्न रिलिवा क्लिनिक (मुंबई, नवी मुंबई, ठाणे और पुणे) में जेरियाट्रिक रोगियों को देखते हैं, रिपोर्ट करते हैं कि कलाई, रीढ़ और हिप के फ्रैक्चर ऑस्टियोपोरोसिस के कारण होना सबसे आम है, लेकिन पसलियों, ह्यूमरस (ऊपरी भुजा की हड्डी) और श्रोणि के फ्रैक्चर भी असामान्य नहीं हैं।

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Osteoporosis : All You Wanted To Know

FAQs  I  Dos & Don’ts  I  Physiotherapy Treatment I  Causes  I  Symptoms  I  Risk Factors  I  Prevention   I   Exercises

Osteoporosis is a very commonly seen condition among ageing population: it weakens bones, making them fragile and more likely to break. Our physiotherapists who see geriatric patients across different ReLiva clinics (Mumbai, Navi Mumbai, Thane and Pune) report that fracture of wrist, spine and hip are most common due to osteoporosis but fracture of ribs, humerus (upper arm bone) and pelvis are not uncommon either.

Studies indicate the number of osteoporosis patients in India alone, at approximately 36 million (2013). Osteoporosis leads to more than 1.5million fractures each year. Statistical data shows that 1 out of 2 women older than 50 years have osteoporosis related fractures and 1 out of 3 men older than 75 years.

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physiotherapy exercise for parkinsons treatment

पार्किंसंस रोग (Parkinson’s Disease) और उसके लक्षण (Symptoms)

Hindi Disclaimer

पार्किंसंस रोग (Parkinson's Disease) और उसके लक्षण (Symptoms)

  • क्या चलते वक्त या खड़े रहते समय आप अपना संतुलन खो बैठते है
  • क्या आप हाथ, पैर, जबड़े और चेहरे में कम्पन होता है?
  • क्या आप अपने शरीर के भागो में कठोरता महसूस करते हैं?
  • क्या आप अपने सामान्य शरीर की गति में अचानक धीमी गति का अनुभव कर रहे हैं?

ये सभी पार्किंसंस रोग के लक्षण हैं। यदि आप इन उपरोक्त लक्षणों में से किसी का अनुभव कर रहे हैं तो आपको उचित चिकित्सा, निदान और उपचार के लिए डॉक्टर से मिलना चाहिए। रिलिवा फिजियोथेरेपी और रेहाब सेंटर (ReLiva Physiotherapy & Rehab) के विशेषज्ञ फिजियोथेरेपी की देखभाल से आपको उपरोक्त सभी लक्षणों से निपटने में मदद दिला सकती है।

पार्किंसंस रोग के प्रबंधन में फिजियोथेरेपी चिकित्सा (Physiotherapy treatment) एक महत्वपूर्ण भूमिका निभा सकती है। फिजियोथेरेपी मरीजों की चलने फिरने में सुधार लाने और उनकी शारीरिक क्षमता बढ़ाने पर केंद्रित है। फिजियोथेरेपी, चलने फिरने, संतुलन रखने और गिरने की शिक्षा रोगी को देती है और विभिन्न शारीरिक गतिविधियों के अभ्यास के माध्यम से सामान्य जीवन जीने में मदद करती है।

Original article in English can be accessed here.

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physiotherapy for parkinson's

Parkinson’s Disease: Lesser Known Facts

Lesser know facts about Parkinson's Disease

Are you facing sudden loss of balance?

Do you suffer from trembling in hands, legs, jaws and face?

Do you feel hardness or inflexibility in your body?

Are you experiencing sudden slowness in your normal body movements?

These are the symptoms of Parkinson's Disease. If you are experiencing any of these above symptoms than you should visit a doctor for proper assessment, diagnosis and treatment. ReLiva Physiotherapy and Rehab center offer expert physiotherapy care to help you deal with all the above symptoms.

Physiotherapy can play a vital role in the management of parkinson’s disease. Physiotherapy treatment focuses on improving the movements of patients and increasing their physical capacity. Physiotherapy can help the patient to lead a normal life through transfer training and walking, balance and fall education and practice of various manual activities.

You can read this article in HIndi here

What is Parkinson's Disease?

Parkinson’s disease is a progressive neurological disorder or a brain diseases. It’s not a fatal disease but it makes patients condition difficult to sustain.

Our brain controls our body, its functions and its movements. Brain sends messages to other parts of our body in the form of chemicals called neurotransmitters. It is found that reduction of Dopamine the movement planning and speed controlling neurotransmitter producing cells causes Parkinson’s disease. It also elicits some major symptoms that are used for diagnosis of this disease. These symptoms many times are unique according to age, environment and gender of patient.


Parkinsons disease can cause some (movement related) motor symptoms as well as non motor symptoms

A. Major symptoms that are used for diagnosis are motor symptoms(Movement Related)

  • Tremors of the hands, legs, jaw and face.
  • Change in facial expression, walking and body posture.
    tremors parkinsons disease
    Tremors is a symptom of Parkinsons


  • Loss of balance..
  • Slowness of movement(Bradykinesia)
  • Inability to move (This symptoms occur in the advance weakening stage)
  • Stiffness in limb and trunk

B. Some of the non motor symptoms are

  • Insecurity, stress and anxiety
  • Constipation
  • Depression
  • Excess Salivation and difficulty in swallowing
  • Weak sense of smell
  • Dementia, confusion and memory loss
  • Male erectile dysfunction
  • Skin problems
  • Slow, monotone voice and quieter speech
  • Urinary urgency

How is parkinson's diagnosed?

There is no specific diagnosis of Parkinson’s disease hence it is diagnosed on clinical measures. There is no blood test or brain scans available which can definitely diagnose this disease.

This disease is diagnosed if at least two or three major symptoms are present in patients such as tremors, stiffness or loss of balance. Usually these symptoms first start occurring on one side of the body

There are various medicines available which can reduce tremors, stiffness, slowness of movement and loss of balance conditions. Research and studies are going on to make new medicines which can halt the progression of this disease. If medications are found ineffective doctors may decide to go for brain surgery to improve the condition. But often it found dangerous hence surgeries are done only in rare cases as a last resort.


Alternative treatment for Parkinsons

Ayurvedic medicine is one of  the most popular alternative treatment of parkinsons disease. Ayurveda originated in India and is more than 5000 years old science. Ayurvedic medicines work along with special diet and designed exercises. Ayurveda uses special meditation practices, certain types of herbs, special massages and specifically designed exercises of joints and limbs to cure this disease. For example the herb called Mucuna pruriens  Indian name is Atmagupta, Kaunch, Kevanch may mimic the medicine Levodopa.


Parkinson's treatment

Parkinson’s is a progressive disease and its treatment is focused on managin the symptoms and delaying/ decreasing them with physiotherapy and medications. Doctor subscribe drugs only after noticing certain symptoms in patient. Physiotherapy on the other hand helps patients  to balance out movement difficulties. A physiotherapist also teaches basic activities like controlling muscles to do every day basic activities. A physiotherapy helps patients to get a healthy life style however they cannot cure the symptoms of this disease but they can definitely improve the condition of patients. It’s important not to rely on drugs as they have side effects and they also add toxicity to body.

With physiotherapy, exercises, healthy life style and diet its easy to deal with the Parkinsons disease symptoms and improve co-ordination and movement. Many of the symptoms could be reversed as one could see from this testimonial 

General population is not aware of Parkinson’s diseases. What is Parkinson’s disease? What are its effects and causes? We need to create awareness about Parkinson’s disease so people suffering from this disease get proper care and treatment. Many people are not well-informed about Parkinson’s disease symptoms; hence they tend to neglect the early warning signs. This further exacerbates patient’s condition and his endurance. It’s a complex disease which needs earnest crucial attention.  Right medication and therapies can improve the patient’s condition. On time help and certain Physical therapies have also shown great improvement in patient’s condition.


What causes parkinson's disease?

Theses disease is mostly found in old age people normally older than 60 years of age. Studies have found that Parkinson’s tends to affect more men than women in general. Individual who have family history of Parkinson’s diseases have found higher chances of inheriting this disease. Genetic or hereditary factors and environmental factors are mostly linked with this disorder. Exposure to toxins such as pesticides, herbicides, high level of environmental pollution, head trauma and illness also have been linked with this disease, however scientist have  still not identified the exact cause of this disease. Research is still going on to find the exact cause and cure for this disease.

People who are over 60 years of age generally suffer from this disease, but some  people have suffered from Parkinson’s disease symptoms at a very young age . In some unusual cases Parkinson disease symptoms are also found in children and teenagers. There has been alarming increase in number of patients belonging to young age groups in recent years.

The Parkinson's disease can tremendously affect professional as well as family life. At advanced stage, patient’s struggle every day to lead a normal life. The biggest help we can do for Parkinson’s disease patients is by giving them our support and patience.  It’s a complicated and complex disease which can take away freedom. It’s very important that we should know about Parkinson’s disease symptoms. This disease cause different effects on different individuals. Anyone suffering from Parkinson’s disease can improve his condition  by taking proper nutrient, adequate sleep, exercising and staying fit. Physiotherapy, surgical therapy, medication and other supportive therapies are used for parkinson's disease treatment. The aim of these  treatment is to try give patient normal  movement and control symptoms of disease.

Tips for patients

Patient suffering from parkinsons disease mostly feel vulnerable and hopeless they have to tackle with physical as well as mental changes in body. To stay active, positive and healthy patient can do certain things


A healthy high fiber diet which includes fresh fruits, vegetables, grains and protein will help to fight against this disease. Fresh fruits and vegetables are high in antioxidants they are more effective than any supplements. A high fiber diet can help to prevent constipation. Which is common in parkinsons disease patients

Physical exercise

Regular exercise is must for Parkinson’s patients  It will help the patient maintain strength and flexibility and they can stay physically active for a longer period of time. Reliva Physiotherapy and Rehab center will help you with proper physical exercises which you can perform everyday to stay healthy and active. Regular physical activity and exercise is a must for this patients. Another way of staying healthy is gardening, jogging, swimming and running. There is a excellent exercise programs from Reliva available for patients with limited capacity or mobility. Many patients choose yoga or seating aerobics to stay healthy.

Exercise for parkinsons


Main symptom of Parkinson’s disease is problem with walking. This is due to loss of balance which leads to awkward gait. By learning proper walking and balancing techniques the risk of falls for the patient can be reduced. At ReLiva Physiotherapy & Rehab, our clinicians understand the need for a comprehensive treatment to ensure that Parkinson's patients and have a better quality of life.

Buying good walking shoes will help the patient to walk easily and prevent them from falling. Running shoes do not help if they have balance problems so needed to be avoided

Patient need to walk slowly with right posture. In the start it may look or feel awkward but in some days they will get better with their movements.



Parkinson’s affect the balance and co ordination centre in brain hence most Parkinson’s patient loose their balance and they fall more often. Patient need to improve and maintain their balance skills

  • Ask your physiotherapist for balance improving exercises
  • Taichi ancient Chinese martial art contain slow and graceful movements and help in relaxing muscle and joints, hence learning it can be effective
  • Remove rugs that may cause trips and falls
  • Install handrails throughout the home
  • Always keep phone within reach of patient, near the chair or bed is a good idea.

Ending Notes

At advance phase Parkinson’s patients need constant care and attention. It gets impossible for them to carry out every day normal activities, hence it would be a good idea to plan every day activities in advance and hire a professional care giver. An active day with enough rest and proper diet is must to keep the patient healthy. Care givers need to help the patient with everyday activities like brushing, bathing, using wash room etc. Taking care of Parkinson’s patient is a difficult task; family and care givers have to constantly check all the medical needs. Many times there are few people available nearby to help them as everyone have their own life. Appointing a care giver will make sure they will be well taken care of. Also its important that caregivers and patients learn as much about the disease - Parkinsons Foundation and Parkinson's society India provide useful information.

It’s important to give timely medication and care to the patient. Many times it’s difficult for patient to stand on their own hence they can miss their timely doses. A professional care giver can devote their time looking after the patient. It’s important to give them timely medication so their condition will not get grave. Many Parkinson’s disease patients are totally dependent on their family or care givers at times as it become very difficult for them due to trembling or losing control on their body. Many times people try to take care of their parents or elders suffering from Parkinson’s disease on their own but it takes a toll on their own health and their emotional and financial state. They suffer for their loved ones due to lots of responsibilities they find impossible to care for patients. It is helpful to appoint any professional care giver so you will not feel stressed, exhausted, frustrated or depressed about this condition. It’s very important to take care of family members emotions too.

A well trained professional care giver who can understand this disease and its symptoms and knows how to handle the patient as well as emotional and medical needs is very important. Every patient may have unique symptoms and temperament care givers needs to take care of emotional and physical needs. Giving utmost care, attention and dignity to patient is important to help them.

Regular doctor visit, communication and checkup is required to check  on patient’s condition. Care givers need to keep doctors updated about the condition and progression of this disease so they can prescribe right medicines. Maintaining records of all the reports in one place will help the doctor know daily and weekly progress in health.

We have seen what Parkinson’s disease is?, what are its symptoms? how to find right treatment, how to care for patients and tips for patients. It’s all very important for helping patient. Family, friends and patient need to stay positive and keep happy atmosphere. It’s a disease which may make you feel down but you can always search for positivity to stay happy. Yoga and meditation is one of the best ways to improve condition in a long run. This disease gives lots of challenges to tackle and can test patience of patients and also of their families.

Knee pain surgery

Ageing Knees? Don’t go weak in your Knees

Do you hear a sudden click in your knee while bending down? Do your knees hurt while squatting? Well, your knees are trying to convey their ageing story. It may not be wise to ignore the click sound, minor pain or swelling once you have crossed your 50's.

Osteoarthritis (OA) is common among ageing population and one of the leading causes of disability. It is the second most common problem & the most frequent joint disease with a prevalence of 22% to 39% in India.

In Knee OA, the cartilage in the knee joint gradually wears away and it becomes frayed & rough and the space between the bones decreases. Arthritic knee usually begins with symptoms of joint click, pain and swelling that worsen in the morning. Knee arthritis can make it hard to do many activities such as walking and climbing stairs.

If unattended;

  • the joint may become stiff & swollen,
  • making it difficult to bend & straighten the knee.
  • The knee may “lock” during the movement.
  • It may creak, click, snap or make a grinding noise (crepitus).
  • The pain can cause a feeling of weakness or buckling in the knee.

Weather changes usually aggravate the symptoms - You may notice increased knee pain during rainy & cold weather.

Since OA is a degenerative condition; the damage occurred cannot be reversed. But timely intervention in the form of regular exercise and early Physiotherapy can arrest degeneration & maintain joint integrity.

Easy ways to manage OA knee :

  • Manage your Weight
  • Keep a check on your Calcium & Vitamin D levels
  • Avoid offending movements like squatting
  • Do not delay : Address the signs of pain in time
  • Specific knee exercises

We have some very easy and convenient tips to manage arthritis pain on our website. Read Here


Related Reading:

Joint Pain: Arthritis?

Five Ways to check your Knee health

Arthritis – Do your Joints Pain?


We provide Physiotherapy services in:

Mumbai | Chembur | Mulund | Thane  | Kapurbawdi  | Ghodbunder Rd | Kalwa 

Navi Mumbai | Vashi | Nerul | Kharghar | Pune | Kalyani Nagar

Home visits

Knee Replacement Surgery – Care & Exercise

You are about to have Knee Replacement Surgery (TKR). A lot of the long term results of knee replacements depend on how much work you put into it following your operation. Patients who prepare for surgery and actively take part in their care can recover in less time and with less pain. This guide has general information along with tips for things to do before and after surgery to help you make it a success.
You may get different instructions from your surgeon, doctor or physiotherapist. Always follow the directions of your care team. This guide is meant to be used under the direction of your physiotherapist.
Caution: If you have too much pain in your knee to exercise, or if any of the exercises cause more pain or swelling in your knee, stop. Tell your physiotherapist or doctor. If your whole leg becomes swollen or hot, tell your doctor right away!

General Guidelines: Before Surgery                  TKR- Total Knee replacement recovery

If you exercise before surgery you can have a faster and easier recovery. Exercise helps to:

  • Maintain the range of movement of your knee
  • Make your muscles strong
  • Control your pain
  • Build your knowledge of how to exercise after surgery
  • Improve your sleep

Do activities that put less stress on your knee. Try cycling on a stationary bike (upright or seated) for 5-10 minutes, walking in water (water level should be atleast thigh deep). It is best to do specific knee movements and strengthening exercises (in guidance of physiotherapist).

  • Always warm up before exercising. Your physiotherapist may tell you to:
  • Apply moist heat to the front and back of your knee for 5-10 minutes OR Have a warm shower or bath

General Guidelines: After Surgery

Exercise after surgery will help you recover and regain the movement and strength of your knee. Exercise also helps to:

  • Reduce swelling
  • Prevent blood clots (Thrombosis)
  • Control your pain
  • Prevent constipation
  • Improve your sleep

Tips to help you make the most of your Knee (TKR) surgery


  • Take your recovery and rehab seriously. Exercise regularly as per the programme charted by your physiotherapist.
  • Continue with your knee replacement rehab programme for at least 3 weeks after surgery, probably 3 months of physiotherapy guided knee exercises to get the best result from your knee replacement.
  • Follow-up regularly with your surgeon, to monitor internal recovery.
  • Walker or crutches should be used until discontinued by Doctor or Physiotherapist.
  • Change knee position at least once an hour, while awake, to avoid stiffness.
  • Home exercises should be performed 3 times everyday unless advised differently by your Physiotherapist.
  • Walking is an excellent activity and you are strongly encouraged to gradually increase your walking distance after you leave hospital.
  • Walk outdoors as long as sidewalks are dry. Consider going to a mall to walk when the sidewalks are wet and slippery.
  • Swimming or walking inside swimming pool (where water level is at least till your thigh) is a very good strengthening exercise that prevents jerks and unnecessary strain on the knee.
  • Stay positive and committed. Don’t give up, and do what you can to keep a good attitude.

Don’ts :

For 6-8 weeks after surgery, avoid:

  • Any pivoting (twisting) on your knee 2.Kneeling down 3.Squatting
  • Avoid high impact activities that cause jerk and stress on the knee joint, example running, jogging, rock climbing etc.
  • Avoid unnecessary stress on your knee by lifting very heavy objects. This can cause damage to your new knee.
  • Avoid using Indian traditional toilet, instead use a Western Commode (WC) or toilet chair.

Immediately after surgery, you can continue to do the following in bed :

1. Deep Breathing and Coughing Exercises : Knee replacement rehab - Pump your ankles
Until you are up and moving well, take at least 10 deep breaths, followed by a cough, every hour that you are awake.
2. Pump Your Ankles :
When lying down, move feet up and down and in circles. Repeat 10 -15 times every hour you are awake.
3. Buttock Contractions
Tighten your buttock muscle and hold for a count of 5 seconds. Repeat five to ten times, three to four times each day

4. Moving your new knee :

It is important to move your knee soon after the operation unless your surgeon or physiotherapist tells you not to. This will minimize stiffness, pain and swelling, and reduce the formation of scar tissue. Check with your physiotherapist for guidance about the best way to warm up your new joint.


To Keep Pain and Swelling under control, once you are home:

1. Rest Your Joint          TKR - Rest your joint

  • Change positions often (every 20 minutes) when you are awake. Try sitting, standing, and walking.
  • Pace yourself. Take things easy and slow.
  • Lie down 3 times a day for 30 minutes on your bed.
  • Put your leg up and support it with a rolled towel or with pillows (as shown).

2. Use Ice
Ice your knee when it is hot and red, painful and after exercises. (If your knee is very stiff and painful, check with your physiotherapist before icing
Follow these steps:

  • If your scar is not healed, cover it with a clean bandage and clean plastic wrap
  • Put a damp hand towel over your knee
  • Put a flexible gel pack, or plastic bag with crushed ice on your knee
  • Leave the ice ON for 10 minutes. Take it OFF for 10 minutes. Put it back ON for 10 minutes. Repeat 4-6 times a day
  • DO NOT use ice if your doctor has told you that the circulation to your legs is poor and that you should avoid using ice or heat

3. Use Pain Medicine
Use your pain medicines as prescribed by your doctor. Tell your doctor if the pain is too much or not improving.

4. Use Walking Aids
Use the walking aid that your physiotherapist has measured and recommended. Do not change or stop using the walking aid until your physiotherapist or surgeon tells you to. Walkers, crutches and canes help to:

  • Reduce the stress on your knee Reduce pain Improve your balance and reduce falls
  • Remember it is better to have a good walking pattern using two crutches than to limp and risk losing balance.

5. Sleep :

It helps with rest and recovery. It is normal to have some sleepless nights up to 12 weeks after your knee surgery.

Consult an expert at ReLiva Physiotherapy & Rehab to learn more about rehab, Mobility Techniques and tips to make your Total Knee Replacement (TKR) Surgery a success.


Related Reading:

Physiotherapy at home

Ageing Knees? Don’t go weak in your Knees

Five Ways to check your Knee health

Arthritis – Do your Joints Pain?


fall prevention balance training

Falls of Seniors: What to do

More than one third of person 65 years of age or older fall each year and in half of such cases the falls are recurrent.

If you are a senior, ie 60 year or older that means you need to take more care and precautions for yourself. Other than medical conditions or diseases which you take care by doing routine blood tests and investigations, you should not forget to keep yourself free from falls.

What are falls?

Falls include dropping from a standing or sitting position or from ladder or stepladder.

Falls are common in elderly. It has been proven scientifically that with aging, a lot of brain structures, muscles strength, vision, hearing and sensations show a gradual decline.

Causes of fall

Many things can put you at higher (double or triple) risk for a fall.

Medical Risk Factors

  •        Impaired musculoskeletal function, gait (read walking style) abnormality and osteoporosis                 falls
  •        Cardiac arrhythmias (irregular heartbeat), blood pressure fluctuation
  •        Depression, Alzheimer’s disease and senility
  •        Arthritis, hip weakness and imbalance
  •        Neurologic conditions including stroke, Parkinson’s disease, multiple sclerosis etc.
  •        Urinary and bladder dysfunction
  •        Vision or hearing loss
  •        Cancer that affects the bones
  •        Side effects of medications

Personal Risk Factors

  1. Age. The risk for a fall increases with age. Normal aging affects our eyesight, balance, strength, and ability to quickly react to our environments.
  2. Activity. Lack of exercise leads to decreased balance, coordination, and bone and muscle strength.
  3. Habits. Excessive alcohol intake and smoking decrease bone strength. Alcohol use can also cause unsteadiness and slow reaction times.
  4. Diet. A poor diet and not getting enough water will deplete strength and energy, and can make it hard to move and do everyday activities.



Falls and accidents seldom “just happen”      People should not fall

Why should you NOT fall?

As a result of fall, you may get a small injury like a bruise or mild bleeding or a muscle pull to some serious injuries like fracture (break in bone) or brain injury and deaths too.

If you are osteoporotic (a condition in which bones are already weak) chances of fracture increases.

Fall risk increases with age. Henceforth, falls are common and serious health problem with devastating consequences in elderly

Prevention of fall is possible by early diagnosis and awareness about intervention. Fall should not be perceived as inevitable part of aging. All elderly, be sure to discuss the fall with doctor, even if you are not hurt. It can also be a sign of new medical condition like diabetes or change in blood pressure.

Physiotherapists play a vital role in prevention of falls.


Physiotherapy and rehabilitation at ReLiva for fall prevention

Reliva therapists conduct a detail check of elderly muscles strength and sensations of body more specifically for legs. Reliva therapists also conduct scientifically proven validated scales (Fall risk assessment scale and Berg Balance scale) to know if there is any risk of fall and to know balance problems in elderly.

Based on which, Reliva therapists design an exercise protocol to improve strength and balance in sitting, standing as well as walking. Physiotherapists are specially trained for balance specific exercises.  If required, they will prescribe an assistive device (walker or stick which can later be gradually discontinued ) with regular supervised exercise sessions.

Call Reliva if:

  • You are an elderly
  • You want to get fall risk check
  • You want to get balance check
  • You want strengthening and balance exercises
  • You want home modification tips.

For simple Tips to Prevent Falls, click here and see the infographic.


What to do if you had a Fall?

  • Do not panic. Assess the situation and determine if you are hurt.
  • Slide or crawl along the floor to the nearest couch or chair and try to get up.
  • If you cannot get up, call for help.
  • If you are alone, slowly crawl to the telephone and call nearest hospital or relatives.
  • Once you are ok, do see a doctor or a Physiotherapist even if you haven’t hurt yourself, to ascertain the reason for the fall.


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Dementia & Alzheimer’s care

Healthy & Positive Habits to Protect you from Stress

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Dementia and Alzheimer

Dementia & Alzheimer’s: Tips for Care

Last Updated : 10 Oct, 2018

What is Dementia & Alzheimer’s Disease?

Dementia, a brain condition that causes problems with thinking and memory, is a major worldwide health problem among older people. Alzheimer’s Disease contributes approximately 70% of all Dementia cases. Epidemiological studies in India suggest about 1/3rd of the prevalence of Dementia & Alzheimer’s Disease (AD) as compared to The United States and other developed countries.

What age does Alzheimer's start?

Incidence of AD increases sharply after age 65 years for age.

However, it can happen in individuals as soon as their 40s or 50s. This is called early onset Alzheimer's. This sort of Alzheimer's affects around 5 percent of the population with the condition.

How do you care for an Alzheimer's patient at home?

The task of being caregiver for a loved one with Alzheimer’s or Dementia, can be extremely daunting. One may have to experience behavioral problems such as wandering, aggressiveness, hallucinations, or sometimes sleeping and eating difficulties.

Tips for the Caregiver for Alzheimer’s

Care for Alzheimers dementiaBy learning how to make changes in the caring atmosphere, you can improve the Quality of life for both the patient and your own self.

  • Try to put yourself in the person’s situation. Look at your loved one’s body language & imagine what he/she might be feeling or trying to express.
  • Are the patient’s needs being met? Is the patient hungry, thirsty or in pain?
  • Make necessary changes in the home environment or atmosphere to comfort the patient.
  • Create a calm & soothing environment. Keep yourself calm and stop being anxious or upset in response to their behavioral problems as it can increase patient’s stress or agitation.
  • Establish a daily routine for the patient such as a schedule for bathing; as all these tasks would be difficult and can be done only when the patient is very calm and agreeable.
  • Expect things to take longer than they used to and give step by step instructions when you ask your loved one to do something.
  • Encourage them to participate in physical activity or Exercises as it is a great way to reduce stress, improve balance and coordination and other activities of daily routine.

Is there any treatment for Alzheimer's?

Despite there is no known cure for Alzheimer’s, your doctor may still recommend you the following to help ease AD symptoms and slow down the progression of the condition.

  1. Medication, and
  2. Changes in lifestyle: formulate strategies to help you or your loved one:
    • focus on tasks
    • limit confusion
    • avoid confrontation
    • get enough rest every day
    • stay calm (Ask your physiotherapist for exercises that relieve stress)
    • improve or maintain the quality of life

Regulated and supervised exercises during Physiotherapy can help the patient of Alzheimer’s disease in several ways, to attain most of the above goals.

Every person is unique & will have different levels of ability and activities they enjoy. If you want to find out more about suitable exercise & physical activities, call us at +91 9920991584 and find out about a Physiotherapist near you.

Alzheimer’s treatment & care

What is the best treatment for Alzheimer?

Regulated and supervised exercises during Physiotherapy can help the patient of Alzheimer’s disease in several ways, some of which are listed below:

  • Exercise is an excellent stress reliever and it can give solutions to most of the problems such as aggression, wandering and lack of sleep or sleep disturbance.
  • Physiotherapy improves muscle strength, mobility, balance and Co-ordination and ensures proper training for activities of daily living such as eating, dressing, etc.
  • Physiotherapy is crucial for patients in pain and reduces symptoms with use of Electrotherapy.
  • Physiotherapy can assess one’s ability to walk safely, the risk of falls & other functional tasks. The therapist will develop a treatment program, including exercise, to help maintain your loved one’s current abilities.
  • Even in late stages of Alzheimer’s, physiotherapy can help prevent & manage shortening of the muscles or joints.
  • Physical activity creates valuable opportunities to socialise with others & can help improve & maintain a person’s independence which is beneficial both to the people with Alzheimer’s & Dementia & also to their Caregivers.
  • Several studies show that exercises performed for 15-30 minutes, thrice a week, prove to be beneficial for patients with Alzheimer’s disease.

“A person does not need to remember having engaged in an Exercise Program to reap the benefits of Exercise- they just have to participate!”

What are the first sign of Alzheimer's?

Alzheimer’s is a progressive disease of the brain that slowly impairs memory and cognitive function. It is characterized by decline and loss of multiple cognitive functions such as loss of memory and atleast one of the following:

  • Loss of Ability to understand (Aphasia): for example, Inability to respond to “Your daughter is on the phone”.
  • Loss of Ability to perform complex tasks of daily routine (Apraxia): for example, Dressing, Bathing etc.
  • Loss of ability to plan, organise, execute normal activities of daily living: for example, going shopping etc.

How does Alzheimer’s progress?

Alzheimer’s is a progressive disease and its symptoms will gradually worsen over time which we can identify in seven different stages:

  1. No symptoms at this stage, but an early diagnosis based on family history can be done.
  2. The earliest symptoms i.e. affection of memory starts to appear.
  3. Mild physical and mental impairments appear, such as reduced memory and concentration. These may only be noticeable by someone very close to the person.
  4. Alzheimer’s is still mild but often diagnosed at this stage. Memory loss and the inability to perform daily living activities is obvious.
  5. Symptoms are moderate to severe and the patient will require help from loved ones or caregivers.
  6. A person with Alzheimer’s may require help with basic tasks at this stage, such as eating and dressing up.
  7. The most severe and final stage of Alzheimer will include loss of speech and facial expressions.

Is there a difference between Dementia and Alzheimer's?

Dementia is a group of symptoms that affects mental cognitive tasks such as memory and reasoning. It is a brain related disorder caused by diseases and other conditions. Alzheimer’s Disease happens to the most common type of Dementia.

Alzheimers vs Dementia

What causes Dementia?

Dementia may be caused by a variety of reasons with Alzheimer’s being the most common one. The causes of Dementia often include:

  • Alzheimer’s Disease
  • Stroke,
  • Thyroid issues,
  • Vitamin deficiencies,
  • Reactions to medicines and
  • Brain tumors

How quickly does Alzheimer's progress?

The symptoms of Alzheimer's disease worsen over time, although the rate at which the disease progresses varies. On average, a person with Alzheimer's lives four to eight years after diagnosis, but can live as long as 20 years, depending on other factors.

What are the 10 warning signs of Dementia?

Dementia is not normal ageing. You could identify the onset of Dementia with the following ten warning signs:

  1. Memory Loss
  2. Difficulty performing familiar tasks
  3. Problem with language sets in
  4. Disorientation to time and place
  5. Poor or decreased judgement
  6. Problems keeping track of things
  7. Misplacing things
  8. Changes in mood and behavior
  9. Trouble with images and spatial behavior
  10. Withdrawal from social activities

Warning signs of Dementia

Can you test yourself for Alzheimer's?

There is no specific conclusive test for Alzheimer's disease. To diagnose Alzheimer's dementia, doctors evaluate your signs and symptoms and conduct several tests including the following:

  1. Psychological status test. This may be done to survey transient memory, long term memory, and orientation to place and time. The questions may include:
    • what day it is
    • who the president is
    • to remember and recall a short list of words
  2. Physical examination. This may include your blood pressure, pulse, body temperature and sometimes urine or blood test too.
  3. Neurological exam to rule out other possible diagnoses, for example, Parkinson's or stroke. In this exam, they will check your reflexes, muscle tone, and speech.
  4. Brain imaging studies may be conducted to include the following:
    1. Magnetic resonance imaging (MRI). MRIs can help pick up key markers, such as inflammation, bleeding, and structural issues.
    2. Computed tomography (CT) scan. CT scans take X-ray images which can help your doctor look for abnormal characteristics in your brain.
    3. Positron emission tomography (PET) scan. PET scan images can help your doctor detect plaque buildup. Plaque is a protein substance related to Alzheimer’s symptoms.
  5. Blood tests to check for genes may also be done to indicate if you have a higher risk of Alzheimer’s disease.

Can you prevent Alzheimer's?

Exactly like there’s no known cure for Alzheimer’s, there are no absolute preventive measures either. Researchers are somehow focusing on overall healthy lifestyle habits as ways of preventing cognitive decline.

The following measures may help:

  • Quit smoking.
  • Exercise regularly.
  • Try cognitive training exercises.
  • Eat a plant-based diet.
  • Consume more antioxidants.
  • Maintain an active social life.

Keep reading about the latest developments in the field and stay updated. You could click on the subscribe button below and start your journey right away, to stay in tune with the latest in the field of Movement and Recovery and handy tips to beat pain and injury.

Related Reading:

Seniors Fall: What to do

Fall Prevention Tips

Parkinson’s disease and recovery

This article is based on inputs from Dr Bini Thomas (PT) and Dr Pooja Sapte (PT).

Dr Bini specializes in caring for patients with neuro deficits while Dr Pooja specializes in caring for the musculoskeletal disorders. Their combined knowledge to the ReLiva pool bring a holistic approach to caring for patients of Alzheimer’s and Dementia across ReLiva clinics in Mumbai, Navi Mumbai, Thane & Pune.

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cardiac rehab for healthy heart

Cardiac Rehab – Staying Heart Healthy

What is Cardiac Rehabilitation? cardiac rehab

Cardiac Rehabilitation is an individualized and personalized treatment plan, including evaluation and instruction on physical activity, stress management, and other health related areas.

An important part of the treatment of your specific heart problem. If you have one of the following diagnoses, you may be eligible to participate :
•    Heart Attack
•    Angina
•    Coronary artery angioplasty or stents
•    Open heart surgery such as coronary bypass or valve surgery
•    Heart failure

Even if you are prone to CVD,  a rehabilitation program  would mitigate the risk of a cardiac event.

Recent scientific studies have shown that people who complete a cardiac rehabilitation program can increase their life expectancy by up to five years.

Benefits of Cardiac Rehabilitation:

  • Live longer and lessen your chances for another heart attack
  • Control heart disease symptoms such as chest pain or shortness of breath
  • Stop or reverse damage to your blood vessels in your heart
  • Lessen the physical and emotional effects of heart disease
  • Improve your stamina and strength, getting you back to your usual activities, including work, hobbies, and regular exercise
  • Improve your confidence and well-being

Cardiac Rehabilitation Offers: 

1. A personalised, monitored and supervised exercise program incuding one or all of the following:

•  ECG

•  Heart rate

•  Blood pressure

•  SPO2

2. Assessment of your personal risk factors for heart and blood vessel disease

3. Education and support to make healthy lifestyle changes such as :

  • Maintaining a healthy weight
  • Beginning and maintaining a personalized exercise plan that works for you

ReLivaTM Cardiac Rehab program aims to deliver appropriate dosage of exercise under regular patient monitoring to achieve optimal cardiovascular capabilities.

Exercise = Medicine to keep your heart healthyCardiac rehab - Exercise is medicine to keep heart healthy


Related Reading:

CardioVascular Diseases – Improving Heart Health via Cardiac Rehab Program

Cardiac Rehab Program : Story of Recovery & Confidence

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