• " The difference between high-functioning and 
    low- functioning is that high-functioning means your deficits are ignored, and low-functioning means your assets are ignored"

    ​-Laura Tisoncik
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Therapeutic Services & Programs

Occupational Therapy

 Occupational therapy (OT) helps children and adults acquire the skills which are required to do the activities—or "occupations"—of daily life. These bachelor and master's level health-care professionals take a holistic approach to a client's physical well-being, by taking into consideration the psychological, social and environmental factors, explains the American Occupational Therapy Association.

Occupational Therapists address many challenges like attention span and arousal level; sensory and processing skills; fine and gross motor skills; activities of daily living (ADLs), also known as self-help skills, like brushing teeth, dressing and toilet training; visual-perceptual skills; handwriting; and assistive technology.

Addressing Challenges in sensory modulation: Children who have trouble modulating sensory input may experience extra-sensitivity (hypersensitivity), low-sensitivity (hyposensitivity) or both to impairing or overwhelming degree in different situations like in school, home or anywhere. A hypersensitive child may be withdrawn; because they get easily overwhelmed by auditory and visual stimuli, they may want to avoid public places, hotels etc. The buzz of fluorescent lights of an ambulance and anxiety about the loud horn of train may distract her, making it difficult to pay attention and participate in class.

Those who are under-sensitive crave for sensory input. In the classroom, they become "disruptive" sensory seekers. Hence they will keep moving, touching everything, and even tripping or bumping into other kids. Some of these kids may be diagnosed as ADHD, which they are really not.

Correcting Gross Motor Difficulties: When a child / adult have problems in gross motor skills involving the major muscle groups, they will struggle with balance, coordination, strength and endurance. These will have a direct impact on anything from walking and climbing stairs to hopping, jumping and catching and throwing a ball. Such deficits prevent kids from participating in sports and activities, which can in turn affect socialization and self-esteem. Occupational Therapists will often work on gross motor skills along with physical therapists, since some goals are similar. If a child has low muscle tone and core body strength it prevents a child to sit erect and be alert, a much needed skill for class room and fine motor skills like handwriting.

Strengthening the Fine Motor Skills: Fine motor skills involve the small muscles of hand. When there's a lack of strength, motor control and dexterity, children have difficulty drawing, using scissors and stringing beads. Such delays, if not addressed, will make academics—turning pages, writing, using a computer much difficult and also ADL skills. Occupational Therapists also employ many fun activities to develop fine motor skills. For those having cerebral palsy or those suffering from stroke they help in hand functions and ADL.

Speech Therapy

Speech is the verbal means of communication. This has three components- voice, articulation and fluency. Use of vocal cords with a controlled breathing pattern produces sound called voice. Problems in voice may be due to many reasons like infections of throat, misuse/overuse of voice resulting in hoarseness of voice or it can be loss of voice as in stroke, paralysis of vocal cord of one side. The way we make different speech sounds using our tongue, lips, nose or throat is called as the process of articulation. Any problems in this like cleft palate, problems in tongue/lip movement or even overcrowding of teeth can result in articulation disorders in addition to disorders of cerebellum which results in dysarthria( difficulty in speaking as if drunk). The rate and rhythm in which we speak constitute the fluency. Difficulties in this may result in stammering/stuttering.


Speech Difficulties V/s Language Difficulties:
        
  • When a person cannot understand what others tell (receptive), then he is said to have a receptive language problem; when not able to tell (express out what he wants to say/ express) is called expressive language problem.
  • A problem in a person who is unable to produce speech sounds correctly or fluently, or has problems with his or her voice is called a speech disorder.

Both can exist together in one person/ separately. The use of social language in appropriate situations appropriately is called Pragmatics. Pragmatics has 3 major communication skills.

How to use language for different purposes, like

  • Greeting (e.g., Namastey,good morning, hello, goodbye)
  • Informing (e.g., I'm going to sleep)
  • Demanding (e.g., Give me my toy car)
  • Promising (e.g., I will get you a chocolate)
  • Requesting (e.g., give me a chocolate, please)

How to change language according to the needs of a listener or situation, like

  • Talking differently to a baby (baby talk) than to an adult
  • Telling background information to an unfamiliar person
  • Speaking differently in a classroom than on a playground

Following rules for conversations and storytelling, such as

  • Taking turns in conversation
  • Introducing topics of conversation
  • Staying on topic
  • Rephrasing when misunderstood

How to use verbal and nonverbal signals ?

How close to stand to someone when speaking ?

How to use facial expressions and eye contact ?


Such a child/person will have –limited variability in conversation; disorganized story telling skills; tell inappropriate words/ things during conversation. This can cause considerable hardship to the child as other children may avoid talking to this child with a pragmatic disorder resulting in lower social acceptance as in disorders like autism.

Sensory Intergration Therapy

Sensory experiences include touch, movement, body awareness, sight, sound, smell, taste and the pull of gravity. The process of the brain organizing and interpreting this information is called Sensory Integration. Sensory Integration (SI) provides a crucial foundation for later, more complex learning and behavior.

For most Children, Sensory Integration develops in the course of ordinary childhood activities. Motor planning ability is a natural outcome of this process, as is the ability to adapt to incoming sensations. But, for some children, sensory integration does not develop as efficiently as it should. When this process is disordered, a number of problems in learning, development and behavior may become evident.

Not all children with learning, developmental or behavioral problems have underlying sensory integration difficulties. There are certain indicators, however, that can signal a parent that such difficulties may be present. These include:
OVERLY SENSITIVE TO TOUCH, MOVEMENT, SIGHTS, SMELLS, TASTES AND SOUNDS

This may be manifested in behaviors such as irritability or withdrawal when touched, avoidance of certain textures of clothes or food, distractibility, fearful reactions to such ordinary movement activities (swinging, spinning).

                                     

                       UNDER-REACTIVE TO SENSORY STIMULATION

Contrasted to the above, an under – responsive child may seek out sensory experiences such as whirling or crashing into people and objects. He or she may seem oblivious to pain or to body position. Some children fluctuate between extremes of over- and under – responsiveness.


                             POOR ORGANISATION OF BEHAVIOUR
This child may be impulsive or distractible and show a lack of planning in approach to tasks. Some children have difficulty adjusting to new situations. Others may react with frustration, aggression, or withdrawal when they encounter failure.



ACTIVITY LEVEL THAT IS UNUSUALLY HIGH OR LOW                                                                             

The child may be constantly on the move or may be slow to warm –up and fatigue easily. Again some children may fluctuate between extremes.


COORDINATION 
This can be seen in gross and fine motor activities. Some children may have unusually poor balance, while others have great difficulty learning to do a new task that requires motor coordination.
DELAYS IN SPEECH, LANGUAGE, MOTOR SKILLS, OR ACADEMIC ACHIEVEMENT                                                      
These may be evident in a pre-scholar along with other signs of poor sensory integration. In a school-aged child, there may be problems in some academic areas despite normal intelligence.

POOR SELF :                                                                                                                   
Often a child with Sensory processing difficulties ‘does not quite feel right.’ A bright child may know that some tasks are more difficult than others but may not know why. This child can often present as bored, lazy or unmotivated. Some children develop strategies to avoid those tasks that are hard or embarrassing. When this happens, the child may be considered troublesome or stubborn. When a problem is difficult to understand, parents and children may blame themselves. Family tension, poor self-concept and a general feeling of hopelessness may prevail.

Special Education

Special Education is that component of education which employs special instructional methodology (Remedial Instruction), instructional materials, learning-teaching aids and equipment to meet educational needs of children with specific learning disabilities. Remedial instruction or Remediation aims at improving a skill or ability in a student. Techniques for remedial instruction may include providing more practice or more explanation, repeating information, and devoting more time to working on the skill. For example, a student having a low reading level could be given remediation via one-on-one reading instruction, phonic instruction, or practice in reading aloud.


When does a child need special education?

Special education teachers work with children and youths who have a variety of disabilities. A small number of special education teachers work with students with mental retardation or autism, primarily teaching them life skills and basic literacy. However, the majority of special education teachers work with children with mild to moderate disabilities, using the general education curriculum, or modifying it, to meet the child’s individual needs. Most special education teachers instruct students at the elementary, middle, and secondary school level, although some teachers work with infants and toddlers. Special educators provide programs for specific learning disabilities, speech or language impairments, mental retardation, emotional disturbance, multiple disabilities, hearing impairments, visual impairments, autism, combined deafness and blindness, traumatic brain injury, and other health impairments. Students are classified under one of the categories, and special education teachers are prepared to work with specific groups. Early identification of a child with special needs is an important part of a special education teacher’s job. Early intervention is essential in educating children with disabilities.

Early Intervention Therapy

Early Intervention  is the term used to describe the services and supports that are available to babies and young children with developmental delays and disabilities and their families. May include speech therapy, physical therapy, and other types of services based on the needs of the child and family. Can have a significant impact on a child’s ability to learn new skills and overcome challenges and can increase success in school and life.

Early intervention is a system of coordinated services that promotes the child's age-appropriate growth and development and supports families during the critical early years. 


Early intervention services delivered within the context of the family can aid with the below through the services of physical, occupational, and speech therapy. Some examples include:

  • Help prevent child abuse and neglect
  • Mitigate the effects of abuse and neglect
  • Improve parenting skills
  • Strengthen families
  • Improve the child's developmental, social, and educational gains;
  • Reduce the future costs of special education, rehabilitation and health care needs;
  • Reduce feelings of isolation, stress and frustration that families may experience;
  • Help alleviate and reduce behaviors by using positive behavior strategies and interventions; and
  • Help children with disabilities grow up to become productive, independent individuals.
  • Assistance with technological devices, counseling, and family training.

Hand Therapy

Hand injuries are common but if left untreated, it may result in loss of function.  Learn how to manage hand injuries from Hand Therapy Unit of Reviviscence Rehab, Department of Occupational Therapy, under guidance and supervision of Mr.Pankaj Kumar, MOT-Neurology & Mr. Arulking Giftson, MOT-Hand Rehabilitation.


A minor hand injury can be treated at home, but a major hand injury will require medical treatment followed by physical therapy to rehabilitate the hand. “Common causes of trauma injuries include falls, cuts from knives or glass as well as workplace injuries.
 A repetitive stress injury is usually associated with overuse of the hand over a prolonged period of time, and mostly left untreated due to ignorance towards that pain and it ends with prolonged difficulties due to continuous repetitive injury. It is more common among IT professionals ” says Mr.Arulking Giftson, Hand Rehab Expert Occupational Therapist, Unit In-charge Hand Rehabilitation, Department of Occupational Therapy at Reviviscence Rehab Institute Private Limited.

                                            

                                 Types of hand injury


The different types of hand injury, which share symptoms such as stiffness, severe pain, swelling, bruising and difficulty in movement, are:
  • Sprains
  • Fractures
  • Tendon and nerve injuries
  • Tendonitis, e.g. trigger finger, trigger thumb
  • Carpal tunnel syndrome

Whether you develop a trauma injury while playing sports or a repetitive stress injury at work, a painful hand injury requires timely medical treatment to prevent permanent damage. Treatment is determined by the severity of your injury, your age and general state of health, as well as your occupation.


Hand rehabilitation is key to recovery


Hand injury treatment – which can range from a splint, brace, and cast, to surgery – is usually followed by a prolonged period of rehabilitation therapy by an occupational therapist. Hand rehabilitation is designed to regain range of motion, prevent joint stiffness and strengthen the muscles of the hand and. It includes the following procedures:


  • Heat treatment
  • Mobilization exercises
  • Strengthening exercises
  • Tendon Gliding Exercise
  • Splinting & Use of Assistive Technology


“If you need to return to a job with high physical demands, you may also go through simulated work hardening programs,” says Mr.Pankaj Kumar, Director such programs involve real or simulated work tasks designed to maximize abilities to successfully return to work.


If you have a repetitive stress injury, the occupational therapist may also advise you on joint protection techniques. You may receive important pointers on proper ergonomics, such as workstation posture, the position of your computer, and how to use your keyboard.


If your injury is severe, the occupational therapist will teach you lifelong strategies to cope with your daily activities and function independently.


“Rehabilitation is key to recovery after a hand injury. It empowers you to be self-sufficient and return to optimal functioning in your daily life,” says  Mr.Arulking Giftson, Hand Rehabilitation Expert, Unit In-charge-Hand Rehabilitation, Department of Occupational Therapy.


Precautions

You will need to take precautions at home to support your recovery. If you have had a traumatic injury, you should avoid heavy lifting and exerting your affected hand in the initial stages. If you have a repetitive stress injury, you will need to minimize use of the affected hand while avoiding overuse of the unaffected hand.


Tips to prevent hand injury
  • Adopt proper joint protection techniques and prevent repetitive overuse of your hands in daily activities.
  • Try to spread out household chores across the week, instead of accumulating tasks to be completed over the weekend.
  • While at work, take responsibility for your own safety when handling equipment, moving heavy objects and performing other such tasks.
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Group Therapy

 Presently Suspended due to COVID-19

 Autism Therapy

In this Program Child Undergoes intensive Therapy Facilities such as OT, SI Therapy, Speech Therapy, Behavior Therapy and Neuro-Developmental and many more

Physiotherapy

Physiotherapy or also called as Physical Therapy is to be given to children or adult who are experiencing muscle strength, tone, coordination issues which needs gradual strengthening training for improving funvtion of human body


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How do we understand and get you on your journey towards empowering your potential
Consultation/ Initial Need Screening

This is the very first process when you step in Reviviscence. A dedicated staff will be assigned to you to understand your need and screen child/patient difficulties and what services may require at this stage to overcome difficulties.

 Assessment & Evaluation

Now we are just close to finally begin with therapeutic support, but we don't fight enemy whom we don't know so this process gives us information about your present status, difficulties or any other associated issues which are not being visible but may affect your daily routine. This process will give us enough data to work with patient and improve their functionality.

Intervention & Therapies

Hurrey, Hurrey !!!! Finally we are into process of development. In this phase of service you will be given monthly therapy outcome based goals to monitor your child performance, you will also be equiped with necessory training which you need to practice at home with patient/child. You will be provided with complete open accessible Home Program training by Assigned therapist apart from regular therapies.

Home Program
​Parental Training & Guidance

Reviviscence Rehab considers parent as part of therapeutic program and provides maximum training and individualized training which are needed to maximize their child potential and improve child and family quality of living

Standard Assessment by standardized assessment tools.

At Reviviscence Rehab we give most of our priority to  patient development and maintain evidence based , goal oriented, outcome based therapy programs hence we usually  conduct standardized evaluations which has been procured by Reviviscence Rehab Institute Pvt Ltd and company will be keep procuring which ever need to improvise practice standards and useful resource for child development..

Reviviscence Rehab (RRI) Customized Therapeutic Programs & Developmental Programs

Individual Therapy Program (ITP)

Reviviscence Rehab provides customized individual need based therapies as per need and requirement of patient in 1:1 ratio. It is the most effective solution of developing skills among patients. It gives a lot of room for therapist to work on patient individuals skills with full concentration and work on more critical areas. Presently we provide this service at our Perungalathur, Chennai branch only.

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School Model Program (SMP)

Reviviscence Rehab is offering School Model Program which stands for developing all necessary skills required in children with special needs to get integrated in mainstream schooling. In this program we work on most the component skills which is expected in main school from children to execute for their successful integration with other kids and school environment. We offer this program for kids who are above 4 Years and not attending school. In this program child will receive all therapies which will be required to develop child and available at our center. For now kids enrolled in our school model program who have been attending past 2 years successfully transitioned in mainstream school which are very big brands in school industry. We also have tie-ups with most of the CBSE and State Board educational institutions who helps us to meet our objective of inclusion of kids in main school. Our therapist are accessible by school teachers whenever any situation comes when they find difficult to manage. We also provide various professional trainings to school teachers to empower them to understand about special need kids and how to handle in school. This program has been proven in past 5 years of experience with our self monitored and customized curriculum

Since mostly we offer this program at each academic year but we understand difficulties of time and parents so we are open to accept all kids at any month of year.. 

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Tele Rehabilitation Program ( Distant Therapy Program)

In amid of COVID-19 outbreak we understand value of continuity in therapies. We have our secured methods of delivering cost effecting therapies which you can avail at your convenience and comfort of home. It helped many parent and patients in reducing their complication during complete lockdown. We are offering this service not only for our patients but for any one person who needs any therapy services but can not walk in to our center. Presently we have patients from USA, Singapore, New Zeeland, Middle east, UAE, Madurai, Delhi, Bihar, and many parts of the world.

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Outreach Program

Reviviscence Rehab frequently conducts screening and training camps for extrior areas, rural areas, and for parent groups who can not visit us. On their request Reviviscence Rehab provides a team of specilist in therapy industry who does screening, assessment, and treatment planning and train parent, caregiver to provide therapies at home till next follow up. This program helps people to get best use of our skills at reasonable price and removes their burden of travel from city to city. In short if you have group of 10 people who need any kind of therapeutic support and guidance just give a call rest leave on us.

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Assessment & Training Program (ATP-Enabling  Parents)

ATP-Enabling Parent program is being designed to meet specific needs of patient and parent/caregiver who are available with us for a very short span of time. In this program we conduct assessment and provide a complete training for patient caregiver/parent which they can follow  and later depending on patient progress can be planned further either via tele-rehabilitation or in person follow up.

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High Risk Infant Development Program

It is an art and science of integrating typical development of the infant and family into the environment of the NICU. It incorporates theories and scopes of practice from the respective disciplines of occupational therapy, physical therapy and speech language pathology.


The role of a pediatric occupational therapist (OT) in the NICU is to provide comprehensive services, including evaluation, treatment, education, decision making, family support, and discharge planning. It may also include early intervention services or outpatient pediatric rehabilitation services. Once child comes out of NICU then also therapist plays a crucial role in overall development of child. Parent training  and consistent follow up of therapy services are indeed required to avoid any further consequences to the high risk population such as Development Delay , GDD, DD, and any other child developmental disabilities.

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Professional Training & Education Programs

Reviviscence Rehab  also understand need of continuous education and updating of skills. We incorporate our therapist for their individual training by attending seminar, conferences and we also conduct training seminar, workshop for professionals to learn and update skills in the industry

Internship Programs

Reviviscence Rehab provides variety of internship opportunity which is not restricted only for Therapist. We do provide internship for various other field such as Marketing, Management, Social Worker, Psychologist, and other professionals

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Screening Camp & Community Awareness Programs

Reviviscence Rehab reaches to people who can reach us to educate them to fight their struggle with disability. We provide screening in communities and home program further follow-ups to understand their current challenges and progress.

School Enrichment & Accessibility Program (SEAP)

Reviviscence Rehab incorporates and tie up with school, those are sensitive towards concept of inclusion. We do provide Training for school staff, Assessment of individual child and infrastructure for easy accessibility for the children with any sort of disability either physical, locomotive, or cognitive.

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 Ergonomic Training & Consultation Program

This program is for corporates and industries which require man power or dependent on machine which needs to be monitored or managed by human. In this we analyze the data of leave and sickness and loss occurred due to that and provide training for manpower, and human resources to overcome those pain and improve functionality, productivity, for profitability of corporates and industries.

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Assistive Devices & Technology Development Program & Consultation Services

Reviviscence Rehab provides customized solution for need of adaptive equipment to develop independence in day to day routine. This service helps stroke, paralysis, TBI, and any other condition where hand or feet can not work appropriately and they need some external support to function their day to day work. 

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