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Abstract Details

A study on Affordable Rehabilitation Care in Developing Countries with Use of Low Cost Technologies
Neuro-rehabilitation
P5 - Poster Session 5 (5:30 PM-6:30 PM)
7-021

Rehabilitation care in rural has different set of challenges and not commonly reported.In this descriptive study We present different issues faced in  low cost rehab care in predominantly rural in India.

Low Affordability and poor follow ups are one of the  two main issues. Poor follow ups are mainly due to distances and loss of wages on the day when person and his attendant have to attend the clinic.
This descriptive study is from single Neuro-rehabilitation center from Latur, which is one remote district of India,and one of the most drought prone zones of India. The data collected prospectively from March2014 to Dec2017. 
During the study period there were 2700 patients received service from the center. Majority of patients were from rural area . Rehabilitation center need regular follow up of patient however due to long distance to travel most of our patients were not able to come for regular follow up. Regional pain syndromes are most frequent reason to attend the service than stroke or other neurological diseases.  Average cost of therapy was INR 300 [ USD 4.01] only which includes Physiotherapist consultation, stretching session, IFT, intophoresis,Local therapy etc.

Working in center which serves predominantly rural area has different set of challenges.Despite very low charges of treatment followups were poor due to non medical factors.To serve better we tried to teach them yoga/stretching which they can do at home. We tried to cater maximum in single session.  Use of low cost technology has came up in recent times as a useful tool. We tried to use booklets, flyers, Cd etc so that they can do exercises at home. One of the best ways was patients own smartphone ! which patient carry himself !!  We asked them to record or take photo of exercises, communicate on whats app,showing  youtube video for discussion during session.    

Authors/Disclosures
Sachin M. Kokane
PRESENTER
No disclosure on file
Devashish D. Ruikar, MD (Shree Neurocare Center) Dr. Ruikar has nothing to disclose.
Devashish D. Ruikar, MD (Shree Neurocare Center) Dr. Ruikar has nothing to disclose.