Articles on occupational safety and health

Occupational Therapy Is Essential for Stroke rehabilitation

Dr. Chaitanya Ulhas Mantri, Occupational Therapist
“Paralysis is defined as complete loss of strength in an affected limb or muscle group.”The chain of nerve cells that runs from the brain through the spinal cord outdo the muscle is called the motor pathway. Normal muscle function requires intact connections all along this motor pathway. Damage at any point reduces the brain's ability to control the muscle's movements. This reduced efficiency causes weakness, also called paresis. Complete loss of communication prevents any willed movement at all. This lack of control is called paralysis. Certain inherited abnormalities in muscle cause periodic paralysis, in which the weakness comes and goes.The line between weakness and paralysis is not absolute. A condition causing weakness may progress to paralysis. On the other hand, strength may be restored to a paralysed limb. Nerve regeneration or regrowth is one way in which strength can return to a paralysed muscle. Paralysis almost always causes a change in muscle tone. Paralysed muscle may be flaccid, flabby, and without appreciable tone, or it may be spastic, tight, and with abnormally high tone that increases when the muscle is moved.Paralysis may affect an individual muscle, but it usually affects an entire body region. The distribution of weakness is an important clue to the location of the nerve damage that is causing the paralysis. The types of paralysis are classified by region:Monoplegia, affecting only one limbDiplegia, affecting the same body region on both sides of the body (both arms, for example, or both sides of the face)Hemiplegia, affecting one side of the bodyParaplegia, affecting both legs and the trunkQuadriplegia, affecting all four limbs and the trunk.The nerve damage that causes paralysis may be in the brain or spinal cord (the central nervous system) or it may be in the nerves outside the spinal cord (the peripheral nervous system). The most common causes of damage to the brain are:StrokeTumorTrauma (caused by a fall or a blow)Multiple sclerosis (a disease of that destroys the protective sheath that covers nerve cells)Cerebral palsy (a condition caused by a defect or injury to the brain that occurs at or shortly after birth)Metabolic disorder (a disorder that interferes with the body's ability to maintain itself).Damage to the spinal cord or peripheral nerves is most often caused by trauma, such as a fall or a car crash.INTRODUCTION TO STROKEImagine yourself in a marketing place and you suddenly collapse on the ground and are unconscious. It can be a STROKE!To be classified as stroke, focal neurological deficits should persist for at least 24 hours.Stroke is a disease that affects the blood vessels that supply blood to the brain. It occurs when a blood vessel that brings oxygen and nutrients to the brain either bursts or is clogged by a blood clot or some other mass. The former is called as the hemorrhagic stroke and the later an ischemic stroke.When the rupture or blockage of the blood vessel takes place, there is no enough blood supply and hence, no enough nutrients and oxygen to that part of brain. This damages the nerve cells and may lead to their (cells) death.As a result, that part of the brain is damaged which results in improper functioning of those body parts which are under the control of damaged brain area.The term cerebrovascular accident (CVA) is also used to refer to the cerebrovascular conditions that accompany either ischemic or hemorrhagic lesions.Stroke may be classified by the etiological categories, management categories and anatomical categoriesRisk of STROKE:Age (over age 65)Brain tumorCoagulopathy (blood clotting disorder)DiabetesHigh cholesterol levelHypertensionHeart diseaseInfection (e.g., meningitis, endocarditis)SmokingWarning signs of STROKE?Sudden severe headache with no known causeSudden difficulty seeing in one or both eyes (particularly in one eye)Sudden problems with walking, dizziness, loss of balance or coordinationSudden weakness or numbness of the face, arm, or leg on one side of the bodyDifficulty in swallowingCare and Rehabilitation Stroke rehabilitation is the process by which patients with disabling strokes undergo Occupational Therapy/ Physical Rehabilitation to help them return to normal life as much as possible by regaining and relearning the skills of everyday living. It also aims to help the survivor understand and adapt to difficulties, prevent secondary complications and educate family members to play a supporting role.Stroke rehabilitation should be started as immediately as possible and can last anywhere from a few days to over a year. Most return of function is seen in the first few days and weeks, patients have been known to continue to improve for years, regaining and strengthening abilities like writing, walking, running, and talking. Daily rehabilitation exercises should continue to be part of the stroke patient's routine.Hand TrainingGait Training

Injury Prevention and Safety in Children

Dr. Rahul Varma, Pediatrician
Injury Prevention in ChildrenEvery day around 1000 children die worldwide. Most of these deaths can be prevented by taking simple injury prevention measures. Huge number of children becomes seriously injured for life. In developing countries like ours where we lose so many children to infectious diseases; it adds to the mortality burden of country. More than 90% of these injuries are unintentional.Common Causes:RTA ( road traffic accidents), fall from height, burns, poisoning, drowning are the main causes of death in children due to injuries.Road traffic accidents (RTA)It is the leading cause worldwide. various methods which can help in preventing these deaths are Proper use of seat belts and child restrainer devices , wearing helmets, driving and walking in designated lanes, driving within speed limits and to avoid drunken driving.Fall:Fall from beds are very common and most baby survive with only bruises and scratches. But still more than 100 children die daily due to fall from height. Many of these deaths can be avoided by using well fitted window panels, child proofing doors and windows and play areas.Burn:Burn injuries from hot water or flames are commonly seen in young children. Preventive measures which can help are smoke alarms, temperature regulators, using fire crackers under supervision of adults.Poisoning:Another common cause of death in young children is poisoning. Daily numerous calls are received by poison cell. Accidental poisoning can be prevented by child proofing cabinets, keeping toilet cleaner out of reach of children, keeping kerosene oil safely and all the medicines away from children.DrowningDrowning is another cause of death in coastal areas. But many small children can drown head down in buckets or bathtub.So to prevent these deaths, we need to store water only in closed container and keep tub empty.PovertyChildren living in poor economical conditions are more likely to be living in unsafe environment. They might be living close to road with high traffic, poor and unstable construction, illegal electricity connection etc.PreventionChild deaths have decreased significantly over last decade (in western countries) due to following measures:Enforcing laws for child safety like having child proof cabinet for storage of medicines and floor cleaners etc.Structural modification in public places like proper railing for child safety in stairs, well fitted windows, fencing around pools, life guards etc.Public awareness campaignsBetter emergency careProper storage of flammable objectsParental guidanceBetter disaster managementIn India major issue is with enforcing laws rather than making them. Authorities should be more vigilant and we should also know our social responsibility.Right to safetyAll children have the right to a safe environment and deserve protection from injury. With proper awareness, environmental modifications and good emergency care, it can be achieved.

How to Manage Hearing Loss?

Mr. Bibin Georgie Thomas, Audiologist
5.3% of the world's population is affected by the disabling effects of hearing loss. It is an invisible handicap. Some have congenital hearing loss, while others acquire it later in life.Fortunately,there are medical/surgical and/or assistive devices (hearing aids) to aid them. As per World Health Organization (WHO) estimates, one-third of those above the age of 65 years acquire hearing loss known as Sensorineural hearing loss. This occurs when there is damage to the inner ear (cochlea), or to the nerve pathways from the inner ear to the brain. Most of the time, sensorineural hearing loss cannot be medically or surgically corrected. This is the most common type of permanent hearing loss. Hearing loss will reduce a person's ability to comprehend speech. Greater the loss,larger is its impact upon speech comprehension. Hearing loss can be conductive or sensorineural based on which part of the ear is affected.In conductive hearing loss, the outer or middle ear does not conduct sounds well as it should, causing a loss of sensitivity for hearing soft sounds. Conductive hearing loss could be caused by impacted wax in the ear canal, perforated eardrum due to an injury or middle ear infection.The fragile inner ear is subject to infection by a variety of viruses including mumps, measles or any illness accompanied by very high fever resulting in sensorineural hearing loss. Certain drugs that areototoxic also cause sensorineural hearing loss. It is nothing but reduced sensitivity to soft sounds as well as difficulty in distinguishing one sound from another.The causes mentioned here are only a few, but the list is exhaustive.The degree of hearing loss can range from mild to severe/profound hearing loss. Even mild hearing loss can isolate hard of hearing people from the mainstream culture and severely restrict their social lives.Symptoms of hearing loss:Avoiding communicative situationsSaying you understood something when you did notRefusing to admit you have a hearing lossExpressing anger through outburstsContinually talking so that you do not have to listenSaying "Never mind, it's not important"Simply nodding your head for everything spoken infront of youPeople who mumble and speak too softExperience of a ringing sound in the earsOften asking people to repeat what they sayComplaints that you play the TV too loudDifficulty in understanding a conversation in a large groupStruggling with localization of the soundsHaving been told that you speak too loudly Denial is an initial reaction, Projection is the second reaction i.e., blame someone else. The next step is anger, misdirected,at the person in closest proximity. Depression may follow resulting in self-imposed aloofness.TreatmentTreatment measures for hearing loss are: medication, in cases of infection causing conductive hearing loss; surgery to correct the outer ear, middle ear bones and eardrum problems, and hearing aids; makes some sounds louder so that a person with hearing loss can listen and communicate.Hearing aids are the effective therapeutic device for 90% of the hard of hearing people. Only 10% of hearing loss can be corrected medically or surgically. Properly fitted and used, hearing aids are able to enhance the quality of life of hard of hearing people.Hearing aids are highly sophisticated devices, reflecting a blend of advances in computers, communication and electronic technology, with added features and development appearing at a rapidly increasing rate. A number of programmable and digital hearing aids are currently in the market, arriving every year.The first step the hearing-impaired person should take is to ensure that he or she has the proper hearing aids and that they are properly adjusted to one's hearing loss. This requires consultation with an audiologist. The hearing-impaired person should not hesitate to ask questions regarding the relative effectiveness of different aids and adjustments. The manipulation of conversational situations is also necessary.People with a hearing loss have a lot of difficulty in understanding speech in noisy situations. The right kind of thing to do in this situation is to ask that the background sounds be reduced e.g. the radio does not have to be on when one is talking to another person in the car. At public performances, they can ask for seats up front / directly in line and close to the loudspeaker. In other types of public performances, they should arrive early and select the most appropriate seats, which would ordinarily be up front. In these situations,changing seats to determine whether another location is better is perfectly appropriate. It is always good for the speaker to ensure that the hearing-impaired listener can see his / her face during a conversation. People with hearing loss may not even realize it, but they are speech reading to some extent as long as they can seethe other person's lips move. The person who communicates should make sure that they do not inadvertently cover their lips. Conversations can be moved to quieter sections. In any type of situation, the closer the speaker and listener are, the easier it will be to hear.Ways to Prevent Hearing LossDeafness and being deaf may not be in our hands, but if we take care and see to the issues of the ears before it is too late, it can be prevented or reversed in a number of cases. The health of the mother during pregnancy should be given adequate consideration so as to have a healthy and fit baby. Similarly in any case of ear problem or pain, the doctor should be consulted very soon to make sure that is not something serious.Taking care and consulting an Otolaryngologist or Audiologist while having medicines that are proven bad for the ear can help to reduce medicine related deafness. In the same way staying away from too much sound or wearing ear defenders when in noisy environment can also help in preventing the problem. Hearing loss imposes some adjustments in life; some easier to cope with than others. Try to recognize it, admit your problem and seek medical help at the first indication of hardness of hearing.There’s help available...all you have to do is ask for it!

Take a Stand and Burn Those Health Hazards: Standing vs Sitting Health Benefits

Dr. Vishwas Virmani, Physiotherapist
The 9-5 rigmarole we shudder to think of, is a grind we are most used to. From morning till late evening, most of our time at work goes with sitting, and that isn’t a good thing say experts. Did you know, there is a vast amount of difference with regard to calories burnt while standing as compared to sitting!Don’t drop that jaw when you read the above statement, for every bit of that line is true. It is but ergonomically proven and for sure, standing has shown plenty of health benefits to reap- loss of unwanted calories for sure. With sitting being firmly established as a health hazard when overdone, there are studies that show how various diseases take over physically and mentally, when we sit for too long and too much. Replacing an hour of sitting with that of standing would certainly be a good idea and a faster way to burn those calories too. No one is asking you to stand in front of your laptop all day long as work, it isn’t possible and is certainly not pain-free as well. But over time it would when you decide to stand more and sit less, see the results on how many extra calories you burned over time. Sources from the esteemed JustStand.Org have calculators that tell you how many calories one can loose per hour. For example, an empirical data shows 100 calories burnt while sitting for an hour, whereas in the same time frame while standing, you could lose 130 calories. Decide now for yourself, which would be best for you? Standing or sitting! And to do your own calculations on the same, check with JustStand.org.The Right Way to Stand and WorkIf you are done with the calculations and have made a decision to stand and work, here are a few ways to do that right-1.    Even while you are at work, ensure to take a standing break every twenty minutes. This allows your body to contract and expand its muscles, which also helps in allowing the blood flow happen as well.In the words of NYTimes Reporter, Gretchen Reynolds, it is clear that standing versus sitting;the former has more benefits “New science shows very persuasively that standing up about every 20 minutes, even for only a minute or two, reduces your risks of developing diabetes and heart disease.” Says Gretchen, after her research on how the body responds physiologically.2.    Sitting as compared to standing, leads the body into many forms of sedentary side-effects. Read more from Gretchen’s take away on her research right3.    The Cornell Ergonomics lab studies show how we should stand and work, which means the right posture and stance while standing at work!For example:●     The computer monitor shouldn’t be far (not more than 20-28 inches) from your eyes.●     The computer screen tilt shouldn’t be lesser than 20 degrees or more than that.●     The height of the table should be by the elbow or a little below.●     90-degree angle to the keyboard is a must for elbow placement.Sitting is okay to an extent, but not always recommended since the sedentary work ways can bring in a host of health issues.

Reduce Risk of Falling in Elderly

Dr. Nidhi Kumar, Physiotherapist
Falls are preventable health problems that can cause moderate to severe injuries & may become primary Etiology of deaths in persons above 65 years of age. High risk of falls in elderly can be attributed to many factors which are broadly categorised into two groups. These are extrinsic/external factors and intrinsic/internal factors.Intrinsic/internal factors arePoor muscle function due to ageing,Reduced co-ordination due to ageing,Medication use (drugs that increase risk of falling are sedatives, tranquilizers, anti-hypertensive drugs, cardiac medicines, hypoglycaemic agents {used in diabetes}, etc.)Impaired vision,Sensory deficits,Alcohol consumption,Poor nutrition,Fall from bed due to disorientation, vertigo, poor balance/muscle power due to chronic illness, etc.Neurological problem such as Stroke, Parkinson’s {balance, gait and postural disturbances}, neuropathy {diabetes}, myopathy {muscle disorders}etc.Loss of consciousness due to epileptic convulsions, cardiac problems, dehydration, vertigo, etc.Extrinsic/external factors are environmental factors such asSlippery floors(waxed or with water),Broken pavements,Slippery rugs/mats,Folded carpet edges,Use of faulty/improper footwear,Use of faulty /improper walking aids,Electrical wires, etc.Falls may cause moderate to severe injuries. The following are health hazards caused due to falls;Fractures;most commonly seen at hip, spine, ribs, forearm, pelvis, hand, ankle, etc. The bones in elderly are already weakened due to osteoporosis. Any trivial trauma may become a trigger for fracture. This leads to dependence, bed recumbency, reduced activity and mobility, which further leads to enhanced rate of osteoporosis.Head injury; which may vary from a mild concussion to severe injury, may become fatal even.Ligament sprains.Psychological fear leading to dependence, further fear of falling & increased self-restriction of activities.Increased morbidity & bed recumbency.Prevention of fallsExercise regularly; ageing process, reduced activity level, morbidity, etc. are few factors which lead to reduced muscle strength, balance & co-ordination. This may pre-dispose to falls. Thus organising camps or group interventions motivates the elderly and also gives them a chance to socialise.Ergonomics; free active and resistive exercises should be done using thera-tubes, thera-bands, putty, pulleys, balls, etc. 10 repetitions each 2-3 times a week throughout range of motion.Regular eye check-up; regular eye check-up should be done & update glass power to maximise vision.Reduce fracture risk; elderly should be regularly screened for osteoporosis through bone density tests, DEXA scan etc. Adequate calcium & vitamin D levels in blood should be maintained through dietary intake and through supplements too. Weight bearing/loading exercises should be regularly followed to strengthen & enhance bone health.Postural hypotension; regular blood pressure check-up, regular updating of medications. If patient has regular postural hypotension attacks, ask him/her to lie down immediately with foot end of bed elevated. Ask patients to perform ankle pumps.Medication review; ask doctor to review medication that may cause dizziness/drowsiness. Few drugs that cause drowsiness thereby increasing the risk of fracture are; sedatives, tranquilizers, anti-hypertensive, cardiac medicines, hypo-glycaemic agents, etc.Home check safety listRemove throw rugs.Secure carpet edges on floor & stairs.Reduce floor & wire clutter.Install handrails on staircase.Avoid floor waxes/slippery tiles.Use anti-skid mats.Ensure adequate lighting in lobby/walking areasBathroomInstall hand rails in shower & bathtubs.Use anti-skid mats.Avoid wet surfaces.Avoid detergent/soap spillage on floor.Walking aidsEnsure proper balance of walking aids.Regular check of anti-skid rubbers/buffers of walking aids.Ensure proper hand grips.FootwearRegular check of footwear wear & tear.Regular change of footwear grip & comfort.Regular screening & modifications can prevent falls in elderly thereby improving upon geriatric health, wellness & lifestyle.

4 Steps to Prevent Workplace Back Injuries

Dr. Vishwas Virmani, Physiotherapist
We see too many workplace injuries that could be avoided. And prevention is better than cure. Here is a four-step checklist that you can carry out at your workstation, to make sure you’re comfortable, safe and productive at the office.STEP 1: Your ChairPush your hips as far back as they can go in the chair.Adjust the seat height so your feet are flat on the floor and your knees equal to, or slightly lower than, your hips.Adjust the back of the chair to a 100°-110° reclined angle. Make sure your upper and lower back are supported. Use inflatable cushions or small pillows if necessary. If you have an active back mechanism on your chair, use it to make frequent position changes.Adjust the armrests (if fitted) so that your shoulders are relaxed. If your armrests are in the way, remove them.STEP 2: Your KeyboardAn articulating keyboard tray can provide optimal positioning of input devices. However, it should accommodate the mouse, enable leg clearance, and have an adjustable height and tilt mechanism. The tray should not push you too far away from other work materials, such as your telephone.Pull up close to your keyboard.Position the keyboard directly in front of your body.Determine what section of the keyboard you use most frequently, and readjust the keyboard so that section is centred with your body.Adjust the keyboard height so that your shoulders are relaxed, your elbows are in a slightly open position (100° to 110°), and your wrists and hands are straight.The tilt of your keyboard is dependent upon your sitting position. Use the keyboard tray mechanism, or keyboard feet, to adjust the tilt. If you sit in a forward or upright position, try tilting your keyboard away from you at a negative angle. If you are reclined, a slight positive tilt will help maintain a straight wrist position.Wristrests can help to maintain neutral postures and pad hard surfaces. However, the wristrest should only be used to rest the palms of the hands between keystrokes. Resting on the wristrest while typing is not recommended. Avoid using excessively wide wristrests, or wristrests that are higher than the space bar of your keyboard.Place the pointer as close as possible to the keyboard. Placing it on a slightly inclined surface, or using it on a mousebridge placed over the 10-keypad, can help to bring it closer.If you do not have a fully adjustable keyboard tray, you may need to adjust your workstation height, the height of your chair, or use a seat cushion to get into a comfortable position. Remember to use a footrest if your feet dangle.STEP 3: Screen, Document, and TelephoneIncorrect positioning of the screen and source documents can result in awkward postures. Adjust the screen and source documents so that your neck is in a neutral, relaxed position.Centre the screen directly in front of you, above your keyboard.Position the top of the screen approximately 2-3” above seated eye level. (If you wear bifocals, lower the screen to a comfortable reading level.)Sit at least an arm’s length away from the screenand then adjust the distance for your vision.Reduce glare by careful positioning of the screen.Position source documents directly in front of you, between the screen and the keyboard, using an in-line copy stand. If there is insufficient space, place source documents on a document holder positioned adjacent to the screen.Place screen at right angles to windowsAdjust curtains or blinds as neededAdjust the vertical screen angle and screen controls to minimize glare from overhead lightsOther techniques to reduce glare include use of optical glass glare filters, light filters, or secondary task lightsPlace your telephone within easy reach. Telephone stands or arms can help.Use headsets and speaker phone to eliminate cradling the handset.STEP 4: Pauses and BreaksOnce you have correctly set up your computer workstation use good work habits. No matter how perfect the environment, prolonged, static postures will inhibit blood circulation and take a toll on your body.Take short 1-2 minute stretch breaks every 20-30 minutes. After each hour of work, take a break or change tasks for at least 5-10 minutes. Always try to get away from your computer during lunch breaks.Avoid eye fatigue by resting and refocusing your eyes periodically. Look away from the monitor and focus on something in the distance.Rest your eyes by covering them with your palms for 10-15 seconds.

Do a Chlorine Check Before Your Kid Jumps Into That Pool!

Mrs. Anju Chandna, Yoga and Naturopathy
The months of May and June are primarily known for two things in India. One the scorching summer heat and two schools closing for summer break. What better way to beat the heat than taking a dip in the pool? Not to forget that it can be an excellent time-pass for your kids. Watching your little ones playing and splashing around in water is a fun sight and not one you’d like to miss. But can there be something all mothers need to know. Sadly swimming and breathing troubles can go hand in hand.The chlorine levels found in neighbourhood and public pools are generally kept a little high in order to keep other infections at bay. But this can lead to breathing problems in swimmers according to latest research. In fact breathing problems can show up even when chlorine levels are low. Experienced swimmers too experience symptoms of Broncho-constriction, difficulty in breathing, commonly known as exercise-induced asthma.Chlorine is a necessity to keep the pool clean, but can it really be branded the culprit? Let’s find out.In a study done by researchers in US, 20 trained swimmers with no history of exercise-induced asthma and 21 swimmers with a history of exercise-induced asthma were used a subjects for the following four exercise tests, maintaining all the other parameters same:Swimming in an indoor pool with no chlorine in the waterSwimming in a chlorinated pool with low levels of chlorine (as in very professionally managed pools in hotels)Swimming in a chlorinated pool with high levels of chlorine (neighborhood pools, public pools)After exercise, researchers used a machine to test the airflow to lungs to analyze restriction of airflow in the airways. The study showed that-60% of the participants, with no history of Broncho-constriction suffered from airway constriction after swimming in the highly chlorinated pool20% people suffered from airway constriction after swimming in the low- or no-chlorine pool.So this analysis should be a word of caution for all moms whose children want to spend their entire summer break cooling off in the pool. Before sending off your child to swim, you must Monitor the chlorine level in the poolKeep a tab on the time your child spends in the pool, especially if your child has a medical history of breathing problemsNever leave him/her unattended in the poolKeep his/her medicine ready in case of an emergencyModeration is the way to go to keep most of our life’s problems away. Same principle should apply to your kid’s play time in the pool too!

10 Tips To Keep Your House Asthma Proof

Dr. Shilpa Nayak, Allergist/Immunologist
Like many people you probably have a deep emotional connect with your home. It is a place to relax, after long hours at the work. That is why it is important that this place is not only comfortable, but safe to live in.If you are suffering from Asthma, there is nothing worse than aggravating your condition simply by stepping inside your front door. This is why it is essential to ensure your home is Asthma-proof. With the 10 tips found below, you can make your home safe and Allergy free:1. Clean your pillow and mattress regularly - More than 50 percent Asthmatics experiencing symptoms occur from exposure to Dust Mites.  Dust mite particles are often found in pillows, mattresses, carpeting and upholstered furniture. Cover your mattress and pillow with dust mite proof case, wash your bed sheets alternate day in hot water. 2. No Smoking in the house- With second hand smoke containing Tar,Carbon mono oxide,nicotine and other harmful chemicals;it does not matter who smokes,everyone suffers. So take it out side the house.3. Choose the correct flooring- Chose the hard flooring as regular carpets trap dust and allergens.Daily wet mopping help to reduce the exposure to common Allergens.4. Avoid upholstered Furniture- Animal dander and dust mites can get into the furniture and trigger attacks.Avoid upholstered furniture and opt for wood, vinyl, plastic and leather. Dust regularly.5. Keep your house dry- Moisture leads to growth of mold (fungus); open windows while cooking and use exhaust fan. Keep an eye on laundry and make sure that you move wet laundry immediately. Keep the plants outside. Use a dehumidifier.6. Keep an eye on your ceiling- Mold grows on damp surfaces for ex. ceiling and walls of your bathroom. Make sure that you clean and dry all wet surfaces including ceilings.7. Check your pipes- Go through your house and fix any leaking plumbing that could lead to mold on surfaces. If your walls have molds you have to replace it.8. Put away, always- Keep your kitchen neat and tidy. Wash dishes regularly; do not leave dirty dishes overnight in the sink as it not only promotes the growth of molds, but attracts cockroaches as well.9. Keep the pet outside- Animal dander from skin and saliva can have bad effect on asthma sufferer. If pet is indoor,vacuum everyday10. Regular pest control- Measures should be taken to keep the cockroach population under control

Physiotherapy Plus Ergonomics - for Total Wellness!

Dr. Aditi Kulkarni(P.T), Physiotherapist
Do you need an advice on injury prevention or other aspects of musculoskeletal or neurological conditions? Do you wish to improve your physical performance for sports? Are you planning to return to routine exercises following prolong period of inactivity or injury? Or planning to go out on adventure trip? The answer to improve your functional capacity or quality of life is physiotherapy under supervision of qualified physiotherapist.Physiotherapist & Ergonomist of “Be Active” clinic, Dr Aditi Kulkarni says “Physiotherapy has both curative and preventive disciplinary aspects”. As it is a drugless therapy it has become an integral part of healthcare industry and is becoming more & more popular among all age groups.In Be Active clinic physiotherapy, relaxation technique, tapping, electrotherapeutic modalities such as SWD, IFT, TENS, Wax Bath, EMS, Ultrasound and Traction machine along with lifestyle modification tips with the help of ergonomics are available under one roof.With the combination of above mentioned therapies one can hasten body’s natural healing processes by maximizing recovery & ensure optimal outcome on long-term basis, even in post operative rehabilitation and in chronic neurological conditions like Parkinson’s, Multiple Sclerosis, Paralysis, etc.Dr. Aditi also mentioned “ age or work related joint aches or dysfunctions, chest complications or sport injuries like pulled hamstrings, stress fractures, Osgood shatter disease/ runners knee, carpel tunnel syndrome, heel pain, ankle injuries or sprain” are some of the problems which can be cured completely with the help of physiotherapy and ergonomics.With the experience of practising in this field Dr. Aditi feels the real success of any treatment lies in healthy and happy atmosphere and cooperation between the therapist, patient and his family.