Paraplegic Center Peshawar
Where Hope Remain Alive
Medical Management
Well trained and experienced physicians are engaged in prevention , diagnosis and treatment of complications like Pneumonia, deep vein thrombosis (DVT), repeated UTIs and pressure ulceration. Medical support services including medications, medical consumables, laboratory examinations and X-ray examinations are also provided.
Nursing Care
It is providing including round the clock positioning, bed mobility,bowl and bladder management, bedding, dispensing medicine and state of the art wound care. Nursing staff educates clients and their family members about the medical side of spinal cord injury and helps the doctor coordinate medical care.
Surgical Intervention
It includes wound repair (Grafting, Flap, approximation etc.), vasicolethotomy (Removal of Bladder stones) and surgical release of contractures etc. are provided at the center.
Nutritional Management
Free of cost quality food (breakfast,lunch & dinner) to its clients and their attendants are provided according to their nutritional requirements. Qualified nutritionists assess and prescribe food according to their age, complications, stage of rehabilitation and physical activity. Instructions regarding adequate fluid intake, use of fiber-rich and protein-rich food are also provided. A spacious dining hall with specially designed tables is present where clients with wheel chairs are served.
Physical Therapy
Physical therapy is the backbone of the physical rehabilitation at Paraplegic Center.The goal of physical therapy is to prevent secondary complications, maximization of functional independence and early mobility in persons with spinal cord injuries (SCIs). Physical Therapists assess, determine neurological level , set rehabilitation goals and focuses on motor skills, balance training and ambulation. In addition to the inpatient services, the rehab professionals thoroughly assess, prescribe treatments/rehab protocols and refer out patients with various disabilities, musculoskeletal, neuromuscular impairments/dysfunctions and neurological diseases, on daily basis other than spinal cord injuries, 100% free of cost.
Occupational Therapy
Occupational therapy services are provided including hands splinting, activities of daily living training (dressing,combing,washing,bathing etc.),fine motor activities of hand and modification of wheelchairs. Occupational therapist also prepare and fabricate upper limb adoptive/supportive equipment (eating aids, writing aids, typing aids, cell phone holders) for people with spinal cord injuries.
Psychotherapy and Psychosocial Support
Spinal cord injury (SCI) is a massive assault to the Psyche as well as the body. Within moments , a person who had been active and independent becomes immobilized, loses control of bowel, bladder, sexual and other bodily functions, and is dependent on others to meet the most basic needs. Te instantaneous effects of the injury result in total disruption of the victim’s life, and the beginning of life-long psychological adjustment process.Optimal emotional adjustment is imperative to the recovery and rehabilitation process, due to the tremendous psychological energy and motivation required for a SCI patient to learn self-care , independence ans psychosocial coping skills. The Psychological implications of spinal cord injury are profound and psychotherapy enables people with spinal cord injuries to face life with all and its harsh realities. At Paraplegic Center, psychotherapy focuses on psycho-social adjustment and coping skills.
Club Foot
“CLUBFOOT” is one of the most common birth defects and a major cause of physical disability globally. The vast majorities of cases are diagnosed at birth and occur in otherwise healthy babies. Clubfoot is easily identifiable by the way the feet face inward and upward. Left untreated, this disability makes walking extremely difficult and painful. However, the position of their feet is the only medical obstacle preventing most children with clubfoot from living fully functional, productive lives. There are 9.8 million people alive today who were born with clubfoot, of those 7.8 million live with disability due to lack of access to proper treatment. An estimated 200,000 children are born with clubfoot globally. There is significant variation in prevalence rates around the world, depending on region, but a 2023 meta-analysis has given an estimated global prevalence rate of approximately 1 in every 800 births. With proper treatment, more than 95% can achieve full correction and mobility. Without treatment, children live with a severe impairment and endure a lifetime of negative health, social, and economic consequences.
Clubfoot Home, Paraplegic Center Peshawar (PCP), in collaboration with MericalFeet provides 100% free of cost quality clubfoot treatment to children with clubfoot in Khyber-Pakhtunkhwa (KP) & beyond. Working on expansion, PCP has already established dedicated Ponseti Clubfoot Clinics at two major MTI-Hospitals, including Khyber Teaching Hospital (KTH) Peshawar, Saidu Group of Teaching Hospital (SGTH) Swat and also sponsored one Clubfoot Clinic at NIRM Islamabad. The goal is to integrate clubfoot program in health care system to facilitate children with clubfoot at door steps.
Recreational Therapy and Sport Activities
Paraplegic Center arrange indoor and out door games including basketball, cricket, table tennis and wheelchair race etc. for its clients. Other recreational activities including visits to parks and other cultural activities are also arranged on regular basis.
Skills Building
Vocational training program includes tailoring, dress designing, fabric painting, glass painting,embroidery, typing, mobile repairing and computer skill. In addition to this home economics program including cooking and housekeeping is designed for house wives.
Social Services
Interventions are made within the domain of social case work, Social group work and community Integration. Social worker advocates for the rights of clients and also establish coordination with Govt. NGO’s, philanthropists, academic institutes and civil society to guide the clients about district social welfare office, Bait-Ul-Maal, Tanzeem-Lissail-Walmahroom and Zakat Department for financial assistance. Furthermore, clients are facilitated in obtaining disability certificate to every client and facilitation is given to Overseas Pakistani injured cases for their Protector and Insurance claims from Overseas Pakistani Foundation (OPF) and State Life Insurance Corporation.
Community Re-integration
Community re-integration activities arranged by Paraplegic Center are picnics, shopping trips,prayers with congregation, cooking classes, dining together wit staff and visits to public places including Masajid’s, markets and museum etc.
Speech & Language Pathology
Speech therapist work with assessment and management of children & adults who have difficulty with communication like speech impairment, articulation disorder, voice problems, stammering and cluttering, expressive language impairments, receptive language impairments, autism spectrum disorder, cerebral palsy, hearing impairment, Downs syndrome, Stroke and difficulty in swallowing etc.
Orthotic Management
Paraplegic center provides orthotic devices including Thoraco Lumbo-Sacral Orthosis (TLSO’s) , Knee Ankle Foot Orthosis (KAFO’s), Ankle Foot Orthosis (AFO’s) and hand splints. Trained Orthotists fabricate and fit orthotic devices according to the needs of the clients.
Wheelchair Service
Custom made, well designed and well fitted manual wheelchairs are designed and manufactured at its premises, using low cost, local material and indigenous technology which meet the user’s need and environment, and are safe and durable. They can be maintained and serviced in the country at an affordable cost. More than 15,000 assistive devices are produced and distributed over the last 30 years. These wheelchairs, provided at Paraplegic center, are custom made, adjustable, modifiable and locally repairable.
Other Assistive Devices & Adoptive Supportive Equipment
Paraplegic Center provides assitive products including walking frames, crutches , canes, upper limb adaptive/supportive equipment (eating,writing,typing aids etc.), standing frames, commode chairs, and special beds etc. More than 25,000 other assistive devices excluding wheelchairs and adoptive supportive equipment ave been produced and distributed over the last 30 years.
Vehicle Alterations
Vehicle alteration services including hand control for accelerator/brake, arm-rest on the driver’s seat to provide support when driving using the hand control are provided to wheelchair users, Strap to close the driver’s door, extra handles to make it easier to get in and out of the car, foot slip prevention device to stop feet sliding beneath the pedals and adjustable seats to reduces the risk of injury from sitting in one position for a long time.
Minor Home Modifications
Majority of Paraplegic Centre clients come from poor and rural background and returning home after rehabilitation can be a difficult and challenging exercise for them as sudden withdrawal of all the facilities and services available at PCP leads to confusion, debility and depression. It is difficult for them to maintain the same standards of care required to maintain his or her dignity and independence as their homes are not wheelchair accessible, bathrooms and kitchens are either non-existent or not usable. Financial and technical support is provided in designing and building, or re-innovating, doorways, kitchens, bathrooms or stairways for better wheel chair accessibility.
Follow up Program
Follow-Up Program funded by Government of Khyber Pakhtunkhwa for people with spinal cord injury in the districts of Peshawar, Nowshera, Charsadda, Mardan, and Sawabi of Khyber Pakhtunkhwa.
Follow-Up Program with ICRC provides salaries of team, extra adoptive/supportive equipment, minor home modifications and medical surgical items for SCI persons in the districts Peshawar, Nowshera, Charsadda, Mardan, and Sawabi.
Accessibility Solutions
Paraplegic Center in collaboration with Friends of Paraplegic is striving to remove barriers from community and make accessible Pakistan for person with disabilities. The aim is to make buildings, public spaces and any other place a person might need to go for work, play, education, business, services etc. wheel chair accessible and to provide greater independence for the physically challenged. On individual basis, complete renovation and/or minor modification services are provided to make the home or workspace wheelchair accessible.
Awareness & Advocacy
Paraplegic Centre is striving for the rights of people with spinal cord injuries and other disabilities. The aim is to Sensitize, Politicians Bureaucrats, Religious Scholars, and General Public regarding the issues of special people. Paraplegic Centre arranges different workshops, exhibitions and conferences on regular basis and publish literature related to issues of person with disabilities.
Training & Education
It is a continuous process at PCP which include on job training of newly hired staff, regular in-service classes, arranging and conducting Hands – on workshops. Students from different medical, nursing and Physical Therapy colleges regularly visit the center where they are taught the concept and need of comprehensive physical rehabilitation for persons with spinal cord injuries. Moreover students of doctor of physical therapy from various colleges (IPM&R, KMU, RCRS, RMI, NCRS, NWGH) are deputed for clinical practice and volunteer internships.
Research & Publication
Paraplegic Centre strives to produce knowledge and innovative interventions for the rehabilitation of spinal cord injury patients using local natural, human and capital resources. A large number of epidemiological and clinical studies are produced in recent years. Clinical guidelines are also designed, which not only consider the physical and psychological aspect of spinal cord injury patients, but also take into accounts the specific cultural, geographical, economical, and religious factors prevailing in developing countries.
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