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  1. Occupational Therapy
  2. Physiotherapy

The goal of cancer rehabilitation is to help patients return to the highest level of function and independence possible, while improving the overall quality of life - physically, emotionally, and socially. 

The department offers Physical therapy and Occupational therapy services to acute inpatients, acute/chronic outpatients and home services are arranged for palliative care patients.

About US   Department Activity   Faculty Staff   Education & Courses   Patient Information   Frequently asked questions   Gallery of PDF   Contact US

About Us

The Physiotherapy department in Tata Memorial Hospital is recognized nationally as pioneers in the field of cancer rehabilitation. Physiotherapy department has five senior full time therapists and two research therapists dedicated to the comprehensive cancer care and improve quality of life during and after cancer treatment. Additionally, six volunteers are helping in various departmental activities.

Cancer and its treatment often affect the normal functioning and sometime causes prolonged functional limitation and activity participation. Physiotherapists in Tata Memorial Hospital are well experienced in the assessment and treatment of wide range of physical dysfunction and work with various Disease Management Groups to provide holistic care.

A mission statement: Maintain excellence and remain in forefront of cancer rehabilitation providing highest standard of patient care informed by evidence and through continuous self improvement.

Department Activity

We recognize that all cancer patients are unique and need individualized physiotherapy program to meet their rehabilitation requirements. The department provides tailor made physiotherapeutic program to the patients in outpatient department and in various inpatient wards.

Department provides the following clinical services.

  • Respiratory Physiotherapy :- Respiratory physiotherapy is an essential requirement for patients undergoing treatment for cancer. This service is provided preoperatively and post operatively after any major surgery, during adjuvant therapies like chemotherapy and radiotherapy, and is the most important service in the Intensive care unit and for the critically ill patients. It is designed to improve respiratory efficiency, promote expansion of the lungs, strengthen the respiratory muscles, and remove secretions from the respiratory system. Therapy program includes postural drainage, chest percussion, chest vibration, turning, deep breathing exercises, use of incentive spirometer and coughing techniques. Respiratory physiotherapy is normally done in conjunction with other treatments like suctioning, nebulization and the administration of mucolytic drug. Additionally, respiratory physiotherapy plays a vital role in palliative care.

  • Thoracic group therapy session : - This session is conducted every Thursday of the week at physiotherapy department from 11.00 a.m. to 12.00 a.m. This services are generally attended by patients those who are posted for thoracic surgery and any major abdominal surgeries. A comprehensive set of instructions are given regarding pre-operative exercise schedule and training includes respiratory exercises, general exercises, instructions regarding the use of incentive spirometer, coughing and huffing techniques. In addition, post-operative instructions are also provided during this session. Qualified Physiotherapists specialized in cardio-pulmonary rehabilitation conducts this session. An Exercise Information booklet is provided at the end of this session. Patients who are identified as High risk are offered pulmonary rehabilitation program.              

  • Pulmonary rehabilitation : Our department contributes actively to the pulmonary rehabilitation program. This comprehensive care program is delivered by a trained physiotherapist who is part of the multidisciplinary team of specialists from thoracic disease management group. This program includes physical evaluation, exercise training and education and aims to improve the quality of life of individuals with chronic pulmonary disease. Following components of pulmonary rehabilitation program are delivered by physiotherapists mostly in outpatients set up

    • Education sessions discussing disease and treatment progress and importance of pulmonary rehabilitation
    • Teaching breathing, coughing, huffing techniques and self drainage techniques
    • Energy conservation techniques
    • Exercise prescription
    • Exercise training
    • Home program for exercise
  • Post breast surgery care program :- These services are held regularly at the Physiotherapy department of Tata Memorial Hospital, every Wednesday, Friday and Saturday between 10.30 a.m. to 12.30 p.m. These sessions are aimed to provide patients with breast cancer and their care givers a complete comprehensive care program to help them cope with the disease and treatment. The session includes
    • Counseling
    • Drain care and Suture care
    • Post-operative arm care
    • Arm exercises taught in detail
    • Education about self breast examination
    • Medical and Cosmetic importance of wearing a prosthesis
    • Information regarding wig procurement
    • Care during adjuvant treatment
    • Drain care and Suture care

Drain and suture care
As the patients are discharged from the hospital on the first post operative day, a detailed instruction regarding drain care and suture care is provided.

Post-Operative Arm care
Skin and arm care post lymph node removal in these patients is very important. Detailed explanation and printed instruction materials are provided to the patients.

Importance of Exercise.
No matter what type of surgery, it is important to do exercises thereafter. Exercises help to maintain mobility of the arm and enable the patient to resume their normal daily activities. During Radiation Therapy, exercises are important to keep the arm and shoulder flexible. Two pamphlets- one with instructions regarding complete arm care and exercises and the other on self breast examination is given at the end of the session. These pamphlets are available in English, Hindi and Marathi. Kindly see the patient information section for the exercise pamphlets.

Many voluntary organizations help us to conduct Post breast surgery care program. Most of the volunteers are breast cancer survivors. This provides a peer support to the patients.

  • Intensive care : -Our department caters to the need of Patients who require intensive care post surgery, chemotherapy related complications such as neutropenia and pneumonia, as well as critically ill patients on artificial ventilation. Not only drainage of secretions and improving/ maintaining optimal ventilation is essential to these patients, preventing complications related to the immobility is also vital for their recovery. In view of the enormous volume of patients who have retention of secretions, mechanical precursors are used as adjunct to the manual chest physiotherapy maneuvers. Early mobilization includes early limb physiotherapy, mobilization in the bed, mobilization in bedside chair or wheelchair, or makes the patient stand or walk with support, depending on the clinical condition of patient. Early mobilization has also become an integral part of our ICU care.

  • Lymphoedema services : -Lymphedema is an abnormal swelling caused due to accumulation of protein rich fluid in the superficial tissues by a compromised lymphatic system. It is a serious condition if left untreated. Although lymph edema can be inherited (primary), often it is caused by injury to the lymphatic vessels (secondary) due to surgery, radiation therapy, infection and scarring. Breast cancer related lymph edema (BCRL) is the most common morbidity seen worldwide.

    Decongestive Lymphatic Therapy (DLT) is the standard treatment offered for patients with lymphedema at TMH. DLT includes Manual lymphatic drainage (MLD), Multi Layered Lymphedema Bandaging (MLLB), Compression garment, remedial exercises, pumping exercises, skin care, precautions and Self Lymphatic Drainage (SLD). Treatment consists of Intensive phase, for a minimum of 2 weeks to a maximum of 6 weeks, followed by Maintenance phase which will be home based self care program.

    In addition, the department also provides certified training program to other therapists. This comprehensive certification program will train the participants in Complete Decongestive Therapy (CDT) which is the main line of treatment in lymph edema, and to differentiate between a variety of peripheral edemas. Additionally the participants will be able to design and perform a CDT treatment plan to individuals with primary or secondary lymph edema.

  • Mobilization & Ambulation : -Patient mobilization is an important component of the physiotherapy program which enables early return to function and prevents complications like DVT, pulmonary embolism, retention of secretions, atrophy, contractures and urinary retention
    Early mobilization includes early limb physiotherapy, mobilization in the bed, mobilization in bedside chair or wheelchair, or makes the patient stand or walk with support, depending on the clinical condition of patient. Early mobilization has also become an integral part of our ICU care.

    Early ambulation or walking is extremely important as it improves circulation, decreases pulmonary atelectasis and prevents the development of deep venous thrombosis. The patients are ambulated initially with support and later on are encouraged to walk independently. Walking aids like walker, crutches and stick are prescribed as and when required and the patients are taught how to safely walk, climb stairs and maintain balance.

  • Mobility : -Early mobility exercises are imperative to improve range of motion of the joints involved, to prevent stiffness and to achieve functional independence. The physiotherapist provides with active, active assisted or passive mobility exercises as and when required. The department is fitted with a continuous passive motion machine and an active passive trainer for improving mobility

  • Strength training : - Strength training is done progressively using weight cuffs and resistance bands. Physiotherapist thoroughly evaluates the patient’s strength and prescribes the optimal strengthening program as required.

  • Cancer related fatigue :- Department offers tailor made conservative therapy which includes energy conservation techniques, therapeutic exercises, assistive devices and fatigue diary. In addition to that patients are counseled regarding sleep discipline.

  • Manual therapy : - Manual therapy includes manual techniques like manual joint mobilization, myofascial release, scar tissue mobilization and soft tissue massage. Physiotherapists often use these techniques to improve movement and function.

  • Incontinence & sexual dysfunction : - Department offers exercise rehabilitation and life style modification to both men and women affected with incontinence due to various surgical procedures. Many of them could be silent sufferers of sexual dysfunction due to different causes, for example body image issues post breast cancer and erectile dysfunction following prostatectomy. Therapists counsel and deal with such persons to open up and seek appropriate medical care.

  • Pain management : - Pain in cancer may be due to the disease itself or due to the side effects of treatment like surgery, chemotherapy and radiotherapy. Pain can be treated by positioning, splinting, gentle mobilization, therapeutic exercise, use of moist heat, cold packs and Transcutaneous Electrical Nerve Stimulation (TENS).

 

Faculty Staff

 

Name

Dr. (Mrs.) Anuradha Daptardar

Designation

Officer in charge, Physiotherapy Department

Contacts - No.

Off: 022- 24177226

Email id

aadaptardar@yahoo.com , daptardaraa@tmc.gov.in

DMG

Breast, Thoracic, Bone and soft tissue

Experience / Expertise
Physiotherapist
KEM Hospital 1989 to 1990
Sion Hospital 1990 to1991
Tata hospital 1991 till date

Special Interests

Breast cancer, Orthopedic oncology

Awards / Honors

Research - major Projects

“Significant Achievement Award” by the Indian Association of Physiotherapists


Ongoing research

Exercise for the management of cancer related fatigue in advanced lung cancer planned for systemic palliative therapy: A Randomized controlled trial.
A randomized controlled trial evaluating the role of exercise in women undergoing treatment for breast cancer.

My Recent Publications

  • Tibdewal A, Munshi A, Pathak R, Misra S, Daptardar A, Singh V, Agarwal JP (2015) Breath-holding times in various phases of respiration and effect of respiratory training in lung cancer patients: Breath-holding times in lung cancer. Journal of Medical Imaging and Radiation Oncology 59: 520–526.

  • Paramanandam VS, Daptardar AA, Gulia A. Rehabilitation following limb salvage surgery in sarcoma. Journal of Bone and Soft Tissue Tumors May-Aug 2016; 2(2):19-21.

Committees

 
Associations Indian Association of Physiotherapists
Maharashtra State OT/PT Council
OT/PT Welfare Association
Life member of Indian Musculoskeletal Oncology Society (IMSOS)

Recent Conference Participation

 
My introduction IF I am your speaker  

Resumé

Provide a Soft copy if you wish. Your resumé will be linked here

 

 

Name

Dr. Vincent Singh Paramanandam(P.T.)

Designation

Scientific Assistant D

Contacts - No.

Off: 022- 24177226

Email id

vinsu24@gmail.com

DMG

Breast, Thoracic, Bone and soft tissue

Experience / Expertise
Tata Memorial Hospital since January 2001.
Certified Lymphoedema Therapist

Special Interests

Breast cancer related lymphedema, Cancer-related fatigue and Exercise therapy for cancer survivors.

Awards / Honors

Research - major Projects

Paper of the year award 2014 from Journal of Physiotherapy published by Australian Physiotherapy Association for the following work: “Paramanandam, Vincent Singh, and Dave Roberts. “Weight Training Is Not Harmful for Women with Breast Cancer-Related Lymphoedema: A Systematic Review.” Journal of Physiotherapy 60, no. 3 (September 2014): 136–43. doi:10.1016/j.jphys.2014.07.001.”

MSc with Distinction in Cancer Care.

Ongoing research

Principle Investigator – “Exercise for the management of cancer related fatigue in advanced lung cancer planned for systemic palliative therapy: A Randomized controlled trial”

Co-investigator in ERAS trial.

My Recent Publications

  • Tibdewal A, Munshi A, Pathak R, Misra S, Daptardar A, Singh V, Agarwal JP (2015) Breath-holding times in various phases of respiration and effect of respiratory training in lung cancer patients: Breath-holding times in lung cancer. Journal of Medical Imaging and Radiation Oncology 59: 520–526.

  • Paramanandam, V. S., and V. Dunn. “Exercise for the Management of Cancer-Related Fatigue in Lung Cancer: A Systematic Review.” European Journal of Cancer Care 24, no. 1 (January 2015): 4–14. doi:10.1111/ecc.12198.

  • Paramanandam VS, Daptardar AA, Gulia A. Rehabilitation following limb salvage surgery in sarcoma. Journal of Bone and Soft Tissue Tumors May-Aug 2016; 2(2):19-21.
  • Paramanandam VS, Prema VS. “Exercise training may improve the tumour microenvironment after breast cancer (PEDro synthesis).” Br J Sports Med. 2017 Mar 1. pii: bjsports-2016-097235. doi: 10.1136/bjsports-2016-097235.

Committees

Member of Executive Committee Bombay Branch of Indian Association of Physiotherapists Executive Committee Member of OT PT welfare Association.
Associations Life Member of Indian Association of Physiotherapists
Maharashtra State OT/PT Council
OT/PT Welfare Association
Life member of Musculoskeletal Oncology Society (MSOS)
Associate Life Member of Indian Society of Critical Care Medicine.
Midtown Medicos Association.

Recent Conference Participation

Indian Musculoskeletal Oncology Society – 2015.
My introduction IF I am your speaker  

Resumé

Provide a Soft copy if you wish. Your resumé will be linked here

 

 

Name

Dr. Ajeeta Hasabnis (P. T.)

Designation

Scientific Assisstant ‘D’

Contacts - No.

09820674888

Email id

ajeetahasabnis@yahoo.co.in

DMG

BST

Clinical experience / expertise
Children’s Orthopedic Hospital 1995-1996
Chaitanya medical foundation’s College of Physiotherapy 1996-1997
AIIPMR 1998
Sir J. J. Hospital OPD 1999- 2000, CCU 2000-2001
Tata Memorial Hospital since April 2002

Special Interests

Musculoskeletal

Awards / Honors

Research - major Projects

 


Ongoing research


My Recent Publications

 

Committees

 
Associations Indian Associatin of Physiotherapist
OT PT Welfare Association
IMSOS

Recent Conference Participation

 
My introduction IF I am your speaker  

Resumé

Provide a Soft copy if you wish. Your resumé will be linked here

 

 

Name

Dr. Manali Viraj Kamat. (PT)

Designation

Scientific Assisstant ‘C’

Contacts - No.

07710025152

Email id

Manalikamat11@gmail.com

DMG

Head and Neck

Clinical experience / expertise
Joy hospital 2003
NASEOH ,chembur for 2003-2006
Gurunanak hospital 2006-07
Tata Memorial Hospital since 2007

Special Interests

Pulmonary rehabilitation

Associations Indian Associatin of Physiotherapist
OT PT Welfare Association
IMSOS

Resumé

Provide a Soft copy if you wish. Your resumé will be linked here

 

 

Name

Dr. Sarika Gautam Mahajan(Physiotherapist)

Designation

Scientific Assisstant ‘C’

Contacts - No.

9820214406

Email id

khaarikha@gmail.com , sa12ri06@yahoo.co.in

DMG

Bone and Soft tissue
Paediatrics

Clinical experience / expertise
Indian Institute of enviromental sciences for 2004-2007
Piramal Diagnostics 2005-07
Tata Memorial Hospital since 2007

Special Interests

Paediatrics

Associations Indian Associatin of Physiotherapist
OT/PT Council of Maharashtra
OT PT Welfare Association
Life member of IMSOS

Resumé

Provide a Soft copy if you wish. Your resumé will be linked here

 

   

Name

Dr.Priyanka Jaju(Bangur)(Physiotherapist) Project Therapist

Designation

Project Therapist

Contacts - No.

9167880562

Email id

jaju_p@rediffmail.com

DMG


Clinical experience / expertise
Masters Of Physiotherapy, in Cardiovascular and Respiratory Sciences.
Tata Memorial Hospital since 2013

Special Interests

Pulmonary rehabilitation

Associations OT/PT Council of Maharashtra

Resumé

Provide a Soft copy if you wish. Your resumé will be linked here

Education & Courses

Observership is offered for a period of one to three months

Annual Workshop in “Rehabilitation in Breast cancer” is usually conducted in the 2nd weekend of July

Annual Workshop in “Cancer Rehabilitation’ is usually conducted in the 2nd week of December

10 days certification course on Lymphedema Management commences from this year

 

Patient Information

News & Events- For 5 days certification course on Lymphedema Management, click on link; https://tmc.gov.in/tmh/images/Physiotherapy/programme.pdf

Frequently asked questions

Q. 1) Would I lose all my hair and is the hair loss permanent?

Ans. Hair loss is a major side effect of chemotherapy. 95% of patients might experience hair loss, but hair always grows back as soon as chemotherapy stops and the toxicity of the drug wears out. Though hair loss is a short-term side effect, most women find it very upsetting.

Q. 2) What is Radiation and what are the side effects?

Ans. Radiation is a treatment with high energy rays that destroy cancer cells in the localized area. Radiation therapy is typically needed after breast conserving surgery and sometimes after mastectomy. Side effects may include (but not limited to) – swelling of the breast, soreness, skin changes (eg. tanning, redness or sunburn), and fatigue.

Gallery of PDF

Contact US

Phone: Hospital Number: 022-24177226

Address: Physiotherapy Department, R.No: MBG-96, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai 400012.

India

Fax: Hospital Fax Number:

Email-id: Email-id:

Contact Us

TATA MEMORIAL HOSPITAL
Dr. E Borges Road, Parel, Mumbai - 400 012 India
Phone: +91-22- 24177000, 24146750 - 55
Fax: +91-22-24146937
E-mail : msoffice@tmc.gov.in (for patient care and queries) / hrd@tmc.gov.in(for administrative - HRD matters)

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