March 9, 2006: The Trillium Hospital (Mississauga) neuro/rehab and physio teams released an initial report of their activities in Pakistan from January to February this week. An estimated 1,500 quake victims lie in hospitals in Rawalpindi and Islamabad with Spinal Cord Injuries (SCI). Before the CMAT Rehab team arrived, these paitents were lying in beds without active physio or rehab interventions. CMAT Rehab teams worked with the NGO Subh-E-Nau at the Holy Family Hospital in Rawalpindi.
CMAT Rehab team goals:
- Provide immediate rehabilitation to persons with spinal cord injuries (the greatest need for foreign expertise), and orthopaedic injuries.
- Treat and prevent progression of medical and functional complications of prolonged bed rest: pressure ulcers, contractures, muscle tightness, muscle weakness, kyphosis (curvature of the spine), etc.
- Advocate for rehabilitation services
- Help establish rehab program and equipment for ongoing rehabilitation (inpatient and outpatient support)
- Educate patients, family members and staff on rehabilitation needs
- Identify learning needs of local physiotherapists and provide training and learning opportunities.
- Provide spinal cord learning and patient reference materials for physicians, therapists and psychologists
- Discuss rehab needs for next 2 years
An orthopaedic physiotherapist worked with a local physiotherapist to see orthopaedic patients at Holy Family Hospital (Rawalpindi), as well as the H11 Tent Camp (Islamabad), Muzzaffarabad camps and Abass Hospital (Muzzaffarabad).
The CMAT Rehab team of 4 therapists (OT and PT), focused on spinal cord rehabilitation at Holy Family Hospital in Rawalpindi and developed the rehab program, training activities for local staff, and treatment plans for each individual patient. In addition the CMAT Rehab Team identified the resources for education and training for local staff and patients and families.
The CMAT Rehab team saw 10-18 people with spinal cord injuries daily, as well as outpatients from the community. Patients received approx. 1-1.5 hours of therapy per day.