ଆଞ୍ଚଳିକ ମେରୁଦଣ୍ଡ ଆଘାତ କେନ୍ଦ୍ର

Objectives

OUR ORGANISATION

The Constitution of India stands for equality, freedom, Justice and dignity for all individuals. But practically it was not the scenario for the person with disabilities. It has been realized that a majority of persons with disabilities can lead a better quality of life, if they get equal opportunities and effective access to rehabilitation measures.

The establishment of Regional Spinal Injury Centre at Cuttack is one of the institutions to provide rehabilitation measures to person with disabilities specially spinal injury persons and the persons with Orthopaedic and Neurological problems.

History of the Organisation :
As per the provision of PWD Act-95 many institutions/organization have been set-up by the Ministry of Social Justice & Empowerment, Govt. of India during last five year plan.

In addition to the previous institutions/organizations. Five Composite Rehabilitation Centres(CRC), Four Regional Rehabilitation Centres(RRC) and 120 District Disability Rehabilitation Centre(DDRC) have been established during 2001-2006 by Ministry of Social Justice and Empowerment, Govt. of India. There are also several national institutions under the Ministry of Health & Family Welfare, Govt. of India.

Four Regional Rehabilitation Centres subsequently renamed as Regional Spinal Injury Centre(RSIC) has been set-up at the following place.

RSIC, Cuttack, Orissa
RSIC, Jabalpur, Madhya Pradesh
RSIC, Mohali, Panjab
RSIC, Barrely, Uttar Pradesh

These organizations were established with a principle that Govt. of India will provide all expenditure for five years and after that the concerned state Govt. will manage the Organisation.

Accordingly Regional Spinal Injury Centre, Cuttack has been functioning inside the S.C.B. Medical College Campus since 26.02.2001. It is an autonomous organization under the administrative and Financial control of Dept. of Health & Family Welfare, Govt. of Orissa. fdgd

Objectives

To establish an institution for study and management of spinal injuries and Post- Traumatic orthopaedic disabilities.
To undertake basic, applied and statistical research in various specialities of traumatic surgery
To generate technical and scientific man power in various specialities of traumatic surgery
To organise and conduct technical updation and different courses for traumatic surgery for different categories of clinical and para clinical services.
To train members of the medical profession in management of traumatic surgery.
To provide modern and advanced clinical service to orthopaedically handicapped patients, in collaboration with various Medical Institutions of State and the S.C.B. Medical College Hospital in particular.
To institute a faculty and service provision for above purpose.
To design preventive measures to minimise the risk of spinal injuries and disabilities due to trauma.
To institute and maintain an updated library related to various specialities of traumatic surgery and orthopaedic disorders.
To work in collaboration with medical institutions, service organization, University, funding agencies and institutions in the pursuit any of the above objects
To do all such things and perform all such acts as may be necessary are appropriate or incidental for achievement of any or all of the above objects.
To find out ways and means of generating resources for maintenance and development of the institution.

Who is Who

LIST OF THE MEMBERS OF THE GOVERNING BODY, RSIC,CUTTACK

Sl. No.	Name	Designation
1.	The Secretary, Health & F.W. Dept., Govt. of Orissa	Chairman
2.	The Director, Medical Education & Training, Orissa	Vice-Chairman
3.	The Director, Regional Spinal Injury Centre, Cuttack	Convenor/Member
4.	The Secretary, Finance Department, Govt. of Orissa or His/Her nominee.	Member
5.	The Secretary, Department of Women & Child Development, Govt. of Orissa or His/Her nominee.	Member
6.	Nominee Ministry of Health & F.W., Govt. of India	Member
7.	The Principal, S.C.B. Medical College, Cuttack	Member
8.	The Superintendent, S.C.B. Medical College & Hospital, Cuttack	Member
9.	HOD, Orthopaedics, S.C.B. Medical College & Hospital, Cuttack	Member
10.	HOD, Neurosurgery, S.C.B. Medical College & Hospital, Cuttack	Member
11.	HOD, Neurology, S.C.B. Medical College & Hospital, Cuttack	Member
12.	The Director, SVNIRTAR, Olatpur, Bairoi, Cuttack	Member
13.	The Addl. Medical Director, Indian Spinal Injury Centre,New Delhi	Member
14.	The Deputy Secretary, Dept. of Health & Family Welfare Govt. of Orissa,	Member
15.	Representative from Govt. of India, Ministry of Social Justice & Empowerment, New Delhi	Member
16.	HOD, Plastic Surgery, S.C.B. Medical College & Hospital, Cuttack	Member
17.	HOD, Urology, S.C.B. Medical College & Hospital, Cuttack	Member
18.	The Chief Physiotherapist, R.S.I.C., Cuttack	Member
19.	The Public Representative, Local M.P. & M.L.A.	Member

Services

ORTHOTIC DEPARTMENT

Orthotic is the study of Orthosis, where orthosis is the mechnical device required for correction and prevention of deformity in different Neuro-Musculo-Skeletal disorders.
A modern and sophisticated orthotic workshop is available in Regional Spinal Injury Centre Cuttack to manufacture all sorts of aids and appliances. These aids and appliances are manufactured under the supervision of well trained qualified Orthotic Engineer (Orthotist). The aids & appliances are manufactured and fitted to patients in a subsidized cost maintaining high standard of quality.
The aids and appliances are required for spinal injury patient as well as patients with Orthopaedic and Neurological problems. The Orthotic Dept. also provides services to other Depts of S.C.B. Medical College like orthopaedic, Neurology, Neurosurgery, Medicine, Plastic Surgery, Paediatrics, Skin/VD etc. as and when required.
Patients are provided with Rehabilitative aids like tricycle, wheel chair, auxillary crutches through SVNIRTAR, Olatpur and ALIMCO,BBSR free of cost under ADIP Scheme to the poor disabled persons on production of Income Certificate/BPL card.
This Dept. is managed by two Orthotic Engineers, two technicians and two helpers.

PHYSIOTHERAPY (Outdoor Service) in RSIC

Physiotherapy provides a major Role in Management of different Orthopaedic & Neurological conditions, like post traumatic stiffness, Lowback Pain, Cervical Spondylosis, Poly arthritis, Rheumatoid Arthritis, Osteoarthritis, Tenis Elbow,de-Quervains disease, post immobilization stiffness, Frozen shoulder(Periarthritis shoulder). Neurological condition like Hemiplegia, Paraplegia, Quadriplegia, Head injury,Cerebral Palsy, Bell’s Palsy, Brachial Plexis Injury , G.B. Syndrome, Saturday night Palsy etc. All these patients attend Physiotherapy OPD for treatment.

OPD Attendance:

The department is equipped with all Modern Electrotherapy equipments such as Short wave diatermy (SWD),Ultra Sound Therapy (UST), Electrical Stimulator, Transcutaneous electrical nerve stimulation (TENSE), Parafin Wax Bath (PWB), Light amplification by stimulated emission of radiations (LASER), Continuous passive movement (CPM) (Lowerlimb/Upper limb)
- IFT, Electrical traction & various Physiotherapy equipments

PHYSIOTHERAPY (Indoor Service) in RSIC

The Indoor Physiotherapy Department provides Physiotherapy services to 45 patients in total i.e. 34 patients in General beds & 11 patients in Cabins. Electrotherapy services like electrical stimulator, Ultra Sound Therapy, Interferential therapy etc. are provided to patients as per requirements.

The attendants & the family members of Indoor patients are taught & explained some basic things to look after the patients, like care of back, care of pressure sore, active exercise, passive exercise, deep breathing exercises, bladder/bowel care, positioning in the bed etc. When the patient does not have adequate motor power to perform activity, relax passive movement is done to maintain range of motion of joints, to prevent contracture of muscle.

When the patient regains the required muscle strength he is advised from sittings balance to standing balance in tilt table, standing in parallel bar & with walker, after which he is discharged from the hospital. Patients with poor chances of recovery are trained with ADL (Activities of Daily Living) considering the level & severity of injuries and discharged with wheel chair with proper training for wheel chair activities / Tri-cycles.

OCCUPATIONAL THERAPY DEPARTMENT

The Occupational therapy department in RSIC renders services to the disabled children and elderly persons suffering from acquired/neurological /locomotors disorders. The cases mostly come to this department are CVA, C.P., Gullen Berg Syndrome (G.B.S.), Muscular dystrophy, Post Polio Residual Palsy, Transverse mylits, acute hand injuries & periarthritis shoulder.
In addition to this, indoor services are rendered to spinal cord injury patients. Outdoor games like ball throwing, indoor games such as luddo, Chess are played. ADL training is given to the spinal cord injury patients in the indoor Cerebral Vascular Accident (CVA) patients are treated in the outdoor.
Transfer technique, wheel chair manouever & self care are taught to the Indoor spinal injury patients. Sensory integration therapy, Normal Development Technique (NDT) are given to the Cerebral palsy (C.P.) children with the modalities like therapy ball, wedge bolsters. In addition to this post operative CP as well as early intervention cases are diagnosed and treated in the outdoor. Students from the SVNIRTAR come for their Elective Internship posting.

INPATIENT DEPARTMENT

The inpatient Departmenrt of Regional Spinal Injury Centre, Cuttack is having 34 General Beds and 7 Cabins to accommodate 11 patients. This department is managed by the one Orthopaedic Surgeon / One Duty Medical Officer/13 Staff Nurses and 7 ward boys under the direct supervision of Director. The Medical Team assisted by the Physiotherapist, Occupational therapist, Orthotic Engineer and Vocational Counselor guide the Patients for their Vocational rehabilitation. The period of patients’ stay in the Hospital varies from 8 to 12 weeks depending upon the clinical status of the patients, as well
as the chances of recovery.

Detailed Bed Position in RSIC.

General Bed - 34 nos for 34 patients
Non A/c 2 bedded room (sharing) – 4nos for 8 patients
Non A/c single bed room – 2nos for 2 patients
A/C single Bed – 1 no.

NURSING SERVICES PROVIDED

1.             Nursing process is a way of thinking and acting based on the Scientific Method and is primarily
a problem solving approach.
2.         It provides a frame work in patients care
3.         Identification of patients assets, limitations and problems

Implementation of actions
Evaluation of effectiveness of care given
Determination of goals and actions.

The Department provides a means of monitoring specialized typs of nursing care for bedsore
by change sides every 2 hrs.

Prone position to paraplegic patients during night
Regular cleaning of Bed
2 hourly change of side/posture
Daily Bath
Daily wound dressing care is a major component in the management of bedsores
Routine bladder and bowel care

Wound Grade – 1-II- dressing with betadine lotion and antibiotic ointment
Grade – III –Dressing with hydrogen peroxide, Usol Savlon and Normal Saline(Twice daily). Grade-IV
dressing with Glycerine, Magsul-ph, Savlon and Normal Saline(Thrice daily)
Bladder Management :

Care of catheter daily
CIC (clean Intermittent catheterization)
Taping Method
Change of indwelling catheter every 3-4 weeks
Antibiotic to be given depending upon sensitivity pattern.

Bowel Management

Daily Bowel Habit
Soap water enema
Manual Evacuation

General Care :
Bed Making –Back Care(Prevention of Bedsores)
Monitoring –Blood Pressure, Temp-Pulse-Respiration Record
Nutrition-sufficient oral intake
Maintenance of environmental hygiene
Maintenance of personal hygiene

Psychological rehabilitation (Both patients and attendants), sun bath, movement in wheel chairs & Tricycle
inside the campus, Recreational activities

REGIONAL SPINAL INJURY CENTRE, CUTTACK, OFFERS THE FOLLOWING SERVICES

OUTDOOR SERVICES	INDOOR SERVICES
1. Medical consultation for spinal injury and Spine related disorders, Orthopaedic Disorders & neurological disorders.	1. Management of spinal injury patients along with neurological deficit.
2. Physiotherapy services with sophisticated Electro Medical Equipments	2. Regular Physiotherapy services to Indoor patients.
3. Occupational therapy services for Neurology/ Orthopaedic/ Paediatric Cases (Cerebral Palsy & Mental Retardation cases)	3. Regular Occupational therapy services to indoor patients
4. Modern Orthotic workshop for Manufacturing Aids & Appliances	4. Aids & Appliances, Rehabilitative Aids for Indoor patients
5.Continued Rehabilitation Education (CRE) for NGO/ Medical/ Para Medical Personnel	5. Nursing Services to indoor cases with special care for management of Bedsores
6. Awareness programme for General Public	6. Counseling to spinal injury patients and their attendants for vocational rehabilitation and guidance
7. Sharing of information in the field of disability	7. Community Based Rehabilitation(CBR) Programme for discharged patients at their door step.

REGIONAL SPINAL INJURY CENTRE
Working Hours : 8.00 A.M. to 2.30 P.M.
Services Available and Service Charges as on 1.4.2007

No.	Category	Fees Per Day
1.	O.P.D. Registration Charge	Rs. 5/-
2.	Medical Consultancy	Rs. 30/-
3.	3. Physiotherapy : All types of exercise therapy & Short wave Diatheramy, Ultrasonic therapy, Electrical muscle stimulation, TENS, Inter therapy, Electrical cervical & pelvic traction, C.P.M. for upper limb, lower limb, etc. wax bath, titling table, pulley exvision for perithritis shoulder	Rs. 30/-
4.	Occupational therapy for Cerebral Palsy, Mental Retardation, Autism, Hemiplegia, Gullen berg Syndrom, Neuropathy, Multiple disabilities etc.	Rs. 30/-
5.	Laser therapy	Rs. 5/-
6.	Aids & Appliances
	L.S. Belt or Corset	Rs. 230/-
	Spinal Support (Taylor’s Brace)	Rs. 300/-
	SOF Brace	Rs. 300/-
	Chair Back Brace	Rs. 300/-
	Hard Collar	Rs. 95/-
	Soft Collar	Rs. 50/- or Rs. 75/-
	Philadelphia Type of Collar	Rs. 300/-
	Cockup Splint	Rs. 150/-
	Dynamic Splint	Rs 100/-
	Posterior Lumber Moulded brance	Rs. 700/-
	Ant. Post. Lumber Moulded Brance	Rs. 800/-
	Posterior Thoracic Lumber Moulded brance	Rs. 1000/-
	Ant. Post Thoracic Moulded brace	Rs. 1500
	Finger Splint	Rs. 30/-
	Foot Drop Splint	Rs. 150/- (AI)
	Knee Brace	Rs. 200/- (pp)
	Gaiter Splint	Rs. 200/-
	Club Foot Splint	Rs. 150/-
	Opponence Splint	Rs. 100/-
	Abduction Splint	Rs. 100/-
	Miami/Boston	Rs. 350/-
	Others	Rs. 800/- As decided by Director