Dr Anupam Dwivedi physiotherapist

12/11/2025

12/11/2025

Hiranay Physiotherapy and Rehabilitation

04/03/2025

📌 : Can the Spinal Cord Heal? – The Science of Regeneration

🔬 Unlike peripheral nerves, the spinal cord has limited regeneration capacity due to inhibitory factors like glial scars and myelin-associated inhibitors (Source: Nature Neuroscience, 2023). However, research is unlocking new possibilities.

🧠 Cutting-Edge Treatments

✅ Stem Cell Therapy – Induced pluripotent stem cells (iPSCs) show promise in neuroregeneration. (Ref: Journal of Neuroscience, 2023)
✅ Brain-Spinal Interfaces – Artificial implants bypass SCI-damaged areas to restore movement. (Ref: Nature Medicine, 2023)
✅ Neuroplasticity-Based Rehabilitation – Intensive gait training & electrical stimulation show improved function. (Ref: The Lancet Neurology, 2022)

🩺 Physiotherapy’s Role in Regeneration

💡 Activity-Dependent Plasticity: Weight-supported treadmill training and virtual reality rehab enhance recovery. (Ref: Journal of Neurorehabilitation, 2023)
⚡ Neuromodulation Therapy: Transcranial Magnetic Stimulation (TMS) aids in motor recovery. (Ref: Neurorehabilitation & Neural Repair, 2022)

Next: SCI Rehabilitation – The Road to Recovery



---

---

03/03/2025

The Role of Pre-Operative Physiotherapy in Surgical Success

Pre-operative physiotherapy plays a crucial role in ensuring better surgical outcomes. Studies suggest that patients who undergo physiotherapy before surgery experience fewer complications, faster recovery, and improved post-operative function.

Key Benefits:

✔ Optimized Lung Function: Pre-op breathing exercises reduce the risk of post-op pneumonia and lung complications. (Source: American Journal of Respiratory and Critical Care Medicine)

✔ Better Circulation & Reduced DVT Risk: Mobilization and strengthening exercises improve blood flow, preventing deep vein thrombosis (DVT). (Source: Journal of Physiotherapy)

✔ Stable Vitals & Reduced Stress: Guided prehab reduces surgical stress, keeps vitals stable, and improves pain tolerance. (Source: British Journal of Anaesthesia)

✔ Faster Recovery & Shorter Hospital Stay: Patients regain mobility sooner and experience less post-op weakness. (Source: Journal of Orthopaedic & Sports Physical Therapy)

Prehab is not an option—it’s a necessity for a smoother and safer surgery. Let's prioritize pre-operative physiotherapy for better outcomes!

03/03/2025

📌 Preventing Spinal Cord Injuries – What Science Says

🚨 90% of spinal cord injuries are preventable. The biggest risk factors? Road accidents (38%), falls (30%), sports injuries (10%). (Source: WHO, 2023)

🔬 Prevention Strategies

✅ Biomechanical Analysis: Proper posture, lifting techniques, and ergonomic modifications reduce risk. (Ref: Ergonomics Journal, 2023)
✅ Protective Equipment: Helmets reduce cervical SCI by 50% in motorcyclists. (Ref: Journal of Neurosurgery, 2022)
✅ Strength Training & Balance Therapy: Reduces fall risk in elderly individuals by 40%. (Ref: The Lancet Public Health, 2022)

🩺 Physiotherapy for SCI Prevention

🏋️ Core Strengthening & Postural Control reduce strain on the spine. (Ref: Journal of Sports Rehabilitation, 2022)
🚶 Balance Training minimizes fall risk in seniors and athletes. (Ref: British Journal of Sports Medicine, 2023)

Coming Next: Spinal Cord Healing & Regeneration – What’s Possible?



---

02/03/2025

Spinal Cord Injury (SCI) – Classifications & Impact

Spinal cord injuries (SCI) vary based on severity and location. The American Spinal Injury Association (ASIA) Impairment Scale (AIS) classifies injuries from complete (A) to incomplete (E).

🔬 Injury Types & Clinical Impact

✅ Complete SCI (AIS A) – No motor/sensory function below the injury. (Source: ASIA, 2023)
✅ Incomplete SCI (AIS B-D) – Some preserved function, better recovery potential. (Ref: Journal of Neurotrauma, 2022)
✅ Cervical Injuries (C1-C7): Can lead to quadriplegia. (Ref: Guyton & Hall, Medical Physiology)
✅ Thoracic/Lumbar Injuries: Affect trunk and lower limb control. (Ref: Journal of Orthopaedic Research, 2021)

🩺 Physiotherapy’s Role in Recovery

🔹 Locomotor Training & Functional Electrical Stimulation (FES) improve muscle activation. (Ref: Spinal Cord, 2023)
🔹 Early Mobilization in ICU reduces complications and improves neuro-recovery. (Ref: The New England Journal of Medicine, 2022)

01/03/2025

:-



A Scientific Series on Spinal Cord, Injury, and Recovery

This series will explore the spinal cord’s intricate functions, common injuries, and the role of physiotherapy in rehabilitation, backed by scientific evidence, research papers, and medical literature.

---

📌 – The Neural Superhighway

The spinal cord is the body's primary communication bridge, transmitting sensory, motor, and autonomic signals between the brain and body. Damage to this structure can lead to paralysis, altered reflexes, and autonomic dysfunctions.

🔬 Scientific Breakdown

✅ White Matter (Ascending & Descending Tracts) – Carries sensory input (spinothalamic, dorsal columns) and motor commands (corticospinal, rubrospinal).
(Source: Kandel et al., Principles of Neural Science)
✅ Gray Matter (Anterior, Posterior, Lateral Horns) – Houses interneurons & motor neurons controlling voluntary and involuntary functions. (Source: Bear, Connors & Paradiso, Neuroscience: Exploring the Brain)

🩺 Insight

🛠 Neuroplasticity plays a major role in spinal cord rehabilitation! Task-specific training and robotic-assisted gait therapy can restore lost function.
(Ref: The Lancet Neurology, 2022)

Stay tuned for : Spinal Cord Injuries & Their Classifications

22/01/2024

भए प्रगट कृपाला
❤️

19/12/2023

मुझे एक पेड़ काटने के लिए छः घंटे दीजिए। मैं चार घंटे कुल्हाड़ी की धार तेज करने में लगाऊँगा।"

~ अब्राहम लिंकन

26/09/2023

कवच-कुण्डल गया, पर प्राण तो है,
भुजा में शक्ति,
धनु पर बाण तो है।

~ रामधारी सिंह दिनकर ...

15/08/2023

🇮🇳स्वातन्त्र्यदिवसस्य शुभकामना🇮🇳