Scope of Services OPD

Disclaimer: The Scope of services for Thumbay Physical Therapy and Rehabilitation Hospital (TPT&RH) will be reviewed and renewed as and when there will be any change in provided services that may be due to addition of new services or withdrawal of current services or will review at least annually. Please note that laws, regulations, and standards are subject to change.

Priorities focus area

• Orthopaedic Rehabilitation
• Neurological Rehabilitation
• Sports Medicine & Sports Injury rehabilitation
• Pre & Post Natal Rehabilitation
• Paediatric Rehabilitation
• Pain Management
• Speech and Language Management
• Post-Operative Rehabilitation
• Post Covid Rehabilitation
• Cardiopulmonary Rehabilitation
• Lymphedema Rehabilitation
• Cupping Therapy
• Occupational Therapy
• Home Physiotherapy
• Home Occupational therapy
• Home Care Assistance service
• Vestibular Rehabilitation
• Chiropractic Therapy
• Transcranial Magnetic Stimulation

Goal

1.1.  The purpose of rehabilitation services is to restore all of the persons served physical, sensory, and mental capabilities that were lost due to injury, illness, or disease.

1.2.  Improving quality of life through gaining life management skills, a sense of direction for the future and resilience.

1.3.  Assisting the person to return to safe and meaningful work at the earliest possible time to minimize further harm to physical health and wellbeing through long term absence from employment.

1.4.  Helps a child, adult or older person to be as independent as possible in everyday activities.

1.    Clinical Staff

• Physiotherapists (PT)
• Physiotherapy Assistants
• Speech Therapist
• Registered Nurse
• Occupational Therapists (OT)
• Care Assistance
• Cupping Therapist
• Vestibular Therapists
• Chiropractor

2.   Services Offered

3.1 Orthopedic Rehabilitation

The Orthopedic Rehabilitation team consists of highly trained physical therapists. TPT&RH goal with orthopedic rehabilitation is to return each patient to his or her maximum level of function utilizing a team approach to recovery.

Orthopedic Rehabilitation available at TPT&RH includes treatment for:

• Back and neck pain therapy
• Shoulder/arm, hip, knee and ankle therapy
• Sport injury rehabilitation
• Pre- and post-surgical care
• Pain management
• Arthritis/Fibromyalgia
• Post-surgery total joint replacements (hip, knee , ankle , elbow, shoulder )
• Post-surgery diagnoses related to musculoskeletal issues
• Joint sprains/strains
• Muscular strain

3.2 Neurological Rehabilitation

Neurological rehabilitation is provided by a team of highly trained professionals whose goal is to maximize the independence and quality of life for every patient.  This requires a high level of collaboration and cooperation among the team, physician, patient, and family to achieve these goals.  TPT&RH provides Neurological rehabilitation services for:

• Stroke
• Traumatic Brain injury/concussion
• Brain surgeries (e.g., aneurysm repair, Arteriovenous Malformations (AVM) etc.
• Neuro-degenerative diseases (e.g., Parkinson’s, Multiple Sclerosis, Transverse myelitis, Amyotrophic Lateral Sclerosis (ALS), etc.)
• Spinal cord injury
• Driving skills assessments (cognitive, and motor)
• Balance and Coordination
• Post Covid Rehabilitation
• Vestibular assessments
• Gait assessment

3.3 Sports Medicine

Our specialized physicians and physiotherapists provide individualised treatment for sports injury and rehabilitation for enhancing performance and maximising athletic capabilities and talent.

• Muscle tears
• Ligament or Tendon injury
• Peri articular Fracture
• Repetitive/ overuse injuries
• Tennis / golfers Elbow
• Runners’ knee
• Achilles tendonitis
• Rotator Cuff Injury
• Cruciate ligament
• Meniscal repair
• Recurrent dislocation
• Anterior cruciate ligament (ACL) Reconstruction Surgery
• Revision of failed ACL Reconstruction Surgery
• Superior Labrum, Anterior to Posterior (SLAP) Repair
• Patella femoral Pain Syndrome

3.4 Cardiopulmonary Rehabilitation

Cardiorespiratory physiotherapy is an area of physiotherapy that specialises in the prevention, rehabilitation, and compensation of person served with diseases and injuries in the heart and lungs. These conditions may manifest themselves as shortness of breath, persistent cough, increased work of breathing or the reduced ability to exercise. Common cardiorespiratory conditions include:

• Chronic Obstructive Pulmonary Disease (COPD)
• Asthma
• Congestive Cardiac Failure (CCF)
• Respiratory infections, i.e. Pneumonia
• Peripheral Vascular Disease
• Myocardial infarction/ (MI)
• Heart or lung injury or surgery

3.5 Paediatric Rehabilitation

The Paediatric Rehabilitation Physiotherapy  and speech therapy Departments provides complete paediatric  rehabilitation services to children with movement problem and gross motor function delay such as Cerebral palsy, Down syndrome, Congenital muscular problem, and other neurological disorders. Paediatric rehabilitation is used for children with:

• Cerebral palsy
• Down syndrome
• Autism
• Other Neurological disorders
• Genetic syndromes
• Pediatric Orthopedics condition

3.6 Home Care Services

TPT&RH provides home-based rehabilitation and nursing support services for patients who are unable to visit the outpatient facility due to mobility issues, chronic illness, or post-operative recovery. Services include:

• Physiotherapy sessions at home
• Post-operative care
• Elderly care and rehabilitation
• Monitoring and support for chronic conditions
• Speech and language therapy at home (as required)
• Care Assistance and Nursing Services

3.7 Nursing Assistance Services

Our licensed nursing staff provide clinical and personal care services within the facility and through home care visits, ensuring patient comfort, recovery, and well-being. Nursing services include:

• Wound care and dressing
• Post-surgical monitoring
• Patient education and caregiver training
• Support for activities of daily living (ADLs)

3.8 Care Assistance Services:

Our staff provides personal care services through home care visits, ensuring patient comfort, recovery, and well-being. Care assistance services includes:

• Assist in activities of daily living: bathing, toileting and feeding
• Comprehensive basic hygienic care of wound or surgical area of patients
• Assisting the physician during assessment
• Post-surgical monitoring
• Provide removal, disposal and disinfection of bed pan.
• Maintain general hygienic cleanliness of patient
• Ensure infection control policies are followed
• Patient education and caregiver training

3.9 Cupping Therapy

Cupping Therapy is a traditional healing technique that involves placing cups on the skin to create suction. It is used to help with pain, inflammation, blood flow, relaxation, and general well-being. TPT&RH provides professional cupping therapy sessions as part of integrative rehabilitation care.
Services include:

• Dry Cupping: Non-invasive suction technique used to stimulate circulation and relieve muscle tension.
• Wet Cupping (Hijama): A minimally invasive technique involving controlled skin incisions to draw out small amounts of blood, traditionally used for detoxification and immune system support.
• Cupping for Pain Management: Targeted treatment for musculoskeletal pain, joint stiffness, headaches, and fibromyalgia.
• Detoxification and Circulation Enhancement: Promotes removal of stagnant fluids and toxins to improve metabolic function and tissue health.
• Muscle Recovery for Athletes and Post-Rehabilitation Clients: Supports faster recovery, reduces inflammation, and improves performance through enhanced blood flow and tissue repair.
• Complementary Use with Physiotherapy and Manual Therapy: Integrated with massage therapy, chiropractic care, and physical rehabilitation to enhance outcomes.

3. Activity Limitations

Comprehensive outpatient rehabilitation services are provided to all ages who have experienced an injury or illness that had resulted in the loss of function (abilities) in activities of daily living (ADLs), mobility, cognition and/or communication.

4. Cultural Needs

TPT &RH shall respect all cultural needs of the patient and family and accordingly abide by UAE Law. Shall respect the female privacy and provide the selection of genders for the treatment.

5. Impairments

TPT&RH shall include physical impairment patients, speech and language impairment and swallowing and activities of daily living (ADL) patients. TPT&RH shall accept patients with comorbidities; however patients must be hemodynamically stable.

6. Intended discharge/ Transition Environments

Discharge Criteria: Patients receiving outpatient rehabilitation services will be discharged from services when certain criteria are met. The discharge criteria include, but are not limited to, the following:

1. The person served has achieved the goals that were established or updated in the most recent plan of care.
2. Services are no longer reasonable and necessary or the services of skilled therapists are no longer required.
3. The individual’s progress has slowed or temporarily stopped and he/she is no longer benefiting from the services of the program.
4. The presence of medical, psychological or social problems hinders the individual’s ability to participate.
5. An interruption in therapy services has occurred for greater than 30 days unless it is part of the plan of care.
6. The physician requests that therapy services be discontinued.
7. The person repeatedly exhibits behaviors that cause safety concerns for others.
8. The person served declines to continue care.
9. The care of the person served is being transferred to another provider.

7. Medical Acuity

TPT & RH shall accept only hemodynamically stable patients and shall not accept patients on ventilators or with any acute infections such as active wound at the treating site, any viral infections with high temperature and fracture at the treating site or persons with self-harm behavior, aggressive or violent behavior, and inappropriate social behavior.

Based on the condition of the person served, he/she shall be referred for physician clearance for the continuation or beginning of physiotherapy treatment.

8. Medical Stability

TPT&RH shall address patients with stage 1 and superficial wounds and the facility have the expertise and resources to serve person served who have wounds or develop wounds during the course of the program.

For wounds with stage 2 and above, person served shall be referred to physician for further evaluation and clearance.

9. Participation restriction

TPT&RH shall address person served needs related to participation restriction by providing care to help achieve patient specific goal.

10. Behavioral and psychological status

TPT&RH shall accepts person served only if no major harmful behavioral or psychological condition exist. In case, changes in behavior or psychological condition is observed, a referral to the psychiatrist would be made and therapy will resume once clearance is obtained and treatment is completed.

11. Population served:

All ages (0 to 5 years – Pediatric, 6-17 years – Children and Adolescents and =>17 years adults)

12. Setting

– Outpatient Department

13. Hours of service

• Monday- Thursday and Saturday: (9 am to 9 pm)
• Friday and Sunday: (11pm to 7pm)

14. Fees and Payer source

TPT&RH accept various major Insurances as per the organization tie up, cash on delivery for services offered, and also cheque through various charity sources.

15. Types of Insurances

All Major insurances shall be covered include but not limited to:

1. Afia National Insurance
2. Abu Dhabi National Insurance Company (ADNIC)
3. Al Buhaira National Insurance
4. American Life Insurance Company (ALICO)
5. Almadallah Healthcare Management – Government & Dubai Police
6. AXA Gulf Insurance
7. Daman – National Health Insurance Company
8. Dubai Insurance – N4 & N5 Networks
9. HealthNet Insurance
10. Inaya TPA LLC
11. MedNet Insurance (Silver Classic, City, Green, Silk Road Networks)
12. NAS Neuron – NAS Insurance
13. Neuron Insurance
14. NextCare Insurance
15. FMC Insurance
16. Hayah Insurance
17. National General Insurance (NGI)
18. Sukoon Insurance (formerly Oman Insurance)
19. Watania Takaful Insurance
20. Wealth International Insurance
21. Daman GHQ

16. Frequency of service

Average number of visits shall be 3 days per week or 12- 15 days per month and based on the therapist expertise and as per patient’s condition and improvement status.

17. Referral Source

TPT&RH shall only accept patients through Internal (Thumbay group) and External referrals from physicians’ referral.

18. Recognized standards or guidelines for practice used

(Professional standards, clinical paths, multidisciplinary care plans, national guidelines)

• https://www.csp.org.uk/
• https://www.apta.org/
• https://www.CARF.org/

19. Review of Scope of services:

Scope of Service shall be reviewed at least on an annual basis.