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About Us

Physical Medicine & Rehabilitation Section

Rehabilitation is the process of helping a person to reach the fullest physical, psychological, social, vocational, avocational, and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitations, desires and life plans.

Patients, their families, and the rehabilitation team work together to determine realistic goals and to develop and carry out plans to obtain optimal function despite residual disability, even if the impairment is caused by a pathologic process that cannot be reversed.

Rehabilitation includes:

1. Prevention and Early Recognition
2. Inpatient Care
3. Outpatient Care
4. Extended Care Programs

The goal of the Physical Medicine & Rehabilitation Section is to help people regain control of their lives by helping them attain their highest functional level of independence within the limitation of their disability.

Consultation Schedules:
(by appointment)

Consultation days for out patients with or without referrals:

Dr. Estelita M. Chua (Telemedicine)

Friday - 9:00 a.m. to 12:00 nn.

registration time from 8:00 to 9:00 a.m.

Dr. Maria Rowena Lopez-Javier

Monday and Wednesday – 9:00 a.m. to 12:00 n.n.

registration time from 8:00 to 9:00 a.m.

Admitted patients have to be referred by their attending physician

in order to receive any rehabilitation service.

All patients must be seen by the Section’s active or visiting consultants before receiving any rehabilitation

service or undergoing any procedure.

Services

Services / Procedures Being Offered
 
•    Physiatric consultation, evaluation, and management
•    Rehabilitation Medicine Management:

A. Physical Therapy
1. Therapeutic Exercises , such as, but not limited to the following:
       o    Rehabilitation of neuromusculoskeletal and cardiopulmonary patients
       o    Rehabilitation of pre- and post-surgical patients such as arthroplasty and amputation cases
       o    Rehabilitation of organ transplant patients
       o    Rehabilitation of pediatric and geriatric patients
       o    Conditioning exercises
       o    Prosthetic / orthotic training
       o    Occupational therapy
2. Lower extremity ergometer, fluid rower, N-K Table and Treadmill exercises for lower limb strengthening and cardiovascular endurance training
3. Continuous Passive Motion
4. Tilt Table Exercises
5. Proprioceptive Training (BAPS)
6. Ambulation / Gait Re-training
7. Electrotherapy
8. Hydrotherapy
9. Therapeutic Ultrasound
10. Cervical / Lumbar Traction
11. Jobst Intermittent Compression Unit
12. Infrared Radiation
13. Virtual Rehabilitation
14. LASER
15. Pulmonary Physiotherapy
16. Prescription of wheelchairs, ambulatory aids, shoes, prostheses and orthoses
17. Patient Education On But Not Limited To the Following:
       o    Good postural awareness
       o    Joint conservation techniques
       o    Proper body mechanics / Work ergonomics
       o    Turning, transfer and mobility techniques
       o    Weight Reduction and Proper Diet

B. Occupational Therapy
                 1. ADL training
                 2. IADL training
                 3. Work evaluation and Work hardening
                 4. Fine Motor Skills training
                 5. Cognitive Skills training
                 6. Sensory-Perceptual Skills training
                 7. Splint Fabrication

C. Speech Therapy
                  1. Dysphagia management
                  2. Speech and language disorder management
                  3. Voice disorder management

Special Services

A. Renal Rehabilitation

Objective: “ To provide ways to help dialysis patients, through functional fitness, to maximize their quality of life.”

Rehabilitation ensures that the patient remains intact both physically and psychologically as major changes in health and life status occur.

Documentation clearly supports the view that a patient with end stage renal disease who exercises regularly receives the same exercise paybacks, as does a healthy person.

These include:

•    Increased muscle strength
•    Improved flexibility
•    Lowered blood pressure
•    Improved fitness levels and psychological status
•    Lowered risk of cardiovascular disease
•    Maintained an overall healthy lifestyle
•    Prevention of the following secondary complications :
       1. Fatigue and insomnia
       2. Muscle atrophy and deconditioning
       3. Poor cardiopulmonary endurance
       4. Joint tightness and contractures
       5. Constipation brought about by immobilization
•   Provides supportive management for the following concomitant complications:
       1. Symptoms of peripheral neuropathy, e.g., “restless” legs, paresthesias, sensory or motor loss or both
       2. Skeletal problems including bone pain, fractures and osteoporosis, or other forms of renal osteodystrophy
       3. Decreased mental acuity, apathy, irritability
       4. Depression
       5. Sexual dysfunction

Physical therapy include the following exercises:

FLEXIBILITY EXERCISES
Make the body more supple and helps to prevent joint stiffness.

STRENGTHENING EXERCISES
Aim to develop stronger muscle and joints to make activities of daily living easier.

ENDURANCE EXERCISES
Help lessen breathlessness when walking, climbing the stairs, etc.

BALANCE EXERCISES
Help patients be more stable and reduce the chance of falling.

B. Marketing/Selling of Prescribed Rehabilitation Items

These may include:
1.    Splints/Supports
2.    Anti-Embolic Stockings
3.    Cervical collars
4.    Elastic Bands
5.    Slings
6.    Lumbar supports

C. Electromyography – Nerve Conduction Velocity Study

Electromyography relates to electrical activities within the muscles while nerve conduction velocity study relates to electrical activities in the nerves. These diagnostic tools aid physiatrists in finding the source of muscle weakness, pain or numbness. The cause may be nerve damage from an injury; a neck or back problem, such as disk herniation; or carpal tunnel syndrome. These studies also help physiatrists assess muscle disorders such as myopathies and polymyositis.

D. Telemedicine
Telemedicine uses digital services such as computers and cellphones (smartfones) to connect you to our healthcare providers (rehab doctors, occupational therapists, physical therapists, and speech language pathologists) in the comfort of your own homes. You don't have to travel to NKTI to get the care you need.

Our Expert Team 

Contact Us 

Training Program

BECOME AN EXTERN
 
Thank you for your interest in applying as an extern at the Physical Medicine & Rehabilitation Section
 
Time Commitment :
                        The minimum commitment is 5x/week for 4 weeks of continuous training from 8:00 am to 5:00 pm.

                        
Externship Application Requirements :
 
•    Letter of intent addressed to the Section Head
•    Resume with 2x2 ID picture
•    Transcript of Records
•    College Diploma
•    Board Certificate
•    Birth Certificate
•    Board Rating
•    At least 3 CPE certificates for the last 2 years prior to 1st day of training
•    Result of Chest x-ray taken within the past 6 months
•    PhilHealth ID or proof of enrollment to PhilHealth
•    Covid-19 Vaccination- booster shot
•    RT-PCR Test taken within the last 36 hours
•    Training Fee: Php 1,000.00
•    Complete requirements must be submitted at the Physical Medicine & Rehabilitation Section.

NOTE: All assignments to externs can be terminated at any time, by either party, with or without notice and with or without cause. No externship assignment is guaranteed for any specific period of time.
 
Affiliation / Training for Physical Therapy Interns

Kindly coordinate with the section’s chief Physical Therapist with regards your school’s   intent, the contract, guidelines, and other important matters pertaining to your affiliation in our Institute.

FAQ's 

Physical Medicine & Rehabilitation
 
1. What is Rehabilitation Medicine?

It is the branch of medicine which aims to restore a person to the fullest physical, psychological, social, vocational, avocational and educational potential consistent with his physiologic or anatomic impairment and environmental limitations.

Uses the combined expertise of a health care team: consists of a physiatrist, physical therapists, occupational therapists, nurse and other allied medical professionals working with the patient and his family.

2. Who Needs Physical Rehabilitation?

Those who have any of the following conditions:

• Limitation of Motion

• Balance Impairment

• Muscle Weakness

• Spasticity / Paralysis

• Joint and Muscle Pains

• Incoordination

• Postural and Gait Deviations

• Leg Length Discrepancies

• Problems with Bladder Emptying or Voiding

• Sensory Abnormalities

• Muscle Atrophy

• Decrease Endurance Capabilities

• Upper and Lower Extremity Deformities

• Dependence in Activities of Daily Living

  (e.g. Eating, Dressing, Transfers, Ambulation, Toileting)

• Vertigo

• Amputated limb

Or Those who need the following:

• Pulmophysiotherapy

• Cardiac Rehabilitation

• Fitness / Conditioning Exercises

• Patient Education on / Regarding but not limited to:

Good postural awareness
Joint conservation techniques
Proper body mechanics / Work ergonomics
Turning, transfer and mobility techniques