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Apolinario Mabini Rehabilitation Center

It is history and physical extended by the unique capability of electrophysiological testing. It records spontaneous and evoked electromagnetic signals from a patient's nerves and muscles to clarify the etiology of symptoms and findings.
The electrophysiological testing may include nerve conduction studies, electromyography, somtosensory evoked stimulation, and other studies.
Electrophysiological testing is useful in the following common cases:
          - localizing cervical / lumbar radiculopathies
          - determining severity of carpal tunnel syndrome
          - prognosticating Bell's palsy
          - localizing peripheral neuropathy
          - determining myopathies
          - determining abnormalities in neuromuscular junction transmission
          - determining motor neuron diaeases
          - determining plexopathies
The physiatrist, using his/her knowledge of nantomyand neuromuscular function, evaluates and identifies funtional that would be corrected or alleviated by an orthosis. It is an externally placed device used to modify structural and functional characteristics of the neuromusculoskeletal system.
The following are examples of commonly used orthosis, with the primary goal of restoration of unction:
          - shoulder slings
          - static PIP orthosis for boutonniere deformity of rheumatoid arthritis
          - hand and wrist orthosis for tendon injuries, for carpal tunnel syndrome,
                for DeQuervains's tenosynovitis and for burns
          - orthopedic shoes for correction of pes planus, leg length discrepancy, etc
          - lower limb orthosis like knee-ankle-foot orthosis for spinal cord
                injury, poliomyelitis and stroke patients.
          - cervical spine orthosis (like Philapelphia collr brace, Halo device, etc.)
                to control the position of the spine
          - thoracolumbosacral orthosis for correction of spinal deformities, 
                like scoliosis, or to control spinal motion, like in cases of
                compression fractures
          - ambulation aids like walker, quad cane, axcillary crutches
          - prosthesis are also prescribed, both for functional and cosmetic
                purposes in upper and lower limb amputations.
The problem areas treated are disorders of:
     * Speech
     * Articulation
          - dysarthria
     * Fluency
          - stuttering
     * Voice
          - dysphonia
     * Language
          - aphasia
     * Oral-pharyngeal function
          - dysphasia
     * Cognition
          - Orientation
          - Memory
          - Disorders of attention
Drills are designed, that patients practice to address specific problem; compensatory techniques are taught to facilitate precise vowel / consonant production; alternate communication pathways to natural speech are provided, including patients with tracheostomy.
Thus, speech therapy can be amplyed in:
     - remediations of impairements in speech, comprehension, reading and writing
     - evaluation of swallowing mechanism, with subsequent recommendations
          and implementation of feeding regimens
     - intervention for pragmatic and cognitive based communicative disorders
     - motor-speech treatment
     - training of patients requiring augmentative communication approches,  
          including use of high-technology devices
Common cases that benefit from speech therapy intervention:
     - dysarthria in stroke, Parkinsonism, bulbar palsy, dystonia, chorea
     - apraxia of speech
     - atrism
     - language development delay
     - disorders in memory and orientation after head injury
     - communication alternatives to natural speech