International Center for Physical Medicine & Rehabilitation – Dr. Yusef Sarhan

International Center for Physical Medicine & Rehabilitation

Dr. Yusef Sarhan

1. Consultations:

 

Over 25 years experience in case diagnosis to determine the level of disability and motor functionalities. We use systematic & scientific approach to correctly diagnose the cases in our clinic. A rehabilitation program is then constructed to every individual need based on the initial assessment performed.

2. Physiotherapy:

 

Physiotherapy is one of the rehabilitation medicine branches; it aims to restore patients to their normal daily life after an accident or an injury or after a loss of one of their body parts. Many methods are used in that process like Thermo Therapy (Heat/Cold Treatments), Therapeutic Exercises, Electrotherapy, Therapeutic Massage, and Hydrotherapy. We are able to treat many cases using these methods. Other cases are also treated like heart & lung diseases, and many forms of Paralysis, and Urinary Incontinence and muscle weakness. Physiotherapy is also important to patients with body parts amputations and joint replacement. Pregnant ladies can also benefit from these services in Pre/Post natal (Delivery) programs.

 

ICPMR has the following units:

 

   Electrotherapy Unit

   Hydrotherapy & Wellness Unit

   DBC Unit

   Gym Unit

3. Occupational Therapy: 

Occupational Therapy is one of the rehabilitation medicine branches; it aims to improve patient’s quality of life through life style changes & activities. Our therapist’s main goal is to improve the capabilities of individuals who suffer from any kind of disability, whether it’s psychological, physical, or cognitive disability. The treatment is designed to help the individual to participate in physical activities or simply go on their daily routine as independent as possible. Part of achieving this is by improving ones’ environment, or by enhancing adjustment tolerance. Our therapists make a fully customized treatment based on patient’s abilities and the factors mentioned earlier.

 

ICPMR has 2 Occupational Therapy units for both Adult and child rehabilitation.

4. Documentation Based Care – DBC:

International medical research for chronic neck & back pain has found that the best way to treat this case is through Occupational restoration which is done in 2 steps:

 

   Therapeutic exercises which strengthen and increase muscle tolerance.

   Behavioral Modification to the medical condition: patients often suffer from anxiety, stress, and frustration along with chronic neck & back pain, also tends to forego any activity believing that it would make the case worse or increase pain. All of these false beliefs will result in weak muscles that cannot support the neck & back and consequently will increase pain.

 

Therefore; a new concept in treatment was developed for this case, based on Evidenced-Based Medicine which is now known as (Documentation Based Care – DBC): the treatment is customized to the individual’s medical, psychological, behavioral circumstances.

Our Process:

 

   Medical Exam: The patient will receive a medical examination to determine the best approach for his case whether it’s a DBC-Program, Hydrotherapy or other treatment methods.

   Initial Evaluation: Should the patient’s case is confirmed that it can be treated using DBC approach, and then a referral will be made to ICPMR (International center for Physical Medicine and Rehabilitation). At ICPMR will take the following steps in sequence:

 

   a. Gather information about medical case & history

 

   b. Gather Pain-related information about patient’s case. Pain is measured by duration, severity, & its location. Other information is taken about the nature of work performed that could be generating this pain

 

   c. Patient will go through range of motion measurements, those will give the therapists better understanding of how well the muscles, and joints are moving and what is the maximum stress points it can tolerate.

 

   d. Patient is then given a full report about the medical case

   Constructing the Individual Therapy: Using all the information provided by patients in step 2, all data is then entered into our assessment software to produce and calculate the number of sessions needed, exercise level, range of motion degree to start with and target the specific muscles and joints safely and pain-free. During those sessions our therapists provide not only medical support but also psychological & behavioral support for patients. They also inform the patient with their progress and treatment status. Functional Therapeutic exercises are provided and would make the basis for Patient Home Exercise Programme.

   Final Evaluation: After fulfilling treatment sessions, a final evaluation is made to compare it with the initial evaluation and an improvement percentage is calculated, this will boost patient’s enthusiasm to continue Home Exercise Programme. The patient also receives a detailed report about his treatment course to keep or give out to referring physician or insurance

   Home Exercise Programme: A customized Home Exercise Programme is made for every patient individually, the exercises are chosen based on medical case, improvement shown at the ICPMR, the exercises are fully explained with indicating pictures

   Result Analysis & Quality Assurance: All results from around the world are sent every six months to DBC Head Quarters in Finland Anonymously where experts analyze the sent results and draw medical conclusions

 

5. Mesotherapy:

 

Mesotherapy was invented in France in the 1950’s.It was used often because it showed good results to treat pain, athletic injuries, and Anti-Cellulite. Mesotherapy consists of injecting medication into the fatty layer under the skin Meso using fine and short needles, where pain is located. The slow absorption of these medications allows the pain relief to last longer than normal pain killers. In our clinic, this technique is applied for acute & chronic pain only, and not for cosmetic purposes. Treatment consists of 1 session per week for a period of 3-5 weeks*.

( Currently Discontinued )

6. Shock-Wave-Therapy for the calcifications in muscles and ligaments:

 

Shock-Wave-Therapy is an advance therapeutic technique applied using highly advanced and modern devices that uses high frequency acoustics in different wave lengths. Those frequencies are directed toward local calcification whether it’s in muscles, ligaments, tendons, or around the joints. Which will fragment calcification, and increase blood supply in that location which will absorb that calcification.

 

Other cases that can also be treated like Bone spurs in heals, or chronic calcification around shoulders and elbows, normally treatment takes from 3-6 sessions,1- 2 sessions per week*.

7. Personalized Prevention:

 

It is said “An Apple a Day keeps the Doctor Away”, this was said to help promote awareness and prevention techniques. It is important to know “Prevention from what?” We can answer this question for you at the clinic through taking a blood sample or saliva, and run Genetic tests at our certified lab in Europe. Your will show the tendon case and relative risks as some in the diseases. Most of these diseases can be prevented and avoided by making lifestyle changes that will reduce the chance of getting sick. ( Currently Discontinued ).

 

All of these tests are done confidentially and with upmost secrecy.

8. Supporting Services:

 

a. Artificial Limbs and assistive Devices:

We perform a full assessment for patients with amputations, and prescribe the proper Artificial Limb. Those Artificial Limbs (prostheses) are then built in top certified workshops. Once we receive it, we will make sure it matches the international standards and to the requirements set for the individual need. Once the Artificial Limb is approved, we will then help the patient to use it.

 

Patients with Assitive Devices (Orthoses) needs also receive assistance with their equipment like: medical devices, or splints whether it’s for upper body part support, or lower limbs to improve walking mechanism or prevent deformities.

 

b. Speech Disorders Treatment:

 

Although we don’t provide this service, but we can refer such cases to certified Speech pathology Centers in Jordan that provide these services. This is done either by providing you with an official, referral or by requesting a therapist to provide the session at our Center (ICPMR).

 

Back to Our Services

 

1. Pain Management Programme:

 

A medical exam is performed to investigate the source of the pain and answer: how/why/what is wrong. Once the cause is revealed, treatment will be provided whether it is in the form of prescription medication, Rehabilitation Programme, or Mesotherapy depending on the case.

Here is a list of the cases that we treat:

 

   Acute and Chronic Back Pain

   Acute and Chronic Neck Pain

   Acute and Chronic Shoulder and Upper limb Pain

   Acute and Chronic Knee Pain

   Chronic Muscle Pain – Fibromyalgia

   Chronic Fatigue Syndrome

 

2. Orthopedic Rehabilitation:

 

   Post Fractures and Injuries

   Post Joint replacement – especially Knee and hip Joints

   Amputations

 

3. Neurological Rehabilitation:

 

   Head & Brain Injuries

   Stroke

   Spinal Cord Injuries

   emory & cognitive impairment

   Multiple Sclerosis

   Lack of Balance and Risk of Falling

 

4. Pediatric Rehabilitation:

 

   Cerebral Palsy

   Physical Disabilities

   Altension Disorders – ADD, ADHD

 

5. Rheumatic Diseases Rehabilitation

6. Sport Injuries Rehabilitation

7. Therapeutic exercises during pregnancy and after childbirth

8. Urinary Incontinence: Treatment consists of:

 

   Physical & Behavioral Techniques like pelvic floor exercises

   Medications

   Nutritious Changes like cutting back on Tea, Coffee, Alcohol, and other drinks

   Surgical interference should the case requires

 

9. Lymphoedema:

 

The collection of lymphatic fluids leads to swelling especially at the upper or lower body limbs, it can also appear in the face or abdomen. Such will cause:

 

   Pain

   Movement limitation

   Functional Disability

   Aesthetics Deformation

 

Lymphodema can turn into chronic swelling if not treated early. The body will have the risk of infections, intlemed, and tissue fibrosis. Our clinic provides a preventive therapy includes:

 

   Massage Therapy

   Special Exercises

   Using Special Pressure Devices to release fluids and relief swelling

 

Once the swelling has been relieved and reduced, special compression garments will provide pressure to the area will be prescribed to the patient along with a personalized home exercise and detailed instructions on how to deal with this disease to prevent possible future risks.

10. Osteoporosis Rehabilitation:

 

This programme aims to satisfying Osteoporosis patients needs, depending on the degree and severity of the case. The programme’s success will depend on the perseverance of the patient and how much support is received from the family. The most important goal is to enhance the quality of life and to bring the patient to be as independent as possible, and be able to carry on with life’s daily tasks. This will affect patient’s physical, psychological, and social aspects of his/her life. In this programme we will also focus on pain reduction (if any). We will also introduce the patient to techniques to prevent falling, hence avoid fractures and reduce the progress of Osteoporosis. Programme Includes:

 

   Treatment Exercises: these exercises will stretch, and strengthen the muscles. These will also increase muscle coordination which will lead to better weight bearing on bones. Our Center (ICPMR) is equipped with Vertical Vibration equipment that has shown excellent results in Osteoporosis cases.

   Pain Reduction Techniques

   Nutritious Consultations to increase the Calcium, Vitamin D intake, and reducing caffeine intake.

   Using supportive devices at home to increase safety

   Patient & family awareness for fall & fracture cases.

   Medications if needed.

 

11. Anti-Cellulite:

 

One of the most complicated problems women face nowadays is the fat accumulation in hips, lower abdomen, and thighs areas which cannot be treated when dieting or therapeutic exercises alone. Some ladies suffer from this even if they were not overweight. Anti-Cellulite treatment was known to be treated at cosmetic centers; however; it recently took another turn to reside within medical clinics like Physical Therapy & Rehabilitation due to the process it involves. Our patient is first examined and evaluated by a physician to determine the degree and severity of the case. Next, the patient will have an Anti-Cellulite Programme which includes measurements of body composition, vacuum and compression machine (Bioderm), and ultrasound techniques (Celsonic), Vertical Vibrations, Therapeutic Exercise, and Healthy Diet Programme.

 

Back to Our Services

 

Therapeutic Devices

1. Electrotherapy Devices

 

   Pain killer: This device treats acute and chronic pain and is used to accelerate healing process, increase muscle strength and decrease inflammation

   Neostem: This device gives three type of electrical current: biphasic current, galvanic current and TENS. The device contains 40 preset programs and a large free memory places to store personalized programs

   Combination units: Our center has 2 machines and each machine contains all type of electrical current.

   These machine contain preset protocols; therapist can adjust these protocols according to patient conditions and save adjustment with patient name.

   In these devices the therapist is able to use electrical stimulation with vacuum or with ultrasound to the quality of treatment.

   The uses of these devices is to treat many conditions like Pain relief, muscle strengthening, decrease muscle spasm and improve muscle circulation.

 

2. Infrared machine

 

The effect of infrared is to elevate temperature in the superficial part of skin.

 

The physiological effects of infrared are: improve blood circulation, decrease inflammation, decrease muscle spasm and pain relief.

3. Biofeedback

 

The device helps female to do pelvic floor exercise in comfortable, safe and interesting way.

 

The device increase pelvic floor muscle strength to avoid incontinence and accelerate post natal rehabilitation.

4. CPM (continuous passive movement)

 

This machine flexes and extends the knee passively without any pain.

 

The therapists adjust the speed, rang and total time according to pt condition.

 

The advantage of the machine is to reduce complication of immobilization, improve joint metabolism, increase reabsorbing joint edema and improve blood and lymphatic circulation to avoid deep vein thrombosis.

5. Lymphactif

 

The device is an excellent choice for treating circulatory and lymphatic disorder in upper and lower limbs.

 

In this machine there are six preset programs to treat disorder at different level.

6. Cryotherapy

 

The cryotherapy relief pain and decrease swelling through decreasing tissue temperature down to (-30) degree.

 

The physiological effects of cryotherapy are:

 

   Muscle relaxation , pain relief, decrease inflammation and improve blood circulation

 

Cryotherapy is used to treat many diseases like osteoarthritis, joint edema, sport injuries, tendonitis, before and after exercises.

7. Ultrasound Devices

 

The physiological effects of ultrasound are:

 

   Micro Massage, deep thermal effect, chemical effect on skin and accelerate tissue healing

 

Ultrasound is used to decrease inflammation, muscle relaxation and pain relief.

8. Traction Unit

 

We use traction for cervical and lumbar region in a safe and comfortable way, traction is used for pain relief by decreasing muscle tension and nerve compression

9. Laser therapy

 

Laser therapy uses particular light wave that has certain characteristic, laser is used in many medical cases such as tendons, muscles, and sport injuries

 

The physiological effects of laser therapy are:

 

   Pain relief, reduce muscle spasm, and decrease inflammation

 

Therapeutic Equipment

1. Treadmill

 

Working out with this equipment is an excellent aerobic exercise, the principle being that the exercise should be light and for long duration which will improve maximum oxygen intake, which in turn improves endurance and fitness. This device enables you to measure your heart rate and give you the right level of effort using the available programs to produce the best result. Weather you want to walk, jog or run this treadmill provides safety, easiness and comfort to all patients from athlete to none.

It present different exercise profiles in order to insure versatile, pleasant and goal oriented training.

2. Therapeutic stationary bike

 

Working out on stationary bike improves body fitness and endurance as it is an excellent aerobic exercise. Therapeutic stationary bike provides a various programs that fit all the patient need from weight reduction to athlete training; it also measures the percentage of body fat to give a suitable program for weight reduction.

3. Shoulder wheel

 

It is a rehabilitation device for shoulder and elbow stiffness, impingement syndrome, and pre and post operative treatment, most of them are active exercises, but passive or self passive mobilization and proprioceptive exercises. The wheel allows monitoring range of motion recovery by providing quick and reliable assessment, based on comparison between previous and following measures. Being able to check the degree of joint motion reached in each repetition, the patient will feel motivated, encouraged and engaged in exercise.

4. Rowing

 

Rowing is a very effective way of exercise. In addition to strengthening the heart and improving circulation, it develops the various groups of large muscles: the back, the abdomen, the arms, the shoulders as well as the pelvis and the legs. Rowing also develops muscular flexibility without exertion on joint, and it is recommended form of exercise for those who suffer from pains in the neck and shoulder areas.

 

Durable rowing machine with adjustable programs for motivating exercise

 

   Efficient training with target heart rate

   LCD display shows speed, strokes/min, time, distance, energy consumption, heart rate, real time, humidity and room temperature

   Programs: manual training, heart rate control program, 8 profiles

   Resistance system: electronically adjustable permanent magnet

 

5. Elliptical

 

Working out with this equipment is an excellent aerobic exercise; it gives total body training while providing different programs that can be personalized so that the patient will train the specific muscle group that he needs to maintain overall fitness and increase endurance level. Elliptical Machine is suitable for athlete rehabilitation knowing that it provides specialized programs depending on heart rate and fitness level that can be easily measured through this equipment.

6. Balance board

 

These devices are special high quality products addressing the dysfunction of motoric control, coordination, sense of balance and muscle function.

 

It is particularly suitable for usage in physical and sport therapy, orthopedics and rehabilitation.

 

Each provides a different yet enjoyable way of treatment as the first is the GymTop Professional USB which provides users and patients the opportunity not merely to react to dislocation, but to effectuate dislocations actively and systematically thanks to the feedback of optical, acoustical and tactile analysers, and the second which use vibration technology to increase proprioception and gives a three level of balance training.

7. Active passive training

 

Universal electronically controlled trainer for active and passive mobilization of the upper as well as the lower limbs. This revolutionary concept makes expensive accessories superfluous. The height and the length of the crank are easily adjusted to provide a variable range of motion.

 

The passive mode is a powered movement at regulated speeds, for exercise of limbs that have limited or no muscle power. A unique auto-reverse feature reverses the direction in case of a muscle seizure so that the affected muscles are released.

 

The active mode enables a wide range of exercises, either workload dependent, where the resistance level is constant regardless of pedal speed, or isokinetic where resistance increases as speed increases.

8. Shockwave

 

The Shockwave device represents today an innovative system that can give rise to a new and effective therapeutic approach for the treatment of various pathologies regarding soft tissues and the skeletal system.

 

The thrust implemented by the end side of a suitable applicator, that the operator has to put in contact with the suffering region, gives rise to small impulses with high intensity that are transmitted into the tissue. This originates a resonance phenomenon causing antalgic processes, reduction of local phlogosis, new formation of blood vessels, and reactivation of reparative processes.

 

The Shockwave device is a specific instrument for the treatment of pathologies into the Physical Therapy and Orthopaedics field. The antalgic, osteo-inductive and vascular effects allow the treatment of a wide range of tendinous pathologies, but also allow the activation of processes involving the re-absorption of calcifications, especially when they are localised in the smallest joints, and help to increase the reparative processes (osteogenesis) in osteo-articular pathologies and fractures.

 

Besides the manual setting, the Shockwave device has got a series of pre-set therapeutic protocols (whose values can be adjusted by the operator) and a memory for storing customized treatments.

9. StruzzoPlus

 

If StruzzoPlus speak by itself, it would speak of transfer, verticalization and movement in the name of simplicity, versatility, lightness, handiness and likableness. Perhaps it would not have the arrogance to say that it is the first in its class for everything, but it would proudly affirm that it knows how to do more things with respect to the others and that it is the result of deep consideration. A standing frame with motor unit powered by batteries and joystick control. Drive around the house or office.

10. Vibrafit

 

The movement of the vibration plate simulates the body’s natural ‘stretch reflex’ (tonic vibration reflex). This is similar to the knee jerk reaction that occurs when the knee is tapped by a reflex hammer in a doctor’s office. Without thinking of it, your body responds with a strong involuntary muscle contraction leading to your leg ‘kicking’ out.

 

With the Vibra-Fit technology these strong muscle contractions can be repeated at a rapid rate. Due to the involuntary effect on muscle contraction, nearly 100% of the muscle fibers are recruited. Compare this to conventional training where there is only an average of 40% muscle recruitment. This benefits the rehabilitation patient looking to add stability and strength to all muscles around their joints, to the athlete looking to maximize strength gains.

 

The gentle rapid contractions allow the muscle to work as a pump in introducing blood to even the smallest blood vessels. This leads to the ability of the body to carry off waste products much faster, leading to increased peripheral circulation. Positive effects:

 

   Increase of the bone density, treatment of osteoporosis

   Better blood circulation

   building up of muscular strength and endurance

   Develop the reflexes and the proprioception

   Decrease of cellulite

   Better metabolism, purification, fat burning

   Tissue lifting

 

11. Paraffin bath

 

Paraffin wax has a very high “heat capacity,” meaning it is able to absorb and retain a great amount of heat. The Therabath takes advantage of paraffin’s heat-retaining capacity in a simple process called “heat transfer.” Very simply, the heat that goes into melting the paraffin is released when it solidifies into a custom-fitted, warm “glove,” thus transferring the heat deep into the affected joint or area. Each dip in a Therabath delivers a layer of fast-acting heat therapy.

 

Effective on: Arthritis, Inflammation, Joint Stiffness, Muscle Spasms, Sports Injuries, and Dry, Cracked Skin.

Wellness

1. Under water massage

 

Surround yourself with millions of the finest whirls of air and eddies, bathe in a rainbow of colorful lighting and breathe in the finest fragrances. Enjoy the gentle massage, and bid the stress of your day farewell. Pamper all your senses. Your regained sense of equilibrium will have a positive effect on every aspect of your life.

 

Advantages:

 

   Relieves tension

   Reduces cellulitis, rheumatism and arthritis

   Improves circulation

   Stimulates the lymphatic system

   Tautens the skin and connective tissue

   Has a slimming effect

 

2. Therapeutic Massage

 

Large massaging surface has a deep healing effect on the muscular system and is extremely pleasant for the sensitive parts of the body.

 

Advantages:

 

   Body massage: natural brush plate, knobbed plate, rubber brush

   Local massage: suction cup for face, neck and bust

   Cosmetic sponge for distributing skin lotions

   Natural hair brush which cleans and stimulates the skin to the depth: for face, neck and shoulders

   Massage finger for reflex zone massage and acupressure

 

3. Dry Aqua Jet Therapy

 

Floating – The body experiences a new lightness. Slow weightlessness takes over. Wrapped in comfortable warmth, an initial feeling of security relieves body and soul. Soft music can be heard with the harmonic vibrations perceptible by all senses. Being in condition of total relaxation, you have a new dimension of recovery. The Thermo Spa Concerto is the total well-being solution. Its unique combination of functions makes a varied range of cosmetic and therapeutic treatments possible. The transition from reclining to floating is incomparably soft and pleasant. It turns the whole tub into a loudspeaker. The sound waves are not only audible; they can also be felt through the foil. This makes also a massage possible simply by the vibration of the sound waves: the whole body is set vibrating by the rhythm of the music.

4. Bioderm

 

Vacuum therapy combines two well-proven techniques: suction effect and mechanical palpate-roll. The combination of those two techniques, in a global slimming concept, offers good results particularly in cases where excess weight is hard to move.

 

The round heads with teflon rings slide easily over all skin surfaces, including hairy areas, with no risk of pinching. The heads are transparent so that the formation of the skin pleat can be checked and vascularisation can be verified.

 

Thanks to the use of the proper massage head, the Bioderm technique can be applied to the face, this is called Ridoplastie. Wrinkles are the result of skin ageing and also fibrinolytic phenomena which attach the base of the wrinkle to the tissues.

 

The face and neck are areas with lots of lymphatic and venous exchanges and are often insufficiently stimulated. Ridoplastie face cares give noticeable results from the first session as regards both external aspect and feeling of well-being.

5. Effilyse

 

Effilyse is the ideal assistant to develop and produce personalized diets for a wide spectrum of people (from the sedentary person to the top-level athlete). It is an “expert system” for health, fitness or sports professionals.

 

Effilyse allows the creation of files per patient: identity, impedance and morphology measurements, physiological conditions, diet habits and the avoidance of certain food items.

 

The measurements obtained with Ohmniscan can be entered in the Effilyse software and it will then calculate the patient’s daily energy needs. As the data on basic metabolism and energy needs are known, the software personalizes the menus according to these data.

6. Cellsonic

 

Low frequency ultrasounds are a sure and painless method that when combined with drainage enables the most rebellious fat particles to be treated.

 

Low frequency ultrasounds penetrate through the adipose tissue; their vibrating action weakens the fibers that surround the adiposity cells and favors fat acids release.

 

These low frequency ultrasounds, between 28 and 32 kHz, are applied under stationary conditions through a contact gel and have 3 effects:

 

   Mechanical effects: “micro-massage”: alternative compression and expansion of the tissues (pressure differences), provoke cells friction and tissue weakening

   Thermal effects: the energy released by the ultra-sounds becomes heat and favours a vasodilatation

   effects: they are due to both mechanical and thermal effects: it activates the local venous and lymphatic circulation and relaxes the muscles

 

7. Ohmniscan

 

Ohmniscan is a high-performance portable bio-impedance measuring device that enables, the essential data i.e.: lean mass, fat mass, water balance, basal metabolism, daily energy needs, body mass index to be calculated using a painless micro current technique.

 

It is used for the initial assessment and for treatment monitoring

 

Regular checks allow fat loss to be monitored and the results used as a highly motivational tool.