iCENTER

iCenter is our out-patient rehabilitation center. At iCenter you will experience a complete rehabilitation program as we offer you all the specialized health-care professionals and specialized programs under one roof.

The programs that we offer includes and not limited to:

LOKOMAT PROGRAM

IREHAB is a pioneer in the use of LOKOMAT THERAPY. This therapy has been available since 2012. Individuals that benefit from this therapy includes: Spinal Cord Injury, Stroke, Traumatic Brain injury, Multiple Sclerosis and Cerebral Palsy

LOKOMAT THERAPY is based on the latest findings in motoric learning for neurological patients. It is known that a new movement or improvement to an existing movement can be achieved through frequent repetitions of that movement also known as neuroplasticity. When training for these movements, the training should represent the actual movement to be learned as accurately as possible. With the support of the Lokomat system, patients can re-learn walking movements through the use of both of these therapeutic methods (repetition and task-oriented training).

Multiple researches support task-oriented therapy with good rehabilitation outcomes in a wide range of neuromuscular diseases. So if you are one of those individuals that would benefit from LOKOMAT THERAPY book an appointment to meet us!

RETURN TO WORK PROGRAM

At IREHAB we understand how important it is for you to return to work after recovering from an illness or ailment. Our return to work program is designed to achieve just that in a manageable manner.

This program is tailored into phases of recovery so that you can safely return to work at a gradual phase to task that was previously performed so that you don’t re-injure yourself.

Our program starts with an initial job site assessment and based on a detailed assessment a program will be tailored to meet the unique demand that is required for you to successfully return to work.

Supervised work-based rehabilitation and the required arrangements will be made with your family as well as the appropriate organizations (it can be both governmental and non-governmental organizations) to ensure the success of your program. You will be enrolled into the appropriate programs and services.

Throughout your program our therapist will monitor and assess the progress that you make and if needful make the necessary adjustments or modifications that you may require.

Our program focuses on minimising the risk of re-injury at your work place and maintaining a successful re-entry into your workplace after an injury.

At IREHAB our health care professionals can also help employers by identifying suitable duties for injured individuals and coordinate the appropriate strategy for his/her safe return to work. Our therapists have the expertise to match an individual’s functional ability after an injury with available duties at a given workplace.

We are able to provide medico-legal reporting. If you would like a worksite assessment to be carried out in your workplace, or to learn more about the range of workplace rehabilitation services we can provide, contact us today at IREHAB.

DRIVING PROGRAM

It is the culture in Malaysia that most Malaysians drive to work. As such, we at iRehab have the Driving Program that helps meet your travelling requirement to work.

The aim of this rehabilitation is to help individuals with a physical ailment and the elderly drive safely. To be a participant the individual must be 18years of age and meet requirements necessary to obtain a driver’s license or permit in Malaysia. Driving simulation will be coordinated with the appropriate organization as required.

This program includes classroom and on-the-road instruction designed and focusing on safety and defensive driving.

Before you are able to participate in this program our therapist conducts a thorough assessment to ascertain specific abilities that is required to operate a vehicle safely and this includes medical history, visual/perceptual skills,reaction time, cognition, transfer skills, basic driving knowledge and adaptive equipment needs are assessed. Once this is done our therapist then makes recommendations for selection of vehicle, adaptive equipment’s that you would require and if necessary coordinates modification that needs to be made to the vehicle. In regards to the vehicle, special attention is given to driver safety and cost containment.

Individuals that would benefit from this program include persons that suffered from a stroke, head or spinal cord injury or other neurological conditions. This program is also catered for both persons who had been driving previously as well as persons learning driving for the first time.

STROKE PROGRAM

The term “stroke” refers to a sudden disturbance of brain function caused by the loss of brain tissue. Approximately 15 million people in the world suffer from stroke every year, of which 5.5 million die, while another 5 million are left with varying degrees of disability.

The most common complaints that result from stroke are as follows:

  • Hemiplegia (paralysis on one side)
  • Balance problems
  • Vision problems
  • Speech disorders
  • Perception problems

How can Lokomat training help stroke patients?

To regain walking ability after a stroke is one of the main aims of neurorehabilitation. The ability to walk is often the deciding factor in whether or not a patient must remain at home or can return to work without having to rely on assistance from another person.

Our nervous system has the ability to change its structure and function, an ability known as neuroplasticity. It is known that repetitive exercise encourages such structural and functional changes in the nervous system, which greatly improve the patient’s ability to handle the tasks presented to him or her. As a result, modern neurophysiological concepts of walking now focus on repetitive, task-specific exercises. In other words, “If you want to learn to walk, you have to walk”.

Training with the Lokomat system is based on this concept, and enables repetitive training in complex walking cycles to take place as early as possible.

What are the expected effects of training with the Lokomat system on stroke patients?

  • Improved balance
  • Better motor control of the lower extremities
  • Faster walking
  • Greater endurance

Lokomat training is especially beneficial to perform movement such as standing on one leg. Patients who train with the Lokomat system are able to stand on a hemiparetic leg for longer with decrease in body mass as the system helps to hold on the body weight.

Note :

At this point, we would like to expressly state that these improvements are not due exclusively to training with the Lokomat system. They must always be regarded as a result of Lokomat training in combination with other physiotherapeutic interventions

How often should training take place?

In the early phase of rehabilitation, training should take place every day if possible (depending on the patient’s stamina and the therapy plan). In the later rehabilitation phase, we recommend that the patient train three times a week.

SPINAL CORD INJURY PROGRAM

Spinal Cord Injury (SCI) is a paralytic condition caused by complete or partial damage to the spinal cord. It is characterized by the loss of motor, sensitive, and vegetative functions below the lesion. This condition has the following phenomena:

  • Total or partial loss of the ability to perform controlled movements in the affected body areas
  • Sensitivity to touch, pain, temperature, and depth are lost or reduced.
  • The vegetative paralysis causes, among other things, problems with bladder and rectal function, impaired sexual function, problems with perspiratory gland function, and problems with peripheral circulation and temperature regulation.

Paraplegia results from damage to the spinal cord at chest level or in the lumbar spine area, with resulting paralysis of the muscles of the torso and legs.

Tetraplegia results when the arms are also paralyzed. Damage to the cervical spinal cord (from C4) also impairs the functioning of the respiratory system.

Complete paraplegia is the term used to refer to a total loss of function of the spinal cord,

Incomplete paraplegia, the spinal cord is only partially damaged.

What are the expected effects of training with the Lokomat system on paraplegic patients?

Lokomat training is used mainly for patients with incomplete SCI; in other words, for patients who still have some residual function in their arms and legs. The walking ability of such patients can be improved with the support of the Lokomat system. The gait (walking ability) can be adjusted to the individual functional level of each patient, and supports the patient as much as necessary, but as little as possible. A large number of repeated movements that represent a physiological gait pattern give patients the best possible help as they work to improve their walking ability.

While Lokomat training does not cause any functional development in cases of complete paraplegia, but it can lead to an improvement in secondary effects, such as: stimulating the metabolism, stabilizing circulation, reducing spasticity and long-term improvement of the intestine and bladder function.

Note :

At this point, we would like to expressly state that these improvements are not due exclusively to training with the Lokomat system. They must always be regarded as a result of Lokomat training in combination with other physiotherapeutic interventions.

How often should training take place?

We recommend three to five times per week for 30 - 45 minutes (depending on the patient’s stamina and the therapy plan).

TRAUMATIC BRAIN INJURY PROGRAM

Patients who have suffered traumatic brain injury are often faced with serious motor damage. As a result, they have to completely re-learn basic everyday movements. Re-gaining walking ability after a traumatic brain injury is one of the main tasks of neurorehabilitation.

How can Lokomat training help patients with traumatic brain injuries?

Thanks to the neuroplasticity of the brain (the ability of the nervous system to change its structures and functions), human beings have the ability to learn new functions and to re-learn functions that have been lost.

To re-learn complex movement sequences such as walking, two things are necessary.

  • The movement itself must be practiced repeatedly
  • The movement being practiced must be as task-specific as possible

What are the expected effects of the Lokomat system on patients with traumatic brain injuries?

Training with the Lokomat system has the following effects:

  • Reduced spasticity
  • Improved walking ability
  • Increased alertness
  • Strengthened leg muscles
  • Improved stamina
  • Increased motivation

Note :

At this point, we would like to expressly state that these improvements are not due exclusively to training with the Lokomat system. They must always be regarded as a result of Lokomat training in combination with other physiotherapeutic interventions.

How often should training take place?

In the early stages of rehabilitation, training should take place every day if possible (depending on the patient’s stamina and the therapy plan). In the later rehabilitation stages, we recommend that the patient train three times a week.

MULTIPLE SCLEROSIS PROGRAM

Multiple sclerosis (MS) is a disease of the central nervous system (CNS). Where it is present, inflammatory plaques attack mainly the white matter (the myelin layer) of the nerve fibers. MS is a multi-faceted illness, and its symptoms depend on what areas of the CNS are affected by the disease process. Therefore, there is no fixed pattern of MS symptoms.

The symptoms vary over time. The following symptoms are the most common:

  • Fatigue (tiredness)
  • Spasticity
  • Coordination problems
  • Reduced bladder control
  • Loss of strength
  • Tactile sensibility dysfunction

How can Lokomat training help MS patients?

Gait rehabilitation is of importance for MS patients, in accordance with the severity and pattern of the disease in each individual. However, the typical MS symptoms of fatigue and spasticity often make gait training difficult. To relieve this difficulty as much as possible, the Lokomat system offers the patient task-oriented training and support that suits their specific condition. Specific settings on the Lokomat system can be used to systematically support the patient and to avoid making excessive demands on or overworking the patient, which is very important, especially in the MS pathology.

What are the expected effects of training with the Lokomat system on MS patients?

Treadmill training combined with other forms of physiotherapy improves walking ability, balance and endurance performance for MS sufferers. In principle, increased physical activity (endurance training) in therapy of MS patients is regarded as beneficial and sensible. Experience has shown that training with the Lokomat system leads to reduced tonus in the leg muscles. Thus, the spasticity that is often perceived in MS patients is mostly reduced immediately after a training session.

Note :

At this point, we would like to expressly state that these improvements are not due exclusively to training with the Lokomat system. They must always be regarded as a result of Lokomat training in combination with other physiotherapeutic interventions.

How often should training take place?

Leading clinics recommend that patients train at least three times a week with the Lokomat system. A training session usually lasts one hour (depending on the patient’s stamina and the therapy plan).

PAEDIATRIC PROGRAM

Paediatric rehabilitation concerns provision of care for infants, children and adolescents with congenital, development, neuromuscular, skeletal and acquired disorders or diseases. These conditions may impair optimal physical and mental development causing poor performance of functional activities.

Conditions treatable under paediatrics rehabilitation may include these conditions but are not limited to, the following:

  • Cerebral Palsy
  • Congenital hip dislocation
  • Congenital Talipes Equinovarus (CTEV)
  • Down syndrome
  • Kyphoscoliosis
  • Kyphosis
  • Muscular Dystrophy
  • Scoliosis
  • Torticollis

Treatments may focus on improvements of gross and fine motor skills, balance, coordination, range of movements, strength and endurance. Paediatric rehabilitation programs aim to maximise the ability of the child to participate in activities at home, school and the community. Families and caregivers play a key role in the rehabilitation program. An individualised program is designed to achieve specific goals in areas such as mobility, self care and communication. Suitability for rehabilitation is assessed on an individual basis.

For further information, please contact us.

VESTIBULAR PROGRAM

Vestibular rehabilitation is for individuals with impairments or disabilities due to diseases, disorders, or trauma to the vestibular system (the semicircular canal system and the otoliths). Vestibular rehabilitation programs can often improve functional capacity, reduce symptoms, and improve the well-being of the patient.

Conditions treatable under vestibular rehabilitation may include these conditions but are not limited to, the following:

  • Vertigo (Dizziness)
  • Poor balance

A vestibular rehabilitation program is designed to address balance, dizziness, and overall fitness of the patient. Patient education is also stressed to facilitate patient understanding of what we are trying to accomplish with their individualized rehabilitation program through informational handouts and in-clinic education

The usage of the Balance Master would be a very effective way of assessing and treating your condition. For further information, please contact us.

MUSCULOSKELETAL PROGRAM

Musculoskeletal rehabilitation is for individuals with impairments or disabilities due to diseases, disorders, or trauma to the muscles or bones. Musculoskeletal rehabilitation programs can often improve functional capacity, reduce symptoms, and improve the well-being of the patient. Conditions treatable under musculoskeletal rehabilitation may include these conditions but are not limited to, the following :

Please mouse-over the red dots to view the descriptions

The goal of musculoskeletal rehabilitation is to help the patient achieve the optimal level of function and independence, while improving the overall quality of life - physically, emotionally, and socially. Our Musculoskeletal program includes and not limited to:

  • Sports injury program and/or Soft tissue injuries
  • Post-operative rehabilitation
  • Amputation program
  • Pain management
  • Burns

Some of the common problems that we see are as follows:

  • Back pain
  • Neck pain
  • Knee pain
  • Shoulder pain
  • Ankle pain

In order to achieve these goals, musculoskeletal rehabilitation programs may include the following:

  • Fitting and care for casts, braces or splints (orthoses).
  • Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance
  • Gait training and methods of safe transfer and ambulation (includes the use of crutches, walking frame and canes)
  • Patient and family education and counseling
  • Pain management
  • Ergonomic assessments and work-related injury prevention

For further information, please contact us.

SPORTS INJURY PROGRAM

Sports injuries are injuries that occur to athletes or a common person participating in sporting events. Sports injuries can be broadly classified as either traumatic or overuse injuries.

These injuries may potentially impair performance in sporting activities therefore reduces competency level.

Conditions treatable under sports injury rehabilitation may include these conditions but are not limited to, the following:

  • Dislocations
  • Fractures
  • Soft tissue injuries includes:
    • Sprains
    • Strains
    • Muscle swelling
    • Tendon tears

The goal of sport injuries rehabilitation is to help the patient achieve the optimal level of function and performance in sports as well as improving the overall quality of life - physically, emotionally, and socially. Treatments may include the following:

  • Endurance training
  • Range of motion training
  • Resistance training
  • Sports massage
  • Sports-specific training
  • Taping
  • Usage of electrotherapeutic modalities

For further information, please contact us.

CARDIOPULMONARY PROGRAM

Cardiopulmonary concerns the heart (cardio) and the lungs (pulmonary) which complements together in transportation of respiratory gases (for example oxygen) throughout the body. Cardiopulmonary conditions may restrict your ability to inhale adequate air to supply your body. Conditions affecting the cardiopulmonary system may affect your strength, vitality and sense of wellbeing.

Conditions treatable under cardiorespiratory rehabilitation may include these conditions but are not limited to, the following:

  • Pneumonia
  • Pneumothorax
  • Pleural effusion
  • Asthma
  • Lymphoedema

The physiotherapists in iRehab are skilled in helping clients coping with acute or chronic respiratory or cardiovascular conditions. A cardiopulomonary rehabilitation program may include:

  • Specific breathing exercises
  • Clearance of secretions
  • Resistance training
  • Endurance training
  • Exercise programs accommodated to specific needs and abilities of each client

For further information, please contact us.

WOMEN'S HEALTH PROGRAM

Certain health issues are uniquely or predominately associated with pregnancy, osteoporosis and pelvic floor dysfunction. iRehab provides an array of outpatient programs designed exclusively to address these concerns. Each program begins with a comprehensive and thorough evaluation followed by an individualised treatment program.

Conditions treatable under women’s health rehabilitation may include these conditions but are not limited to, the following:

  • Lymphoedema
  • Osteoporosis
  • Pelvic floor dysfunction (incontinence)
  • Pregnancy related back pain

The goal of women’s health rehabilitation is to help the patient achieve the optimal level of function with no impairments, while improving the overall quality of life - physically, emotionally, and socially.

In order to achieve these goals, women’s health rehabilitation programs may include the following:

  • Postural education
  • Breathing exercises
  • Strengthening exercises

We also offer exclusive antenatal and postnatal classes. Click here for further information on the antenatal and postnatal classes

For further information, please contact us.

WEIGHT LOSS PROGRAM

The Weight Loss Management Program also known as i.Active consists of personalized modules which cater to the needs and requests of every client. The i.Active program offers:

  • Weight loss modules
  • Body building modules
  • Stamina improvement modules
  • Strengthening modules

The modules of exercises in the i.Active program are evidence-based and may include the following:

  • Strengthening exercises
  • Aerobics exercises
  • Sports massage
  • Metabolism acceleration therapy

Each client would have a 1 on 1 session within the i.Active program. For further information, please contact us.

GERIATRICS PROGRAM

Our geriatric rehabilitation specialists understand the unique needs of older adults. We tailor our geriatric rehabilitation programs for patients who may have multiple problems – physical, cognitive, and functional needs are all considered. We help families understand the best approach to caring for their loved ones and we empower older patients to live as independently as possible

Common conditions treated

  • Arthritis
  • Balance & coordination
  • Cardiac disorders (see cardiopulmonary rehabilitation)
  • Cognitive impairments
  • Fraility
  • Frequent falls
  • Incontinence
  • Joint replacements
  • Osteoporosis
  • Pain
  • Parkinson’s Disease
  • Vision disorders
  • Walking difficulty
  • Weakness

Specialized Programs

  • Falls Prevention Program

Falls can result in serious medical complications including hip fractures and head injuries. In many cases, those who experience a fall have a hard time recovering and their overall health deteriorates. Statistics show that more than 40% of people hospitalized from a hip fracture do not return home and are not capable of living independently again. The good news is that, with adequate knowledge, falls can be prevented.

At iRehab we have a comprehensive interdisciplinary program that consists of doctors and therapists from multiple disciplines (Rehabilitation Physician and allied-health care professionals) that is able to help you prevention falls.

We comprehensively evaluate and give specific recommendations to the patient who has a history of falls for unknown reasons. We create customized patient care plans and give individualized recommendations.

We are uniquely qualified to evaluate the patient with a history of falls and give specific care recommendations to the patient and their primary care physician. If needed, referrals can be arranged to our affiliated departments and specialty providers who can further assist in fall prevention, and who have made themselves available to Falls Clinic patients for prompt appointments. Our goal is to improve your daily function and quality of life as soon as possible.