Doctor-supervised senior care across Dhaka, Chattogram and Sylhet

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A physiotherapist supporting a patient on parallel bars

SERVICES / PHYSIOTHERAPY & REHAB

Rehab measured in what he can do again, not sessions attended

Post-stroke, post-fracture and post-surgical rehabilitation at home or in our therapy rooms — written as a twelve-week programme with a goal, a re-test date, and a discharge plan.

THE PROGRAMME

Twelve weeks, in four phases

Every patient is assessed against a standard scale, given a written target, and re-tested on a fixed date. If the numbers do not move, we change the programme rather than sell more of it.

Week 0

Assess

Ninety minutes with a senior physiotherapist. Range of motion, muscle grade, balance, gait speed and fall risk are scored and written down, with a goal you would recognise: stairs unaided, wudu standing, walking to the mosque.
Weeks 1–3

Mobilise

Pain and swelling down, joints moving. Passive and assisted movement, positioning, breathing work for chest patients, and family taught how to transfer him without hurting either of them.
Weeks 4–8

Strengthen

Progressive loading, sit-to-stand, standing balance, then gait training with the least support that is safe. Re-test at week 6 against the week-0 scores, shared with you on one page.
Weeks 9–12

Maintain

Frequency tapers as the home programme takes over. You are given a printed routine, a video of each exercise, and a discharge review. Maintenance visits are monthly, not weekly, once the goal holds.

MEASURED, 2025 COHORT

What twelve weeks moved, on average

+0.31
Metres per second gained in comfortable gait speedPost-stroke patients, n=64. A gain above 0.16 m/s is considered clinically meaningful.
68%
Of post-fracture patients walking indoors without a frame by week 12Hip and femur fractures, n=41, from a baseline of frame-dependent.
−44%
Reduction in reported falls in the six months after dischargeAgainst the six months before starting, self-reported by family.

WHAT WE TREAT

Conditions, typical programme length, and where it happens

ConditionTypical programmeSessions / weekWhere
Stroke, first six months12–24 weeks4–5Home, then therapy room
Hip or femur fracture10–16 weeks3–4Home
Knee or hip replacement8–12 weeks3Therapy room
Parkinson’s, gait and balanceOngoing, reviewed quarterly2Either
Frailty and fall prevention8 weeks, then maintenance2Home or care home
Chest physiotherapyDays to weeks, acuteUp to 14Home or ICU-at-home
The therapy room at the Mirpur home

Therapy room, Mirpur. Parallel bars, tilt table, pedal exerciser and a floor low enough to practise falling safely.

HOME OR THERAPY ROOM

Early rehab belongs at home. Later rehab does not.

In the first weeks, practising in the actual bathroom and on the actual stairs he has to use beats any equipment. We start at home for that reason.

From roughly week four, progress needs load and equipment — parallel bars, a tilt table, graded weights. That is when we move sessions to a therapy room, and transport is included for patients in our homes.

PHYSIOTHERAPY, ANSWERED

Five questions before the first assessment

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