Thursday, November 24, 2011

FreeLance : sTroke






as we all know stroke patient apparently have one sided physical impairment and may be minor of major of cognitive and psychological problem.

for physical problem, physiotherapist and occupational therapist have to work together in gaining back the 
function. our general aim is to make client independent in life to the optimum level.

we will improve the range of motion and also muscle strength so that client able to move the affected body part. once the optimum range of motion and strength  had achieved, client can use some of assistive devices to make them easier in daily activities.

FreeLance for stroke (treatment by therapist at home), the treatment also focus the same aims as above. at the same time we will normalize the muscle tone for both flaccid (hypotone) or spactic (hypertone). 

strengthening exercise

feeding training


constrain induced movement therapy (CIMT) and bobath approach are the most applied by the therapist seems is works on stroke client. CIMT is the unaffected will be bandage to avoid client from using it. thus 100% activity during the treatment will only use the affected hand actively. while bobath approach help a lot in improving cleint's proprioception (joints sense) .

later on, the client will be taught how to dress, bath, groom, walk, toilet, independently. all the treatment will be given by stages for grading purpose.



FreeLance Physiotherapy and Occupational Therapy
for more info, kindly contact
012-352 4252

Friday, November 18, 2011

FreeLance : for ADHD

hye everyone.

thanx for those who contact me regarding the

here, i'll briefly explain what can i do during the treatment session done at the client's home compare to the rehabilitation setting.

first of all, as we all know in rehabilitation setting the equipment is a lot and up-to-date. furthermore, the environment also isolated from others so that the children can pay attention to the activities given during the treatment. but the bussiness hour for freelance more flexible which can fix with parents' time and parents do not have to travel to send their children to get the treatment.

for ADHD (attention deficit hyperactive disorder) children we are as therapist really concern about the three main things. which are sensory regulation, eye contact, and attention and concerntration   (to reduce hyperactivity)

sensory regulation
at rehabilitation setting, we are equiped with sensory integration room and also the snoezelen room which are help a lot for calming and relaxing purposes and also to regulate the sensory. while at home setting, we are use a lot of hands on techniques for example; to reduce the hyperactivity we use the sensory intergration approach such as joint compression technique, brushing techniqe, and etc.

eye contact
while to imrove the eye contact,the treatment at the rehabilitation centre and home are same. play therapy are most affective for the children. through play therapy, the toys and activities selected by therapist will have certain aims and goals.

attention and concentration
in rehabilitation setting we defenately use the snoezelen room to reduce the hyperactivity and then follow by the table top activities.while, at home we will reduce the hyperactivity by joint compression technique or ' rowing boat' or 'rolling sousage'  then continue with table top activities.

all the aims and goals recommended by the therapist will be discuss with the parents first. once agreed, the treatment will be done accordingly.

the treatment give must follow the priority. for example:

short term goals
1) reduce the hyperactivity
2) improve eye contact
3) improve the sensory regulations

long term goals
1) self care activities (eg. dressing, feeding, and hygiene)
2) school readiness ( eg. fine motor, attention and concentration, behavior and etc)
3) behavior (eg. stop the bad habits such as biting and hurting themselves, disturb others, and tantrums)
4) safety awareness (eg: alert about danger and hazards such as 'hot water', 'fire', 'slippery surface', 'sarp edge', 'strangers', 'cars at the roadside' and manymore)

every treatment to each children might be different to each other. all the traetment and interventions will depends on the asessment results and problems.

for more info kindly contact me (call or sms)
012-3524252

Monday, November 14, 2011

FreeLance Physiotherapist & Occupational Therapist

last time, i had  a few inquiries to do treatment at home..
means, the treatment done at client's house..
thus, the therapies will go to their house for treatment..

here, i wanna share the good news with you all that, my friend and I also doing the freelance for client's who needs our treatment at home.
seems we are in cheras area, we are covering cheras, kajang, bangi, putrajaya, and petaling jaya..  other than that, we are still can help you to get freelance therapist which is our friends will take over that case.

freelance treatment is as usual treatment done in our department. but in department, we will use a lot of modalities and machines. however, home therapy we will do hands on treatment. the aims, objective and result still the same. by the way we will bring some mobile modalities to assist our treatment.

freelance treatment will take about 1 hour treatment for each session. the payment is
not more than RM90!!.
we do not charges the treatment by modalities given, but it is the lum sum charges per session. other than that, we have special packages with special discount for those who want frequent treatment per week.

 treated case:
  • stroke,
  • parkinson's disease
  • cerebral palsy
  • down's syndrome
  • autism
  • dyslexia
  • spinal cord injury
  • bone fractures
  • physical impairment
  • arthritis
  • tendon or nerve injury

the physiotherapy session will done by physiotherapist Izan Noraini bt Zahari

Izan Noraini Zahari, Physiotherapist

and for the occupational therapy done by me, Yusharmayanti bt Yurozian.


Yusharmayanti Yurozian, Occ. Therapy

we all are qualified therapist with few years experience in all area (physical adult, physical child, pediatrics, neurological rehabilitation, musculoskeletal rehabilitation, and also geriaterics for elderly)

for any inquiries please kindly call me miss betty at 012-3524252 or 019-6493893 or just write any question or inquiries at comment box below
or emeil at yusharmayanti@live.com or yusharmayanti06@yahoo.com

After a Long Journey

tahun ni masuk tahun ke 7 betty kerja sebagai Occuptional therapist (OT) walaupun pada 2015 betty jadi lecturer cum clinical instructor, ...