FreeLance : neW YeaR

sPeCiaL oFFer for neW YeaR

this special offer (rate) applicable for all rehabilitation;

• stroke rehabilitation
• pediatric rehabilitation ( for delay development children)
• special education rehabilitation
• geriatric rehabilitation ( for elderly)
• post fracture and post surgery treatment

for more info, kindly contact me :)

betty 

0123524252

-occupational therapist-

FreeLance : Learning Disability

learning disability always associate with dyslexia. it is almost the same, but slightly different

learning disability may pertaining to other disability such as physical limitations, down's syndrome, autism, mental retarded and many more..

but, dyslexia usually cause by unable to recognize the letter,spelling, and confusion in calculation.

treatment by occupational therapy regarding both problem, we will tackle the attention and concentration first

then, to give them input about the letter, concept and calculation, we use sensory approach

for example, 

sand therapy - using fingers, to write on the sand..

dough - make the shape of cake, and cut the cake into few pieces.
marbles - for additional and subtract..

whatever it is, occupational therapy can not be a teacher to teach all about the lessons

but, we may help in overcome the problem in built the concept and imagination in them..

-occupational therapy-

preTerM baBy

preterm baby is the baby who is deliver before the due date, a.k.a tak cukup bulan

some of them within range of acceptable weight, and some are underweight..

consider underweight which is below 1.7 or 1.8 kg

so, they will be in incubator or in court for follow up screening by the doctor everyday and every time

as occupational therapy we can help in improving the baby weight,

yup, that's right..

mother breast milk is most important thing and the best remedy for the baby..

well, therapist will help the mother how to do the 'touch therapy' for the baby which is effective to increase baby's weight

for the baby in ward, usually touch therapy will be done by the therapist,

but, it is the best done by the mother because the mother touch is so miracle..

touch therapy is the massage to stimulate all the glands, the sensory, and improve baby's blood circulation..

for the normal baby, they are active in moving, 

but for the preterm baby, they just lying in the couch without playing and moving actively..

thus, we have to stimulate the baby by masaging, and do some light stretching..

the massage should be twice or trice a day

morning, evening, and before sleep..

the baby will be improve in weight..

improve in sensory which is can prevent for delay development..

and improve the circulation..

any info or help, kindly contact me,,

-occupational therapist-

wHat caN I dO???

a vegetative patient had referred to me for therapy

in the first year working, its quite tough for me

the prognosis was poor, seems the patient can not survive anymore

anyway, it just a prognosis which is miracle might be happen

after referring to the senior, and do some study..

actually my role was big to this patient

i have to keep moving the joints to prevent contracture, prescribe splint, prevent spasticity and many more.

what if,,, the patient had recover, but the joint already tight and the muscle  already stiff????

patient have to undergo more tiring physical rehabilitation so that they can be functional back

and, for the serious case, the spasticity and tightness unable to fix back due to no movement during coma

what ever it is, you have to help patient as you can..

no condition in exception

all patients have right to survive..

- occupational therapist -

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

FreeLance : for ADHD

hye everyone.

thanx for those who contact me regarding the

Feelance Service (FreeLance Physiotherapist & Occupational Therapist)

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

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