Pinnacle Blooms
@ Uppal

Empowering children with everything child needs, to-be self-sufficient for becoming natural part of the mainstream society, schools & be accepted as what they are, so that children can earn bright future.

Our soul purpose of existence is: enriching families with effective skills & intervention strategies for overall development of the children through hand crafted programs by industry experts leading to overall development of the child thus happy families.

Testimonials

Team

Pakalapati shoban kumar

Partner Chief Therapist, National Care Center, Uppal

Pachha venkata sowrya

CEO, Pinnacle @ Gachibowli, Uppal

Pinnacle Uppal

Admin Manager, Uppal

Haritha

Occupational Therapist, Uppal

Anish Raj

Admin Manager, Uppal

P. Deborah Rashmika

Behavioural Therapist, Uppal

Narmada Darshanala

Speech Therapist, Uppal

Dasari sailaja

Behavioural Therapist, Uppal

RAVULAPATI RAMALINGA REDDY

Admin Manager, Uppal

Salluri Shruthilaya

Occupational Therapist, Uppal

Updates

Today Collab topic (OT) Given by Haritha Occupational Therapy Uppal facility Topic: GYANS CANAL :

3/31/2023 10:21:13 AM

Today Collab topic (OT) Given by Haritha Occupational Therapy Uppal facility
Topic: GYANS CANAL :

Guyon's Canal
Guyon Canal syndrome which is also known as Ulnar Tunnel Syndrome is a relatively rare peripheral ulnar neuropathy. Guyon canal syndrome is also known as ulnar tunnel syndrome or handlebar palsy.[1]It is defined as a compression of the distal ulnar nerve at the level of the wrist as it enters the hand through a space called ulnar tunnel or Guyon canal. The clinical presentation can be purely sensory, purely motor or both depending on the location of the nerve compression.

The ulnar nerve is one of the major nerves of the hand and travels down the neck through the medial epicondyle, than passes under the forearm muscles than to the little finger along side the palm.

Causes:

*Ganglion cysts, they’re one of the most common causes of Guyon canal syndrome
*Tumors
*Anatomical anomalies, can be hypertrophic muscle of normal anatomy or unusual location
*Ulnar artery thrombosis or aneurysm (e.g., Hypothenar Hammer Syndrome)
*Fractures or dislocations (e.g., The hook of hamate Fracture/Displacement)
Repetitive trauma (e.g., repetitive trauma to the hypothenar by the handlebar in cyclists)
*Carpel tunnel syndrome, it can lead to anatomical changes ,leading to functional impairments

Clinical Presentation :

Guyon’s canal is divided into 3 zones, compression on the ulnar nerve at each zone results in specific symptoms.

Zone 1

Zone 1 compression refers to compression at the proximal end of Guyon’s canal, proximal to the bifurcation of the ulnar nerve into sensory and motor branches.

Compression at zone 1 leads to mixed sensory and motor symptoms resulting in sensory dificits over the hypthenar, little finger and the medial half of the ring finger and motor weakness of all ulnar innervated intrinsic muscles.

Zone 2

Zone 2 compression refers to compression only at the deep motor branch of the nerve, distal to the bifurcation.

Only motor symptoms would develop resulting in motor weakness in the hand muscles innervated by the ulnar nerve.

Compression at zone 2 may occur at pisohamete hiatus after the nerve to abductor digit minimi takeoff, which would result in weakness in the intrinsic muscles of the hand with possible sparing of the hypothenar muscles.

Zone 3

Zone 3 compression refers to compression at the superficial sensory branch, it manifests as sensory deficits on the palmer side of the ring finger and the palmer-medial side of the ring finger without hypthenar and interosseous weakness.

Compression on the ulnar nerve in zone 1 at the palmer aspect of the nerve can also result in pure sensory symptoms.

Diagnosis:

Diagnosis can be difficult due to the wide range of presenting signs and symptoms that can vary depending on the location of the nerve compression. The first step is a detailed assessment of the patient's medical history and the onset and severity of symptoms. In order to confirm the diagnosis the following tests may be indicated:

*Classical radiographs including posteroanterior and lateral views.
*Computed tomography scan (CT) is useful in cases of suspected hook of hamate fracture.
*MRI and ultrasound are useful in the diagnosis.
Nerve conduction studies are useful in confirming the diagnosis and localizing neuropathies.

Treatment:

Management of Guyon canal syndrome is similar to that of carpel tunnel syndrome, it includes conservative management or surgical decompression.

Conservative treatment is recommended for mild and moderate symptoms with duration of less than 3 months. Surgical treatment is recommended for moderate to very severe symptoms with duration of at least 2 months.

Physical Therapy Management:

Conservative treatment consists of patient instructions and splinting. Ultrasound (US) and nerve glide exercise can be added depending on patient’s situation and personal preferences.

Ulnar nerve glide exercise based on the Butler concept for the ulnar nerve is as follows: Wrist extension, forearm pronation elbow flexion, glenohumeral lateral rotation, glenohumeral depression, shoulder abduction.

The patient is instructed to avoid activities that cause repetitive stress at Guyon’s canal such as weight bearing or cycling or modification of the bicycle handlebars. Also, to avoid static postures or repetitive movements that places mechanical overload such as prolonged wrist extension.

The patient is instructed to wear resting hand splint to place the wrist in neutral position. The splint should be worn for 1-12 weeks during nighttime and at daytime during aggravating activities.

Surgical Decompression:

The aim of the surgery is to decrease the pressure on the ulnar canal in Guyon's canal by removing the roof of the Guyon canal or removing the structures compressing the nerve.

During the early post-operative period (up to 10-15 days after surgery), the patient is advised to elevate his hand, provide appropriate rest of the hand, do gradual hand and wrist movements without resistance as tolerated and to avoid applying heavy loads on the hand or doing forceful activities.

The post-surgical instructions include scar care, edema control, hand and wrist mobilization and ergonomics advice to avoid putting mechanical load on the nerve.

Splinting after surgery is not routinely indicated, it is indicated only for patients with severe pain after surgery and patients who are likely to put mechanical load on the canal.

Post-surgical exercises is indicated for patients with reduced hand mobility in a case of hand edema or the patient fearing using the hand, to promote nerve glide and to strengthen the muscles of the hand.

Froala Editor

Human Resource in disability sector-STATUS OF HUMAN RESOURCES IN INDIA

3/29/2023 9:44:54 AM

Today Collab topic (SE) Given by Narmada garu
Topic: Human Resource in disability sector-STATUS OF HUMAN RESOURCES IN INDIA

An in depth analysis was formulated to define the practices that help in serving the impaired persons at plant.

The review specifies that in discrepancy with other scales of diversity, disability provides a distinctive challenge that requires relinquishment of specified HR practices. further, it discloses a well fortified foundation for associations to borrow strategies for disability addition which acts as a provident action and installations given by Indian government. The exploration paper plots the conclusion for operation of disability. This paper examines the extent of inequalities in mortal resource provision at India's HeathSub-Centres( HSC) — first position of service provision in the public health system. ‘ Within state ’ inequality explained about 71 and ‘ between state ’ inequality explained the remaining 29 of the overallinter-HSC inequality. The Northern countries had a lower health worker share relative to the extent of their HSC provision. Contextual factors that contributed to ‘ between ’ and ‘ within ’ quarter inequalities were the probabilities of townlets connected with all- rainfall roads and having primary seminaries. Analysis demonstrates a policy and programming need to address ‘ within State ’ inequalities as a precedence. This analysis is carried out only for sections. In order to understand contextual factors that might impact inequality in health worker provision ‘ within ’ and ‘ between ’ sections, we fitted direct retrogression models. All the 611 sections were included in the analysis. In the model ‘ within ’ and ‘ between ’ inequality values were taken as dependent variables. Since ‘ between sections ’ inequalities can assume both negative and positive values, we converted their values in order to have only positive values with minimum of zero. The advanced the values of this converted variable, the advanced the health worker share. We utilised the following formula used in thetransformation of ‘ dimension indicator ’ during the estimation of the mortal development indicator( UNDP, 2010) to rescale the inequality variable. The metamorphosis of Theil T isn't likely to affect the interpretation of ‘ between ’ and ‘ within ’ inequalities. The meetings handed an occasion to review the public statistical system in India from a disability perspective and assess its capacity to produce dependable and similar data on persons with disabilities to more cover public progress in enforcing the Incheon Strategy to “ Make the Right Real ” for Persons with Disabilities in Asian and the Pacific, the Convention on the Rights of Persons with Disabilities.

Froala Editor

APPROACHES OF PLAY

3/28/2023 9:41:52 AM

Today Collab Topic (BT) Given by Narmada Speech therapist Uppal FacilityCollab topic : APPROACHES OF PLAY

The play approach to learning in the context of families and schools: an alternative paradigm for nutrition and fitness education in the 21st century An alternative paradigm for nutrition and fitness education centers on understanding and developing skill in implementing a play approach to learning about healthful eating and promoting active play in the context of the child, the family, and the school. The play approach is defined as a process for learning that is intrinsically motivated, enjoyable, freely chosen, non literal, safe, and actively engaged in by young learners. Making choices, assuming responsibility for one's decisions and actions, and having fun are inherent components of the play approach to learning. In this approach, internal cognitive transactions and intrinsic motivation are the primary forces that ultimately determine healthful choices and life habits. Theoretical models of children's learning--the dynamic systems theory and the cognitive-developmental theory of Jean Piaget--provide a theoretical basis for nutrition and fitness education in the 21st century. The ultimate goal is to develop partnerships of children, families, and schools in ways that promote the well-being of children and translate into healthful life habits. The play approach is an ongoing process of learning that is applicable to learners of all ages.

Froala Editor

Monday all smiles at PBN Uppal Facility 27 March 2023.

3/27/2023 5:25:37 PM

Monday all smiles at Pinnacle Blooms network Uppal Facility 27 March 2023.

We wish you all a wonderful week ahead. Best empowerment to your kids from #1 Autism Treatment, Child Development, Rehabilitation Centres Network.

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Froala Editor

Your Kid Is Free To Be Different - It’s all about having meaningful life

1/19/2023 9:35:19 AM

“Your Kid Is Free To Be Different - It’s all about having meaningful life”

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Your kid having wonderful LIFE plausible,

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This is all about having meaningful life for Pinnacle ❤️

23,40,000+ therapeutic empowerment across the globe🙏

900+ Certified, Qualified, Proven, Fulltime, Permanent, Multi-Sensory, Multi-Disciplinary, Integrated Autism Therapy Experts Family of Pinnacle Wishing You, Your Family, Dear & Loved Ones Happy New Year ❤️

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#1 Autism Therapy Centres Network

Call Free National Autism Helpline : 9100181181

#RaiseAgainstAutism
#PinnacleSaysItAll
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#1AutismTherapyCentresNetwork“Your Kid Is Free To Be Different - It’s all about having meaningful life”

Your kid becoming Self-Sufficient ( Able to communicate needs, Meet daily necessities on his/her own, Able to survive without any dependency, Feel & Express Love ❤️,..)

Your kid becoming part of mainstream society ( Ability to go to school, Make friends, Use public transport, Go to places, Have Fun, Feel Joy around, Get married, Have a family,..)

Your kid having wonderful LIFE plausible,

Wiping of tears, pain, anger, agony, misery... fill all of these with wonderful SMILES into your life, your family ❤️

This is all about having meaningful life for Pinnacle ❤️

23,40,000+ therapeutic empowerment across the globe🙏

900+ Certified, Qualified, Proven, Fulltime, Permanent, Multi-Sensory, Multi-Disciplinary, Integrated Autism Therapy Experts Family of Pinnacle Wishing You, Your Family, Dear & Loved Ones Happy New Year ❤️

https://www.pinnacleblooms.org
#1 Autism Therapy Centres Network

Call Free National Autism Helpline : 9100181181

#RaiseAgainstAutism
#PinnacleSaysItAll
#PinnacleBloomsNetwork
#1AutismTherapyCentresNetwork

Invented in India with ❤️ for empowering 90+ crore kids, parents, families across world 🗺🌍

1/18/2023 12:11:40 PM

Invented in India with ❤️ for empowering 90+ crore kids, parents, families across world 🗺🌍

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160+ Life empowering innovations completely changing the entire landscape of empowering 90+ crore kids, parents, families being suffered with sensorial conditions.

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