Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review
Objectives: This study explores the challenges of implementing physical rehabilitation for people with neurological diseases at in-hospital and community levels in India, summarizes the unmet needs of evidence-based physical neurorehabilitation in India, and explores the potential models/services th...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Negah Institute for Scientific Communication
2025-03-01
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| Series: | Iranian Rehabilitation Journal |
| Subjects: | |
| Online Access: | http://irj.uswr.ac.ir/article-1-1937-en.pdf |
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| _version_ | 1849310975552913408 |
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| author | Dorcas B C Gandhi Ivy A Sebastian Amreen Mahmood Pradeepa Nayak Mridul Makkar Dimple Dawar Nistara S Chawla Jeyaraj Durai Pandian |
| author_facet | Dorcas B C Gandhi Ivy A Sebastian Amreen Mahmood Pradeepa Nayak Mridul Makkar Dimple Dawar Nistara S Chawla Jeyaraj Durai Pandian |
| author_sort | Dorcas B C Gandhi |
| collection | DOAJ |
| description | Objectives: This study explores the challenges of implementing physical rehabilitation for people with neurological diseases at in-hospital and community levels in India, summarizes the unmet needs of evidence-based physical neurorehabilitation in India, and explores the potential models/services that can enhance the delivery of physical rehabilitation for people with neurological diseases in India.
Methods: Following the preferred reporting items for systematic reviews and meta-analysis guidelines, a scoping review was conducted, employing predefined criteria to identify 28 eligible studies for analysis. Meanwhile, by employing a narrative synthesis approach, the authors collated and summarized the data extracted from these studies to gain insights into the challenges and current requirements for neurorehabilitation in India. The narrative synthesis method facilitated the exploration of qualitative aspects, allowing for a comprehensive examination of the synthesized evidence.
Results: Rehabilitation after a stroke was the primary focus of the majority of the 28 research. Rehabilitation (a), rehabilitation (b) supply of rehabilitation, rehabilitation (c) research on rehabilitation, and socioeconomic issues (d) were the four main headings used to explain the present difficulties and unfulfilled demands. We also suggested eight “models of care” based on proven strategies that have been tested before and might help address current deficiencies.
Discussion: Neurorehabilitation in India is inadequate, with a lack of skilled professionals, poor accessibility to services and a rural-urban divide. Alternative models of rehabilitation provision, including multidisciplinary care, task-shifting, caregiver-led and self-help models, could address the unmet needs. Trials have explored home-based caregiver-led and technology-based models, but modifications and cultural specificity are needed. Stakeholders must mobilize support and advocate for rehabilitation’s role and value, with improved data collection and reporting to inform policy development.
Conclusion: There is no one-size-fits-all solution to the diverse challenges and needs of neurorehabilitation delivery in India. Several alternative care models seem to have future promise, albeit unfulfilled demands. Some basic steps toward progress include raising public awareness, enhancing the skills of current experts and encouraging proactive engagement from state and federal governments and other interested parties. |
| format | Article |
| id | doaj-art-8bb876620a6d4bbe8b600ff3862963f7 |
| institution | Kabale University |
| issn | 1735-3602 1735-3610 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Negah Institute for Scientific Communication |
| record_format | Article |
| series | Iranian Rehabilitation Journal |
| spelling | doaj-art-8bb876620a6d4bbe8b600ff3862963f72025-08-20T03:53:33ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102025-03-01231112Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping ReviewDorcas B C Gandhi0Ivy A Sebastian1Amreen Mahmood2Pradeepa Nayak3Mridul Makkar4Dimple Dawar5Nistara S Chawla6Jeyaraj Durai Pandian7 Department of Neurology, College of Physiotherapy, Christian Medical College & Hospital, Ludhiana, India. Department of Neurology, St Stephens Hospital, New Delhi, India. Department of Physiotherapy, Kasturba Medical College, Mangalore, India. Department of Physiotherapy, Kasturba Medical College, Mangalore, India. Department of Clinical Haematology, Christian Medical College & Hospital, Ludhiana, India. Department of Neurology, Christian Medical College and Hospital, Ludhiana, India. Department of Neurology, Christian Medical College and Hospital, Ludhiana, India. Department of Neurology, Christian Medical College and Hospital, Ludhiana, India. Objectives: This study explores the challenges of implementing physical rehabilitation for people with neurological diseases at in-hospital and community levels in India, summarizes the unmet needs of evidence-based physical neurorehabilitation in India, and explores the potential models/services that can enhance the delivery of physical rehabilitation for people with neurological diseases in India. Methods: Following the preferred reporting items for systematic reviews and meta-analysis guidelines, a scoping review was conducted, employing predefined criteria to identify 28 eligible studies for analysis. Meanwhile, by employing a narrative synthesis approach, the authors collated and summarized the data extracted from these studies to gain insights into the challenges and current requirements for neurorehabilitation in India. The narrative synthesis method facilitated the exploration of qualitative aspects, allowing for a comprehensive examination of the synthesized evidence. Results: Rehabilitation after a stroke was the primary focus of the majority of the 28 research. Rehabilitation (a), rehabilitation (b) supply of rehabilitation, rehabilitation (c) research on rehabilitation, and socioeconomic issues (d) were the four main headings used to explain the present difficulties and unfulfilled demands. We also suggested eight “models of care” based on proven strategies that have been tested before and might help address current deficiencies. Discussion: Neurorehabilitation in India is inadequate, with a lack of skilled professionals, poor accessibility to services and a rural-urban divide. Alternative models of rehabilitation provision, including multidisciplinary care, task-shifting, caregiver-led and self-help models, could address the unmet needs. Trials have explored home-based caregiver-led and technology-based models, but modifications and cultural specificity are needed. Stakeholders must mobilize support and advocate for rehabilitation’s role and value, with improved data collection and reporting to inform policy development. Conclusion: There is no one-size-fits-all solution to the diverse challenges and needs of neurorehabilitation delivery in India. Several alternative care models seem to have future promise, albeit unfulfilled demands. Some basic steps toward progress include raising public awareness, enhancing the skills of current experts and encouraging proactive engagement from state and federal governments and other interested parties.http://irj.uswr.ac.ir/article-1-1937-en.pdfneurorehabilitationneurological disordersburdenprevalencedisabilityhealth care modelsneurological services |
| spellingShingle | Dorcas B C Gandhi Ivy A Sebastian Amreen Mahmood Pradeepa Nayak Mridul Makkar Dimple Dawar Nistara S Chawla Jeyaraj Durai Pandian Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review Iranian Rehabilitation Journal neurorehabilitation neurological disorders burden prevalence disability health care models neurological services |
| title | Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review |
| title_full | Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review |
| title_fullStr | Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review |
| title_full_unstemmed | Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review |
| title_short | Investigating the Unmet Need and Future of Neurorehabilitation in India: A Scoping Review |
| title_sort | investigating the unmet need and future of neurorehabilitation in india a scoping review |
| topic | neurorehabilitation neurological disorders burden prevalence disability health care models neurological services |
| url | http://irj.uswr.ac.ir/article-1-1937-en.pdf |
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