UDAAN for the Differently Abled

C/27-28 Dayanand Colony, Lajpatnagar - 4, New Delhi 110024, INDIA;
Tel. +91-11-41631140 and +91-11-41621137
Recognized and partially aided by Ministry of Social Justice & Empowerment, Govt. of India, as a

Project for Education and Training of Severely MH Children

Main activity center of

Foundation for Spastic & Mentally Handicapped Persons

Regd. Address: 61 Deshbandhu Apartments; Kalkaji, New Delhi 110019; INDIA
E-mail:
Internet site: www.udaan.org
Phone: +91-11-26446978; Cell: +91-9811157839
Last updated June 26, 2010

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The Scenario

There are more than a million disabled persons in India, a significant proportion of them having various forms of Neurodevelopmental Disabilities.

One of the most crippling among these disabilities is Cerebral Palsy (CP). Current view point suggests that many cases of CP may be due to a wide variety of ante-natal causes, besides a significant percentage due to ischemic damage to the developing brain of the fetus before, during or soon after delivery. Such children develop blood flow abnormalities due to trauma, disease of other defects. (For an updated detail, click here.)

There are few centers in India, dedicated to helping disabled persons. Most of them cater to mild cases, who can move about on their own, take care of their basic necessities, and can go to the toilet when they need to. There are extremely few centers that serve persons with moderate to severe disability, since they require a lot of logistic support. Such persons need someone to feed, clean, move and take them to the toilet and wash their parts afterwards, including washing their soiled undergarments if they lack control over their bladder and bowels.

Background

Cerebral Palsy and Mental Retardation are often the result of injury or developmental defects in the brain before, during or soon after birth. They may result in reduced brain blood perfusion to selected areas, which fail to develop properly, leading to dysfunction of the related areas of body. Cerebral Palsy is the final result to damage to muscle controlling areas while Mental Retardation results from injury to intellectual areas of brain. They sometimes co-exist.

There are many centers for management of mental retardation since the children have a normal body, can take care of their daily needs, obey commands, see, speak and communicate. However, cerebral palsy (CP) is difficult to manage if moderate to severe, because these children do not have voluntary command over their limbs, speech, sight, communication skills and control over bladder and bowel functions. They are virtually lifelong dependent on others for help, even if they are wheel chair bound and somewhat mobile.
Due to the high logistic support required by them, there are very few centers active in the management of CP.
There are even fewer centers worldwide for intervention therapy of such children at the early stages of life (age of 0-4 years) before the damaged areas of brain have degenerated beyond recovery (Leukodystrophy). As the saying goes, a stitch in time saves nine.
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FOUNDATION FOR SPASTIC AND MENTALLY HANDICAPPED PERSONS

FSMHP is an NGO and the fulfillment of a 15-year dream by Mrs. Shubhra Mukherjee of Kalkaji, New Delhi, to start a center for the therapy and management of children with moderate to severe Neurodevelopmental Disabilities, using all Standard Therapy plus many latest medical techniques, some of them for the first time in India (Multimode Therapy of CP (2001) and Autism (2006): two unique concepts started by FSMHP for the first time in the world).
FSMHP is a registered Trust, audited regularly by chartered accountants, and registered with Income Tax Dept. It has received its I.T. PAN and exemption under section 80G.
It is registered with the Ministry of Home Affairs, Govt. of India, to receive donations/contributions in foreign currency under FCRA.
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UDAAN for the Differently Abled

The main activity center of FSMHP for treating, training and educating small children with various Neurodevelopmental Disabilities like Cerebral Palsy, Mental Retardation, Autism and Down Syndrome, is called UDAAN, at C/27-28 Dayanand Colony, Lajpatnagar - 4, New Delhi

This center also manages cases of Autism and CP on an OPD basis, and to provide Multimode early Medical intervention Therapies including mHBAT, for small children with CP and Autism.

UDAAN is a Hindi word, meaning Flight (of Freedom) to symbolize our efforts to free the spirit of freedom in the heart of every child. UDAAN provides intensive Special Education, Occupational Therapy, Speech Therapy, Arts & Crafts to more than 40 special need children.

In March 2000, the Government of India, Min. of Social Justice & Empowerment, recognized UDAAN as a Project for Education and Training of Severely Multiple Handicapped Children, giving us grant in aid to encourage our activities and to meet some of our expenses in running the project.
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The Out Patient Department Section / INDIRA Project

In 2000, we suggested the idea of starting Multimode Therapy in the UDAAN website. We suggested that since CP is a multi-pathology multifaceted disorder, hence no one method of therapy would give optimum benefit. The Standard Pediatric Therapy comprising of Occupational Therapy + Special Education + Speech Therapy may be the gold standard for managing such cases, but they do not address the root cause of brain damage. A lot of Indian and foreign correspondence later, the idea crystallized further (See Hypothesis lower down), to add Hyperbaric Oxygen Therapy, Botox or Phenol Nerve Block, Acupuncture and Unani Neuro-restorative drugs to intensive standard therapy with daily half hour sessions of passive exercise, active exercise, special education and speech therapy. It was also suggested that these interventions are best carried out before the age of 5 years, after which oxygen-starved brain cells undergo significant and irreversible damage from the core of the ischemic area, outward (Leukodystrophy).

In October 2000, May 2001 and December 2001, public workshops have been held to explain the modalities of Multimode therapy, and the benefits observed at our center using these modalities. By now, we have managed more than three-dozen children with significantly greater degree of improvement than anything seen so far with standard therapies as practiced in all other institutions, including ours before we ventured into Multimode Therapy. We are now recording the progress of the children receiving Multimode Therapy on video for future records and guidance. This is in line with our aim of ensuring the “UDAAN” of the Spirit of Freedom in the heart of every special need child as depicted in our logo.
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UDAAN Multimode Early Medical Intervention Therapy Project for Cerebral Palsy:
The Hypothesis

Cerebral Palsy is the consequence of ischemic degeneration in selected muscle controlling nerve cells in brain, as a result of which their outgoing nerve fibers also degenerate. The damaged area is surrounded by normal areas with normal oxygen supply, some of which leaks into the ischemic area to just keep it alive, but not enough to make it functional: hence the disability.
Hyperbaric Oxygen Therapy increases brain oxygen delivery by 10 fold, so that the normal areas around the damaged area, after satisfying their need, allow more than enough oxygen into the dormant or stunned areas. This reduces local tissue edema, increases new capillary growth, and possibly stimulates Stem cells present to make new nerve cells and connections.
After HBOT, children with intractable muscle spasm are given Botox / Phenol Nerve Block to enable straitening of the limb. Thereafter, supportive splints and intensive exercises to the weak counterpart muscles are given to strengthen them, so that they may be able to keep the limb straight even when the effects of nerve block wear off in 4 to 12 months.
The revived nerve cells induce recovery, regeneration and re-connections of their outgoing nerve fibers over the next 4 (same time period that nerves blocked by Botox / Phenol take to recover and regenerate).

Thereafter, the revived brain cells are like the brain of a new born child, that has never been used. Hence, it has to be taught everything from scratch. Think of it as a Computer whose Hard Disk has crashed. We put in a new hard disk, but still the computer will not work. It needs installation (teaching) of an operating system., then the software, then the programmer to set the preferences, then the data, AND THEN it will work. The time required to start that in case of the brain is the 3rd to 4th month onward.
We provide Acupuncture during this "learning" period to enhance nerve fiber recovery.
We may provide computer assisted Biofeedback to train redundant normal brain cells (we have about 1,000,000,000,000 inactive redundant brain cells) to take over the function of damaged brain cells. However, this needs an intellect level of at least a 4 year child.
We also include Unani Neuro-restorative drugs enhance metabolic activity of the recovery brain cells.
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UDAAN Multimode Early Medical Intervention Therapy Project for Autism:
The Hypothesis

Click here for details on the background and what we have on offer.

Vision Statement

FSMHP desires to help children with advanced brain damage causing cerebral palsy or similar disorders, using latest medical advances, to achieve an all-round improvement and self-sufficiency to ensure the UDAAN of their spirit of Freedom.
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Goal and Objective

  1. FSMHP will provide intensive Standard Therapy of Neurodevelopmental Disabilities like Cerebral Palsy, Mental retardation, Autism and Down Syndrome, all under one roof
  2. FSMHP shall pioneer the combined use (Multimode Therapy) using Occupational and Physiotherapy, Special Education, Speech Therapy, Hyperbaric Oxygen Therapy (HBOT at 1.5 ATA in 100% Oxygen and 1.3 ATA using normal air),  Acupuncture, Unani/Ayurvedic Neuro-protective drugs, Nerve Block, Pulsed Magnetic Field Therapy, etc. We wish to work in close association with like-minded specialists from premier Medical Institutions (Apollo Hospital, Hamdard University, St. Stephens Hospital, etc.) for achieving the best results with safety.
  3. Train the special need children to be able to become self sufficient, to be able to carry out all their basic necessities.
  4. Enhance FSMHP OPD project into a Institute for Neurodevelopmental Disabilities Interventional Research Activities (INDIRA) for advanced therapy of CP and Autism and for training in Multimode Early Medical Intervention Therapy for Cerebral Palsy and other Neurodevelopmental Disabilities to benefit more children.
  5. Use our Internet website, udaan.org, to make Multimode Therapy known, accepted and available, worldwide.
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Today's Situation

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How Did We Get Here?

We are receiving active help, guidance and support from Apollo Hospital (25% subsidy on HBOT Therapy and 50-% subsidy on Biofeedback), Hamdard University (Research project on Unani Neuro-restorative Therapy a UDAAN, approved and aided by Min. of Health, Govt. of India during the 2003), and the expertise of the full complement of trained and qualified staff of FSMHP-UDAAN.

The Hyperbaric Chamber was donated to FSMHP-UDAAN by M/s. Oxy Health Corporation of USA to help UDAAN carry out its noble mission of helping small children with CP.

UDAAN employs a full complement of trained Technical staff and experienced helper Staff to provide Occupational Therapy, Physiotherapy, Special Education, Speech Therapy, Acupuncture and Arts & Crafts.

Medical Specialists in Medicine, Pediatrics, ENT, EYE, Gynecology, Neurology, Orthopedics and Rehabilitation are on our panel of experts and provide priority medical service to children referred by UDAAN, either free or on concession.
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Resource Options

A portion of the running expenses of UDAAN is being met by the Government grants.

We have received significant corporate help from the Jeevan Channan Charitable Trust, Mr. A Mathur (an NRI), Ms. Kamala Biswas, Mr. Nilanjan Bhowal, Belgian Business Association, M/s. Seagram Ltd., M/s. Larsen & Toubro, M/s. Punjsons, M/s. Bharat Petroleum, Dr. A Mukherjee, Mitali Ladies Club, SBI Ladies Club, The Australia and New Zealand Association (New Delhi), and many large and small private donors and business institutions.

We need more resources to popularize the Multimode Therapy concept in order to provide the best therapeutic option to the lakhs of Neurodevelopmentally-disabled children of India.

Why don't you also become a part of our team to help these, the most disabled among the disabled?

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How you can Help

We seek your assistance for the following, to enlarge our services to disabled children:

 


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