Dr. Abhishek Srivastava

AREA(S) OF INTEREST:

Neuro Rehabilitation, Geriatric Rehabilitation, Musculoskelatal Rehabilitation, Cardiac Rehabilitation and Secondary Prevention Service, Pulmonary Rehabilitation, Pediatric Rehabilitation, Cancer Rehabilitation

TREATMENTS/PROCEDURES OFFERED:

Neurorehabilitation for stroke and brain injury & spinal cord injury, Management of unconscious patients, Rehab Robotics, Hyperbaric oxygen therapy, Spasticity management with Botulinum toxin injections, Neurological Rehabilitation, Rehab Robotics, Cardiopulmonary Rehab

NAME OF INSTITUTE(S):

• PHD, NEUROLOGICAL REHABILITATION, Department Of Psychiatric & Neurological Rehabilitation, National Institute Of Mental Health & Neurosciences (NIMHANS), Bangalore, India
• SENIOR RESIDENT, NEUROLOGICAL REHABILITATION, Department Of Psychiatric & Neurological Rehabilitation, National Institute Of Mental Health & Neurosciences (NIMHANS), Bangalore, India
• MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES (MNAMS), PHYSICAL MEDICINE AND REHABILITATION, INDIA
• DIPLOMATE IN NATIONAL BOARD (DNB), PHYSICAL MEDICINE AND REHABILITATION, National Board Of Examination (NBE), New Delhi
• DOCTOR OF MEDICINE (MD), PHYSICAL MEDICINE AND REHABILITATION, Rehabilitation Research & Artificial Limb Fitting Centre, Dept Of Physical Medicine and Rehabilitation, SMS Medical College & Associated Hospitals, Jaipur, India
• BACHELOR OF MEDICINE BACHELOR OF SURGERY (MBBS), JLN Medical College & Associated Hospitals, University of Rajasthan, India

FELLOWSHIPS:

• HONORARY MEDICAL STAFF MEMBER, Rehabilitation Medicine, Shepherd Center, Atlanta, USA
• SPINAL CORD  SERVICE, Stanford Veterans Affairs Hospital, Palo Alto Health Care System, California, USA
• PAIN MANAGEMENT, University Hospitals of Case Western Reserve University, Cleveland, USA
• CARDIAC REHABILITATION, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, USA
• REHABILITATON MEDICINE, Singapore General Hospital, Singapore

• The 1st Indian Physician to do PhD in Neurological Rehabilitation in India from prestigious National Institute of Mental Health in Neurosciences (NUMHAS), Bangalore
• Secretary, Indian Federation of Neurorehabiitation (IFNR)
• Vice Chairman, Academic Committee, Indian Association of Physical Medicine and Rehabilitation (IAPMRR)
• Program Director, IMPACT Course on Neurorehabilitation
• International Faculty, for Hands on Training in Ultrasound Guided Botulinum Toxin interventions in Spasticity Management  at World Conference of Neurorehabilitation (WCNR), International Society for Physical and Rehabilitation Medicine (ISPRM) and at Various National and International Meetings in different parts of Asia
• Organizing Secretary, World Conference for Neurorehabilitation (WCNR 2018)
• Chairman, Scientific Committee, 47th Annual National Conference of Indian Association of Physical Medicine & Rehabilitation (IAPMRCON 2019)

Dr Abhishek Srivastava (MBBS, MD, DNB, PhD) is a Triple Doctorate in Rehabilitation Medicine, First PhD in Neurological Rehabilitation in the country from prestigious National Institute of Neurosciences, Bangalore and underwent specialty training at best centers in United States, Europe and Singapore. He has received numerous Awards and Fellowships in the field of neurosciences and rehabilitation including prestigious "Young Physician's Scholarship" from World Stroke Organization, Best Research Paper form Neurological Society of India, IAPMR Gold Medal and Dr Anisya Vasanth Award and IAPMR Dadhichi Award for his pioneering research work

Dr Srivastava is Honorary Medical Staff Member at reputed Shepherd Medical Center, Atlanta, USA. He is among the few Physicians who is invited Faculty at Faculty at World Congress of Neurology, World Congress of Neurorehabilitation and International Spinal Cord Society. He has edited one book, contributed four chapters, published 40 research papers, and delivered more than 100 invited lectures & papers at various International and National meetings in the field of neurosciences and rehabilitation. Dr Srivastava is a Resource Person for World Health Organization Projects, Expert for Indian Council of Medical Research Geriatrics Research Committee & Disability Research Group, and National Board of Examinations Curriculum Review Committee. He is the Founder Director of Indian Federation of Neurorehabilitation, Executive Committee Member of Indian Association of Physical Medicine & Rehabilitation, Editor of Newsletter of Indian Stroke Society and Peer Reviewer for various International Journals.

Dr, Srivastava has 18 years in Rehab Medicine and Neurological Rehabilitation

KDAH Experience

12 years in years in Rehab Medicine and Neurological Rehabilitation

• 5000 Inpatients admissions for patients with neurological diseases including stroke, traumatic brain injury, hypoxic encephalopathy, spinal cord injury.
• 25,000 Outpatient consultations for medical management and rehab planning for patients for neurological rehab, cardiopulmonary rehab, pediatric rehab and musculoskeletal rehab
• 2500 Botox Injections procedures for spasticity management in patients with neurological illness
• 1000 patients for Rehab Robotics for paralysis due to stroke, brain and spinal cord injury
• 500 patients for Hyperbaric oxygen therapy with disorders of consciousness, radiation induced injury, wound care, sudden hearing loss, and sudden vision loss

Publications

• Nirmal Surya, Abhishek Srivastava. Stroke Rehabilitation. Reviews in Neurology 2019
• Abhishek Srivastava, AB Taly. Falls in Elderly. In. Reviews in Neurology 2008, S Prabhakar, AB Taly (eds), IAN Publications, Haryana, 81-108
• Abhishek Srivastava, AB Taly. Peripheral Neuropathies: A Rehabilitation Approach, In. Progress in Clinical Neurosciences. V Rajashekhar, KB Bhattacharyya (eds), Neurological Society Of India Vol. XXI, 2007, 271-314
• Abhishek Srivastava, AB Taly. Multiple Sclerosis: A Rehabilitation Approach.  In. Reviews in Neurology 2007, S Prabhakar. A B Taly (eds), IAN Publications, Chandigarh, 250 - 282
• Abhishek Srivastava. Disability Acts, Benefits And Guidelines For Evaluation Of Various Disabilities And The Process Of Certification. In. Regeneration, Repair & Rehabilitation: Redefined. AB Taly, Abhishek Srivastava, T Murali, KPS Nair, BM Maheshwarappa (Eds), NIMHANS Pub, Bangalore, 2006, 266-289

Research Publications

• Navin Kumar, Astha Patni, Navita Purohit, Abhishek Srivastava, Navendra Mathur. Long Term Follow up after  Spinal Cord Injury: Case Series from a Tertiary Centre in Northern India. Int Journal of Scientific Research. 2019; 8:66-69
• Abhishek Srivastava. Robotic Assisted Gait Training for Patients with Neurological Disorders. Stroke Talk XXIII, Stroke Rehabilitation: How Intense and How Long? 2017; Issue 23, 1-2
• Srivastava A, Taly AB, Gupta A, Murali T. Bodyweight Supported Treadmill Training in Chronic Stroke Survivors: A Randomized Control Trial. Annals of Physical Medicine & Rehabilitation. 2016;59:234-241
• Menon N, Srivastava A. Practical Management of Gait Disorders in Hemiplegic Patients. IAPMR Guidelines (Accepted)
• Srivastava A, Taly AB, Gupta A, Murali T. Rehabilitation interventions to improve locomotor outcome in chronic stroke survivors: A prospective, repeated measure study. Neurology India 2015;63, 10.4103/0028-3886.158202
• Mathur N, Jain S, Kumar N, Srivastava A, Purohit N, Patni A. Spinal Cord Injury: Scenario in an Indian State. Spinal Cord 2014 Sep16.doi:10.1038/sc.2014.153
• Srivastava A. International Perspectives in PM&R practice: Developing World. Pinnacle of Rehabilitation Care, Shepherd Center, Atlanta, GA, USA, Sept 2012
• Abhishek Srivastava. Body Weight Supported Treadmill Training in Gait Restoration Following Stroke. Stroke Talk IX, June 2011, Page 5
• Abhishek Srivastava. Stroke Rehabilitation: Principles and Practice. Stroke Talk VIII, Indian Stroke Association, March 2011, Page 6
• Abhishek Srivastava, AB Taly, A Gupta, T Murali. Post Stroke Depression: Prevalence and Relationship with Disability in Chronic Stroke Survivors. Annals of Indian Academy of Neurology 2010;13:123-127
• Abhishek Srivastava, AB Taly, A Gupta, A Moin, T Murali. Guillain Barre Syndrome Following Snake Bite: An Unusual Complication. Annals of Indian Academy of Neurology 2010;13:67-68
• Abhishek Srivastava. Stroke: Outcome and Prognostication. Stroke Talk III, Indian Stroke Association, March 2010, Page7
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. Guillain Barre Syndrome: Rehabilitation Outcome, Residual Deficits and Requirement of Lower Limb Ortotics for Locomotion at I yr Follow up.2010; 32:1897-1902
• Moumita Hati, Abhishek Srivastava, Shirish Hastak. Videofluoroscopic Swallow Study: Evidence based Swallowing Management. Stroke Talk III, Indian Stroke Association, March 2010, Page 4
• Abhishek Srivastava, A Gupta, AB Taly, T Murali. Surgical Management of Pressure Ulcers during Inpatient Neurological Rehabilitation: Outcomes for Patients with Spinal Cord Disease. Journal of Spinal Cord Medicine 2009; 32(2): 125-131
• Abhishek Srivastava, AB Taly, A Gupta, S Kumar, T Murali. Post stroke Balance Training: Role of Force Platform with Visual Feedback Training. Journal of Neurological Sciences 2009; 287:89-93
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. Non Traumatic Spinal Cord Lesions: epidemiology, complications, neurological and functional outcome of rehabilitation. Spinal cord 2009; 47(4): 307-311
• Abhishek Srivastava. Stroke: Recovery, Repair and Rehabilitation. Stroke Talk I, Indian Stroke Association, October 2009, Page 7
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. Urodynamics Post stroke in Patients with Urinary Incontinence: Is there Correlation between Bladder Type and Site of Lesion. Annals of Indian Academy of neurology 2009;12:104-107
• Abhishek Srivastava, A Gupta, P Murthy, T Murali. Catatonia with multiple pressure ulcers: An Rare Complication in Psychiatric Setting. Indian Journal of Psychiatry 2009; 51: 217-219
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. Efficacy of Pulsed Electromagnetic Field Therapy in Healing of Pressure Ulcers. Neurology India 2009; 57: 622-626
• Abhishek Srivastava, A Gupta, AB Taly, T Murali. Post Stroke Balance Training: Role of Dynamic Posturography. Journal of Stroke & Cerebrovascular Accident 2008; 17(5): S73
• Abhishek Srivastava, A Gupta, AB Taly, T Murali. Post Stroke Gait Training: Role of Body Weight Supported Treadmill Training. Journal of Stroke & Cerebrovascular Accident 2008; 17(5): S41
• Abhishek Srivastava, AB Taly, A Gupta, ML Noone, T Murali, J Thirthahalli, BN Gangadhar, K Kumar, PN Jayakumar. Stroke with Supernumerary Phantom Limb: A Lady with Multiple Arms. International Journal of Stroke 2008; 3(S1): 149-150.
• Abhishek Srivastava, AB Taly, A Gupta, S Kumar, T Murali. Force Platform with Visual Feedback Training in Improving Balance after Stroke. International Journal of Stroke 2008; 3(S1): 355.
• Abhishek Srivastava, AB Taly, A Gupta, S Kumar, T Murali. Role of Body weight Supported Treadmill Training in Retraining Gait after Stroke: A Randomized Controlled Study. International Journal of Stroke 2008; 3(S1): 360
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. “Urodynamics Post Stroke in Patients with Urinary Incontinence: Is there is a Correlation between Bladder Type and Site of Lesion”. Annals of Indian Academy of Neurology 2009;12: 104-07
• Abhishek Srivastava, AB Taly, A Gupta, ML Noone, T Murali, J Thirthahalli, BN Gangadhar, Keshav Kumar, PN Jayakumar. Stroke with Supernumerary Phantom Limb: Case Study, Review of Literature and Pathogenesis. Acta Neuropsychiatrica 2008; 256-264
• Abhishek Srivastava, A Gupta, P Murthy, T Murali.  Multiple Pressure Ulcers In A Patient With Catatonia: An Rare Complication in Psychiatric Setting. Indian Journal Physical Medicine & Rehabilitation 2008; 19(1): 24-26
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. Traumatic vs. Non-Traumatic Spinal Cord Lesion: Comparison of Neurological and Functional Outcome after Inpatient Rehabilitation. Spinal Cord 2008; 46: 482-487
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. “Quality of Life & Psychological problems in Patients Undergoing Neurological Rehabilitation at a Tertiary Center”. Annals of Indian Academy of Neurology 2008;11: 225-230
• Abhishek Srivastava, A Gupta, Ravi Kumar, T Murali, BN Gangadhar. Salvaging a Psycho-Flexed Hand. Indian Journal Physical Medicine & Rehabilitation, 2008; 19(1): 18-20
• A Gupta, AB Taly, Abhishek Srivastava, T Murali. Urodynamic Profile in Myelopathies: A Follow-up Study. Annals of Indian Academy of Neurology 2008;12:35-39
• Abhishek Srivastava, A Gupta, Ravi Kumar, BN Gangadhar, T Murali. A Rare Case of Psycho-Flexed Hand. Acta Neuropsychiatrica 2008; 20 (3): 157–158
• Anupam Gupta, Abhishek Srivastava, Arun B Taly, Murali Thyloth. Single-Stage Multilevel Soft-Tissue Surgery in the Lower Limbs with Spastic Cerebral Palsy: Experience from a Rehabilitation Unit. Indian Journal of Orthopaedics 2008;4: 358-363
• Abhishek Srivastava, N Mathur. Bladder Management Outcome after Spinal Cord Injured Patients: A Prospective Study. Indian Journal  of Physical Medicine & Rehabilitation 2008; 19(2): 43-47
• Abhishek Srivastava, A Gupta, AB Taly, T Murali. Surgical Reconstruction of Pressure Ulcers in Patients with Spinal Cord Diseases: A Prospective Study Indian Journal  of Physical Medicine & Rehabilitation 2008; 19(2): 27-31
• T Murali, Abhishek Srivastava. Book Review: Cerebral Palsy – A Manual for Therapists, Parents and Caregivers. Indian Journal of Medical Research 2007; 126 (3): 234-235
• Abhishek Srivastava. Evaluation of Neurological Disability. Journal of Postgraduate Medical Education, Research and Training 2007; 2 (4): 3-5
• Abhishek Srivastava. Functional Restoration Following Stroke: Role of Physical Strategies. Journal of Postgraduate Medical Education, Research and Training 2007; 2 (4): 12-16
• Abhishek Srivastava. Stroke Rehabilitation. Journal of Postgraduate Medical Education, Research and Training 2007; 2 (4): 6-11
• Abhishek Srivastava. Leprosy: Principles of Rehabilitation. Journal of Postgraduate Medical Education, Research and Training 2007; 2(3): 3-6
• Abhishek Srivastava, AB Taly, DN Nagaraja. Stroke Rehabilitation: A Neurologist Perspective. Souvenir Of Regional Asian Stroke Congress & I National Congress Of Indian Stroke Association, 2006
• T Murali, AB Taly, Abhishek Srivastava. Neurological Legal Disability. Annals Of Indian Academy Of Neurology 2006; 9(3):184-86

Professional Memberships

• Secretary, Indian Federation of Neurorehabilitation
• Executive Committee, Indian Association Of Physical Medicine & Rehabilitation
• Indian Council of Medical Research, Disability Research Group
• Indian Council of Medical Research, Geriatric Committee
• World Federation of Neurorehabilitation
• International Society of Physical and Rehabilitation Medicine
• Asia Oceania Federation of Neurorehabilitation
• World Stroke Organization
• American Academy of Physical Medicine & Rehabilitation
• American Association of Rehabilitation Medicine
• International Spinal Cord Society
• World Association of Psychosocial Rehabilitation
• Neurological Society Of India
• Indian Neuropsychiatry Association
• IndianAcademy of Neurology
• Indian Spinal Cord Society
• Indian Stroke Association
• Indian Academy Of Cerebral Palsy
• Bombay Neurosciences Association

Dr. Abhishek Srivastava: TB Meningitis squeale with spastic paraparesis

Tuberculosis is one of the most common and devastating diseases affecting mankind. India has largest population suffering from tuberculosis and its sequel. It can affect lungs, brain, spinal cord, bones, intestines, etc and has devastating consequences from coma to paralysis.

Mr X, 54 years old male was admitted under Dr. Abhishek Srivastava’s care on 31/07/2015. He was a known case of TB Meningitis squeale with spastic paraparesis who was non ambulatory since last 4 years. He suffered a fall with suspected seizures on the day of admission before reaching the hospital. On examination he was conscious, alert, answering questions and had a contused lacerated wound over his right eye. He had good power in all four limbs but his lower limbs had developed severe spasticity and resultant contractures .He was dependent for his all Activities of daily living , bed bound with contractures in hip and knee which further added in severe deconditioning and decreased endurance. Inspite of having some power in bilateral lower limbs he was never rehabilitated to improve or maximize functional independence in the last four years.

Physician supervised inpatient comprehensive neurorehabilitation treatment program was started comprising of spasticity management with oral medications, management of osteoporosis with bisphosphonates, Inj. Botulinum toxin injected in bilateral hamstring muscles, physical therapy to improve strength, balance, standing, endurance and gait training and occupational therapy to improve functional and activities and daily living training, and orthotics to support knee and ankle. As he was bedbound for 4 years, it was very difficult to initiate walking. So Robotic assisted treadmill gait training (Lokomat TM) was initiated to improve gait and motor recovery. This is one of the latest and high end technologies to initiate walking in any person with muscle paralysis. Anyone with weakness of both lower limbs due to spinal cord injury or disease, one side weakness due to stroke or traumatic brain injury, and all four limb paralysis due to brain or spinal cord injury can be made to walk on this training system to initiate neuroplasticity and enhanced motor and functional recovery.

He had bilateral knee pain due to joint degenerative changes interfering with therapy and hence underwent bilateral knee intra-articular steroid injection. Stiffness and spasticity in knee continued to hamper mobility training and hence he underwent Inj. Botox procedure (400 Units) in bilateral hamstrings and bilateral ankle plantar flexors along with bilateral below knee corrective cast applied with ankles in maximal possible correction. Cast was removed after one week and mobility training was reattempted but he continued to have pain and stiffness in bilateral knee and ankle during robotic training. Dr. Navita Purohit’s (pain medicine) opinion was sought and he underwent bilateral tibial nerve block under USG guidance on 07-10-2015, which further improved ankle movement and he was able to bear weight on the ankle with improved stiffness in knee. He started walking with walker but still had left ankle pain (medial side) which hampered full weight bearing and altered walking pattern.USG was done which was suggestive of subcutaneous edema with no muscle tear and on Dr. N Purohit’s advice underwent left posterior tibial nerve block.Pain reduced and walking pattern improved further.

He continued inpatient physician supervised multidisciplinary neurorehab program for 3 months and at discharge was able to walk with ankle supports and walker and was totally independent for self care activities and indoor ambulation.