SlideShare a Scribd company logo
1 of 37
Stroke rehabilitation Department of Rehabilitation Medicine
Schedule ,[object Object],[object Object],[object Object],[object Object]
Schedule ,[object Object],[object Object],[object Object],[object Object]
Mechanisms of impairment following stroke ,[object Object],[object Object],[object Object],[object Object]
Schedule ,[object Object],[object Object],[object Object],[object Object]
Structure Physiology Skill Independence Learning Circumstances
Structure Physiology Disease Impairment
Structure Physiology Disease Impairment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Structure Physiology Skill Learning Disease Impairment Disability (activity limitation)
Structure Physiology Skill Learning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Disability (activity limitation) Disease Impairment
Structure Physiology Skill Independence Learning Circumstances Disability (activity limitation) Handicap (participation restriction) Disease Impairment
Structure Physiology Skill Independence Learning Circumstances Disability (activity limitation) Handicap (participation restriction) ,[object Object],[object Object],[object Object],[object Object],Disease Impairment
Structure Physiology L MCA infarct L MCA infarct R hemiparesis R hemiparesis
Structure Physiology Skill Effective learning L MCA infarct L MCA infarct R hemiparesis R hemiparesis Ineffective learning Walking with stick Walking with help
Structure Physiology Skill Independence Effective learning Wellhead L MCA infarct L MCA infarct R hemiparesis R hemiparesis Ineffective learning Walking with stick Office Walking with help Previous job   Previous job  
Schedule ,[object Object],[object Object],[object Object],[object Object]
Mechanisms of recovery  following stroke ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schedule ,[object Object],[object Object],[object Object],[object Object]
Definition of Rehabilitation
Definition of Rehabilitation “ The active participation of a disabled person and others to reduce the impact of disease and disability on daily life”
Structure Physiology Skill Independence Learning Circumstances Disability (activity limitation) Handicap (participation restriction) Disease Impairment
Principles of rehabilitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Negotiation
Structure Physiology Disease Impairment
Stroke rehabilitation (1): treating impairments ,[object Object],[object Object],[object Object],[object Object]
Stroke rehabilitation (1): treating impairments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Structure Physiology Skill Learning Disease Impairment Disability (activity limitation)
Stroke rehabilitation (2): reduce disability by re-learning ,[object Object],[object Object],[object Object]
Stroke rehabilitation (2): reduce disability by re-learning ,[object Object]
[object Object],Stroke rehabilitation (2): reduce disability by re-learning
[object Object],[object Object],Stroke rehabilitation (2): reduce disability by re-learning
Stroke rehabilitation (3): reduce disability by modification
Stroke rehabilitation (2): reduce disability by substitution
Structure Physiology Skill Independence Learning Circumstances Disease Impairment Disability Handicap (activity limitation) (participation restriction)
Stroke rehabilitation (3): promote independence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future developments ,[object Object]
Future developments ,[object Object],[object Object],[object Object]
Principles of rehabilitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Negotiation

More Related Content

What's hot

PT MANAGEMENT OF GBS
PT MANAGEMENT OF GBSPT MANAGEMENT OF GBS
PT MANAGEMENT OF GBSKeerthi Priya
 
Quadriplegia & Paraplegia
Quadriplegia & ParaplegiaQuadriplegia & Paraplegia
Quadriplegia & Paraplegiazuni1412
 
PT Management Of MND
PT Management Of MNDPT Management Of MND
PT Management Of MNDKeerthi Priya
 
Rehabilitation for paraplegia and quadriplegia
Rehabilitation for paraplegia and quadriplegiaRehabilitation for paraplegia and quadriplegia
Rehabilitation for paraplegia and quadriplegiaJose Anilda
 
Spinal cord injury assessment
Spinal cord injury assessmentSpinal cord injury assessment
Spinal cord injury assessmentDeepak Anap
 
Parkinsons disease and physiotherapy
Parkinsons disease and physiotherapyParkinsons disease and physiotherapy
Parkinsons disease and physiotherapyMuthuukaruppan
 
Physiotherapy Management in Head Injury Based on RLA Scale
Physiotherapy Management in Head Injury Based on RLA ScalePhysiotherapy Management in Head Injury Based on RLA Scale
Physiotherapy Management in Head Injury Based on RLA ScaleJebaraj Fletcher
 
Physiotherapy in spinal cord injury
Physiotherapy in spinal cord injuryPhysiotherapy in spinal cord injury
Physiotherapy in spinal cord injuryVaibhaviParmar7
 
Practical Guidelines in Stroke Rehabilitation
Practical Guidelines in Stroke RehabilitationPractical Guidelines in Stroke Rehabilitation
Practical Guidelines in Stroke RehabilitationVarsha Soni
 
Neuro developmental therapy
Neuro developmental therapyNeuro developmental therapy
Neuro developmental therapyPRADEEPA MANI
 
Occupational therapy in stroke rehabilitation
Occupational therapy in stroke rehabilitationOccupational therapy in stroke rehabilitation
Occupational therapy in stroke rehabilitationPhinoj K Abraham
 
Stroke: PT Assessment and Management
Stroke: PT Assessment and Management Stroke: PT Assessment and Management
Stroke: PT Assessment and Management Surbala devi
 
Physiotherapy management of Multiple sclerosis
Physiotherapy  management of Multiple sclerosisPhysiotherapy  management of Multiple sclerosis
Physiotherapy management of Multiple sclerosisKeerthi Priya
 
Athetosis and dystonia
Athetosis and dystoniaAthetosis and dystonia
Athetosis and dystoniaPS Deb
 
Principles of stroke rehab
Principles of stroke rehabPrinciples of stroke rehab
Principles of stroke rehabdeshankumarr
 

What's hot (20)

PT MANAGEMENT OF GBS
PT MANAGEMENT OF GBSPT MANAGEMENT OF GBS
PT MANAGEMENT OF GBS
 
Quadriplegia & Paraplegia
Quadriplegia & ParaplegiaQuadriplegia & Paraplegia
Quadriplegia & Paraplegia
 
PT Management Of MND
PT Management Of MNDPT Management Of MND
PT Management Of MND
 
Rehabilitation for paraplegia and quadriplegia
Rehabilitation for paraplegia and quadriplegiaRehabilitation for paraplegia and quadriplegia
Rehabilitation for paraplegia and quadriplegia
 
Spinal cord injury assessment
Spinal cord injury assessmentSpinal cord injury assessment
Spinal cord injury assessment
 
Parkinsons disease and physiotherapy
Parkinsons disease and physiotherapyParkinsons disease and physiotherapy
Parkinsons disease and physiotherapy
 
Physiotherapy Management in Head Injury Based on RLA Scale
Physiotherapy Management in Head Injury Based on RLA ScalePhysiotherapy Management in Head Injury Based on RLA Scale
Physiotherapy Management in Head Injury Based on RLA Scale
 
Physiotherapy in spinal cord injury
Physiotherapy in spinal cord injuryPhysiotherapy in spinal cord injury
Physiotherapy in spinal cord injury
 
Practical Guidelines in Stroke Rehabilitation
Practical Guidelines in Stroke RehabilitationPractical Guidelines in Stroke Rehabilitation
Practical Guidelines in Stroke Rehabilitation
 
Neuro developmental therapy
Neuro developmental therapyNeuro developmental therapy
Neuro developmental therapy
 
Occupational therapy in stroke rehabilitation
Occupational therapy in stroke rehabilitationOccupational therapy in stroke rehabilitation
Occupational therapy in stroke rehabilitation
 
Occupational Therapy and Stroke
Occupational Therapy and StrokeOccupational Therapy and Stroke
Occupational Therapy and Stroke
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
Geriatric rehab
Geriatric rehabGeriatric rehab
Geriatric rehab
 
Motor relearning programme
Motor relearning programmeMotor relearning programme
Motor relearning programme
 
Stroke: PT Assessment and Management
Stroke: PT Assessment and Management Stroke: PT Assessment and Management
Stroke: PT Assessment and Management
 
Physiotherapy management of Multiple sclerosis
Physiotherapy  management of Multiple sclerosisPhysiotherapy  management of Multiple sclerosis
Physiotherapy management of Multiple sclerosis
 
Athetosis and dystonia
Athetosis and dystoniaAthetosis and dystonia
Athetosis and dystonia
 
Principles of stroke rehab
Principles of stroke rehabPrinciples of stroke rehab
Principles of stroke rehab
 
SPASTICITY
SPASTICITYSPASTICITY
SPASTICITY
 

Similar to Stroke rehabilitation

Therapeutic exercise
Therapeutic exerciseTherapeutic exercise
Therapeutic exerciseAmmara Fazal
 
Exercise In Rhuematology Lecture
Exercise In Rhuematology LectureExercise In Rhuematology Lecture
Exercise In Rhuematology Lecturedrmomusa
 
Conservative Osteopathic Management of Musculo-Skeletal Pain from Whiplash
Conservative Osteopathic Management of Musculo-Skeletal Pain from WhiplashConservative Osteopathic Management of Musculo-Skeletal Pain from Whiplash
Conservative Osteopathic Management of Musculo-Skeletal Pain from WhiplashMegan Hughes
 
Principles of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patientsPrinciples of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patientsMD Specialclass
 
Introduction to Kinesiology and Rehabilitation
Introduction to Kinesiology and RehabilitationIntroduction to Kinesiology and Rehabilitation
Introduction to Kinesiology and RehabilitationFarrukh Shahzad
 
Thera chap 1 lec 1
Thera chap 1 lec 1Thera chap 1 lec 1
Thera chap 1 lec 1KhazimaAsif
 
Exercise Physiology by mike penque
Exercise Physiology by mike penqueExercise Physiology by mike penque
Exercise Physiology by mike penquepcerny
 
DPT-10- lecture no 01 geriatrics physical therapy.ppt
DPT-10- lecture no 01 geriatrics physical therapy.pptDPT-10- lecture no 01 geriatrics physical therapy.ppt
DPT-10- lecture no 01 geriatrics physical therapy.pptAleeza54
 
2. Special consideration in cardiac rehabilitation program for older adults.
2. Special consideration in cardiac rehabilitation program for older adults.2. Special consideration in cardiac rehabilitation program for older adults.
2. Special consideration in cardiac rehabilitation program for older adults.ShagufaAmber
 
Process and models of disablement
Process and models of disablementProcess and models of disablement
Process and models of disablementQURATULAIN MUGHAL
 
Impact of exercise program on functional status among post lumbar laminectom...
Impact of exercise program on functional status among post  lumbar laminectom...Impact of exercise program on functional status among post  lumbar laminectom...
Impact of exercise program on functional status among post lumbar laminectom...Alexander Decker
 
The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...
The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...
The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...InsideScientific
 
2016: Frailty-Thomas
2016: Frailty-Thomas2016: Frailty-Thomas
2016: Frailty-ThomasSDGWEP
 
MON 2011 - Slide 8 - A. Glaus - Fatigue management
MON 2011 - Slide 8 - A. Glaus - Fatigue managementMON 2011 - Slide 8 - A. Glaus - Fatigue management
MON 2011 - Slide 8 - A. Glaus - Fatigue managementEuropean School of Oncology
 
MCO 2011 - Slide 10 - A. Glaus - Fatigue management
MCO 2011 - Slide 10 - A. Glaus - Fatigue managementMCO 2011 - Slide 10 - A. Glaus - Fatigue management
MCO 2011 - Slide 10 - A. Glaus - Fatigue managementEuropean School of Oncology
 
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
 
David Rigg - Ageing and Rehabilitation
David Rigg - Ageing and RehabilitationDavid Rigg - Ageing and Rehabilitation
David Rigg - Ageing and Rehabilitationukactive
 
physiotherapy in MND.pptx
physiotherapy in MND.pptxphysiotherapy in MND.pptx
physiotherapy in MND.pptxibtesaam huma
 
Physiotherapy in cancer
Physiotherapy in cancerPhysiotherapy in cancer
Physiotherapy in cancervinodravaliya
 

Similar to Stroke rehabilitation (20)

Therapeutic exercise
Therapeutic exerciseTherapeutic exercise
Therapeutic exercise
 
Exercise In Rhuematology Lecture
Exercise In Rhuematology LectureExercise In Rhuematology Lecture
Exercise In Rhuematology Lecture
 
Conservative Osteopathic Management of Musculo-Skeletal Pain from Whiplash
Conservative Osteopathic Management of Musculo-Skeletal Pain from WhiplashConservative Osteopathic Management of Musculo-Skeletal Pain from Whiplash
Conservative Osteopathic Management of Musculo-Skeletal Pain from Whiplash
 
Principles of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patientsPrinciples of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patients
 
Introduction to Kinesiology and Rehabilitation
Introduction to Kinesiology and RehabilitationIntroduction to Kinesiology and Rehabilitation
Introduction to Kinesiology and Rehabilitation
 
Thera chap 1 lec 1
Thera chap 1 lec 1Thera chap 1 lec 1
Thera chap 1 lec 1
 
Exercise Physiology by mike penque
Exercise Physiology by mike penqueExercise Physiology by mike penque
Exercise Physiology by mike penque
 
DPT-10- lecture no 01 geriatrics physical therapy.ppt
DPT-10- lecture no 01 geriatrics physical therapy.pptDPT-10- lecture no 01 geriatrics physical therapy.ppt
DPT-10- lecture no 01 geriatrics physical therapy.ppt
 
2. Special consideration in cardiac rehabilitation program for older adults.
2. Special consideration in cardiac rehabilitation program for older adults.2. Special consideration in cardiac rehabilitation program for older adults.
2. Special consideration in cardiac rehabilitation program for older adults.
 
Process and models of disablement
Process and models of disablementProcess and models of disablement
Process and models of disablement
 
Impact of exercise program on functional status among post lumbar laminectom...
Impact of exercise program on functional status among post  lumbar laminectom...Impact of exercise program on functional status among post  lumbar laminectom...
Impact of exercise program on functional status among post lumbar laminectom...
 
The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...
The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...
The Challenges of Sarcopenia: Definition, Underlying Mechanisms, Intervention...
 
2016: Frailty-Thomas
2016: Frailty-Thomas2016: Frailty-Thomas
2016: Frailty-Thomas
 
MON 2011 - Slide 8 - A. Glaus - Fatigue management
MON 2011 - Slide 8 - A. Glaus - Fatigue managementMON 2011 - Slide 8 - A. Glaus - Fatigue management
MON 2011 - Slide 8 - A. Glaus - Fatigue management
 
MCO 2011 - Slide 10 - A. Glaus - Fatigue management
MCO 2011 - Slide 10 - A. Glaus - Fatigue managementMCO 2011 - Slide 10 - A. Glaus - Fatigue management
MCO 2011 - Slide 10 - A. Glaus - Fatigue management
 
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...
 
David Rigg - Ageing and Rehabilitation
David Rigg - Ageing and RehabilitationDavid Rigg - Ageing and Rehabilitation
David Rigg - Ageing and Rehabilitation
 
physiotherapy in MND.pptx
physiotherapy in MND.pptxphysiotherapy in MND.pptx
physiotherapy in MND.pptx
 
Physiotherapy in cancer
Physiotherapy in cancerPhysiotherapy in cancer
Physiotherapy in cancer
 
Condition
ConditionCondition
Condition
 

More from MedicineAndHealth14

Preop Assessment Periop Management
Preop Assessment Periop ManagementPreop Assessment Periop Management
Preop Assessment Periop ManagementMedicineAndHealth14
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.pptMedicineAndHealth14
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...MedicineAndHealth14
 
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge 	 Obesity: The Bariatric ChallengeObesity: The Bariatric Challenge 	 Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge Obesity: The Bariatric ChallengeMedicineAndHealth14
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLSMedicineAndHealth14
 

More from MedicineAndHealth14 (20)

Diabetic eye disease
Diabetic eye diseaseDiabetic eye disease
Diabetic eye disease
 
Womenseyehealth
WomenseyehealthWomenseyehealth
Womenseyehealth
 
Retinoblastoma
RetinoblastomaRetinoblastoma
Retinoblastoma
 
Glaucoma
GlaucomaGlaucoma
Glaucoma
 
Eye
EyeEye
Eye
 
Radical Neck Dissection
Radical Neck DissectionRadical Neck Dissection
Radical Neck Dissection
 
Entgr Tonsillectomy
Entgr TonsillectomyEntgr Tonsillectomy
Entgr Tonsillectomy
 
Preop Assessment Periop Management
Preop Assessment Periop ManagementPreop Assessment Periop Management
Preop Assessment Periop Management
 
Iodine
IodineIodine
Iodine
 
Deep Neck Infections
Deep Neck InfectionsDeep Neck Infections
Deep Neck Infections
 
Passive Smoking and Health
Passive Smoking and HealthPassive Smoking and Health
Passive Smoking and Health
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
 
Surgery Block Evaluation
Surgery Block EvaluationSurgery Block Evaluation
Surgery Block Evaluation
 
Cough In The Elderly
Cough In The ElderlyCough In The Elderly
Cough In The Elderly
 
Emergency Contraception
Emergency ContraceptionEmergency Contraception
Emergency Contraception
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...
 
Oral Pathology
Oral PathologyOral Pathology
Oral Pathology
 
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge 	 Obesity: The Bariatric ChallengeObesity: The Bariatric Challenge 	 Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
 
Diabetes
DiabetesDiabetes
Diabetes
 

Recently uploaded

Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 

Recently uploaded (20)

Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 

Stroke rehabilitation