Monday, 30 September 2013

Sciatica And Sciatic Nerve Detail :

SCIATIC NERVE INJURY
  • PENETRATING WOUNDS AROUND THE PELVIS
  • FRACTURE OF THE PELVIS AND FEMURE
  • DISLOCATION OF THE HIP JOINT
  • BADLY PLACED INTRAMUSCULAR INJECTION IN THE GLUTEAL REASON
  • COMPRESSION WITHIN THE PELVIS BY A NEOPLASM OR FOETAL HEAD
  • NERVE MAY UNDERGO ENTRAPMENT OR COMPRESSION BY PIRIFORMIS MUSCLE AS IT TRAVERSES THE SCIATIC NOTCH
SIGNS AND SYMPTOMS:
sciatic nerve
LOSS OF SENSATION BELOW THE KNEE
MOTOR INVOLVEMENT
DEFORMITY:    FLAIL LEG WITH FOOT DROP

PHYSIOTHERAPY TREATMENT:


IG STIMULATION    to affected Muscle to maintain muscle tone.

PASSIVE MOVEMENTS to avoid stiffness and muscle proprty and active and active assisted exercise according to muscle charting

TA STRETCHING , Piriformis Stretching According To Evaluation Of Tight Muscle.

SPLINTAGE Like If Foot Drop Present Than Foot Drop Splint.

PADDED FOOT WEAR If Anaesthesia is present in foot to avoid foot injury and  CARE OF ANAESTHETIC FOOT.
Sciatic Nerve Stretching



Piriformis Muscle Stretching Exercise







Thursday, 19 September 2013

DUCHENE MUSCULAR DYSTROPHY Detail

DUCHENE MUSCULAR DYSTROPHY(DMD)
ITS A MOST COMMON AND MOST SEVERE TYPE OF MUSCULAR DYSTROPHY.
INCIDENCE:
THIS DYSTROPHY IS SEEN IN 1 OUT OF 3000 TO 4000 MALE BABIES BORN.
CLINICAL PRESENTATION:
DISEASE IS USUALY NOTICED AT ABOUT THREE YEARS OF AGE.IT HAS A SUBACUTE TYPE OF ONSET.
SLOW CLUMPSY WALKING
WEAKNESS
LORDOTIC POSTURE
HYPERTROPHY OF MUSCLES
SUPERFICIAL REFLEXES ARE LOST
CONTRACTURE AND DEFORMITY
FUNCTIONAL INDEPENDENCY
GIT ABNORMALITIES
EMOTIONAL DYSTURBANCES
PARENTERAL COUNSIL
EXERCISES
PREVENTING CONTRACTURES
HOME ADAPTATION
SCHOOLING
RECREATIONAL ACTIVITIES
ENCOURAGING FUNCTINAL INDEPENDENCY WHEEL CHAIR MANAGEMENT
LIFTING TECHNIQUES AND TRANSFER


















GBS ( Gullian Barre Syndrome ) Detail :

GULLIAN BARRE SYNDROME
PREDISPOSING FACTORS:
AGE: COMMON BETWEEN 15 TO 25 YEARS.
SEX: COMMON IN FEMALES
INFECTION:VIRAL IN THE FORM OF EPSTEIN BARR VIRUS.
VACCINATION: RABIES,TYPHOID,TETANUS,OR INFLUENZA.
IDIOPATHIC:

CLINICAL FEATURES:
ONSET ACUTE OR SUBACUTE
PROGRESSION:MOTOR PARALYSIS SPREADS USUALLY WITHIN 30 MINUTES TO FOUR WEEKS TIME.IT MAY TAKE ON AN EVERAGE OF 4 TO 5 DAYS FOR THE WEAKNESS TO REACH ITS PEAK IT MAINTAINS PLATEAU FOR 15 TO 20 DAYS FOLLOWING WHICH THE PATIENT RECOVERS FOR 4 TO 6 MONTHS.
MOTOR:WEAKNESS OF MUSCLES WHICH IS OF LMN TYPE  IS SEEN.
AREFLEXIA:
MYALGIA:
SPHINCTER DISTURBANCES:
AUTONOMIC DISTURBANCES:
TREATMENT:
MAINTENANCE OF RANGE OF MOTION AT ALL JOINTS
FOR PAIN RELEIF TENS IS MOST COMMONLY USED.
MAITENANCE OF MUSCLE PROPERTIES.
TREATMENT OF PRESSURE SORES
PREVENTION OF POSTURAL HYPOTENSION
PSYCHOLOGICAL SUPPORT
STRENGTHENING EXERCISES
GAIT TRAINING
 












Tuesday, 17 September 2013

Bell's Palsy And Physiotherapy Treatment :

BELL'S PALSY
 ITS A FACIAL PARALYSIS OF ACUTE ONSET PRESUMED TO BE DUE TO NON SUPPURATIVE INFLAMMATION OF UNKNOWN ETIOLOGY OF THE FACIAL NERVE WITHIN ITS CANAL ABOVE THE STYLOMASTOID FORAMEN.
CAUSES:
  • HISTORY OF EXPOSURE OF THE EAR TO EXTREME COLD
  • WATER RETENTION IN PREGNENCY
  • INFECTION OF THE EAR
  • HERPES ZOSTER INFECTION
  • UPPER RESPIRATORY TRACT INFECTION
  • IDIOPATHIC
INCIDENCE:
IT OCCURS ANY TIME FROM INFANCY TO OLD AGE
SIGNS AND SYMPTOMS:
NO SENSORY LOSS
FACIAL MUSCLES ARE PARALYSED
FEATURES:
  • DROOPING OF THE CORNER OF THE MOUTH
  • CREASES AND SKIN FOLD OF THE FACE BECOMES SMOOTHENED
  • THERE WILL BE DROOPING OF THE EYEBROWS AND WRINKLES OF THE BROW ARE SMOOTHENED OUT
  • FOREHEAD IS WITHOUT FURROWING
  • REACTION OF MOTH AND PURSING OF THE LIP IS NOT POSSIBLE
  • TASTE IS INTACT
  • PATIENT COMPLAINS OF HEAVINESS OR NUMBNESS OF THE FACE
  • LOSS OF TASTE SENSATION IN ANTERIOR TWO THIRD OF THE TONGUE
  • NERVE TO STAPEDIOUS IS INVOLVED THEN HYPERACUSIS DEVELOP
  • SPASM OF THE FACIAL MUSCLE DEVELOP
TREATMENT:

Facial Muscle Exercise Video In Bell's Palsy :


  1. RESOLVING THE  INFLAMMATION BY SWD OR INFRARED (IR) THERAPY
  2. MAINTAINENCE OF MUSCLE PROPERTIES BY STIMULATION TO THE PARALYSED MUSCLES
  3. FACIAL MASSAGE
  4. TAPING OR SPLINTING
  5. EYE CARE
  6. FARADIC REEDUCATION
  7. VISUAL FEEDBACK EXERCISES
  8. ACTIVE/STRENGTHENING EXERCISES
  9. CONTINUOUS MONITORING