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







Monday, 23 September 2013

FACIAL PALSY AND PHYSIOTHERAPY TREATMENT :

FACIAL NERVE PALSY : 

Facial Palsy Also Known As A Bell's Palsy. Paralysis Of One Side Of Facial Muscle is Called Facial Palsy Or Bell's Palsy. 7th Cranial Known As Facial Nerve And This is Attached With All Facial Muscle. Lesion To This 7th Cranial Nerve May Lead Paralysis Of One Side Of The Face , Lesion Or Compression Of Facial Nerve May Cause Pain, Swelling Around Ear, And Sometimes Tingling Sensation Of One Side Of The Face. 

CAUSES:
SUPRANEUCLEAR LESION  :
IT'S INVOLVING THE CORTICOSPINAL FIBRES CONCERNING VOLUNTARY FACIAL MOVEMENTS.

NEUCLEAR AND INFRANEUCLEAR LESION:
IN THIS THE UPPER PART OF THE FACE ALSO INVOLVEDAND THE PARALYSIS IS LOWER MOTOR NEURON TYPE
PRIMARY DEGENERATION :
DISORDER OF THE FUNCTION OF THE FACIAL NERVE.





PHYSIOTHERAPY TREATMENT :

Physiotherapy Treatment For Acute Case is :  US , IR , HOT PACK And IG Stimulation And Passive Movement , Active Assisted Movement And Active Movement Of Facial Movement.

Facial Splint Also Prescribed.

And As Improvement Comes SF Stimulation And Active Movement And Care Of Face is Required

Like Use Goggles When Go Outside,  Cotton in Ear And Wash Mouth With Mild Hot Water After Eating And Avoid Alcohol, Oily Food , Cold is Required In Early Stage.




Thursday, 19 September 2013

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
PHYSIOTHERAPY MANAGEMENT:
PARENTERAL COUNSIL
EXERCISES
PREVENTING CONTRACTURES
HOME ADAPTATION
SCHOOLING
RECREATIONAL ACTIVITIES
ENCOURAGING FUNCTINAL INDEPENDENCY WHEEL CHAIR MANAGEMENT
LIFTING TECHNIQUES AND TRANSFER


















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:
CHEST PHYSIOTHERAPY
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