Case Presentation on Fracture & its Healing Process
This PPT includes a case study of a patient with a fracture and the process and techniques are implemented to improve the healing.
Adhesive capsulitis case presentation physiotherapymanisha thakur
Satisfactory presentation on adhesive capsulitis because of satisfactory results in 2 weeks.
Can do these exercises to increase range
Muscle strength and overall well being.
It is difficult to lay out the exercise prescription for low back pain. Exercise for low back pain is differ person to person. This presentation will describe about the general layout for patient with low back pain.
Adhesive capsulitis case presentation physiotherapymanisha thakur
Satisfactory presentation on adhesive capsulitis because of satisfactory results in 2 weeks.
Can do these exercises to increase range
Muscle strength and overall well being.
It is difficult to lay out the exercise prescription for low back pain. Exercise for low back pain is differ person to person. This presentation will describe about the general layout for patient with low back pain.
Case of Prolapse intervertebral Disc, lumbar disc prolapse, case, physiotherapy management, Assessment, recent Advance, orthopaedic case presentation, musculoskeletal physiotherapy case presentation, orthopaedic physiotherapy, case of a low back pain patient, lumbar radiculopathy, final year,
Sports injuries and Physiotherapy management.pptxkajal sansoya
Sport injuries refer to kind of injury that occur to a player during sports or exercise.
In other words, the situation which occurs accidently during physical activity or when the player does not remain in the position of participating in the game or his physical ability decreases is also referred to sports injuries.
Direct injury is caused by an external blow or force.
Indirect injury caused by an internal force as over stretching a ligament in sudden change direction.
Overuse injury any repetitive activity can lead to overuse injury, can occur over a period of time, usually due to excessive and repetitive leading of the tissue, with symptoms presenting gradually
Muscle pull
Tennis elbow/ golfer’s elbow
Rotator cuff injury
Frozen shoulder
Tendonitis
Bursitis
Runner’s knee
Achilles tendonitis
Foot arch sprain
Pulled hamstrings
Plantar fascitis
Iliotibial band syndrome
Carpel tunnel syndrome
Lower back pain A contusion is another way to say bruise and is the bleeding in the brain due to localized trauma.
A concussion refers to more widespread brain trauma from a blow to the head or swift shaking
Laceration is the tearing of skin with a sharp object or by impact injury from a blunt object or force that results in an irregular wounds.Warm up and cool down
Stretching before and after activity
Cross –train activity
Dress right
Use proper technique
Improve posture
Avoiding DOMS( delayed onset muscle soreness)
Early-stage rehabilitation is gentle exercise allowing for the damaged tissue to heal. This stage is often rushed and will result in poor quality healing and will be prone to re-injury.
Mid-stage rehabilitation involves progressively loading the muscles/tendons/bones or ligaments to develop tensile strength producing a healed tissue that will be able to withstand the stresses and strains of everyday life and exercise.
Late – the final stage (late) of rehabilitation is where the tissue adapts and is stressed using functional exercises and drills to ensure the body is ready to return to play.
Pilates is a system of repetitive exercises performed on a yoga mat or other equipment to promote strength, stability, and flexibility. Pilates exercises develop the body through muscular effort that stems from the core. The technique cultivates awareness of the body to support everyday movements that are efficient and graceful.Centering
Concentration
Control
Precision
Breath
Flow
Taping is a form of strapping. It is the procedure that uses tape, attached to the skin, to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery.
It is a form of partial immobilization of joint. which allow for a certain level of functional mobility.There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Dry needling
Cupping
Gait
Detail case discussion of dupuytren's contracture including clinical aspect and theoretical aspects.
Dupuytren's is progressive superficial palmar fibromatosis, involves superficial palmar fascia of hand and causes contracture and severe disability in advance disease.
Case discussion done under Platiquest channel.
Case of Prolapse intervertebral Disc, lumbar disc prolapse, case, physiotherapy management, Assessment, recent Advance, orthopaedic case presentation, musculoskeletal physiotherapy case presentation, orthopaedic physiotherapy, case of a low back pain patient, lumbar radiculopathy, final year,
Sports injuries and Physiotherapy management.pptxkajal sansoya
Sport injuries refer to kind of injury that occur to a player during sports or exercise.
In other words, the situation which occurs accidently during physical activity or when the player does not remain in the position of participating in the game or his physical ability decreases is also referred to sports injuries.
Direct injury is caused by an external blow or force.
Indirect injury caused by an internal force as over stretching a ligament in sudden change direction.
Overuse injury any repetitive activity can lead to overuse injury, can occur over a period of time, usually due to excessive and repetitive leading of the tissue, with symptoms presenting gradually
Muscle pull
Tennis elbow/ golfer’s elbow
Rotator cuff injury
Frozen shoulder
Tendonitis
Bursitis
Runner’s knee
Achilles tendonitis
Foot arch sprain
Pulled hamstrings
Plantar fascitis
Iliotibial band syndrome
Carpel tunnel syndrome
Lower back pain A contusion is another way to say bruise and is the bleeding in the brain due to localized trauma.
A concussion refers to more widespread brain trauma from a blow to the head or swift shaking
Laceration is the tearing of skin with a sharp object or by impact injury from a blunt object or force that results in an irregular wounds.Warm up and cool down
Stretching before and after activity
Cross –train activity
Dress right
Use proper technique
Improve posture
Avoiding DOMS( delayed onset muscle soreness)
Early-stage rehabilitation is gentle exercise allowing for the damaged tissue to heal. This stage is often rushed and will result in poor quality healing and will be prone to re-injury.
Mid-stage rehabilitation involves progressively loading the muscles/tendons/bones or ligaments to develop tensile strength producing a healed tissue that will be able to withstand the stresses and strains of everyday life and exercise.
Late – the final stage (late) of rehabilitation is where the tissue adapts and is stressed using functional exercises and drills to ensure the body is ready to return to play.
Pilates is a system of repetitive exercises performed on a yoga mat or other equipment to promote strength, stability, and flexibility. Pilates exercises develop the body through muscular effort that stems from the core. The technique cultivates awareness of the body to support everyday movements that are efficient and graceful.Centering
Concentration
Control
Precision
Breath
Flow
Taping is a form of strapping. It is the procedure that uses tape, attached to the skin, to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery.
It is a form of partial immobilization of joint. which allow for a certain level of functional mobility.There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Dry needling
Cupping
Gait
Detail case discussion of dupuytren's contracture including clinical aspect and theoretical aspects.
Dupuytren's is progressive superficial palmar fibromatosis, involves superficial palmar fascia of hand and causes contracture and severe disability in advance disease.
Case discussion done under Platiquest channel.
This is a presentation I did for the OTAT program at Cuyahoga Community College on flexor and extensor tendon lacerations. I also discuss, briefly, the application of certain aspects of occupational therapy's domain as outlined in the OTPF. I collected data from scholarly as well as non-scholarly resources. I hope you find this to be helpful.
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: August CasesSean M. Fox
Dr. Kelsey Lena is Emergency Medicine Resident and interested in pediatric emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, and supervision of Dr. Danielle Sutton, a Pediatric Emergency Medicine specialist, and Dr. Virginia Casey, a Pediatric Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
- Supracondylar Fracture Type I
- Supracondylar Fracture Type II
- Supracondylar Fracture Type III
- Supracondylar Fracture Type IV
Diagnostic procedures in the obstetrics and gynaecology includes many methods some of the diagnostic procedures for a women's health physiotherapist should know is included in the above slides
dermatome testing is more important assesment in physiotherapy, the above slideshare shows the history of dermatome , testing , dermatome charts , advantage and disadvantage of each chart and clinical conditions
SI Joint a stable joint , it is the cause of pain during pregnancy in many women during antenatal and postnatal period ,in this slideshare some exercises for SI joint during pregnancy ,the assesment and the basic relaxation exercise is given
This presentation is about Bell’s palsy which is 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.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
In this ppt covered the basic treatment strategies for a traumatic brain injury patient and presented a case study and treatment protocol according to that patient condition on assesment glasgow coma scale is important in TBI
This ppt covers the content about cerebellar syndrome and a case presentation with assesment and treatment strategies to be followed at basic level , it covers the muscle length testing ducan ely test thomas and etc and basic level assesment for a physiotherapist can able to do and the scaling system to record the improvement in treatment
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
2. FRACTURE
! Fracture is the break or crack in the continuity of the bone caused by
fall or accident .
! PHASES OF FRACTURE HEALING
phase Name of phase Timeframe
1 inflammatory 0-14 days
2 reparative 0-2 days
3 Proliferative,fibroplastic 2-5 days
4 regenerative 4-21 days
5 remodeling 21-360 days
3. CASE STUDY
A 20 year male patient with the elbow cast till wrist and with dynamic cock up
splint. He had a fall on From the bike which was idle with a side stand,
unfortunately the stand Submerged suddenly into the soil and he fell down by his
left side and got swelling and severe pain and admitted in the hospital, from the x-
ray found that the patient had closed displaced fracture in radial head and left
distal end radius with left elbow dislocation. The patient had left compartmental
syndrome and undergone fasciotomy with closed reduction and internal fixation
(CRIF) with k-wire of distal radius with radial head extraction and ulnohumeral
pinning on 27/7/19. The patient also undergone split skin graft on 9/8/19.
10. On observation
❖ Patient is on cast with elbow flexed to 90 degree till wrist
❖ Patient is on dynamic cock up splint
❖ Patient has flexion at MCP joint and reduced movements in the index and
thumb finger.
❖ The patient is on DYNAMIC COCK UP SPLINT from 17/8/19.
❖ The patient is on cast from elbow to forearm
❖ Scar seen on both thigh due to the skin graft taken
❖ The skin is peeling and dry in the palm .
❖ Attitude of limb:ebow in 90 degree forearm in neutral thumb is adduction
and all the four fingers r 90degree in PIP and 90 degree in DIP.
11. On palpation
❖ The skin is warm in the medial 2 ½ fingers and cold in the lateral 2
½ fingers.
❖ Skin is rough and peeling of skin.
❖ Capillary filling time is more than 3 secs in index finger and 3 secs
in all other fingers.
12. On movements
❖ Difficulty in moving the thumb in flexion, opposition of thumb actively.
❖ Unable to perform the flexion of MCP, PIP and DIP of index finger.
❖ There is a reduced sensation both pinrick and soft touch in the middle
and index finger
14. Dorsal aspect of hand
There is a reduced sensation
in the middle and the index
finger in the dorsal aspect in
the 1st and 2nd week
15. Motor examination
Joint Little finger
V
Ring finger
IV
Middle finger
III
Index finger
II
MCP
Flexion 20 °. 30 ° 40 ° 20 °
Extension 5 ° 5 ° 20 ° 0 °
PIP flexion 30 ° 60 ° 40 ° 0 °
Extension 0 ° 60-5 ° 40 °-10 ° 0 °
DIP flexion 60 ° 70 ° 70 ° 0 °
Extension 0 ° 70 °-10 ° 70 °-10 ° 0 °
RANGE OF MOTION 1st Week
16. JOINTS Little finger
V
Ring finger
IV
Middle finger
III
Index finger
II
MCP
Flexion 45 ° 40 ° 40 ° 35 °
Extension 45 °-0 ° 40 °-0 ° 40 °-0 ° 35 °-0 °
PIP flexion 60 ° 65 ° 65 ° 0 °
Extension 0 ° 0 ° 0 ° 0 °
DIP flexion 90 ° 90 ° 90 ° 0 °
Extension 0 ° 0 ° 0 ° 0 °
2nd week
RANGE OF MOTION
17. Thumb I Range
MCP
Flexion 30°
Extension 30°-0°
Abduction 0°
Adduction 0°
DIP flexion 0°
extension 0°
Thumb I Range
MCP
Flexion 40°
Extension 0°
Abduction 10°
Adduction 10°-0°
DIP flexion 0°
extension 0°
1st week 2nd week
18. Muscle power
MUSCLES Little finger
V
Ring finger
IV
Middle finger
III
Index finger
II
FDP 3+ 3+ 2 0
FDS MCP
PIP
4
4
4
4
2
3
0
0
Palmar
interossei
3 3 2 2
Dorsal
interossei
3 3 2 2
Lumbricals 3 3 2 1
Extensor 3 3+ 3+ 3+
FDP-flexor
digitorum
profundus
FDS-flexor
digitorum
superficialis
1st Week
19. MUSCLES Little finger
V
Ring finger
IV
Middle finger
III
Index finger
II
FDP 5 5 5 1
FDS MCP
PIP
5
5
5
5
5
5
2
1
Palmar
interossei
5 5 5 4
Dorsal
interossei
5 5 1 1
Lumbricals 5 5 3 3
Extensor 5 5 5 4
2nd Week
20. MUSCLES I WEEK II WEEK
Flexor pollicis brevis 0 1
Flexor pollicis longus 0 1
Opponens pollicis 1 3
Abductor pollicis brevis 1 2
Adductor pollicis brevis 5 5
Extensor pollicis longus 5 5
Extensor pollicis brevis 5 5
MUSCLE POWER OF THUMB
21. PHYSIOTHERAPEUTIC MANAGEMENT
GOALS TREATMENT
➢ To increase the ROM of fingers
➢
➢
➢
➢ To increase ROM of wrist
Active assisted
Active
Resisted range of motion exercises to
the fingers
Active ROM exercises to wrist
➢ To increase the muscle power Strengthening exercise
Place and hold exercises
Resisted exercise to the weak muscles
Hold and relax
➢ To increase the tendon movements Tendon gliding exercises
➢ To increase the functional activity
of the patient
Gripping and grasping activities
➢ To reduce swelling Exercises r done by hand elevated