low back pain is very common in population occurring at least once a lifetime in nearly 60-80% of population.
This presentation was presented as a webinar in coordination with ypta and serving hands on 12-8-2021.
(zaid hijab) 4th stage
Rehabilitation of sciatica
Sciatica is a common pain syndrome, considering that ∼10% of low back pain
episodes, which have a lifetime cumulative incidence of 80%, will be accompanied
by sciatica. Nerve root compression by disc herniation is regarded as the most
frequent cause of sciatica.
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
When someone experiences groin strain, they’ve experienced a tear to the adductor muscles of the hip. There are 5 groin muscles (adductor brevis, adductor longus, adductor magnus, gracilis and pectineus) and these muscles may be injured when they are in a stretched position, but also if they are forced to contract suddenly.
This talk looks a few common knee disorders including ACL tears, patellar tendinopathy,and Osteoarthrits and meniscal tears, and looks at Physiotherapy management and some of the associated evidence. The talk was a 30 minute for Doctors unfamiliar with management options and was semi-technical in nature. It provides several patient handouts for practitioners to use. Videos describing exercises were also included in the talk but not available in Slideshare.
1) The presentation discussed return to play in gastrocnemius and soleus muscle injuries, focusing on how doctors think and make decisions. It covered common cognitive traps and emphasized evaluating the healing response before clearing an athlete to return.
2) The gastrocnemius and soleus muscles were described as "non-identical twins" with different fiber types, fatigue resistance, and injury patterns. Soleus strains often involve the tendon and are underdiagnosed.
3) Special considerations for these injuries include fluid collections or hematomas in the gastrocnemius that may delay healing, and accurate diagnosis of soleus strains involving the tendon. Aspiration and platelet-rich plasma treatments were presented as options
Physiotherapy plays an important role in managing poliomyelitis through various techniques. It focuses on maintaining joint mobility through active and passive movements. Splinting and bracing help prevent deformities while teaching relatives muscle stretching techniques. As patients recover, physiotherapy aids in teaching walking and exercises. For post-polio syndrome, strength training through isokinetic exercises and progressive resistance training can help improve muscle strength over time.
1. The document outlines the process of assessing the musculoskeletal system, including taking a thorough history, examining various parts of the body, and considering appropriate clinical investigations.
2. The history should explore the chief complaints, pain characteristics, and psychosocial factors, while the physical examination evaluates gait, range of motion, muscle strength, and other elements of the bones, joints, and nervous system.
3. Clinical investigations like radiography, CT scans, and MRI may be used to further diagnose musculoskeletal conditions, though guidelines recommend limiting radiation exposure when possible.
low back pain is very common in population occurring at least once a lifetime in nearly 60-80% of population.
This presentation was presented as a webinar in coordination with ypta and serving hands on 12-8-2021.
(zaid hijab) 4th stage
Rehabilitation of sciatica
Sciatica is a common pain syndrome, considering that ∼10% of low back pain
episodes, which have a lifetime cumulative incidence of 80%, will be accompanied
by sciatica. Nerve root compression by disc herniation is regarded as the most
frequent cause of sciatica.
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
When someone experiences groin strain, they’ve experienced a tear to the adductor muscles of the hip. There are 5 groin muscles (adductor brevis, adductor longus, adductor magnus, gracilis and pectineus) and these muscles may be injured when they are in a stretched position, but also if they are forced to contract suddenly.
This talk looks a few common knee disorders including ACL tears, patellar tendinopathy,and Osteoarthrits and meniscal tears, and looks at Physiotherapy management and some of the associated evidence. The talk was a 30 minute for Doctors unfamiliar with management options and was semi-technical in nature. It provides several patient handouts for practitioners to use. Videos describing exercises were also included in the talk but not available in Slideshare.
1) The presentation discussed return to play in gastrocnemius and soleus muscle injuries, focusing on how doctors think and make decisions. It covered common cognitive traps and emphasized evaluating the healing response before clearing an athlete to return.
2) The gastrocnemius and soleus muscles were described as "non-identical twins" with different fiber types, fatigue resistance, and injury patterns. Soleus strains often involve the tendon and are underdiagnosed.
3) Special considerations for these injuries include fluid collections or hematomas in the gastrocnemius that may delay healing, and accurate diagnosis of soleus strains involving the tendon. Aspiration and platelet-rich plasma treatments were presented as options
Physiotherapy plays an important role in managing poliomyelitis through various techniques. It focuses on maintaining joint mobility through active and passive movements. Splinting and bracing help prevent deformities while teaching relatives muscle stretching techniques. As patients recover, physiotherapy aids in teaching walking and exercises. For post-polio syndrome, strength training through isokinetic exercises and progressive resistance training can help improve muscle strength over time.
1. The document outlines the process of assessing the musculoskeletal system, including taking a thorough history, examining various parts of the body, and considering appropriate clinical investigations.
2. The history should explore the chief complaints, pain characteristics, and psychosocial factors, while the physical examination evaluates gait, range of motion, muscle strength, and other elements of the bones, joints, and nervous system.
3. Clinical investigations like radiography, CT scans, and MRI may be used to further diagnose musculoskeletal conditions, though guidelines recommend limiting radiation exposure when possible.
Treating Arthritis with Physical TherapySam Shaikh
The document discusses using physical therapy to treat arthritis. It describes the two most common types of arthritis - rheumatoid arthritis, which is an inflammatory condition, and osteoarthritis, which is a degenerative disease. It explains that physical therapy for arthritis focuses on strengthening, stretching, and aerobic exercises to improve joint functioning and reduce pain and stiffness. These exercises help strengthen muscles, increase range of motion, and improve endurance.
Hip-Physiocure in collaboration with The Yorkshire Hip Clinic and Fitcure have produced their new evidence based 2021 Hip Arthroscopy Rehabilitation guide
Exaggerated thoracic kyphosis and compensatory lumbar lordosisMiriam Clavel
This document describes the physical examination findings and treatment plan for a 21-year-old student presenting with thoracic hyperkyphosis and compensatory lumbar lordosis. The examination revealed forward head, hyperextended cervical spine, abducted scapulae, increased thoracic flexion, hyperextended lumbar spine, and anterior pelvic tilt. Range of motion testing showed hypomobility in the upper dorsal and lower dorsal spine. The treatment plan focuses on strengthening spinal extensors and stabilizer muscles, improving posture and proprioception, and increasing joint mobility in the restricted dorsal spine areas.
Chronic Musculoskeletal Disorders and Physical Therapy Management Prochnost
This document discusses chronic musculoskeletal disorders (MSDs) that commonly affect the neck, back, shoulders, hips, knees, wrists and feet. It provides details on osteoarthritis, rheumatoid arthritis, gout, fibromyalgia, tennis elbow and other conditions. For each condition, it describes causes, signs and symptoms, assessment findings and physical therapy management approaches such as exercises, modalities and joint protection strategies.
A 13-year-old girl was diagnosed with double scoliosis and a tilted pelvis. She received 6 Bowen therapy treatments over a month. Scans before and after treatment showed that the scoliosis and pelvis tilt were significantly reduced, her spine length increased by over 2 cm, and spinal mobility improved. The Bowen therapy proved effective in improving her alignment, mobility, and symptoms with minimal treatments by stimulating her body's natural healing abilities. Further treatments were recommended to continue progress.
This document provides an overview of anatomy, biomechanics, diagnosis, and rehabilitation of groin and hip injuries. It begins with the anatomy and biomechanics of the region, including muscle imbalance and fascial slings. Diagnosis methods are then outlined, including subjective history and physical exams to assess range of motion, palpation, and functional tests. Potential pathologies are reviewed, such as athletic pubalgia, labral tears, and femoroacetabular impingement. Rehabilitation principles and progression of exercises are also presented.
This document summarizes the case of a 13-year-old patient diagnosed with double scoliosis who was treated with Bowen therapy. In 3 sessions or less:
1) The patient was diagnosed with double scoliosis and a tilted pelvis in May 2011 and began weekly Bowen treatments in June 2011.
2) Scans and measurements after 6 treatments showed significant improvement, including a straightened spine that was over 2 cm longer, increased mobility, and reduced pelvis tilting.
3) The Bowen therapy was an effective non-invasive treatment that supported the body's natural healing abilities and alleviated the patient's symptoms like pain and respiratory issues.
This document provides an overview of balance, including definitions, components, and assessment strategies. It defines balance as controlling the center of gravity over the base of support. The major sections discuss the sensory, central processing, and effector systems involved in balance, as well as age-related changes. Assessment strategies examined include self-report measures, clinical balance tests under various sensory conditions, and functional scales to evaluate mobility and gait. Comprehensive assessment involves testing balance under different contexts to evaluate the underlying sensory, motor, and cognitive systems.
1. Ankylosing spondylitis is a chronic inflammatory rheumatic disease that affects the axial skeleton, especially the sacroiliac joints and spine, causing back pain and stiffness.
2. Physical therapy aims to alleviate pain, increase mobility and function, reduce stiffness, and improve posture. Treatment includes exercises, stretching, bracing, breathing techniques, hydrotherapy, and group therapy.
3. Group therapy and aquatic physical therapy have been shown to improve thoracolumbar mobility, aerobic fitness, and quality of life for patients with ankylosing spondylitis.
1. The document discusses abnormalities and diseases that can affect the facet and sacroiliac joints, including congenital abnormalities, degenerative changes, trauma, infections, tumors, and metabolic diseases.
2. It provides details on anatomy, innervation, diagnosis, and treatment of facet joint and sacroiliac joint arthropathies. Diagnosis involves history, exam, imaging, and diagnostic injections.
3. Treatment includes non-pharmacological approaches like exercise and manual therapy, medications, and interventional procedures like injections and radiofrequency ablation. Surgery is rarely needed for facet joint disease.
زيد حجاب توفيق الكلية التقنية الطبية بغداد قسم العلاج الطبيعي
Zaid Hijab Tawfeeq
College of
Health and medical technology – Baghdad
Physiotherapy and Rehabilitation
Osteomalacia is softening of the bones. This ineffective bone mineralization in children
is referred to as Rickets. It is caused by impaired bone metabolism which in turn causes
inadequate bone mineralization. Bone metabolism is impaired due to insufficient
calcium, vitamin D or phosphate or calcium resorption.
There are several potential causes of lower back pain, including muscle strains or sprains, ligament or disc injuries, joint problems, and underlying medical conditions. Treatment involves a three-phase process focusing initially on reducing pain and inflammation, then restoring function through exercises, and finally maintaining strength through continued exercise and preventative measures. Proper functioning of the sacroiliac joint and surrounding muscles is important for low back health.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
A sportsman's hernia is a tear of the conjoined tendon or transversalis fascia in the groin region that can cause chronic groin pain, especially during athletic activities. It is often difficult to diagnose based on physical exam alone. Laparoscopic surgical repair is generally an effective treatment, with most patients returning to physical activity within a week and sports within a month, and experiencing long-term relief of pain symptoms. However, for a small percentage the pain may persist or return after surgery.
The document provides information on performing a differential diagnosis examination for the hip. It discusses evaluating the hip for common conditions like osteoarthritis, fractures, bursitis, labral tears, and referred pain from the low back. Physical examination tests are outlined to help determine the likely cause of hip pain, including assessing range of motion, special tests, and risk factors. The goal is to systematically examine the hip to form an evidence-based diagnosis and guide appropriate treatment.
This document discusses shoulder impingement syndrome, including its anatomy, causes, symptoms, diagnosis, stages, and treatment approaches. It provides details on the rotator cuff muscles, signs and symptoms of impingement, external and internal factors that can lead to impingement, stages of the syndrome, common tests used for diagnosis, goals of treatment, and manual therapy, therapeutic exercise, and preventative measures used in treatment.
Physiotherapy treats patients using electrical modalities, exercises, and soft tissue manipulation. It focuses on specialized areas like sports injuries, orthopedics, neurology, and cardiopulmonary rehabilitation. Sports physiotherapy helps athletes recover from injuries. Common sports injuries include tennis elbow, golfer's elbow, muscle pulls, runner's knee, and ankle sprains. Tennis elbow, or lateral epicondylitis, causes pain on the outside of the elbow often in tennis players, cricketers, and weightlifters. Physiotherapy treatments for tennis elbow include ice, heat, ultrasound, stretching, strengthening exercises, and bracing.
The document discusses the sacroiliac joint (SIJ), including its anatomy, biomechanics, evaluation, and treatment options for SIJ pain. Key points include:
- The SIJ is a synovial joint between the sacrum and ilium bones that allows limited motion. It is innervated by lumbar and sacral nerve roots and plays a role in stress relief and force transmission.
- Evaluation of SIJ pain is challenging due to its anatomy. History, physical exam maneuvers like Patrick's test, and image-guided injections are used to diagnose SIJ pain.
- Treatment options for SIJ pain include conservative care, injections, denervation, and fusion surgery. Per
Occupational therapy uses purposeful and therapeutic activities to help people participate in daily tasks according to their goals. Therapeutic activities include exercises focused on improving range of motion, strength, or a specific function as well as purposeful activities where the focus is on completing a meaningful task. Occupational therapists evaluate clients, develop customized intervention plans involving different types of exercises and activities, and assess outcomes to ensure goals are met.
This document discusses faulty biomechanics of the lower extremities, specifically how simple foot pronation can accelerate the aging process if left untreated. It presents the most effective diagnosis, treatment, and prevention methods. Simple foot pronation causes a collapse of the kinetic chain that leads to pain, arthritis, inactivity, fatigue, and possible depression over time. The document outlines the risks of not treating this condition and describes how catching and treating it early through the care methods presented can prevent biomarkers of aging from being affected.
kinesiology :(about muscle wasting )
Prevention of muscle wasting
(Spastic paralysis : Rigidity of muscles ) and (Flaccid paralysis : Flaccidity of muscles )
Postures
Pattern of posture
Static posture
Dynamic posture
Types of postures
Poor posture ( due to poor sitting or standing positions may lead to poor postures)
Poor postures may causes :
Forward head
Swayback
kymphosis
Good postures :
(Good posture adopt naturally or by essential mechanisms and adjustment should be intact to adopting a good postures)
Mental attitude also affect of postures:
Emotional condition ,unhappiness , joy ,confidence also affect of posture
How you improve your posture?
Stand up straight and tall
keep your back
Put your stomach in
Keep your feet about shoulder width apart
Treating Arthritis with Physical TherapySam Shaikh
The document discusses using physical therapy to treat arthritis. It describes the two most common types of arthritis - rheumatoid arthritis, which is an inflammatory condition, and osteoarthritis, which is a degenerative disease. It explains that physical therapy for arthritis focuses on strengthening, stretching, and aerobic exercises to improve joint functioning and reduce pain and stiffness. These exercises help strengthen muscles, increase range of motion, and improve endurance.
Hip-Physiocure in collaboration with The Yorkshire Hip Clinic and Fitcure have produced their new evidence based 2021 Hip Arthroscopy Rehabilitation guide
Exaggerated thoracic kyphosis and compensatory lumbar lordosisMiriam Clavel
This document describes the physical examination findings and treatment plan for a 21-year-old student presenting with thoracic hyperkyphosis and compensatory lumbar lordosis. The examination revealed forward head, hyperextended cervical spine, abducted scapulae, increased thoracic flexion, hyperextended lumbar spine, and anterior pelvic tilt. Range of motion testing showed hypomobility in the upper dorsal and lower dorsal spine. The treatment plan focuses on strengthening spinal extensors and stabilizer muscles, improving posture and proprioception, and increasing joint mobility in the restricted dorsal spine areas.
Chronic Musculoskeletal Disorders and Physical Therapy Management Prochnost
This document discusses chronic musculoskeletal disorders (MSDs) that commonly affect the neck, back, shoulders, hips, knees, wrists and feet. It provides details on osteoarthritis, rheumatoid arthritis, gout, fibromyalgia, tennis elbow and other conditions. For each condition, it describes causes, signs and symptoms, assessment findings and physical therapy management approaches such as exercises, modalities and joint protection strategies.
A 13-year-old girl was diagnosed with double scoliosis and a tilted pelvis. She received 6 Bowen therapy treatments over a month. Scans before and after treatment showed that the scoliosis and pelvis tilt were significantly reduced, her spine length increased by over 2 cm, and spinal mobility improved. The Bowen therapy proved effective in improving her alignment, mobility, and symptoms with minimal treatments by stimulating her body's natural healing abilities. Further treatments were recommended to continue progress.
This document provides an overview of anatomy, biomechanics, diagnosis, and rehabilitation of groin and hip injuries. It begins with the anatomy and biomechanics of the region, including muscle imbalance and fascial slings. Diagnosis methods are then outlined, including subjective history and physical exams to assess range of motion, palpation, and functional tests. Potential pathologies are reviewed, such as athletic pubalgia, labral tears, and femoroacetabular impingement. Rehabilitation principles and progression of exercises are also presented.
This document summarizes the case of a 13-year-old patient diagnosed with double scoliosis who was treated with Bowen therapy. In 3 sessions or less:
1) The patient was diagnosed with double scoliosis and a tilted pelvis in May 2011 and began weekly Bowen treatments in June 2011.
2) Scans and measurements after 6 treatments showed significant improvement, including a straightened spine that was over 2 cm longer, increased mobility, and reduced pelvis tilting.
3) The Bowen therapy was an effective non-invasive treatment that supported the body's natural healing abilities and alleviated the patient's symptoms like pain and respiratory issues.
This document provides an overview of balance, including definitions, components, and assessment strategies. It defines balance as controlling the center of gravity over the base of support. The major sections discuss the sensory, central processing, and effector systems involved in balance, as well as age-related changes. Assessment strategies examined include self-report measures, clinical balance tests under various sensory conditions, and functional scales to evaluate mobility and gait. Comprehensive assessment involves testing balance under different contexts to evaluate the underlying sensory, motor, and cognitive systems.
1. Ankylosing spondylitis is a chronic inflammatory rheumatic disease that affects the axial skeleton, especially the sacroiliac joints and spine, causing back pain and stiffness.
2. Physical therapy aims to alleviate pain, increase mobility and function, reduce stiffness, and improve posture. Treatment includes exercises, stretching, bracing, breathing techniques, hydrotherapy, and group therapy.
3. Group therapy and aquatic physical therapy have been shown to improve thoracolumbar mobility, aerobic fitness, and quality of life for patients with ankylosing spondylitis.
1. The document discusses abnormalities and diseases that can affect the facet and sacroiliac joints, including congenital abnormalities, degenerative changes, trauma, infections, tumors, and metabolic diseases.
2. It provides details on anatomy, innervation, diagnosis, and treatment of facet joint and sacroiliac joint arthropathies. Diagnosis involves history, exam, imaging, and diagnostic injections.
3. Treatment includes non-pharmacological approaches like exercise and manual therapy, medications, and interventional procedures like injections and radiofrequency ablation. Surgery is rarely needed for facet joint disease.
زيد حجاب توفيق الكلية التقنية الطبية بغداد قسم العلاج الطبيعي
Zaid Hijab Tawfeeq
College of
Health and medical technology – Baghdad
Physiotherapy and Rehabilitation
Osteomalacia is softening of the bones. This ineffective bone mineralization in children
is referred to as Rickets. It is caused by impaired bone metabolism which in turn causes
inadequate bone mineralization. Bone metabolism is impaired due to insufficient
calcium, vitamin D or phosphate or calcium resorption.
There are several potential causes of lower back pain, including muscle strains or sprains, ligament or disc injuries, joint problems, and underlying medical conditions. Treatment involves a three-phase process focusing initially on reducing pain and inflammation, then restoring function through exercises, and finally maintaining strength through continued exercise and preventative measures. Proper functioning of the sacroiliac joint and surrounding muscles is important for low back health.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
A sportsman's hernia is a tear of the conjoined tendon or transversalis fascia in the groin region that can cause chronic groin pain, especially during athletic activities. It is often difficult to diagnose based on physical exam alone. Laparoscopic surgical repair is generally an effective treatment, with most patients returning to physical activity within a week and sports within a month, and experiencing long-term relief of pain symptoms. However, for a small percentage the pain may persist or return after surgery.
The document provides information on performing a differential diagnosis examination for the hip. It discusses evaluating the hip for common conditions like osteoarthritis, fractures, bursitis, labral tears, and referred pain from the low back. Physical examination tests are outlined to help determine the likely cause of hip pain, including assessing range of motion, special tests, and risk factors. The goal is to systematically examine the hip to form an evidence-based diagnosis and guide appropriate treatment.
This document discusses shoulder impingement syndrome, including its anatomy, causes, symptoms, diagnosis, stages, and treatment approaches. It provides details on the rotator cuff muscles, signs and symptoms of impingement, external and internal factors that can lead to impingement, stages of the syndrome, common tests used for diagnosis, goals of treatment, and manual therapy, therapeutic exercise, and preventative measures used in treatment.
Physiotherapy treats patients using electrical modalities, exercises, and soft tissue manipulation. It focuses on specialized areas like sports injuries, orthopedics, neurology, and cardiopulmonary rehabilitation. Sports physiotherapy helps athletes recover from injuries. Common sports injuries include tennis elbow, golfer's elbow, muscle pulls, runner's knee, and ankle sprains. Tennis elbow, or lateral epicondylitis, causes pain on the outside of the elbow often in tennis players, cricketers, and weightlifters. Physiotherapy treatments for tennis elbow include ice, heat, ultrasound, stretching, strengthening exercises, and bracing.
The document discusses the sacroiliac joint (SIJ), including its anatomy, biomechanics, evaluation, and treatment options for SIJ pain. Key points include:
- The SIJ is a synovial joint between the sacrum and ilium bones that allows limited motion. It is innervated by lumbar and sacral nerve roots and plays a role in stress relief and force transmission.
- Evaluation of SIJ pain is challenging due to its anatomy. History, physical exam maneuvers like Patrick's test, and image-guided injections are used to diagnose SIJ pain.
- Treatment options for SIJ pain include conservative care, injections, denervation, and fusion surgery. Per
Occupational therapy uses purposeful and therapeutic activities to help people participate in daily tasks according to their goals. Therapeutic activities include exercises focused on improving range of motion, strength, or a specific function as well as purposeful activities where the focus is on completing a meaningful task. Occupational therapists evaluate clients, develop customized intervention plans involving different types of exercises and activities, and assess outcomes to ensure goals are met.
This document discusses faulty biomechanics of the lower extremities, specifically how simple foot pronation can accelerate the aging process if left untreated. It presents the most effective diagnosis, treatment, and prevention methods. Simple foot pronation causes a collapse of the kinetic chain that leads to pain, arthritis, inactivity, fatigue, and possible depression over time. The document outlines the risks of not treating this condition and describes how catching and treating it early through the care methods presented can prevent biomarkers of aging from being affected.
kinesiology :(about muscle wasting )
Prevention of muscle wasting
(Spastic paralysis : Rigidity of muscles ) and (Flaccid paralysis : Flaccidity of muscles )
Postures
Pattern of posture
Static posture
Dynamic posture
Types of postures
Poor posture ( due to poor sitting or standing positions may lead to poor postures)
Poor postures may causes :
Forward head
Swayback
kymphosis
Good postures :
(Good posture adopt naturally or by essential mechanisms and adjustment should be intact to adopting a good postures)
Mental attitude also affect of postures:
Emotional condition ,unhappiness , joy ,confidence also affect of posture
How you improve your posture?
Stand up straight and tall
keep your back
Put your stomach in
Keep your feet about shoulder width apart
Faulty Biomechanics of the Lower Extremities, How A Simple Biomechanics Dysfu...Dr. James Stoxen DC
This document discusses faulty biomechanics of the lower extremities, specifically simple foot pronation, and its effects on the aging process. Simple foot pronation is one of the most common biomechanical dysfunctions, and if left untreated can accelerate the aging process through a "cascading domino effect". The document outlines the diagnosis, treatment, and prevention of issues related to foot pronation through reducing weakness, increasing strength, and emphasizing proper footwear and training of muscles in the foot, calf, knee, hip, and back. The goal of treatment is to support pronation and reduce pain and protective spasms through various passive and active strengthening techniques.
Back pain
Etiology
Anatomical & pathophysiological concepts
Diagnostic approach
Clinical approach
Red flags & yellow flags
Investigations
Back pain in children & elderly
Spondylolisthesis is the forward displacement of one vertebra over another, most commonly occurring at L5-S1. It occurs due to defects in the bone check mechanism at the lumbar-sacral junction that normally prevents slippage. The majority of cases are isthmic, resulting from a stress fracture or lesion of the pars interarticularis due to repeated flexion/extension stresses. Patients typically present with low back pain aggravated by extension and relieved by flexion. Radiographs reveal the degree of slippage and any pars defects. Treatment involves conservative care for mild cases and surgery to repair defects, reduce slippage, and fuse vertebrae for more severe or progressive cases.
The document discusses developing 15 minute rehabilitation programs for time constrained athletes. It covers assessing the human movement system for impairments, identifying common injuries. Movement assessments like overhead squats and single leg squats are demonstrated to find areas of dysfunction. Two case studies are presented: Rachel has medial tibial stress syndrome and weak glutes, a program is designed to correct her movement patterns; Jeff has shoulder impingement and tight chest/hip flexors, his program focuses on strengthening his rotator cuff and scapular muscles. The corrective exercise continuum of inhibit, activate, integrate and lengthen is reviewed as a framework for rehabilitation programs.
Sports and Physical Therapy Associates share a informational slideshow documenting prevention of back pain, causes, and treatment.
Most adults will experience back pain, find out how to prevent it and how to treat it.
Conservative Osteopathic Management of Musculo-Skeletal Pain from WhiplashMegan Hughes
Conservative Osteopathic Management of Musculo-Skeletal Pain from Whiplash
The document discusses how a Doctor of Osteopathic Medicine (D.O.) treats whiplash injuries using manual therapy techniques. It describes whiplash as an injury to the neck caused by sudden head movement that can damage ligaments, tendons, muscles and discs in the neck. A D.O. uses specific manual techniques to correct somatic dysfunctions in the neck caused by whiplash and reduce pain and restricted motion. Manual therapy helps relax muscles, improve alignment and blood flow to aid healing. However, some whiplash injuries may cause permanent damage and require ongoing maintenance treatment.
A 21-year old female marathon runner has begun experiencing knee pain around the patella after increasing her training from twice to 4-5 times per week on hills. This document provides an overview of patellofemoral pain syndrome (PFPS), including causes, risk factors, diagnosis, and treatment options. PFPS is caused by an imbalance of forces around the patella that leads to pain. Treatment focuses on strengthening the quadriceps and hips to correct biomechanics and management of pain. The prognosis is generally good if treatment addresses contributing factors and allows for gradual return to activity.
This document provides an overview of spondylolisthesis, including its definition as the forward displacement of one vertebra over another, most commonly occurring at L5-S1. It discusses the anatomy and biomechanics of the lumbosacral junction that make it prone to injury. The document outlines the different types of spondylolisthesis and describes the pathology, predisposing factors, clinical presentation, radiological findings, and management options which include conservative treatments like physiotherapy and bracing or surgical interventions like fusion when conservative options fail.
This document discusses hip pain treatment. It describes common hip disorders like osteoarthritis, femoral neck stress fractures, and femoroacetabular impingement. Diagnosis involves clinical exams, imaging like x-rays and MRIs, and gait analysis. Treatment focuses on restoring strength, mobility, and proper biomechanics through physical therapy and techniques like shockwave therapy. The goal is to alleviate pain and improve function for a variety of hip conditions.
The document discusses physiology of movement, types of exercise, benefits of exercise, and considerations for activity and mobility. It covers the skeletal, muscular and nervous systems, as well as body mechanics, posture, and types of exercise including isotonic, isometric, and aerobic. Regular exercise provides cardiovascular, respiratory, musculoskeletal and metabolic benefits. Complications of immobility include effects on various body systems. Nursing assessments of patients should include activity tolerance and capabilities. Positioning, transferring, and ambulation techniques are discussed to maintain and improve mobility.
The document discusses physiology of movement, types of exercise, benefits of exercise, and complications of immobility. It covers skeletal, muscular and nervous systems, body mechanics, posture, exercise types including isotonic, isometric and aerobic. Benefits are described for cardiovascular, respiratory, musculoskeletal and metabolic systems. Complications of immobility include effects on cardiovascular, respiratory, musculoskeletal and other body systems. Nursing assessments of patients and prevention of injury are also outlined.
The document discusses physiology of movement, types of exercise, benefits of exercise, and considerations for mobility and positioning. It covers the skeletal, muscular and nervous systems, as well as body mechanics, posture, and types of exercise including isotonic, isometric and isokinetic. Benefits of exercise include improvements to the cardiovascular, respiratory, musculoskeletal and metabolic systems. Complications of immobility and assessing a patient's mobility are also addressed.
The document summarizes lumbar herniated discs, including the anatomy and biomechanics of the lumbar spine, causes of herniated discs like prolonged sitting and lifting, symptoms like low back and leg pain, diagnostic tests like MRI, and treatment options like medications, physical therapy, and surgery. Conservative treatments include medications, physical therapy with modalities like traction and exercises, while surgery may be considered for severe or progressive cases. Prevention involves good posture, exercise, weight management, and avoiding heavy lifting.
This case report describes an uncommon case of a 25-year old male football lineman who presented with low back pain. MRI revealed a herniated disc at L5-S1. Surgery was expected to be a microdiscectomy but had to be changed to a discectomy with laminotomy due to extensive damage. During surgery, the surgeon had to repair the dura and bundled nerves around the herniated disc. Though an uncommon presentation, the patient made a full recovery after surgery and returned to normal activities.
1) The study compared muscle activity in the thoracic and lumbar erector spinae muscles and spinal curvature during prone trunk extension exercises between subjects with and without slouched thoracic posture.
2) While total erector spinae muscle activity did not differ between groups, subjects with slouched posture showed decreased selective recruitment of the thoracic erector spinae pars thoracis muscle and increased thoracic kyphosis and lumbar lordosis during the exercises.
3) The findings suggest exercises to strengthen the back in individuals with slouched posture need to maintain a neutral spine posture and facilitate muscle activity in the thoracic erector spinae to be effective.
This document provides information on physical therapy for osteoporosis. It begins with definitions and prevalence statistics on osteoporosis. It then describes the types of bone cells and bone remodeling process. The document outlines the goals of physical therapy for osteoporosis, which include maintaining posture, strengthening, balance training, flexibility exercises, and preventing further bone loss. Specific exercises recommended are extensions, chin tucks, and strengthening the lumbar spine and glutes. Physical therapy aims to improve function and reduce fractures for those with osteoporosis.
Yamuna Body Rolling-Journal of Physical Therapy ArticleEmily Stein
Yamuna Body Rolling is a self-conditioning technique that uses specialized balls to target muscles, tendons, ligaments, bones and internal organs. It provides multidimensional stretching of muscle fibers in longitudinal, transverse and diagonal directions. Routines presented include those targeting the hamstrings, abdominals and side body. Yamuna Body Rolling can benefit treatment of musculoskeletal issues and may also impact internal organs and body systems. It allows independent treatment and rehabilitation of physical problems.
This document discusses low back pain, including its causes, risk factors, and treatments. It notes that 80% of people will experience low back pain in their lifetime. Common causes include mechanical issues like spinal degeneration or disc herniations that put pressure on nerves. Chiropractic care can help by improving spinal balance and mobility to reduce pain and prevent further issues. Maintaining good posture and exercising are also recommended for prevention and treatment.
Similaire à Contributions to the recovery of A herniated disc case true Physical Therapy and Yumeiho technique (20)
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Contributions to the recovery of A herniated disc case true Physical Therapy and Yumeiho technique
1. CONTRIBUTIONS
TO THE RECOVERY OF A HERNIATED DISC
CASE
TRUE PHYSICAL THERAPY AND
YUMEIHO TECHNIQUE
Loredana Topolnitchi
2. Studiu de cazStudiu de caz
Patient P. Sorina , in September 2008 , age 26 years , H 1,72cm , 69 kg ,
Diagnosis: - scoliosis (curve to the right)
- Herniated disc L5 -S1 ,
2008
The first flare in November
2007
- Pain at bending trunk
-Pain in the line : right lumbar -
Buttock - posterior thigh
-Fear when walking, moving
-Work : office
2009-2010.
-Tonus increased without pain
- Perform exercises with medium
difficulty and load
Regular assessments..
YUMEIHO applied prophylactic
Ventral Position
Iliac crests line – Left is above with 1.5 cm
Heels line – Left is shorter with 1.7 cm
=> Left hip dislocation
4. Physical Therapy Program - Targets
Maintaining muscle strength and “locking” of the
lumbar spine
Awareness of a correct posture, and a correct
application of the exercises learned (at home).
General relaxation and decrease root
irritation (analgesics positions )
Relaxing the contracted muscles and stretching
lower trunk muscles
Getting a more “flexible” lumbar spine
while toning the inferior trunk muscles
5. Tehnica YumeihoTehnica Yumeiho
Metod de ajustare posturală ăMetod de ajustare posturală ă
Definition - manual therapeutic procedures , with the
purpose to rehabilitatebalance, symmetry and functionality of
the human body
Theory and practice of Yumeiho are based on the study of the
interdependence relationship between the dominance of the
center of gravity of the body and the unhealthy, pathological
potential of it
Studies made with specialized equipment measuring
the left-right subluxation have shown that only 1% of
cases are in optimal balance, while the rest the center
of gravity projection being asymmetric .
6. Asymmetries of muscle tone
Prolonged vicious positions,
Falls , Slips , Trauma
Consequences => subluxation ofs acroiliac joint or hip dislocation , is also
called " scoliotic pelvis ", " slipped ilium " ( sus upslip ) , " misalignments
syndrome " (malalygment syndrome ) .
Cause to the imbalance of weight center
7. Untreated in time, the dislocated sacroiliac joint
“crashes” resulting in apparent shortening of the leg
on the same side
Human support = bipod
To provide simultaneously support on
both legs the pelvis rotates.
8. Biomechanical disorders
that occur in the musculoskeletal system
Legs
On the side with the Subluxation of the sacroiliac joint
- This Appears shortened and externally rotated .
On the opposite side - In severe cases is associated with Genu valgum , tension Soleus
muscle at the insertion of Achilles tendon insertion and Talus Valgum
⇒The risk of occurrence of global joints
degeneration.
⇒The risk of occurrence of a herniated disc.
⇒Muscle pain .
⇒Long term illness internal organs.
Vertebral Spine
Sacrum is also twisted => twisting lumbar vertebral spine => scoliotic attitude => Scoliosis
9. Study resultsStudy results
L5 -S1 degenerative changes with
reduced height and T2
hypotension signal to show
dehydration of nucleus pulposus
Moderate sized posterior disc
protrusion and middle - right
paramedian hernia
Hernia also marks the dural part
and right L5 root
The spinal cord in the scanned
segment is shows normal
thickness and MRI signal
Clamped and degenerated L5
disc, minimum median under
the ligaments L5 disc herniation
without radicular involvement
associated
Analyzed segment of the spinal
canal in normal sizes.
MRIMRI 20082008 MRIMRI 20112011
13. Medications, dietary and hygienic physiotherapy
- Eliminate pain
Physical personalized treatment
- Correct posture and its awareness
- Increase muscle tone and by default the confidence in her own body,
- Reassure patient
- Educate the patient for an active life
Yumeiho: preventive and curative therapy
- Postural adjustment
- Awareness of the body scheme
- Prevention of different pathologies
Combined therapeutic methods
2008- 2011