Indian Journal of Physical Medicine & Rehabilitation最新文献

Local use of colistimethate sodium as antimicrobial dressing agent in multidrug-resistant gram-negative bacteria-colonised pressure injuries in spinal cord injury patients: A case series 在脊髓损伤患者的多重耐药革兰氏阴性菌感染压迫伤处局部使用可乐定钠作为抗菌敷料：病例系列

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_20_23

Jyoti Pandey, Sanyal Kumar, Anjani Kumar, Anurug Biswas, Srutarshi Ghosh, Sanjay Pandey

{"title":"Local use of colistimethate sodium as antimicrobial dressing agent in multidrug-resistant gram-negative bacteria-colonised pressure injuries in spinal cord injury patients: A case series","authors":"Jyoti Pandey, Sanyal Kumar, Anjani Kumar, Anurug Biswas, Srutarshi Ghosh, Sanjay Pandey","doi":"10.4103/ijpmr.ijpmr_20_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_20_23","url":null,"abstract":"Despite advancements in dressing materials and techniques, the management of pressure injuries (PIs) remains a challenging problem for clinicians across the world. The failure to heal in PIs is multifactorial such as nutritional status of patients, bacterial load, site of ulcer, risk of contamination and presence of comorbidities. Multidrug-resistant (MDR) Gram-negative bacterial (GNB) infections are frequent occurrence in hospitalised patients with PI. The limited chemotherapeutic options available for treating MDR strains of GNB have forced the reintroduction of the cationic cyclic peptide, polymyxin E (colistin). We report a case series of seven patients of traumatic spinal cord injury with PIs and poor healing due to MDR GNB sensitive only to colistin. In view of the worsening condition of the PIs and financial constraints, it was decided to start colistin therapy locally by colistimethate sodium. All patients responded well to the treatment and got clinically better. In our study, we used the Pressure Ulcer Scale for Healing score, Functional Independence Measure and World Health Organization Quality of Life Brief Version score to measure the outcome. We found this novel dressing a very promising and cost-effective treatment option in achieving infection-free healing, especially against MDR strains of bacteria.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"99 1","pages":"128 - 132"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spinoglenoid cyst: An unusual cause of shoulder pain 旋状腱膜囊肿肩部疼痛的不寻常原因

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_41_23

Sourav Deb, Pabitra Sahoo

引用次数: 0

Musical therapy, technology devices and AV aids in children with traumatic brain injury and cervical cord contusion with vocal cord paralysis 脑外伤和颈脊髓挫伤伴声带麻痹儿童的音乐治疗、技术设备和视听辅助设备

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_35_23

Sanyal Kumar, Sanjay Pandey, Anjani Kumar, Renu A Johnson, Subha Das

{"title":"Musical therapy, technology devices and AV aids in children with traumatic brain injury and cervical cord contusion with vocal cord paralysis","authors":"Sanyal Kumar, Sanjay Pandey, Anjani Kumar, Renu A Johnson, Subha Das","doi":"10.4103/ijpmr.ijpmr_35_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_35_23","url":null,"abstract":"Road traffic accidents frequently result in head injuries, chest injuries or serious cervical spinal cord injuries. Lifesaving assistance such as endotracheal intubation is commonly used. Although vocal cord paralysis during orotracheal intubation is uncommon, it can have catastrophic implications. Very little evidence is available on rehabilitation interventions that combine music therapy, technology devices and audio-visual (AV) aids. In patients with traumatic brain injury (TBI) and cervical spinal cord injury who have vocal cord paralysis, the use of music therapy technology devices and AV aids for rehabilitation needs to be thoroughly tested with goal-oriented, targeted strategies intended to achieve a particular function or skill set. Using technology devices and AV aids help with cognition and communication. Music therapy might be regarded as just as beneficial as speech therapy in enhancing cognitive function. We report a case of a 4-year-old female child with TBI with cervical cord contusion with bilateral vocal cord paralysis successfully rehabilitation along with the incorporation of music therapy, technology devices and AV aids in the rehabilitation programme.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"19 1","pages":"146 - 151"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyper-Acute rehabilitation: A step towards rehabilitation 2030 超急性康复：迈向康复 2030 的一步

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_23_23

Lakshmi Nair

引用次数: 0

Response to forum 4 对论坛 4 的答复

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_43_23

VT Sudheera

引用次数: 0

Pathways to care and associated outcomes amongst persons diagnosed with guillain–Barre syndrome in India 印度被诊断为格林-巴利综合征患者的治疗途径和相关结果

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_18_23

BP Nirmala, Rhea Joseph, Pallerla Srikanth, Anupam Gupta

引用次数: 0

The experience of telerehabilitation in coronavirus disease 2019 pandemic: Observations from physiatrists of an indian neurorehabilitation desk 2019年冠状病毒疾病大流行中远程康复的经验：印度神经康复中心物理治疗师的观察结果

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_7_23

Madhusree Sengupta, Sucheta Saha, Suparna Gangopadhyay

{"title":"The experience of telerehabilitation in coronavirus disease 2019 pandemic: Observations from physiatrists of an indian neurorehabilitation desk","authors":"Madhusree Sengupta, Sucheta Saha, Suparna Gangopadhyay","doi":"10.4103/ijpmr.ijpmr_7_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_7_23","url":null,"abstract":"Context: The coronavirus disease pandemic heralded a global 'new normal'. India responded with a complete lockdown. Simultaneously, the release of the Indian National Telemedicine Practice Guidelines led to a surge in telemedicine. The authors share their experience of launching an indigenous telerehabilitation service, a largely unexplored area in India. Aims: This study aimed to determine the socioclinical characteristics of the population availing telerehabilitation. Settings and Design: A retrospective chart review was done in a physiatrist-led neurorehabilitation department of a unispeciality tertiary care hospital. Subjects and Methods: Before the launch, a strategic promotional campaign was designed. Consent forms were structured following the national guidelines with institutional modifications. A combination of the 'real-time' and 'store-and-transfer' models was used. Teleconsultation by a physiatrist was followed by telerehabilitation by therapists. Satisfaction scales were used for feedback. Statistical Analysis Used: Data are described as frequency and percentages for qualitative data. Results: Between 8 April 2020 and 30 September 2020, there were 561 teleconsultations, of which 224 patients consulted the physiatrist. Stroke (46 patients, 20.53%), low back pain (40 patients, 17.85%) and spinal cord injury (27 patients, 12.05%) were the most common diagnosis. A majority of 93 patients belonged to the age group of 40–60 years. A comparable number of patients within and outside the city availed of the service. Conclusions: Telerehabilitation with simply available resources is feasible and useful. The digital divide, security concerns and restrictions in the execution of treatment are its imitations. Technology and creativity can be combined to develop further viable telerehabilitation models.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"61 1","pages":"117 - 122"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A technical review of the simplified approach to the ultrasonography of the elbow joint 肘关节超声波检查简化方法的技术回顾

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_37_23

Megha Bhargava, Nitesh M. Gonnade, Aradhana Shukla

引用次数: 0

Forum 5 – A noble profession, not a service industry 论坛 5 - 崇高的职业，而非服务业

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_51_23

R. Sankaran

引用次数: 0

Chronic wound to marjolin's ulcer: A threatening complication 马若林溃疡的慢性伤口：威胁性并发症

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-09-01 DOI: 10.4103/ijpmr.ijpmr_28_23

Snigdha Mishra, Ganesh Yadav, A. Gupta

引用次数: 0