Indian Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Conventional radio-frequency ablation in laminectomy- and discectomy-induced complex regional pain syndrome","authors":"Chandrakant Pilania, Megha Bhargava, Nitesh M. Gonnade, Himanshu Agrawal","doi":"10.4103/ijpmr.ijpmr_27_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_27_23","url":null,"abstract":"Complex regional pain syndrome (CRPS) following lumbar spine surgery is a rare and underdiagnosed clinical entity. This case report discusses CRPS of the left lower limb following lumbar spine laminectomy and discectomy done for left lumbar radiculopathy secondary to disc herniation. CRPS was diagnosed by the exclusion of other possible diagnoses. The Budapest Criteria were applied for a definitive diagnosis. We treated the patient with conventional radio-frequency ablation of the sympathetic ganglion at L2 and L4 after a successful diagnostic block. He had significant relief in pain for the next 6 months.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"33 1","pages":"133 - 136"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346527","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}

{"title":"Assessment of work-related musculoskeletal disorders and work posture amongst the hospital workers in a tertiary care hospital of Chennai","authors":"GJagath Janani, P. Thirunavukkarasu, SJawahar Rajarathnam, K. Chitrarasu, R. Shanmugapriya","doi":"10.4103/ijpmr.ijpmr_22_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_22_23","url":null,"abstract":"Background: The prevalence of work-related musculoskeletal disorders (WRMSDs) ranges from 10% to 60% in an organisation. This study was undertaken to estimate the prevalence pattern of WRMSDs and the relation of musculoskeletal (MSK) pain/discomfort complaints with posture amongst hospital workers. Materials and Methods: This is a cross-sectional study done amongst hospital housekeeping workers in a tertiary care hospital. Physical parameters, assessment of musculoskeletal pain by the Nordic MSK Questionnaire and Cornell MSK Questionnaire and analysis of posture using Ovako Working Posture Assessment System (OWAS) which identifies posture of back, arms, legs and weight of the load handled during work. Results: The prevalence of WRMSDs in the past 12 months was 198 (87.2%) and in the past 7 days was 155 (63.8%). Maximum MSK pain was reported in knee (136, 59.9%). Multiple sites of pain (3 or more) were also seen in 146 (64.3%) workers. The most common posture associated with pain was walking (100%). Pain did not prevent from doing the work and slightly interfered with their ability. Number of years of work experience had a significant relation to the pain score. Conclusion: Although the majority of the study population fell in the OWAS-second category which has no immediate concern at present, may progress to the third and fourth categories if proper posture correction is not done. If the preventive MSK rehabilitation measures are taken at the earliest, it can help prevent the progression to cumulative trauma disorders.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"39 1","pages":"123 - 127"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345992","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}

{"title":"The effect of botulinum toxin type A on drooling of saliva in cerebral palsy","authors":"Nidhi Negi, Anil Sharma, Mrinal Joshi","doi":"10.4103/ijpmr.ijpmr_31_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_31_23","url":null,"abstract":"Excessive drooling after the age of 4 is considered pathological. It is quite common in cerebral palsy (CP). It could result in physical and psychological complications which impact the quality of life of patients and their caregivers. A multidisciplinary approach is required for the treatment include non-pharmacological, pharmacological and on rare occasions, surgery. Three patients of CP were evaluated for sialorrhoea using the Teacher Drooling Scale, Thomas-Stonell/Greenberg Assessment of Drooling and Wilkie and Brody Assessment of Drooling. Ultrasound-guided injection was done in bilateral parotid and submandibular glands using the calculated dose of botulinum toxin type A under general anaesthesia. Re-evaluation was done after 24 h of injection, after 1 week and after 4 weeks of injection. All three cases showed improvement after 1 month of intervention according to the three scales used. There were no adverse effects noted during and after the intervention. This report shows that injection of botulinum toxin type A is less invasive as compared to surgical procedures, safe and effective option for the treatment of drooling with no adverse effects.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"100 1","pages":"137 - 140"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346158","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}

{"title":"Forum 4: Give holacracy a chance?","authors":"R. Sankaran","doi":"10.4103/ijpmr.ijpmr_26_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_26_23","url":null,"abstract":"","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128496250","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}

{"title":"A narrative history of physical medicine and rehabilitation in Kerala","authors":"Hariharan Sankaranarayana, Muraleedhara B. Menon, R. Sankaran","doi":"10.4103/ijpmr.ijpmr_25_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_25_23","url":null,"abstract":"","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122304890","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}

{"title":"Radiographic aid of prosthetic fitment in transtibial amputation","authors":"Ijaz Pillai","doi":"10.4103/ijpmr.ijpmr_4_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_4_23","url":null,"abstract":"Prosthetic appropriateness plays an important role in the rehabilitation of a lower-limb amputee. Reduced compliance to wearing prosthesis may be due to consequences of the amputation or an ill-fitting prosthesis. Assessment of prosthetic fitment can be tedious, expensive and inaccessible. Here, we discuss a case of transtibial amputee where prosthetic fitment was assessed by the use of plain radiographs, and modifications were made accordingly. The timeline of events is also described in brief. The patient is a 35-year-old woman, who underwent a below-knee amputation after developing necrotising fasciitis, secondary to a snake bite. After being mobilised with a transtibial prosthesis, the patient was noted to have recurrent ulcers at the distal end of the residual limb. On radiological evaluation and comparison with the radiographs taken in the immediate post-operative period, sequestral bone formation was noted at the distal end of the tibia. Fibular end was noted to be unbevelled and at a longer level than of the tibia. Weight-bearing and non-weight-bearing radiographs with the prosthetic limb showed a reduction of distal end clearance due to pistoning action, indicative of improper prosthetic fitting. Through the use of radiographs, we were able to substantiate objectively, the need for surgical revisions as well as prosthetic modification. Plain radiographs may serve as a cost-effective tool to assess quantitatively and qualitatively the fitting of a prosthesis. In the Indian scenario, it becomes relevant in making surgical and prosthetic decisions, especially in a low-resource setting.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126056963","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}

{"title":"Rehabilitation challenges in orthotic offloading with dual disability involving bilateral lower limbs with right transtibial amputation for charcot joint, left neuropathic foot of hereditary motor and sensory neuropathy aetiology","authors":"P. Thirunavukkarasu, S. Padmarani, K. Chitrarasu, SJawahar Rajarathnam","doi":"10.4103/ijpmr.ijpmr_26_22","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_26_22","url":null,"abstract":"Orthotic management of offloading neuropathic foot in hereditary motor and sensory neuropathy (HMSN) is challenging due to motor, sensory and functional deficits which may interfere with weight distribution over the foot. The challenge further becomes difficult with the involvement of the contralateral lower limb with below-knee amputation. This study is regarding challenges in offloading, weight transmission and distribution during the stance phase of gait in the case of a 35-year-old female with a left neuropathic foot due to HMSN with concomitant right transtibial amputation. The energy expenditure and cosmetic issues for the right lower limb and aiming for maximum functional conservation of the left foot, were considered by taking into account the heel pad thickness measured by musculoskeletal ultrasound, dynamic plantar pressure measured by footplate pressure measurement, the integrity of the ankle joint mobility and stability by clinical assessment, the electrophysiological status of the neuropathic foot by nerve conduction study and the weight-bearing capability of the right below-knee stump. The following management measures are planned for effective offloading with therapeutic footwear modification with silicone gel cushion heel and insole and rocker bottom outsole as an alternative to conventional weight-relieving calliper in a government tertiary care set-up, thereby conserving the foot function and morphology. This will help in planning a structured rehabilitation programme which will be beneficial in preventing future foot changes including trophic ulceration and subsequent amputation. Case follow-up after patient education and assessment of disease progression in each visit is being done. A better outcome in terms of quality of life and level of independent ambulation with concomitant bio-functionality of the left neuropathic foot was accomplished with community ambulation.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129636153","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}

{"title":"Is spasticity in acquired brain injury a sensory problem?","authors":"A. MacAden","doi":"10.4103/ijpmr.ijpmr_1_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_1_23","url":null,"abstract":"There is clinical and physiological evidence that presynaptic inhibition and sensory afferent pathways have an effect on what is considered a primarily upper motor neurone problem. This could redefine spasticity and the need to refocus assessment and management of spasticity is proposed with an emphasis on functional assessment and treatments which modulate sensory afferent thresholds in order to improve the precision of skilled movements.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126973536","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}

{"title":"Shoulder pain and injury after coronavirus disease 2019 vaccination","authors":"S. Badhal, NP Prageeth, Vijender Anand, R. Wadhwa","doi":"10.4103/ijpmr.ijpmr_2_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_2_23","url":null,"abstract":"Shoulder injury and spontaneous development of a soft-tissue mass shortly after a coronavirus disease 2019 (COVID-19) vaccine injection related to vaccine administration side effects. We describe the clinical presentation and rehabilitation outcome in a young male with shoulder pain after COVID-19 vaccine administration at the shoulder of a tertiary care hospital in India. The best way to avoid such problems is to use proper techniques. This case report highlights the importance of rehabilitation along with medical treatment in post-vaccine shoulder pain.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"24 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128268314","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}

{"title":"Efficacy of hinged ankle–Foot orthosis on gait improvement of children with spastic diplegic cerebral palsy: A literature review","authors":"Raj Kumar, A. Prakash","doi":"10.4103/ijpmr.ijpmr_31_22","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_31_22","url":null,"abstract":"Purpose: The purpose is to study the effect of hinged ankle–foot orthosis (HAFO) on gait kinematics and temporospatial parameters of children with diplegic cerebral palsy. Methods: A literature search has been conducted from 2005 to 2022 to find the studies measuring the effect of HAFO on children with diplegic spastic cerebral palsy (CP) during gait through various bibliographic databases: PubMed, Scopus, EMBASE, O and P Virtual Library and Google Scholar. Results: We found 96 pieces of potentially relevant literature from which only six studies met the inclusion criteria were included. One hundred and fifty-three participants, with a mean age of 8.6 years (4–17 years), were investigated, of which 128 were spastic diplegic CP. Among spastic diplegic, 45 individuals were identified as walking with true equinus gait and 34 with jump gait. Gait parameters of participants were evaluated with ankle–foot orthoses (AFO) (hinged, solid and supramalleolar orthosis), and barefoot walking conditions showed improvement in some kinematic and spatial-temporal parameters, making their gait closer to that of typically developing children. Conclusion: HAFO was found very satisfactory, as it improves dynamic stability and ankle range of motion resulting in a more natural gait in children with spastic diplegic CP.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126537401","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}