Indian Journal of Physical Medicine & Rehabilitation最新文献_第3页

Client-centric prosthetics and orthotics practice model in technology management 以客户为中心的假肢矫形器技术管理实践模式

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/ijpmr.ijpmr_16_23

Deepak Kumar, Priya Ranjan, Pramanjan Kumar

{"title":"Client-centric prosthetics and orthotics practice model in technology management","authors":"Deepak Kumar, Priya Ranjan, Pramanjan Kumar","doi":"10.4103/ijpmr.ijpmr_16_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_16_23","url":null,"abstract":"Innovation in technology has changed the way we interact, collaborate and conduct business. In the next 10 years, there will be a lot of changes in how we, as patients, clients and healthcare workers, experience healthcare. As they consider how to adapt medical and clinical specialists who focus on devices, such as prosthetists and orthotists, are presented with both an opportunity and a challenge. Less focus is placed on engineering and business abilities in the current prosthetic and orthotic education and practice, and more emphasis is placed on clinical skills. However, each of the three is important for a prosthetics and orthotics business to be successful and last for a long time. Furthermore, the latter two will have a significant impact on how prosthetics and orthotics look in the future. It is unclear how contemporary prosthetic and orthotic professionals can respond most effectively. In this editorial, one option is to rebalance their professional character so that the three most important parts are given equal weight. As a result, a Clinical Prosthetic Orthotic Technology Management Professional would practice their profession in a way that is client-centred, functionally grounded and incorporates eight professional traits: professional, advocate, scholar, leader, communicator, collaborator, assistive technology expert and business justification specialist.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"12 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":"117068582","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

Management of central hyperthermia in traumatic brain injury using baclofen 巴氯芬治疗创伤性脑损伤中枢性热疗

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/ijpmr.ijpmr_43_22

Ijaz Pillai, Gaurav Gomez

{"title":"Management of central hyperthermia in traumatic brain injury using baclofen","authors":"Ijaz Pillai, Gaurav Gomez","doi":"10.4103/ijpmr.ijpmr_43_22","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_43_22","url":null,"abstract":"Central hyperthermia in cases of traumatic brain injury (TBI) is often misdiagnosed or underdiagnosed due to inadequate data. The current diagnosis is one of exclusion. Existing treatment as per guidelines is symptomatic and supportive. Continuous fever after TBI may delay therapy, worsen functional outcome and prolong hospital stay. We discuss a case of a 33-year-old gentleman with TBI with recurring fever spikes during inpatient rehabilitation, non-responsive to antipyretics and antibiotics. A diagnosis of central hyperthermia was reached after eliminating other possible causes. Based on a prior case report, baclofen was tried successfully to manage central hyperthermia. In our patient, a complete cessation of fever was noted within 2 days of initiation of baclofen. To test the effect and minimise the possibility of coincidental dissipation of fever, baclofen was temporarily withdrawn. The corresponding decrease in temperatures and days of baclofen administration followed by recurrence with cessation, are depicted graphically. Once baclofen was resumed, he remained afebrile for the remainder of his inpatient period. This case brings to light the possible efficacy of low-dose baclofen in the management of fever of central origin. It also highlights the importance of considering the possibility of fever of central origin in the subacute stage after TBI. Standardisation of baclofen use with well-designed clinical trials is the proposed next step.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"35 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":"116422735","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

Proceedings of the 16th Annual State Conference of IAPMR Kerala Chapter IAPMR喀拉拉邦分会第16届年度国家会议纪要

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/0973-2209.382044

引用次数: 0

Management of neurogenic bladder in traumatic spinal cord injury 外伤性脊髓损伤后神经源性膀胱的处理

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/ijpmr.ijpmr_9_23

Margaret Chabungbam, S. Roy, S. Venkataraman

{"title":"Management of neurogenic bladder in traumatic spinal cord injury","authors":"Margaret Chabungbam, S. Roy, S. Venkataraman","doi":"10.4103/ijpmr.ijpmr_9_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_9_23","url":null,"abstract":"Neurogenic bladder in persons with spinal cord injury (SCI) is a critical issue as it can lead to significant morbidity and mortality. Complications such as urinary tract infection, bladder/renal stones, social embarrassment from incontinence and renal damage are some complications related to neurogenic bladder if managed inadequately. In India, the average annual incidence of SCI is 15,000 with a prevalence of 0.15 million. Most of these are illiterate, belonging to a low-income group with poor living conditions. Incontinence, social withdrawal and infection can pose a major impediment to vocational rehabilitation, community integration and living an independent life. The goals of the management of neurogenic bladder are to prevent incontinence, allow adequate storage till emptying of the bladder at an appropriate time and prevent infection and upper tract damage. In recent times, various pharmacological, non-pharmacological and surgical options have come up. While some are feasible in the Indian scenario, some are still not. Furthermore, there is a dearth of data related to SCI. The purpose of this review is to present the recent literature on the management of neurogenic bladder with a special focus on patients with traumatic SCI.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"100 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":"129994068","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

Management of chronic truncal wall type-I complex regional pain syndrome in a patient with uncontrolled diabetes mellitus: Case report 1例未控制的糖尿病患者慢性肢端壁i型复杂区域疼痛综合征的治疗

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/ijpmr.ijpmr_17_23

Chandrakant Pilania, Dhaval Morvadiya, Nagma Sheenam, Himanshu Agrawal, Nitesh M. Gonnade

{"title":"Management of chronic truncal wall type-I complex regional pain syndrome in a patient with uncontrolled diabetes mellitus: Case report","authors":"Chandrakant Pilania, Dhaval Morvadiya, Nagma Sheenam, Himanshu Agrawal, Nitesh M. Gonnade","doi":"10.4103/ijpmr.ijpmr_17_23","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_17_23","url":null,"abstract":"Complex regional pain syndrome (CRPS) is a chronic pain syndrome associated with sensory, vasomotor, sudomotor, motor and trophic changes commonly affecting the upper and lower extremities; however, we report a case of truncal wall CRPS in an uncontrolled type 2 diabetes mellitus patient. A male in his late fifties presented with right lower chest and upper abdominal wall burning, sharp and stabbing type of pain for 5 years associated with hyperalgesia and allodynia. The extensive evaluation ruled out any underlying pathology and the symptoms were increasing with time. He failed to respond to conservative pharmacological, non-pharmacological treatment and rehabilitation measures. In our institute, he underwent alcohol neurolysis of subcostal transversus abdominis plane and rectus sheath nerves with rehabilitation measures and reported significant relief in his symptoms. It has now been 6 months since the procedure was done and he has complete relief in pain. Hence, if sympathetic block is difficult to do, peripheral nerve block with alcohol and rehabilitation measures provide desirable effect in abdominal wall CRPS.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"7 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":"134010435","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

Saphenous nerve block for anteromedial knee pain in osteoarthritis knee: A technical review 隐神经阻滞治疗骨关节炎膝前内侧疼痛:技术综述

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/ijpmr.ijpmr_8_23

Anil Sharma, M. Joshi, Nidhi Negi

引用次数: 0

Response to forum 3 对论坛3的回应

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-05-01 DOI: 10.4103/ijpmr.ijpmr_14_23

Shareena Musthafa

引用次数: 0

Suprascapular nerve block: A technical review 肩胛上神经阻滞:技术回顾

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-01-01 DOI: 10.4103/ijpmr.ijpmr_41_22

Himanshu Agrawal, Chandrakant Pilania, Nitesh M. Gonnade

引用次数: 0

Comparison of ultrasound-guided versus anatomical landmark-guided approach for perineural steroid infiltration in carpal tunnel syndrome: A prospective randomised controlled trial 超声引导与解剖地标引导入路对腕管综合征神经周围类固醇浸润的比较:一项前瞻性随机对照试验

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-01-01 DOI: 10.4103/ijpmr.ijpmr_17_22

Sonika Rathoor, Anil Gupta, Dileep Kumar, Ganesh Yadav

{"title":"Comparison of ultrasound-guided versus anatomical landmark-guided approach for perineural steroid infiltration in carpal tunnel syndrome: A prospective randomised controlled trial","authors":"Sonika Rathoor, Anil Gupta, Dileep Kumar, Ganesh Yadav","doi":"10.4103/ijpmr.ijpmr_17_22","DOIUrl":"https://doi.org/10.4103/ijpmr.ijpmr_17_22","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS), a compressive neuropathy is usually managed by conservative treatment and/or decompressive surgery. Minimally invasive perineural steroid injections have been shown to be very effective in early-onset CTS. We evaluated the clinical efficacy and safety of ultrasound (USG)-guided steroid injection over anatomical landmark-guided approach in CTS. Methodology and Results: Eighty-four consecutive Stage I-II primary CTS patients enrolled between August 2017 and December 2018 were randomised prospectively into two groups in 1:1 fashion. In Group I, anatomical landmark guided and in Group II, USG guided 1 ml steroid (40 mg methylprednisolone) was injected perineurally. Symptom and functional assessments were done using Boston Carpal Tunnel Questionnaire (BCTQ) and Visual Analogue Scale (VAS) score at 3, 6 and 12 weeks' follow-up. Significant improvement was seen in BCTQ and VAS scores of both groups at 3 weeks follow-up. At subsequent follow-ups (at 6 and 12 weeks), marked improvement of BCTQ and VAS scores in USG-guided group was observed. Conclusion: USG-guided perineural steroid injections had early-onset significant and sustained symptom reduction and functional improvement at 6- and 12-weeks follow-up when compared to anatomical landmark-guided approach with both the techniques being equally safe.","PeriodicalId":220492,"journal":{"name":"Indian Journal of Physical Medicine & Rehabilitation","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134011845","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

Rehabilitation in ataxia 共济失调的康复

Indian Journal of Physical Medicine & Rehabilitation Pub Date : 2023-01-01 DOI: 10.4103/ijpmr.ijpmr_42_22

Anupam Datta Gupta, N. Prakash, Hafis Rahman

引用次数: 0