Deepali patil - Academia.edu (original) (raw)
Papers by Deepali patil
Cureus, Nov 26, 2023
Pelvic fractures (PFs), involving the disruption of the bony structures in the pelvic region, are... more Pelvic fractures (PFs), involving the disruption of the bony structures in the pelvic region, are complex injuries often associated with high-energy trauma. Such fractures can significantly impact a patient's mobility and overall quality of life. Concurrently, fractures of the malleoli, specifically the lateral and medial aspects of the ankle, are common lower extremity injuries that can result from various mechanisms, including twisting or direct trauma. This case report presents the multidisciplinary approach employed in the successful treatment of a 26-year-old male patient with a rare combination of PFs involving both anterior and posterior columns, along with lateral and medial malleolus fractures. The patient underwent a series of surgical interventions to stabilise the fractures, followed by a tailored physiotherapy management plan. The report discusses the postoperative care strategies and the crucial role of physiotherapy in the rehabilitation process.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Introduction: An Anterior Cruciate Ligament (ACL) injury produces a 5-40% reduction in quadriceps... more Introduction: An Anterior Cruciate Ligament (ACL) injury produces a 5-40% reduction in quadriceps strength over time. Neuromuscular electrical stimulation is used to help the quadriceps muscle weaken after ACL surgery. The ACL is the primary stabiliser for anterior tibial displacement and the secondary stabiliser for tibial rotation; an ACL-deficient knee can result in devastating consequences like articular cartilage injuries, meniscus tears, functional instability, and the risk of early-onset osteoarthritis. Following an ACL injury, the goal of ACL restoration is to restore functional knee stability. Journals have indicated an increased interest in combining ACL restoration with extraarticular augmentation in recent years. Several studies have demonstrated that the extra reconstruction not only protects the graft from high loads, but also enhances lateral rotational control. In patients with sore joints after ACL reconstruction, cryotherapy can help by releasing endogenous opiates...
Pan African Medical Journal
Cureus
Giant cell tumors (GCTs) are rare, benign, and locally invasive tumors, typically found in the ep... more Giant cell tumors (GCTs) are rare, benign, and locally invasive tumors, typically found in the epiphysis of long bones, most commonly at the distal femur and proximal tibia. To date, GCTs of the distal end of the ulna have been very rare. We document a case of a 38-year-old female with a distal ulna GCT, managed with en-bloc resection of the tumor with flexor carpi ulnaris and extensor carpi ulnaris tendon stabilization. The main aim of the GCT treatment is to prevent local recurrence and to maintain the function of the limb. Physical therapy was also given to the patient which helped in relieving pain, reducing edema, and increasing strength and range of motion. The patient was able to perform activities of daily living with the help of physical therapies and exercises. More research is needed to determine if broad excision of the distal ulna alone is a successful therapy for primary bone cancers affecting the distal ulna, including GCTs.
Cureus
The lower back is a complex area, with joints having a very limited range of motion and vast musc... more The lower back is a complex area, with joints having a very limited range of motion and vast muscular activity. Low back pain is common, and its management depends upon the pain generators. There are various treatment options available, depending on the cause of the pain. In this case, a medical student with pain on a scale of 8/10 on activity came to the physiotherapy department for rehabilitation and pain relief. Her low back pain was chronic and non-specific. The aim of rehabilitation was to reduce the pain and make the patient pain-free. An integrated neuromuscular inhibition technique (INIT), along with a conventional physiotherapy approach, was given to the patient. The integrated neuromuscular inhibition technique can be used to reduce lower back pain and functional disability. After physiotherapy rehabilitation, the range of lumbar flexion improved. In patients presenting with low back pain, early physiotherapy should be started to maintain strength, reduce pain, and reduce functional disability.
Journal of Pharmaceutical Research International, 2021
The anterior cruciate ligament (ACL), it is a dense connective tissue band originating from the m... more The anterior cruciate ligament (ACL), it is a dense connective tissue band originating from the medial wall of the lateral femoral condyl and inserts into the middle of the intercondylar region on the tibia. It is regarded as a crucial component in the knee joint because it resists anterior tibial translation and rotational load. Young athletes who participate in sports that demand turning, decelerating, and jumping are at high risk for ACL injury. People who participate in Pivoting sports are likely to have them (e.g. football, basketball, netball, soccer, European team handball, gymnastics, downhill skiing). Environmental (e.g., high friction between shoes and the playing surface) and anatomical variables are also risk factors for ACL injury (e.g. narrow femoral intercondylar notch). Knee instability causes a reduction in activity, which can result in a decrease in knee-related quality of life. ACL injury risk factors have been classified as either internal or external to a person...
Journal of Pharmaceutical Research International, 2021
Background: A pain in the neck and shoulder region is referred to as tension neck syndrome. Sympt... more Background: A pain in the neck and shoulder region is referred to as tension neck syndrome. Symptoms include neck and shoulder muscular discomfort, pain, tiredness, and stiffness, as well as headaches. Palpable stiffening patches, sensitive sots, and spasms on the trapezius or sternocleidomastoid muscles may be identified during the physical examination, which are commonly coupled with neck pain on the opposing side, as well as a decreased range of flexion, extension, or rotation. Tension neck syndrome is a prevalent occurrence among computer users. Methods: The participants (n=30) will be recruited in the study suffering from tension neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated by myofascial release technique whereas group B will be treated by conventional therapy. The protocol will cover 2 weeks of treatment. Regular assessment will be carried out. In the rehabilitation period, we will eva...
Cureus
Low back pain is a leading cause of functional disability. Low back pain is a problem that every ... more Low back pain is a leading cause of functional disability. Low back pain is a problem that every one of all age groups faces and there are various methods used to correct low back pain. Manual therapy is a specialized area in physiotherapy which manages neuromuscular pain. Manual therapy techniques include the Maitland mobilization technique, Kaltenborn mobilization technique, Mulligan technique, Active release technique, and many more. Manual therapy mainly works on arthrokinematics and osteokinematics of the joint. It is one of the main strategies used to manage low back pain. Low back pain can be because by spinal dysfunction, Sacroiliac dysfunction, muscle pathology, or any ligamentous strain. The cause of the low back pain should be identified and treated accordingly. Articles using keywords-chronic low back pain, Mulligan, and non-specific low back pain were searched on the database of Pubmed and Scopus a total of 30 articles from the timeframe of 2011 to 2021 were included in the study. From this review, we can conclude that Mulligan mobilization with movement is an effective way to reduce low back pain. Further studies need to be conducted to check the effectiveness of manual therapy techniques in chronic low back pain.
Cureus
Osteomyelitis is an infectious disease of the bone and bone marrow caused by pyogenic organisms t... more Osteomyelitis is an infectious disease of the bone and bone marrow caused by pyogenic organisms that may be acute or chronic. Early diagnosis and treatment prevent complications like limb deformity and limb length discrepancies. A 14-year-old girl presented to the orthopedic department with complaints of pain, fever, swelling, tenderness, and pus discharge across the right leg below the knee. Previously, she visited a local hospital where after initial investigations, she underwent saucerization followed by antibiotic bead application. After experiencing no improvements, she came to Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha. After investigations, she was confirmed to have chronic right tibial osteomyelitis, after which she underwent sequestrectomy with an Ilizarov Fixator application. After three months, she started experiencing pain over the right leg, discharge from the wound site, on and off fever, and difficulty walking, for which she was again admitted to this hospital. She was primarily managed by dressing and medication and subsequently received physiotherapy intervention with proper rehabilitation protocol which was found to be very effective in achieving functional mobility and independence. This case study concludes that a multidisciplinary team involving a definitive surgical approach and physiotherapy rehabilitation protocol which resulted in improved functional mobility and independent ambulation for the patient, which plays a significant role in a fast and successful recovery.
Cureus
Background Pain lasting more than three months is termed chronic pain. Treating chronic pain is a... more Background Pain lasting more than three months is termed chronic pain. Treating chronic pain is always a challenge for the therapist. Low back pain (LBP) with a high prevalence is a point of concern. Various treatment methods are available. The two treatment methods are integrated neuromuscular inhibition technique (INIT) and Mulligan mobilization with movement (MWM). In this study, we have compared INIT with MWM. Method It was an interventional study carried out at Ravi Nair Physiotherapy College and Acharya Vinoba Bhave Rural Hospital. A total of 80 participants with nonspecific LBP were included in the study. The participants were randomly divided into two groups and treated for two weeks with three weekly sessions. Statistical analysis and result Statistical analysis was done post the completion of sampling. Paired and unpaired t-tests were used. A pvalue of <0.05 was considered significant. The result was obtained after comparing the pre-and post-values of the numerical pain rating scale (NPRS), modified Oswestry disability index (MODI), and range of motion (ROM) of the lumbar joint. After two weeks of treatment, a reduction in functional disability and pain was seen in the INIT and MWM groups. ROM was increased after two weeks of treatment in both INIT and MWM groups. When compared, INIT showed better results than MWM. Conclusion In conclusion, we saw that the integrated neuromuscular inhibition technique might be a better technique than Mulligan mobilization with movement in terms of reducing pain and functional disability. Categories: Physical Medicine & Rehabilitation Keywords: chronic nonspecific low back pain, nonspecific low back pain, integrated neuromuscular inhibition, mulligan mobilization, chronic low back pain (clbp) Open Access Original Article
Journal of Medical Pharmaceutical, Apr 8, 2005
Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, stud... more Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, studies shows that the altered posture of cervical spine lead to mandibular retrusion and hence in long term leads to Temporomandibular dysfunction, the tightness of sub-occipital muscle leads to pulling of the ligaments around the joint in course causing retrusion or malocclusion. The common symptoms of temporomandibular joint dysfunction includes clicking, reduced mouth opening, headache. Alteration in the function of TMJ leads to poor quality of life of the individual as this joint is involved in basic activities like talking, eating, laughing and kissing. The sub-occipital muscles are the group of muscle extending from spinous process of C2 vertebrae to inferior nuchal line of occipital bone. Tightness of this muscle lead to extension of upper cervical spine and flexion of lower cervical spine. The common causes of temporomandibular dysfunction includes injury to jaw, overuse, inflammato...
Any pain in lower back region that remains for more than 12 weeks is chronic low back pain. Nonsp... more Any pain in lower back region that remains for more than 12 weeks is chronic low back pain. Nonspecific low back pain is a type of low back pain where the origin of pain is unknown. Various manoeuvres are performed in order to reduce pain and disability: Integrated neuromuscular inhibition and Mulligan lumbar mobilisation is used for the same. So, this study will be conducted to compare the effect of integrated neuromuscular inhibition and mulligan lumbar SNAG in subjects with nonspecific low back pain. In this experimental study total 80 patients with chronic low back pain will be included and they will be equally divided into two groups. Group A will receive integrated neuromuscular inhibition technique while Group B will receive mulligan movement with mobilization sustained natural apophyseal glide for 2 weeks and pain and disability will be assessed at the start of treatment after 1 week and after 2 weeks. The clinical trial registry- India(CTRI) registration number for this tri...
Journal of Pharmaceutical Research International, 2021
Peri-trochanteric femoral fractures are among the most prevalent fractures in the aged population... more Peri-trochanteric femoral fractures are among the most prevalent fractures in the aged population. Injury and trauma are the leading causes of intertrochanteric fractures. The intertrochanteric aspect of the femur is made up of dense trabecular bone and lies between the greater and lesser trochanters. The female to male ratio for sustaining these fractures is seen between 2:1 and 8:1.Patients with femoral neck fractures are usually in geriatric age group. The dynamic screw approach is used to treat intertrochanteric fractures surgically. An 88year old male patient with left intertrochanteric fracture, diagnosed on x-ray after a fall in toilet was operated and was referred immediately for physical therapy, which included strengthening exercises, balance retrainig, and breathing exercises. According to the case study, a physiotherapy treatment technique resulted in considerable and gradual improvement of functional goals.
Journal of Pharmaceutical Research International, 2021
Background: Temporomandibular joint disorder or dysfunction (TMD) are considered to be a subclass... more Background: Temporomandibular joint disorder or dysfunction (TMD) are considered to be a subclass of the musculoskeletal disorders, so requires physiotherapy treatment. Till now very few studies have been done show the effectiveness of Rocabado approach and conventional physiotherapy, so the research aims to compare the effects of same in patients having mild to moderate Temporomandibular joint disorder. Methods: Subjects (n = 60) with TMJ dysfunction were selected for a comparative study. The participants were randomized into (1) Group A, and (2) Group B. Participants of Group A received Rocabado approach while Group B received the conventional physiotherapy along with home exercises for a period of 8 days immediately following baseline assessment. Discussion: The aim of the study was to compare the effectiveness of Rocabado approach and TENS in the patients having mild to moderate Temporomandibular joint disorder. To conclude, we can say that that the current study found evidence ...
Journal of Medical pharmaceutical and allied sciences, 2021
Patient management and intervention practices are a crucial component of patient treatment in the... more Patient management and intervention practices are a crucial component of patient treatment in the hospitals. Increase in inpatient mobilization to improve patient treatment raises a physiotherapist’s physical demands and therefore risk of injury. With the context of a patient mobilization program, better work procedures and decrease in physiotherapist’s injuries while working, SPH program was incorporated. The purpose of this study is to assess the impact of the SPH program and mobilization in the context of efforts to improve health care quality and patient safety, as well as the safety of physical therapists. There will be 2 groups, intervention (SPH) and comparison (no-SPH) each group will consist of 30 patients. The intervention group will be consisting the patients admitted in rehabilitation unit for the first three months of the research and the comparison group will consist the patients admitted in rehabilitation unit in the last 3 months of the research. Intervention group w...
Indian Journal of Forensic Medicine & Toxicology, Apr 13, 2021
Background-Osteoarthritis of knee being of the major causes for disability in older population. D... more Background-Osteoarthritis of knee being of the major causes for disability in older population. Due to sedentary lifestyle this disease is becoming common in younger population as well. As prevalence of the disease is increasing it is a need of the hour to come up with a highly reliable exercise protocol which will be beneficial for the patients. This research aims to establish a beneficial and reliable exercise protocol which can be well tolerated by the patients suffering from osteoarthritis of knee. Methods-150 subjects will be selected. Randomly they will be assigned to two groups that is Group A and Group B using chit method. Group A will receive Blood Flow Restriction Training and Group B will receive retro walking training. Training will continue for 15 days. After 15 days patient will be reassessed for pain, strength and WOMAC score. Result-Studies have proved that Blood Flow Restriction Therapy and retro walking both the intervention are beneficial in patients of osteoarthritis to reduce pain, improve strength and WOMAC score. This study will provide us an intervention which is beneficial in treating osteoarthritis and is well tolerated by the patients. We may get a result where blood flow restriction would have a better impact on few outcome measures while retro walking may fetch better impact on other outcome measures. We may also conclude that combination of both the interventions is a better option for the treatment of osteoarthritis patients.
Cureus, Nov 26, 2023
Pelvic fractures (PFs), involving the disruption of the bony structures in the pelvic region, are... more Pelvic fractures (PFs), involving the disruption of the bony structures in the pelvic region, are complex injuries often associated with high-energy trauma. Such fractures can significantly impact a patient's mobility and overall quality of life. Concurrently, fractures of the malleoli, specifically the lateral and medial aspects of the ankle, are common lower extremity injuries that can result from various mechanisms, including twisting or direct trauma. This case report presents the multidisciplinary approach employed in the successful treatment of a 26-year-old male patient with a rare combination of PFs involving both anterior and posterior columns, along with lateral and medial malleolus fractures. The patient underwent a series of surgical interventions to stabilise the fractures, followed by a tailored physiotherapy management plan. The report discusses the postoperative care strategies and the crucial role of physiotherapy in the rehabilitation process.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Introduction: An Anterior Cruciate Ligament (ACL) injury produces a 5-40% reduction in quadriceps... more Introduction: An Anterior Cruciate Ligament (ACL) injury produces a 5-40% reduction in quadriceps strength over time. Neuromuscular electrical stimulation is used to help the quadriceps muscle weaken after ACL surgery. The ACL is the primary stabiliser for anterior tibial displacement and the secondary stabiliser for tibial rotation; an ACL-deficient knee can result in devastating consequences like articular cartilage injuries, meniscus tears, functional instability, and the risk of early-onset osteoarthritis. Following an ACL injury, the goal of ACL restoration is to restore functional knee stability. Journals have indicated an increased interest in combining ACL restoration with extraarticular augmentation in recent years. Several studies have demonstrated that the extra reconstruction not only protects the graft from high loads, but also enhances lateral rotational control. In patients with sore joints after ACL reconstruction, cryotherapy can help by releasing endogenous opiates...
Pan African Medical Journal
Cureus
Giant cell tumors (GCTs) are rare, benign, and locally invasive tumors, typically found in the ep... more Giant cell tumors (GCTs) are rare, benign, and locally invasive tumors, typically found in the epiphysis of long bones, most commonly at the distal femur and proximal tibia. To date, GCTs of the distal end of the ulna have been very rare. We document a case of a 38-year-old female with a distal ulna GCT, managed with en-bloc resection of the tumor with flexor carpi ulnaris and extensor carpi ulnaris tendon stabilization. The main aim of the GCT treatment is to prevent local recurrence and to maintain the function of the limb. Physical therapy was also given to the patient which helped in relieving pain, reducing edema, and increasing strength and range of motion. The patient was able to perform activities of daily living with the help of physical therapies and exercises. More research is needed to determine if broad excision of the distal ulna alone is a successful therapy for primary bone cancers affecting the distal ulna, including GCTs.
Cureus
The lower back is a complex area, with joints having a very limited range of motion and vast musc... more The lower back is a complex area, with joints having a very limited range of motion and vast muscular activity. Low back pain is common, and its management depends upon the pain generators. There are various treatment options available, depending on the cause of the pain. In this case, a medical student with pain on a scale of 8/10 on activity came to the physiotherapy department for rehabilitation and pain relief. Her low back pain was chronic and non-specific. The aim of rehabilitation was to reduce the pain and make the patient pain-free. An integrated neuromuscular inhibition technique (INIT), along with a conventional physiotherapy approach, was given to the patient. The integrated neuromuscular inhibition technique can be used to reduce lower back pain and functional disability. After physiotherapy rehabilitation, the range of lumbar flexion improved. In patients presenting with low back pain, early physiotherapy should be started to maintain strength, reduce pain, and reduce functional disability.
Journal of Pharmaceutical Research International, 2021
The anterior cruciate ligament (ACL), it is a dense connective tissue band originating from the m... more The anterior cruciate ligament (ACL), it is a dense connective tissue band originating from the medial wall of the lateral femoral condyl and inserts into the middle of the intercondylar region on the tibia. It is regarded as a crucial component in the knee joint because it resists anterior tibial translation and rotational load. Young athletes who participate in sports that demand turning, decelerating, and jumping are at high risk for ACL injury. People who participate in Pivoting sports are likely to have them (e.g. football, basketball, netball, soccer, European team handball, gymnastics, downhill skiing). Environmental (e.g., high friction between shoes and the playing surface) and anatomical variables are also risk factors for ACL injury (e.g. narrow femoral intercondylar notch). Knee instability causes a reduction in activity, which can result in a decrease in knee-related quality of life. ACL injury risk factors have been classified as either internal or external to a person...
Journal of Pharmaceutical Research International, 2021
Background: A pain in the neck and shoulder region is referred to as tension neck syndrome. Sympt... more Background: A pain in the neck and shoulder region is referred to as tension neck syndrome. Symptoms include neck and shoulder muscular discomfort, pain, tiredness, and stiffness, as well as headaches. Palpable stiffening patches, sensitive sots, and spasms on the trapezius or sternocleidomastoid muscles may be identified during the physical examination, which are commonly coupled with neck pain on the opposing side, as well as a decreased range of flexion, extension, or rotation. Tension neck syndrome is a prevalent occurrence among computer users. Methods: The participants (n=30) will be recruited in the study suffering from tension neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated by myofascial release technique whereas group B will be treated by conventional therapy. The protocol will cover 2 weeks of treatment. Regular assessment will be carried out. In the rehabilitation period, we will eva...
Cureus
Low back pain is a leading cause of functional disability. Low back pain is a problem that every ... more Low back pain is a leading cause of functional disability. Low back pain is a problem that every one of all age groups faces and there are various methods used to correct low back pain. Manual therapy is a specialized area in physiotherapy which manages neuromuscular pain. Manual therapy techniques include the Maitland mobilization technique, Kaltenborn mobilization technique, Mulligan technique, Active release technique, and many more. Manual therapy mainly works on arthrokinematics and osteokinematics of the joint. It is one of the main strategies used to manage low back pain. Low back pain can be because by spinal dysfunction, Sacroiliac dysfunction, muscle pathology, or any ligamentous strain. The cause of the low back pain should be identified and treated accordingly. Articles using keywords-chronic low back pain, Mulligan, and non-specific low back pain were searched on the database of Pubmed and Scopus a total of 30 articles from the timeframe of 2011 to 2021 were included in the study. From this review, we can conclude that Mulligan mobilization with movement is an effective way to reduce low back pain. Further studies need to be conducted to check the effectiveness of manual therapy techniques in chronic low back pain.
Cureus
Osteomyelitis is an infectious disease of the bone and bone marrow caused by pyogenic organisms t... more Osteomyelitis is an infectious disease of the bone and bone marrow caused by pyogenic organisms that may be acute or chronic. Early diagnosis and treatment prevent complications like limb deformity and limb length discrepancies. A 14-year-old girl presented to the orthopedic department with complaints of pain, fever, swelling, tenderness, and pus discharge across the right leg below the knee. Previously, she visited a local hospital where after initial investigations, she underwent saucerization followed by antibiotic bead application. After experiencing no improvements, she came to Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha. After investigations, she was confirmed to have chronic right tibial osteomyelitis, after which she underwent sequestrectomy with an Ilizarov Fixator application. After three months, she started experiencing pain over the right leg, discharge from the wound site, on and off fever, and difficulty walking, for which she was again admitted to this hospital. She was primarily managed by dressing and medication and subsequently received physiotherapy intervention with proper rehabilitation protocol which was found to be very effective in achieving functional mobility and independence. This case study concludes that a multidisciplinary team involving a definitive surgical approach and physiotherapy rehabilitation protocol which resulted in improved functional mobility and independent ambulation for the patient, which plays a significant role in a fast and successful recovery.
Cureus
Background Pain lasting more than three months is termed chronic pain. Treating chronic pain is a... more Background Pain lasting more than three months is termed chronic pain. Treating chronic pain is always a challenge for the therapist. Low back pain (LBP) with a high prevalence is a point of concern. Various treatment methods are available. The two treatment methods are integrated neuromuscular inhibition technique (INIT) and Mulligan mobilization with movement (MWM). In this study, we have compared INIT with MWM. Method It was an interventional study carried out at Ravi Nair Physiotherapy College and Acharya Vinoba Bhave Rural Hospital. A total of 80 participants with nonspecific LBP were included in the study. The participants were randomly divided into two groups and treated for two weeks with three weekly sessions. Statistical analysis and result Statistical analysis was done post the completion of sampling. Paired and unpaired t-tests were used. A pvalue of <0.05 was considered significant. The result was obtained after comparing the pre-and post-values of the numerical pain rating scale (NPRS), modified Oswestry disability index (MODI), and range of motion (ROM) of the lumbar joint. After two weeks of treatment, a reduction in functional disability and pain was seen in the INIT and MWM groups. ROM was increased after two weeks of treatment in both INIT and MWM groups. When compared, INIT showed better results than MWM. Conclusion In conclusion, we saw that the integrated neuromuscular inhibition technique might be a better technique than Mulligan mobilization with movement in terms of reducing pain and functional disability. Categories: Physical Medicine & Rehabilitation Keywords: chronic nonspecific low back pain, nonspecific low back pain, integrated neuromuscular inhibition, mulligan mobilization, chronic low back pain (clbp) Open Access Original Article
Journal of Medical Pharmaceutical, Apr 8, 2005
Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, stud... more Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, studies shows that the altered posture of cervical spine lead to mandibular retrusion and hence in long term leads to Temporomandibular dysfunction, the tightness of sub-occipital muscle leads to pulling of the ligaments around the joint in course causing retrusion or malocclusion. The common symptoms of temporomandibular joint dysfunction includes clicking, reduced mouth opening, headache. Alteration in the function of TMJ leads to poor quality of life of the individual as this joint is involved in basic activities like talking, eating, laughing and kissing. The sub-occipital muscles are the group of muscle extending from spinous process of C2 vertebrae to inferior nuchal line of occipital bone. Tightness of this muscle lead to extension of upper cervical spine and flexion of lower cervical spine. The common causes of temporomandibular dysfunction includes injury to jaw, overuse, inflammato...
Any pain in lower back region that remains for more than 12 weeks is chronic low back pain. Nonsp... more Any pain in lower back region that remains for more than 12 weeks is chronic low back pain. Nonspecific low back pain is a type of low back pain where the origin of pain is unknown. Various manoeuvres are performed in order to reduce pain and disability: Integrated neuromuscular inhibition and Mulligan lumbar mobilisation is used for the same. So, this study will be conducted to compare the effect of integrated neuromuscular inhibition and mulligan lumbar SNAG in subjects with nonspecific low back pain. In this experimental study total 80 patients with chronic low back pain will be included and they will be equally divided into two groups. Group A will receive integrated neuromuscular inhibition technique while Group B will receive mulligan movement with mobilization sustained natural apophyseal glide for 2 weeks and pain and disability will be assessed at the start of treatment after 1 week and after 2 weeks. The clinical trial registry- India(CTRI) registration number for this tri...
Journal of Pharmaceutical Research International, 2021
Peri-trochanteric femoral fractures are among the most prevalent fractures in the aged population... more Peri-trochanteric femoral fractures are among the most prevalent fractures in the aged population. Injury and trauma are the leading causes of intertrochanteric fractures. The intertrochanteric aspect of the femur is made up of dense trabecular bone and lies between the greater and lesser trochanters. The female to male ratio for sustaining these fractures is seen between 2:1 and 8:1.Patients with femoral neck fractures are usually in geriatric age group. The dynamic screw approach is used to treat intertrochanteric fractures surgically. An 88year old male patient with left intertrochanteric fracture, diagnosed on x-ray after a fall in toilet was operated and was referred immediately for physical therapy, which included strengthening exercises, balance retrainig, and breathing exercises. According to the case study, a physiotherapy treatment technique resulted in considerable and gradual improvement of functional goals.
Journal of Pharmaceutical Research International, 2021
Background: Temporomandibular joint disorder or dysfunction (TMD) are considered to be a subclass... more Background: Temporomandibular joint disorder or dysfunction (TMD) are considered to be a subclass of the musculoskeletal disorders, so requires physiotherapy treatment. Till now very few studies have been done show the effectiveness of Rocabado approach and conventional physiotherapy, so the research aims to compare the effects of same in patients having mild to moderate Temporomandibular joint disorder. Methods: Subjects (n = 60) with TMJ dysfunction were selected for a comparative study. The participants were randomized into (1) Group A, and (2) Group B. Participants of Group A received Rocabado approach while Group B received the conventional physiotherapy along with home exercises for a period of 8 days immediately following baseline assessment. Discussion: The aim of the study was to compare the effectiveness of Rocabado approach and TENS in the patients having mild to moderate Temporomandibular joint disorder. To conclude, we can say that that the current study found evidence ...
Journal of Medical pharmaceutical and allied sciences, 2021
Patient management and intervention practices are a crucial component of patient treatment in the... more Patient management and intervention practices are a crucial component of patient treatment in the hospitals. Increase in inpatient mobilization to improve patient treatment raises a physiotherapist’s physical demands and therefore risk of injury. With the context of a patient mobilization program, better work procedures and decrease in physiotherapist’s injuries while working, SPH program was incorporated. The purpose of this study is to assess the impact of the SPH program and mobilization in the context of efforts to improve health care quality and patient safety, as well as the safety of physical therapists. There will be 2 groups, intervention (SPH) and comparison (no-SPH) each group will consist of 30 patients. The intervention group will be consisting the patients admitted in rehabilitation unit for the first three months of the research and the comparison group will consist the patients admitted in rehabilitation unit in the last 3 months of the research. Intervention group w...
Indian Journal of Forensic Medicine & Toxicology, Apr 13, 2021
Background-Osteoarthritis of knee being of the major causes for disability in older population. D... more Background-Osteoarthritis of knee being of the major causes for disability in older population. Due to sedentary lifestyle this disease is becoming common in younger population as well. As prevalence of the disease is increasing it is a need of the hour to come up with a highly reliable exercise protocol which will be beneficial for the patients. This research aims to establish a beneficial and reliable exercise protocol which can be well tolerated by the patients suffering from osteoarthritis of knee. Methods-150 subjects will be selected. Randomly they will be assigned to two groups that is Group A and Group B using chit method. Group A will receive Blood Flow Restriction Training and Group B will receive retro walking training. Training will continue for 15 days. After 15 days patient will be reassessed for pain, strength and WOMAC score. Result-Studies have proved that Blood Flow Restriction Therapy and retro walking both the intervention are beneficial in patients of osteoarthritis to reduce pain, improve strength and WOMAC score. This study will provide us an intervention which is beneficial in treating osteoarthritis and is well tolerated by the patients. We may get a result where blood flow restriction would have a better impact on few outcome measures while retro walking may fetch better impact on other outcome measures. We may also conclude that combination of both the interventions is a better option for the treatment of osteoarthritis patients.