Rehabilitation of paraplegia

The term Paraplegia is used to define the loss of ability to move or feel both legs and lower trunk. Paraplegia is usually caused by an injury to the spinal cord at the level of thoracic, lumbar or sacral region, which sequentially results in a loss or damaged function. Injuries resulting from a motor vehicle accident, gunshot and during sports activities may result in paraplegia. Non-traumatic factors like scoliosis, spinal tumors and spina bifida can also cause paraplegia. Paraplegic patients have an extensive stage of rehabilitation ahead. Most important goals for paraplegic rehabilitation are to increase strength, improve flexibility, increase endurance or aerobic conditioning, gait training, transfer training and improve body positioning

Frozen shoulder and effectiveness of physical therapy treatment

The shoulder joint is one of the most functional and unstable joints of human body. Consequently, it is the location of most commonly occuring pathologies, such as bursits, tendinitis, adhesive capulitis [frozen shoulder] etc. Out of these pathological conditions, frozen shoulder is the one which is categorized as the commonest conditions for physical therapy treatment. Individuals with diabetes mellitis, cerebro vascular accidents or post surgical patients like CABG or chest diseases are at a higher possiblity for frozen shoulder. Physical therapy is the treatment of choice in majority of the cases and commonly referred for alternative medical treatment

Rehabilitation of fracture AEuro" dislocation of hip joint

Fracture-dislocation of hip joint is one of the serious remedial conditions and often associated with neurological involment. Its rehabilitation requires a prolonged commitment of around 3-4 months. A case of a successful rehabilitation of a 32 year old male patient [nursing staff Fatima Hospital, BMU] is reported here, who underwent fracture-dislocation of right hip joint. The typical presentation of patient was internal rotation, flexion and adduction of the hip joint, as hip joint was dislocated posteriorly. This report describes the rehabilitation program that resulted in maximum outcome during the period of immobilization. The long term goals of hip fracture rehabilitation were to re-establish the normal anatomy of the hip joint and secondly to restore the functional status of the limb. Different therapeutic techniques and exercises around hip joint helped to maintain the muscular power and range of motion. After removal of skeletal traction, numerous physical therapy sessions improved muscle grading especially hip abductors and quadriceps muscles that resulted in maximum attainment of functional status. Subsequently advanced functional training made the patient to revert to its normal daily life

rehabilitation of a hemiplegic patient

Hemiplegia is complete paralysis of the arm, leg, and trunk. There is a loss of motor control that put a stop to the patient from precisely controlling the timing and intensity of muscle action. It is usually thought that hemiplegia is a disability and cannot be treated. We report the case report of a 60 year old male patient who was admitted in the Male Medical Unit [MMU 111] of Fatima Hospital of Baqai Medical University, with the complain of right sided hemiplegia [left CVA]. The success of Physiotherapy was found to be considerably high. The shorter the period between the onset of paralysis and the beginning of rehabilitation, the greater the improvement to the patient. As in this case, we started the rehabilitation program early on, that resulted in maximum attainment of functional status