Role of early physiotherapy to enhance functional recovery in obstetric brachial plexus palsy: a case report

Obstetric Brachial Plexus palsy [OBPP] is a disease with deleterious medical, psychological and socioeconomic sequelae for the patient and his or her family. Many evidences show acceptable spontaneous recovery with non-operative management, which includes aggressive physical rehabilitation and electrical stimulation in OBPP. The available health resources limit the amount of therapy that may be offered to children with OBPP and the amount of training in each session may be insufficient to enhance the functional recovery. So the purpose of this case report was to describe the use of a structured early physiotherapy to enhance functional recovery in OBPP. The patient was a 2 week-old girl diagnosed with OBPP. The early physiotherapy session consisted of stretching exercise, active assisted exercise, electrical muscle stimulation and home exercise program. These interventions were given for 30 minute per day, 2 times in a week for 8 week. Pretest and post test score were obtained by Clarke movement scoring system, Gilbert's strength grading and Functional outcome scales. The child demonstrated significant increase upper limb strength, range of motion; and Functional outcome scales at the end of 8 week physiotherapy program. Structured early physiotherapy is safe and effective to enhance the functional recovery in OBPP child

Individualized intermittent intensive physiotherapy program to improve the standing balance in a child with spastic diplegia: a case report

Conventional physiotherapy is effective in improving the strength, coordination, balance and independence in functional abilities in a child with cerebral palsy. Recent evidences proved that intermittent intensive physiotherapy [HPT] is effective for children with cerebral palsy [CP], but it described inconsistently throughout the research. So the purpose of this case report was to find out the effectiveness of an individualized intermittent intensive physiotherapy program for a child with CP. The patient was a 4.5 year old boy with spastic diplegia. Gross Motor Function Classification System [GMFCS] level III. The intermittent intense physiotherapy was tried over an 8 week period. Therapy session included a 3 week, 3 times per week intensive therapy phase, followed by a 1 week resting phase. Intervention included stretching, strengthening exercise; balance training and family instruction. Outcomes were assessed by using the quadriceps strength, knee range of motion, double leg balance time, one minute walking test and Gross Motor Functional Measure [GMFM] - 66. The patient demonstrated a gradual increase in quadriceps strength [R-60 / 20 to 95/ 20, L- 73/20 to 95/ 20], knee range of motion [R - 110 [degree sign] to 120 [degree sign], L-118 [degree sign] to 128 [degree sign], double leg balance time [38 seconds to 102 seconds., one minute walking test [650 cm to 825 cm] and GMFM-66 [61 to 68] scores throughout the 8 week period covered by this case report, with the greatest mean change score obtained when the intermittent intensive therapy schedule was used. Patient were maintained the improved motor performance during rest periods. The intermittent intensive physiotherapy program was effective in this child with CP

Prevalence of upper quadrant musculoskeletal disorders among dental students and professionals in Ajman, UAE: An observational study

Objective: This study aims to find the prevalence of upper quadrant musculoskeletal problems among dental students and professionals

Materials and Methods: Across sectional study was carried out among dental professionals in Ajman. A self-reported questionnaire was distributed to 72 dental students and 30 dental care practitioners from the College of Dentistry at Gulf Medical University, Dental Department of Gulf Medical College Hospital and the College of Dentistry of Ajman Institute of technology

Results: The frequent musculoskeletal problem sex experienced by dental professionals were pain in the upper back [30%], shoulder problems [24.5%], and pain in the wrist [20.6%]

Conclusion: The results of this study suggest that the dental professionals have a high prevalence of developing upper quadrant musculoskeletal disorders. As such, the dental profession will need to carefully consider preventive strategies to help minimize the impact of this important occupational health hazard on the next generation of dental professionals

Prevalence of upper quadrant musculoskeletal disorders among dental students and professionals in Ajman, United Arab Emirates: an observational study

This study aims to find the prevalence of upper quadrant musculoskeletal problems among dental students and professionals. Across sectional study was carried out among dental professionals in Ajman. A self-reported questionnaire was distributed to 72 dental students and 30 dental care practitioners from the College of Dentistry at Gulf Medical University, Dental Department of Gulf Medical College Hospital and the College of Dentistry of Ajman Institute of technology. The frequent musculoskeletal problem sex experienced by dental professionals were pain in the upper back [30%], shoulder problems [24.5%], and pain in the wrist [20.6%]. The results of this study suggest that the dental professionals have a high prevalence of developing upper quadrant musculoskeletal disorders. As such, the dental profession will need to carefully consider preventive strategies to help minimize the impact of this important occupational health hazard on the next generation of dental professionals

Effectiveness of strength training on children with cerebral palsy: an evidence-based report

Many reviews have shown that low muscle strength causes the greatest limitations compared to spasticity in motor function in children with CP, shifting the focus from spasticity management towards strength training for these children. The most recent analysis including strength training intervention found sufficient evidence in children with Cerebral palsy. So physical therapists, doctors and parents need to understand and gain knowledge of the effects of the widely used strength training techniques in physical therapy for evidence based decision-making. This review aimed to document the accuracy and effectiveness of strength training in children with Cerebral Palsy [CP]. This systematic review included all studies that investigated outcomes of strength training, used separately or in combination in children younger than 21 years old with cerebral palsy. These reviews were identified in Medline, Cinahl, PEDro and the Cochrane library. The two reviewers independently assessed the methodological quality and extracted the data. This study identified a total of 36 articles from which the 33 articles retrieved met the search criteria. The level of evidence was found from Fair to Good [II to V in Sackett's level of evidence]. The results from this review indicate that the levels of evidence for strengthening in children with CP have improved; however, further high-level evidence is required for strength intervention