ABSTRACT
A common overuse injury to the elbow is called tennis elbow or lateral epicondylitis (LE). LE is a condition that causes substantial discomfort and dysfunction in the upper extremity. Thermal and electrical agents are examples of conservative techniques. It is a significant public health concern since it frequently occurs due to occupation. It also happens in recurrent upper extremity motions including desktop use, weight training, forceful forearm movements, and repetitive vibratory movements, which are the most common activities performed by an engineer. LE leads to lateral epicondylar pain, which is irritating due to inflammation of the extensor muscle origin, and also activities of daily living are restricted. It is not only seen in players with racquet sports but then most of the males and females are affected in the fourth and fifth decades, leading to limitations in daily work, activity, and household work. Rehabilitation seems the most effective treatment yet in acute and chronic conditions if later the pain does not subside then rest, injectables, and nonsteroidal anti-inflammatory drugs are the options to be taken. Physiotherapeutic rehabilitation plays a significant role in LE.
ABSTRACT
Background Lateral epicondylitis (LE), sometimes referred to as tennis elbow or lateral elbow tendinopathy (LET), is one of the most common repetitive stress disorders in the elbow joint. Often, this involves the attachment of the extensor carpi radialis brevis muscle. This study's primary focus is on treating people with LE, a condition that causes repetitive movements of the upper extremities. There is currently no research on how PowerBall gadget workouts affect the function and pain of individuals with lateral epicondylitis. Exercises using the "PowerBall device," which applies both intrinsic and extrinsic pressure to the wrist, elbow, and shoulder muscles, are thought to be beneficial forms of resistance training. It has been shown that there are improvements in strength, function, range of motion (ROM), discomfort, and quality of life (QOL). On the other side, it has been demonstrated that LE patients have reduced discomfort while using Mulligan Mobilization with Movement (MMWM). Methods The 50 patients with LE were split into two groups for the single-blinded, randomized clinical study after baseline assessment and randomization: Group A was the intervention group, and Group B was the conventional group. The "PowerBall device" exercise was provided to participants in Group A, and MMWM was given to those in Group B. Both groups can benefit from basic workouts and ultrasonography by following the prescribed routine. Quantification of pain, function, grip strength, and range of motion was done at the start and finish of therapy using the Visual Analogue Scale (VAS), Patient Rated Tennis Elbow Evaluation (PRTEE), portable dynamometer, and goniometer. Results After therapy, both groups showed considerable improvement (p<0.05). Both descriptive and inferential statistics were employed in the data analysis. Numerous statistical tests were employed, such as the student's paired and unpaired t-test and the chi-square test. From a statistical and clinical perspective, Group A's outcomes were more significant. On the visual analog scale, there was a decrease in pain intensity for wrist and elbow mobility at rest (p<0.0003), activity (p<0.003), PRTEE (p<0.001), grip strength (p<0.03), and range of motion (p<0.01). Both groups' assessments after rehabilitation indicated increases in pain and function; however, Group A (0.03) benefited more and saw early success with the PowerBall device. Conclusion Findings show that a three-week program incorporating resistance training exercises mediated by a "PowerBall device" enhances upper limb performance beyond traditional exercise treatment and increases grip strength, wrist extension strength, internal and external rotator concentric and eccentric strength. The findings and observations indicate that both groups have significantly improved.
ABSTRACT
Volar Barton fracture is a common condition in dislocation of the distal radius of the volar or dorsal aspect. It occurs due to violent injury or road traffic accidents. Radius is one of the most common parts to get affected. Various treatment plan is needed for this fracture like physical therapy and medication. Surgical intervention is necessary to treat the patient for a volar Barton fracture. Recovery takes time for this condition. For treatment, patient education is also important. The patient should be goal-oriented, cooperative, and motivated for the rehabilitation program. Isometric strengthening exercises for the shoulder and elbow were performed to regain the muscle's strength. The main aim is to make the patient independent of functional activities. Quality of life improved, and a rehabilitation program benefited the patient.
ABSTRACT
The ankle joint is a complex joint that bears the human body's weight throughout daily activities. Unimalleolar, bimalleolar, and trimalleolar fractures are the three subgroups that make up the category of ankle fractures. Determining the risk-benefit tradeoffs between non-operative and surgical therapy still requires a thorough initial examination of the fracture pattern, soft tissue condition, and patient characteristics. Ankle fractures that are stable and well-aligned respond well to conservative therapy. Open reduction and internal fixation is the current gold standard of treatment for displaced and unstable fracture patterns, with historical data revealing good to outstanding outcomes for the majority of these patients. We present a case of a 19-year-old female sustaining a Pott's fracture following a road traffic accident. The overall treatment technique used included the overload principle, task-specific training, and an impairment-based strategy. The patient's impairments with regard to the range of motion, strength, edema, discomfort, wound healing, and functional limitations were handled by the therapist using exercises, manual therapy, and compressive cryotherapy. A clinically significant rehabilitation protocol for treating Pott's fracture is established in this case report.
ABSTRACT
In clinical practice, cervical disc abnormalities such as herniated nucleus pulposus (HNP), degenerative disc disease (DDD), and internal disc disturbance are seen. DDD includes degeneration causing annular tears, a decrease in disc height, and nuclear degradation. Cervical stenosis with myelopathy can be caused by anything that narrows the spinal canal and compresses the spinal cord, such as bone spurs, herniated discs, or bulging ligaments. Posterior cervical decompression and fusion (PCDF) is a standard surgical treatment for treating numerous cervical spine diseases. It has been suggested that more intensive and structured physiotherapy is required to improve clinical outcomes with regard to long-term activity restrictions and participation restrictions and deficits in patients' physical abilities relating to their neck post-surgery. In this case study a patient presented with complaints of upper back pain with a tingling sensation in the bilateral upper limbs for one year and was diagnosed with cervical disc disease with degenerative changes in the cervical spine along with disc bulges at C3-C4, C4-C5, C5-C6 levels causing severe spinal canal stenosis at C3-C4, C4-C5 disc levels and radiculopathy and then underwent a spinal fusion with posterior decompression surgery at the C4-C5-C6 level. After surgery, the patient was started with physiotherapy rehabilitation which was planned for 12 weeks. Outcome measures that were included to record the recovery of the patient are Neck Disability Index (NDI) and the Numeric Pain Rating Scale (NPRS). Physiotherapy rehabilitation following posterior cervical spine decompression and fusion surgery for cervical disc disease has been proven to be beneficial in restoring the Range of Motion (ROM), and muscular strength of the bilateral upper limbs, reducing pain, and helping the patient get back to performing activities of daily living (ADLs) independently.
ABSTRACT
In the elderly population, the proximal femoral fracture is a major health concern. Surgical treatment of this fracture, combined with postoperative physical therapy, is used to reduce morbidity. The primary goal of this study was to investigate tibial and femoral neck fractures. It was managed by physiotherapy post-operatively and had the patient perform activities of daily living with no resistance. In this case, a 45-year-old male patient was traveling when he was involved in a traffic accident, causing injury to his left lower limb. He was operated on with open reduction and internal fixation with a tibia interlocked nail for a segmental tibia fracture on the left side, as well as cannulated screw fixation for a femoral neck fracture. Physiotherapy management was done, focusing on his occupational needs and rehabilitation for the betterment of activities of daily living.
ABSTRACT
Recurrent shoulder dislocation is often induced as a result of a traumatic situation that results in structural disease; however, a small subset of individuals suffer symptomatic recurrent shoulder instability without trauma. The glenohumeral articulation geometry offers a lot of flexibility at the sacrifice of inherent stability. The commonly dislocated joint is the shoulder joint as it has intrinsic instability that can lead to repeated dislocations. The procedure is designed to minimize the probability of problems. Physiotherapy is essential for regaining patients' mobility and enhancing their quality of life. A 36-year-old patient visited Acharya Vinoba Bhave Rural Hospital with complaints of pain graded 7/10 on the numerical pain rating scale and injury to the right shoulder joint after which there was repeated shoulder dislocation after a fall because of epilepsy five years back. The patient was diagnosed with recurrent shoulder dislocation which occurred approximately 50 times in a year as of January 24, 2022. The patient was managed with a Latarjet procedure on January 28, 2022. A well-planned physical therapy intervention significantly improved their overall status of health along with their ability to perform daily activities efficiently in post-operative patients with recurrent shoulder dislocation.
