BackgroundSpastic cerebral palsy (CP) is the most common type of CP. Hip adductor spasticity leads to discomfort, stiffness, and difficulties in doing physical activities such as sitting, transfer, and walking. Management of hip adductor spasticity is still a challenge in the field of rehabilitation. Horse riding simulator (HRS) has been reported to have beneficial effects on spasticity, postural control, and motor function in children with spastic CP.ObjectiveThe aim of the study was to determine the immediate effect of HRS on adductor spasticity in children with CP.MethodsTwenty‐four children with CP were selected and were divided into two groups: experimental and control (12 children in each group). Experimental group was exposed to HRS and control group to the corner seat placement. Adductor tone and passive hip abduction range of motion were measured before and after the intervention.ResultsPost intervention scores in the group of HRS show significant reduction in adductor spasticity and improvement in hip abduction range of motion, whereas no difference have been reported in the control group. HRS has positive effects on reducing spasticity and improving range of motion in hip joint in spastic CP.ConclusionIt was concluded that immediate effect of HRS is successful in reducing the adductor spasticity and improving abduction range of motion in hip, which could be incorporated with regular physiotherapy intervention.
Carpal Tunnel Syndrome results in considerable discomfort and pain, limitation of activities of daily living, loss of sleep and work disability. Carpal tunnel Syndrome is more frequent in pregnancy because the systemic process increases the extra capsular fluid retention by the hormone Prolactin and produce soft tissue swelling in the later stages (third trimester) of their pregnancies. Many therapies have been advocated for treating the carpal tunnel syndrome including Mobilizations, nerve gliding, tendon gliding, Ultrasound, icing, Massaging, Elevating the arm or flicking, Neural mobilization, wrist splints and invasive treatments like injecting corticosteroids in the carpal tunnel and eventually releasing the median nerve by surgery.etc. Women experience pregnancy several times, and if they acquire CTS, invasive treatments cannot be used, and pregnancy increases the probability of reoccurrence of CTS in the next pregnancy with higher intensity. So it is necessary to use non-invasive treatment methods. The disease is becoming very common nowadays as most of the population is engaged in computer work by some means especially the IT ladies who always use the conventional mouse for their work with the PC. One of the non invasive method of using the wearable device (wearable glove mouse) along with the tendon and nerve gliding exercises prescribed by the physiotherapists improves the condition. The occurrence of CTS is diagnosed by positive Tinel’s sign and positive Phalens test. This work tries to give possible non invasive solution for the CTS during pregnancy for IT women professionals and the relief of symptoms is measured with the help of VAS Scale, Functional Status Scale.
A prospective, controlled trial was conducted to assess the outcome of early physical therapy intervention on preterm low birth weight infants during the first six months of life. A cohort of 100 preterm low birth weight infants who got admitted in neonatal intensive care unit (NICU) and referral newborn (RNB) of Raja Muthiah Medical College and Hospital (RMMC & H) were included prospectively. Infants who received regular early physiotherapy intervention were assigned as interventional group (EI) and infants who were advised but did not turn up for early intervention as comparison group (NEI). The Amiel-Tison neurologic examination and Denver developmental screening test (DDST) were used and results were compared. Better performance of infants was found in EI group in neurologic and developmental domains. The data suggest significant benefit of the use of EI programme over NEI in the neurodevelopmental outcome of preterm LBW infants at 6 months of corrected age.
Original Articledevelopmental status and for planning intervention to avoid secondary problems 7,8 .Early intervention (EI) consists of providing continuous multidisciplinary services to infants from birth throughout the first year of life.It means interventional therapy specified for babies at-risk for developmental delay and periodic developmental assessment of motor, cognitive function, language/adaptive functioning 9 . EI promotes child health, minimise developmental delays, cures existing disabilities, prevents functional deterioration, and promotes parent-child interaction 9 .The goal of this study is to measure the effects of EI programme in a group of high-risk preterm LBW infants. The hypothesis is that high-risk infants under EI perform better than a group of high-risk infants without EI. DDST comprising gross motor, fine motor, personal social and language domains were used prospectively to evaluate the effects of EI on their neurodevelopment during follow-up in the first six months of life.
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