The standard treatment for multiple levels of cervical prolapsed intervertebral disk (PIVD) is anterior cervical decompression and fusion. Although it is associated with positive outcomes, it is also fraught with complications. In this report, we present an unusual postoperative case of a 58-year-old male who underwent anterior decompression and cervical fusion at two levels -C4-C5 and C5-C6 -for traumatic PIVD and developed a postoperative complication of unilateral C5 motor palsy, making it difficult for the patient to elevate the shoulder. This postoperative complication had no known cause, but it could be iatrogenic or due to structural variation. There is sparse research on possible ways to avoid this complication. Physiotherapy management is critical in improving the patient's functional recovery. The neck and upper extremity functional measure scale and Neurogenic Claudication Outcome Score (NCOS) scale were used for measuring outcomes. The patient also had a two-year history of tingling and numbness in both lower extremities, which was treated conservatively. The difficulties that physiotherapists encounter in managing this uncommon postoperative complication in addition to the lumbar PIVD make it unique. The key to a better prognosis is early detection and management.
Mental health has suffered considerably as a result of advancing time and technological developments. Poor quality of sleep affects people of all ages, and non-pharmacological remedies are becoming increasingly important. Nearly 60% of all undergraduate students are reported to have a poor quality of sleep, with 7.7% fitting the criteria for insomnia. Sleep deprivation is found to affect the immune function, brain maturation, development of the body, metabolic process, and cognition, as well as maintaining normal homeostasis of the body. Sleep quality and quantity have a severe influence on learning and memory and thus a major influence on students' quality of life. Brain gym exercises are a formidable contender in this race. Still, further study is required before a solid conclusion can be formed on its value as an intervention, so to evaluate the effect of brain gym exercises as a non-pharmacological measure, this study was conducted with a total of 65 participants based on the inclusion and exclusion criteria with the duration of practice as five days in a week with a session of 25 minutes with adequate intervals. An insomnia rating scale (IRS) is used to get the desired population for giving the intervention, along with the Pittsburgh Sleep Quality Index (PSQI). This study was conducted at the Physiotherapy College of Wardha. The results were given by statistical analysis using descriptive and inferential statistics. The data analysis depicted that after the brain gym activity intervention, there was a marked reduction in the score of PSQI, suggesting significant improvement in their sleep quality, and it can be used as non-pharmacological management for mild to moderate insomnia students.
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