Indian Journal of Physical Medicine and Rehabilitation

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Volume 31, Number 1, January-March 2020

EDITORIAL

Dr Rajesh Pramanik

Subspecialty or Superspecialty: What is the Call Today?

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:1] [Pages No:00 - 00]

PDF  |  DOI: 10.5005/ijpmr-31-1-iv  |  Open Access |  How to cite  | 

Original Article

Ashish Srivastava, Sanjay Kumar Pandey, Sanyal Kumar, Amit K Mallik

Rehabilitation Outcomes in Stroke: An Observational Study

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:3] [Pages No:1 - 3]

Keywords: Function, Rehabilitation, Stroke

PDF  |  DOI: 10.5005/jp-journals-10066-0055  |  Open Access |  How to cite  | 

Abstract

Background: Stroke is the sudden occurrence of permanent damage to an area of the brain caused by a blocked blood vessel or bleeding within the brain. Aim and objective: To assess the outcome of rehabilitation in stroke survivors in various parameters at regular intervals. Materials and methods: This prospective randomized control study was performed in a tertiary-care teaching institution of North India. One hundred patients fulfilling World Health Organization criteria for stroke were selected for this study. Subjects were assessed by computed tomography scan findings and Barthel index at time of admission and follow-up. Results: Better recovery pattern was found in hemorrhagic patients (24) rather than ischemic patients (76) and in right-side lesion when compared to left side.

Original Article

Mohit Kataruka, Mandeep Saini, Manas R Pattnaik, Kailash Mohitey

Physical Exhaustion Unmasking Underlying Diseases

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:4] [Pages No:4 - 7]

Keywords: Thalassemia minor,Gilbert\'s syndrome, G6PD, Physical exhaustion

PDF  |  DOI: 10.5005/jp-journals-10066-0064  |  Open Access |  How to cite  | 

Abstract

Physical exhaustion is the temporary physical inability of the muscles to perform optimally. The onset of muscle fatigue during physical activity is gradual and can be reversed by rest and replenishment of electrolyte and hydration. For maximal physical fitness, one should require optimal function of all the body parts and system. It is our humble attempt to find out the underlying disease in patients who presented to us with signs and symptoms of physical exhaustion. Materials and methods: The study was conducted at medical center located at southern part of India from March 2017 to February 2019, and 213 healthy individuals from a physical training institute aged between 18 and 21 was selected, and pre- and post-run blood parameters were measured. Discussion: In our study, more than 20% persons have more than 2-fold rise in blood creatine phosphokinase level which ultimately comes to normal within 48 hours. Eighty-one people among the study population have increase in serum AST/ALT level, and most of them come to normal within 48 hours. Conclusion: For optimal performance and to avoid major catastrophe, it is suggested that before undergoing exhaustive physical exhaustion, one should be properly evaluated.

Original Article

Jyoti Pandey, Anil K Gupta, Dileep Kumar

A Case of Perthes Disease in Cerebral Palsy Patient

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:3] [Pages No:8 - 10]

Keywords: Cerebral palsy, limping, Perthes, Spasticity

PDF  |  DOI: 10.5005/jp-journals-10066-0065  |  Open Access |  How to cite  | 

Abstract

Perthes disease is a disorder of femoral head that affects 5–10 per 100,000 children. There is a transient disruption of the blood supply to the femoral head followed by collapse and subsequent remodeling. The majority of cases present between the ages of 4 years and 10 years. We are reporting the unusual case of a child with cerebral palsy who developed a left-sided limping gait. In cerebral palsy patients, spasticity can result in femoral head and acetabular deformities which leads to limping. The possibility of Perthes disease in such patients cannot be ignored. So, another radiological investigation can help to reach an appropriate diagnosis as was considered in our patient.

Original Article

Dileep Kumar, Srutarshi Ghosh, Anil Kumar Gupta, Sudhir Mishra, Ganesh Yadav

A Demographic Study of Lower Limb Amputees in a North Indian Tertiary Rehabilitation Center

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:3] [Pages No:11 - 13]

Keywords: Trauma,Amputee, Male, Revision amputation

PDF  |  DOI: 10.5005/jp-journals-10066-0066  |  Open Access |  How to cite  | 

Abstract

Introduction: Rehabilitation of amputees is a challenging in a developing country like India because in order to provide better rehabilitative facilities and to formulate specific rehabilitation guidelines, efficient record keeping and proper analysis of data are essential. Records of different epidemiological parameters of amputees are rarely found in Indian medical literature, which warrants an investigation for the same. Aim and objective: To assess the age, sex, and cause-wise distribution of the amputees in the study group and to correlate the incidence of revision amputation with that of bad stumps and the level and cause of amputation. Materials and methods: Retrospective data analysis of 132 patients with 141 lower limb amputations above the level of ankle admitted in the inpatient setting from 2015 till 2018 was performed. Upper limb amputees and amputations below the level of ankle were excluded. Results: One hundred and thirty-two patients with lower limb amputations were taken, of which 123 (93.18%) were unilateral and 9 (6.82%) patients were bilateral, with 110 males (83.3%) 22 females (16.66%) overall. In the trauma group, there was a strong preponderance for young males (64.22%) with a mean age of 32.49 ± 12.62 years among unilateral and 26.5 ± 7.78 years. Conclusion: Our study determined that young males are the biggest victims of traumatic amputations, much of it which could be preventable by implementing better road safety measures and avoiding hazardous activities. As there are very limited data available regarding amputee rehabilitation in existing literature, this study will help in future meta-analytical studies to formulate strategies to alleviate the socioeconomic burden of amputations.

Original Article

Deependra K Rai, Sanjay Kumar Pandey

Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:5] [Pages No:14 - 18]

Keywords: Breathing exercise, Chronic obstructive pulmonary disease, Pulmonary rehabilitation

PDF  |  DOI: 10.5005/jp-journals-10066-0067  |  Open Access |  How to cite  | 

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is defined as a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. Pulmonary rehabilitation is an essential component in management of COPD, which improves dyspnea, fatigue, and betters the quality of life. Materials and methods: A literature review was performed using different database with search words COPD, pulmonary rehabilitation and it combination. Results and conclusion: Pulmonary rehabilitation is not only beneficial in severe disease COPD rather it should be administered to mild cases of COPD also. Patients should be referred to pulmonary rehabilitation early during the course of the disease in order to minimize the consequences of COPD. Rehabilitation start with thorough assessment of the patient followed by individualized therapy, which includes not only exercise but also education, nutritional advice, and psychological therapy.

MISCELLANEOUS

Postgraduate Forum

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:1] [Pages No:19 - 19]

PDF  |  DOI: 10.5005/jp-journals-10066-0070  |  Open Access |  How to cite  | 

MISCELLANEOUS

Philately

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:1] [Pages No:20 - 20]

PDF  |  DOI: 10.5005/jp-journals-10066-0068  |  Open Access |  How to cite  | 

MISCELLANEOUS

Amalesh Basak

Pictorial CME

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:1] [Pages No:21 - 21]

PDF  |  DOI: 10.5005/jp-journals-10066-0069  |  Open Access |  How to cite  | 

MISCELLANEOUS

Rehab Challenge

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:1] [Pages No:22 - 22]

PDF  |  DOI: 10.5005/jp-journals-10066-0072  |  Open Access |  How to cite  | 

MISCELLANEOUS

Rehab Quiz

[Year:2020] [Month:January-March] [Volume:31] [Number:1] [Pages:1] [Pages No:23 - 23]

PDF  |  DOI: 10.5005/jp-journals-10066-0071  |  Open Access |  How to cite  | 

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